Pericarditis

Dr. Hooman-Khorasani
Posted in Uncategorized

Pericarditis is an inflammatory process in the pericardial sac called the pericardium. Pericarditis is rarely considered an independent disease. As a rule, it develops as a complication after all kinds of diseases of an infectious and non-infectious nature.

Causes of Pericarditis

– infectious viral diseases, such as influenza, fungal diseases and microorganism infections;

– severe heart attack;

– immunological combinations of antibody-antigen that form during allergic reactions and accumulate in the tissues;

– intoxication of the body with poisons that can penetrate into the body from the external environment and from the inside of the body;

– complications after injuries.

With the development of the inflammatory process of the pericardium in the cavity, inflammatory or purulent exudate, blood clots or blood protein, fibrin can be delayed.

Pericarditis can be dry or exudative.

Dry pericarditis occurs with pressing pain in the chest area. As a rule, the pain is moderate, sometimes turning into more severe. They can be confused with pain in an angina attack. The patient during an attack of pericarditis is not able to take a deep breath, breathing is shallow and rapid. The pain becomes stronger when you press the chest in the area of ​​the heart muscle.

At the same time, heart palpitations and shortness of breath, paroxysmal cough, malaise and chills may occur . 

Exudative pericarditis, in fact, represents the second stage of dry. Moreover, all symptoms are more pronounced, difficulty breathing does not go away. When you click on the trachea, a dry and sonorous cough occurs. When you press the esophagus, difficulty swallowing appears, when you compress the nerve of the larynx, the voice changes or disappears altogether. The abdomen ceases to take part in the breathing process, since the diaphragm practically does not move.

Blanching, and then turning blue, is becoming more pronounced. Due to the stagnant process of venous blood, the upper limbs, head and neck begin to swell. The patient may feel general weakness. In this case, the pulse is felt very weakly. Patients have a fear of death. Often an attack of pericarditis leads to deep fainting.

Exudative pericarditis of a chronic nature, as a rule, develops over time. First there is mild shortness of breath and fatigue, then pain in the heart zone appears. All symptoms worsen over time.

Diagnosis of pericarditis

Diagnosis is based on a medical history, palpation and listening of the heart. To confirm the diagnosis, they resort to research using ultrasound, an x-ray apparatus and an electrocardiograph. In some cases of the disease, a pericardial sac is punctured. In the process of taking a puncture, a thin cannula is inserted into the pericardial cavity, with which a certain amount of accumulated fluid is taken for analysis. Exudate is examined in the laboratory. The specificity of the fluid taken during puncture allows us to judge the exact diagnosis.

Pericarditis treatment

Treatment of pericarditis is determined by the causes of its development. For example, in processes of an infectious nature antibiotics are prescribed, in case of allergic reactions – medications that inhibit the secretion of antibodies and so on.

In addition, they use anti-inflammatory and absorbable medicines. In severe cases of pericarditis, glucocorticoid hormones are prescribed. In addition, medications that relieve heart pain, normalize the functioning of the heart muscle and blood circulation are recommended.

Microbial eczema, causes and treatment

Dr. Hooman-Khorasani
Posted in Uncategorized

Microbial eczema is an inflammatory skin disease that is accompanied by itching, blistering rash and is completely non-contagious. However, if you do not treat the disease in time, then the body can develop a number of infectious inflammations, which can lead to a breakdown of the nervous system, headaches, and insomnia.

Causes of Microbial Eczema

Most often, microbial eczema occurs in people with weakened immunity, as a result of which the human body becomes more susceptible to the ingestion of various microorganisms. Any wounds, burns and scratches that have a purulent course can become a favorable environment for the initiation of infection. After some time has elapsed around the wound or scratch, a round-shaped rash appears. As a result, pustules begin to spread on the skin, and all this is accompanied by burning and severe itching in the affected area.  

At risk of infection with microbial eczema are people with weakened immunity, with impaired functioning of the nervous system, with problems in the digestive system. In addition, non-observance of personal hygiene rules can also become a factor provoking the occurrence of this disease, since foci of eczema appear most often on the extremities and in places of excessive sweating. Also among the culprits of microbial eczema are problems with varicose veins, the presence of fungal diseases of the nails, skin of the legs, as well as long non-healing wounds.

One of the first symptoms of the onset of the disease is itching. As a rule, you want to scratch the affected area of ​​the skin, which subsequently leads to the appearance of a rash, wounds and, as a result, the spread of the lesion.

Coin-like eczema is one of the varieties of microbial eczema. Symptoms of coin-like eczema are the appearance of swelling and weeping purulent crusts on the affected areas of the skin. In this case, lesions occur, as a rule, on the upper limbs (mainly on the palms), but the rash can spread to other parts of the body. If the treatment rules prescribed by the dermatologist are not followed, the disease can be recurrent.

Eczema treatment

Recently, microbial eczema has become quite common not only in adults, but also in children. If you find the first symptoms of the disease in you or your loved ones – do not even try to engage in “self-diagnosis” and self-medication. Only a qualified doctor, having determined the nature of the causative agents of the disease, establishing the main cause of its occurrence, and also having studied the nature of the course of microbial eczema, will be able to prescribe you the right treatment. For example, if microbial eczema is caused by a fungal infection, the doctor first of all does not prescribe antibiotics, but antifungal drugs.  

Effectively in the treatment of microbial eczema, antifungal ointments that dry the skin well and accelerate the process of crust formation. The ointment is applied to a bandage or gauze and applied to the affected area of ​​the skin.

Disinfection of lesions is carried out with the help of brilliant green, which is applied about three times a day. Antihistamines are prescribed to relieve itching. Also, in cases of limb lesions, warm soda compresses and baths will be effective, since soda perfectly dampens any irritation on the skin.

As a rule, if microbial eczema is detected at an early stage, then with proper treatment, the rashes begin to disappear after three to four days. Then the skin requires mandatory, scrupulous, thorough care. The skin care products for eczema include various natural lotions, creams and ointments that do not irritate the skin. In addition, in contact with contaminated objects, hands must always be protected by disposable rubber gloves.  

When treating, it is very important to follow a diet (cereals, boiled meat, fruits, vegetables) and refuse sweets, canned fried and salted products, alcohol. Affected areas of the skin should be carefully protected from possible mechanical or chemical injuries, synthetic and chemical household products should be excluded from use.

With timely access to a doctor and compliance with all his prescriptions, the outcome of the disease, as a rule, is favorable.

Types of skin infections caused by fungi

Dr. Hooman-Khorasani
Posted in Uncategorized

Despite the fact that only half of all types of fungi known to mankind can be hazardous to health, fungal species of microorganisms that live on the human body can cause the development of various infections. In most cases, the risk of infection with a particular fungal infection increases in those cases when the protective functions of the immune system are significantly reduced, or a person takes antibiotics that violate the normal bacterial flora.

Common types of skin infections caused by fungi

Yeast erosion or mycosis , as a rule, manifests itself in the form of diaper rash of intercutaneous folds. This type of skin infection caused by a fungus is characteristic of very overweight people suffering from diabetes or obesity. Symptoms of a yeast infection are redness of the skin (intensely red color), itching, rash, wet plaque of white color.    

The most common form of mycosis is the epidermophytosis of the foot , which affects the skin at the base of the toes. Signs of this infection are burning, severe itching and cracked skin in the area of ​​infection. Mycosis of the feet affects more than 20% of people. Infection, as a rule, occurs in public baths, saunas, pools, on beaches. 

Candidiasis is a fungal infection that most often appears between the fingers on one or both hands. Initially, small blisters appear on the skin, which soon spontaneously burst, and erosion forms in their place. Fungal infections of this type are more susceptible to people who, by the nature of their activity, deal with the processing of fresh vegetables and fruits, as well as housewives. 

Ringworm or trichophytosis can occur on the nail plates, smooth skin, and also on the scalp. On the skin, it appears in the form of rounded or oval spots of pink or saturated red. The skin in infected areas is very flaky. Infection most often affects children 3-10 years old, while in adults, on the contrary, ringworm is quite rare. In this case, the fungus affects individual areas of the skin and looks like multiple formations of pale pink or red. The form of formations is round or oval. The surface of the skin in these places is covered with flakes of whitish-gray color. In addition, a significant thinning of the hair occurs in the foci of lesion as a result of breaking them off in the basal region.   

Multicolored pityriasis versicolor most often affects the skin in the chest and back, although it can appear on the face, hands, genitals and very rarely on the scalp. Unlike ringworm, this type of infection is characterized by the formation on smooth skin of clearly defined, rapidly growing, peeling irregular-shaped spots, yellowish-pinkish, dirty in color. 

By types of skin infections caused by fungi also include one of the types of onychomycosis. Skin infection is provoked by anthropophilic fungi, and often appears not only on soft skin, but also on the head under the hair.  

Favus (scab) is a chronic fungal infectious disease that can affect not only the external parts of the human body, but also internal organs. Most often manifests itself on the scalp in the form of shin guards. In the places of the lesion, cicatricial atrophy of the skin develops and a strong hair loss is observed, up to their complete, irreversible loss. 

Fungal infections that affect the skin are not only unpleasant, but also quite dangerous diseases. If you do not start treating them in time, diseases can last for years, which ultimately can lead to serious consequences.

Causes of Stomatitis

Dr. Hooman-Khorasani
Posted in Uncategorized

Stomatitis is an inflammatory process in the oral mucosa.

Despite the huge incidence of stomatitis, a large number of questions to this day do not have a definite answer. These issues include the causes of stomatitis. 

At first glance, it seems that the causes of stomatitis are gastric, intestinal, liver, blood and cardiovascular, endocrine and nervous diseases, against which stomatitis develops. In another way, stomatitis can occur as a reaction to the irritation of systems and organs.

The causes of stomatitis determine the classification of the disease:

– traumatic stomatitis, in which the causes of stomatitis are mechanical damage to the oral mucosa;

– stomatitis of an infectious nature, in which the causes of stomatitis are viral, bacterial or fungal pathogens;

– symptomatic stomatitis, in which the causes of stomatitis are diseases of the internal organs.

According to the symptoms, stomatitis is divided into catarrhal, characterized by the absence of ulcerations on the mucosa, aphthous and ulcerative varieties of the disease. However, other types of stomatitis can be observed. Various forms of the course of the disease can be stages of a single pathological process. 

Gastrointestinal pathologies become causes of stomatitis, which are almost impossible to cure until the underlying disease is treated. It should be noted that with most diseases of the gastrointestinal tract, there is a disruption in the functioning of neurohumoral mechanisms that are responsible, inter alia, for the normal healthy state of the oral mucosa.

The difficulty in establishing the type of stomatitis is caused not only by a huge number of causes of the disease, but also by the rate of development of changes in symptoms. For example, blisters with stomatitis quickly degenerate into ulcerations or plaques, and therefore it is not always possible to analyze their initial form.

Many diseases of an infectious nature occur accompanied by the obstruction of the muscles of the tongue. In addition, diseases of the digestive organs can have a single manifestation, expressed in a change in the oral mucosa. For example, an enduring plaque in the tongue indicates an acute course of any intestinal or gastric disease. In the process of calming down the inflammatory phenomenon, in other words, during the remission period of the underlying disease, the plaque passes or becomes significantly less. As a rule, plaque in the tongue does not require any special treatment.

Diseases of the heart and blood vessels, accompanied by blood failure, are distinguished by the acquisition of a bluish coloration of the skin of the lips, tongue, and oral mucosa. Sometimes, in this case, there is a burning sensation in the oral cavity. Severe cardiovascular failure can cause erosion or ulceration in the oral cavity. These phenomena need treatment.

Diseases of the blood system, for example, anemia, leukemia, and many others, can also occur accompanied by pathologies of the oral mucosa. In such a situation, bleeding of the mucous membrane and hemorrhages are most often observed.

With psoriasis, alternation of white and red areas is noted, which tend to remain, even when the underlying disease is treated. Fortunately, these phenomena do not represent a hazard to health and, especially, to life.

Other diseases, such as AIDS, for example, also have varieties of stomatitis among their symptoms. In this regard, dentists are required to analyze the general condition of the patient, before prescribing treatment.

Eczema Disease: Know the “Enemy” in the Face!

Dr. Hooman-Khorasani
Posted in Uncategorized

Life in the modern world is constant stress, nervous tension, being in conditions that are far from favorable for health, eating foods with a dubious composition, an abundance of advertised drugs, which you can buy and use without a doctor’s prescription, a catastrophic lack of time to relax. It is not for nothing that scientists say that eczema is a scourge of the 21st century, because all of the above factors may well cause its occurrence, and at any age, in any person. The medical definition of this disease is as follows: it is a non-infectious, inflammatory skin disease of a neuro-allergic nature, which is chronic in nature with periods of remission and temporary exacerbations.  

general information

The impetus for the onset of eczematous damage to the surface layers of the skin can be various external (thermal, chemical, physical) and internal (disturbances in the functioning of human systems and organs, diseases, weakened immunity) factors. The clinical picture of various types of eczema may look different – depending on the causes that led to it, the nature of the course of the disease, the location of the lesion. However, the general symptoms of eczematous skin lesions are as follows:

  • puffiness of the epidermis;
  • redness of certain areas of the skin;
  • rashes in the form of small vesicles filled with serous fluid;
  • rapid bursting of vesicles (rash vesicles) with the occurrence of skin wetness at the lesion sites;
  • the formation of point erosion;
  • further drying of the skin and the formation of crusts on the affected areas;
  • boring itching and burning in the lesions.

Eczema disease can have acute (periodic outbreaks) and chronic (sluggish) form. Moreover, in different parts of the body, both forms of the disease can be observed simultaneously. 

Eczema Classification

Eczema is true . It occurs in people of different ages, is characterized by an acute initial period, which subsequently flows into a sluggish, chronic form. Symptoms of an acute form – rashes in the form of small, rapidly bursting vesicles, swelling of the skin, itching. The lesions are located symmetrically on the body. Most often, true eczema appears on the hands, forearms, feet. In young children, places of localization of eczema are located on the face, shoulders, chest, upper and lower extremities.

When the vesicles burst, many small erosive “wells” are formed in their place, from which serous fluid is released. This phase of true eczema is called weeping eczema. 

Gradually, the number of vesicles decreases, erosion wells dry out, and a crust with a scaly-like scaly surface forms in the lesion sites. Eczema disease becomes chronic, accompanied by the appearance of cracks, multiple scales, congestive erythema.  

Dyshidrotic eczema (a subspecies of true eczema) occurs mainly on the palms, in the interdigital space of the hands, on the soles. It is characterized by multiple rashes of vesicles with a dense apex, up to 3 mm in size. The lesions have clearly defined forms, edged with a thickened layer of exfoliating epithelium. 

Microbial eczema occurs at the site of ulcers, fungal infections of the epidermis ( mycotic eczema ); against the background of varicose veins, lymphostasis or trophic ulcers ( varicose eczema ); in places of injury to the skin ( paratraumatic eczema ). The lesions are asymmetric, have a rounded shape with clearly defined contours. Coin-like eczema (numular) is a type of microbial eczema and is distinguished by foci of exceptionally round shape, which are located on the hands and limbs.   

In the development of seborrheic eczema, the main role is played by fungal skin lesions (staphylococcus, Pityrosporum ovale, Candida). The lesions are usually located on the head – under the hair, on the earlobes, behind the ears, on the forehead, neck, neck. It is characterized by a yellowish color of drying serous peels, excessive dryness of the skin, severe itching.  

Atopic eczema , unlike other subspecies of the disease, bypasses the stage of skin wetness. In places of inflammation, the epidermis is excessively dry, hyperemic, the surface is covered with abundant scaly peeling. Accompanied by a boring, unbearable itch. 

Neither official nor traditional medicine has the methods and means to completely cure eczema. The main goal of any complex of therapeutic measures is to reduce the symptoms of the disease to the optimum minimum and bring it to a stable stage of prolonged remission.

Eczema. Ointments for effective treatment

Dr. Hooman-Khorasani
Posted in Uncategorized

Eczema is one of the acute or chronic skin diseases. The disease is allergic in nature. The term “eczema” was used in ancient times – then it was used to denote a different type of dermatitis. Modern medicine distinguishes this disease into a separate category of skin diseases, the main symptoms of which are localized inflammatory rashes in various parts of the human body, accompanied by itching and burning. The nature of the disease is incurable, recurrent.  

General information

There are no obvious causes of eczema to date. It is generally accepted that the disease is multifactorial, and the basis for its appearance is a genetic predisposition. Factors that trigger the onset of the disease are divided into external (chemical, physical, thermal) and internal (diseases of various organs and impaired functions of the body’s systems). Depending on these reasons, the location, as well as the nature of the various manifestations on the skin, forms of eczema are:

– true (idiopathic) – accompanied by a rash of microvesicles (vesicles);

– microbial, which can occur at the site of infected wounds;

– mycotic (the result of an allergy to fungal infections);

– seborrheic and others (occupational eczema, dyshidrotic eczema, tylotic or horny, varicose, sycosiform).

The treatment of eczema is a rather complicated and lengthy process. Previously, if eczema occurred , ointments for its treatment were not presented in such a wide assortment as in our time, so it has become a little easier to deal with this disease today.   

External drug treatment

When eczema begins , ointment- corticosteroids are one of the most common and affordable means of controlling the symptoms of the disease. They are of two types: hormonal and non-hormonal. External drugs can be purchased at any pharmacy, as prescribed by a dermatologist, or without a prescription. However, it should be remembered that any treatment should be started only after consultation with a specialist.  

As an example, we give several types of medicinal hormone-containing and non-hormonal ointments, which are often used to successfully treat eczema. Hormonal corticosteroids include:

· Hydrocortisone ointment – very well eliminates irritation and swelling; contraindicated in diseases of an infectious nature.

· Prednisolone ointment – has a pronounced antiallergic effect. The course of treatment is no more than two weeks. To protect yourself from unwanted side effects, you must either cancel or change the drug to another after the specified time.

Soderm is another corticosteroid drug. It very well relieves discomfort, itching and pain accompanying eczematous manifestations on the skin. It has a fairly large list of contraindications, as a result of which the drug must be used exclusively as directed by the attending physician. You can use the ointment only 3-4 times a week. Contraindications: syphilis, acne, smallpox, tuberculosis.

Non-hormonal ointments:

· Dermasan – a product that is a clear solution. It is used in the early stages of the appearance of signs of the pathology of the disease of eczema. Ointments are applied by rubbing into clean skin. Contraindications: allergic reactions to the components of the drug.  

Skin-cap is one of the most common ointments for eczema. Having an antifungal and antiseptic effect, the ointment is very effective for an infectious disease. Duration (course) of treatment is up to two weeks. The tool has virtually no contraindications and does not cause negative consequences.

· In the initial stages of eczema, you can also use the Aurobin, which is an excellent way to heal cracks and damage on the epithelium.

In addition to the medical treatment of eczema, as a prevention of possible relapses, it is necessary to observe certain rules of behavior in everyday life. So, do not wear synthetic or woolen underwear for eczema. You should not eat a lot of eggs, milk, fatty and spicy foods, sweets. The diet should have a sufficient amount of vitamins and minerals. Since the disease can cause complications, patients need to visit a dermatologist regularly.

Eczema is contagious. Or is it still not?

Dr. Hooman-Khorasani
Posted in Uncategorized

For some reason, no one cares whether the cirrhosis is contagious, whether it is possible to get sinusitis, or arthritis with close contact with a person suffering from this disease. But as soon as it comes to any chronic skin disease, people immediately have a fear of infection and an unwillingness to communicate. And everything is explained quite simply. All other diseases, with the exception of skin diseases, do not have such unpleasant external manifestations. And in healthy people who are little aware of the causes of psoriasis, neurodermatitis, or eczema, naturally, an internal protective mechanism works: “Caution – it is dangerous!”

But is eczema contagious or not? Is it possible to communicate, contact, live under the same roof with an eczema patient without fear? To dispel all your fears and doubts, we will talk about this inflammatory skin disease in detail, identify the causes of eczema and describe the mechanisms of its development.  

Causes of Eczema

Eczema is a multifactorial disease. This means that the disease can occur due to many factors or in combination. The main causes of eczematous manifestations include:

1. Factors external and internal. External irritants in this case can be skin injuries (mechanical, thermal), skin contact with toxic chemicals (household chemicals, building materials, varnishes, paints, etc.), an allergic reaction of the body to certain foods. Internal factors provoking the occurrence of chronic dermatosis are caused by disturbances in the endocrine, digestive, vascular, nervous systems, as well as infectious or chronic diseases of internal organs.

2. Stress factor. Yes, a nervous breakdown, depression, stress, severe fear or nervous strain can cause the onset of the disease. Unfortunately, this fact is established precisely, but why the cranky nerves are the impetus for the occurrence of eczema, scientists still can not answer. Saying that eczema is contagious, in this case it is impossible – it is clear to everyone.  

3. Weakened immunity. Indeed, it is worth the protective mechanisms of the body to fail, as a variety of diseases, including skin diseases, begin to attack it. In this case, the person does not have enough strength to fight, so any diseases progress and develop unhindered. Get weakened by immunity? Impossible! Which again proves the unreality of infection with eczema in contact with the patient.

4. The factor of heredity. Yes, a person’s genetic predisposition to eczema exists. It should be understood that there may not be direct inheritance from parents to children. At the same time, eczema can occur in a child whose parents have never had this disease. The mechanisms of the formation of heredity are so complex that anyone can be at risk of getting one or another chronic skin disease. But everyone can also avoid it. That is, drawing a line, we can say that the disease itself is not inherited, but the probability of its occurrence.

Development mechanism

What happens when eczema appears and develops? Under the influence of the above, adverse factors disrupt the function of the immune system of the object. As a result, antibodies begin a massive attack on the skin cells and cause their increased division, as a result of which specific inflammatory rashes begin to develop on the skin surface. Outwardly, this is manifested by the appearance of erythema, peeling of the skin, unaesthetic erosive lesions, other clinical symptoms of the disease.

Often, fungal and viral infections fall into the lesions, thereby provoking the development of severe forms of eczema. But even in this case, there is practically no danger of infection for a healthy person.

There is only one conclusion – to argue that eczema is not contagious is by any means impossible, erroneously and without foundation. Healthy people have a much greater chance of contracting any other disease, but not a skin disease with a chronic course. Therefore, do not refuse to communicate with people suffering from eczema – you will not do any harm to yourself, but let the patient feel not as an outcast, but as a completely normal member of society.  

Eczema. Alternative treatment and causes

Dr. Hooman-Khorasani
Posted in Uncategorized

Eczema is an unpleasant skin lesion, most often of an allergic nature. It can manifest itself in various ways: rash, itching, redness with the formation of vesicles. As a rule, eczema is a consequence of exposure to external factors or internal diseases.

Causes of occurrence

The causes of this disease are divided into two main groups: external and internal. If the problem is caused by internal problems of the body, then you should undergo examination in the clinic, if it is caused by external factors eczema, alternative treatment will be optimal both in cost and effectiveness.  

External causes are mainly associated with allergens. This can be low-quality clothing dye, chemicals such as detergents, precious metals used in jewelry or components of makeup. Another external factor contributing to skin irritation is the use of rubber products – gloves, shoes, rubberized leather products.

Also, with the appearance of eczema, it is necessary to exclude contacts with classical allergens: animal hair, dust, pollen of plants. An extremely rare, but still existing, form of the disease is a reaction to sunlight.

Internal causes include fungal infections, microbial infection with inflammation of the tonsils or caries, microbial infection through an open wound, infection with helminths. But internal causes are not always associated with infection, the appearance of eczema can be associated with impaired endocrine system, diseases of the digestive system, with impaired production of hormones in the adrenal glands.

Alternative methods of treatment

Since this ailment was first encountered before our era, there are many ways to unscientific treatment. Depending on the factors that caused the disease, there are different eczema, alternative treatment of which provides its own methods. Moreover, it is traditional, folk methods of treatment that are most effective. They allow you to remove pus from the vesicles, helping to heal the skin, and in the dry form of irritation, soften the skin.  

An excellent remedy is a decoction of chamomile, sage and calendula, which three times a day must be applied to the affected area as a compress. For a decoction, 20 grams of dried chamomile and calendula and 10 grams of sage will be required. The proposed herbs should be poured with boiling water and let it brew for 30 minutes.

The dry form of eczema is best treated with sea buckthorn oil, it can be applied in case of damage to any area of ​​the skin. And for wet, optimal adoption of warm baths with a decoction of pine cones and needles, with the addition of yarrow. Concentration should be at the rate of 40 grams of dry mix per liter of water. Water temperature is not higher than 36 degrees.

Excellent effect on the skin of the bath with starch, for this a kilogram of starch is dissolved in cold water and poured into a warm bath. Take a starch bath is no more than 15 minutes every day.

But the universal treatment for eczema is afraid of potato. The pulped pulp must be applied to the wounds every day, and at night make compresses from it. To improve the effect, you can also add a little honey.  

General recommendations

If eczema occurs, certain preventive measures must be observed so as not to provoke further development of the disease. You must follow a diet that excludes all harmful to the gastrointestinal tract and allergenic foods: spicy dishes, eggs, citrus fruits, smoked dishes, pickles, alcohol and chocolate.

It should also limit the patient’s exposure to the sun, the affected areas should be reliably protected from sunlight. Tanning will be useful only at the stage of recovery, as an element of strengthening immunity. During the course of the disease, it is recommended that you sleep as much as possible.

It is necessary to abandon household chemicals, cosmetics and contact with animals for a while, dedust the premises, and wear only natural materials during this period.

Of course, immunity plays an important role in the appearance of eczema. A weak immune system cannot properly protect the body from aggressive external factors, nor can it regulate malfunctions in the body’s internal processes. Therefore, the main prevention of eczema is the regular strengthening of immunity.

Psoriasis. History written over the centuries

Dr. Hooman-Khorasani
Posted in Uncategorized

An unpleasant appearance is peeling of the skin, terrible plaques of red or pink color … Diseases with similar external symptoms were known in ancient times. At the same time, dermatological terminology was introduced to refer to such diseases. Moreover, many of the terms used by the great Hippocrates, it is customary to use to this day, in modern medicine.

From the time of Hippocrates …

If we talk about a disease called ” psoriasis” , then the history of its study tells that in antiquity this term did not denote one, but a whole group of chronic skin diseases of an inflammatory nature. So, psoriasis was called a disease, accompanied by the appearance on the skin of tuberosity, scaly spots, areas of keratinization of the epidermis, severe itching, burning. They included various mycoses, eczema, leprosy, lichen planus, lupus erythematosus, and many other diseases with similar symptoms.  

It must be noted that each of the diseases indicated by the above terms, nevertheless, had some distinctive features. For example, leprosy was a group of skin diseases, the symptoms of which were peeling of the skin, dryness and thickening of the epidermis, itching. In the current definition of psoriasis, the history of which is still not completely written, such symptoms only indirectly recall the characteristic signs of psoriasis. As for the term “psora,” used by both Plato and Herodotus to refer to a group of skin diseases with similar symptoms, they also called diseases manifested through peeling, dryness and itching of the skin.  

For the first time, the term “psoriasis” was used in ancient Greece to refer to manifestations in the form of scaly localized changes in the skin, accompanied by severe itching. However, the clinical picture of psoriasis of the time was completely different from psoriasis, which we now know.

Studying the ancient chronicles, it can be assumed that the term psoriasis was sometimes used to refer to completely different diseases. He was mistaken for scabies, leprosy, vitiligo. Very often, patients suffering from such diseases were denied medical attention, they were moved away from healthy people, in peculiar reservations, forced to wear special clothes or bells, warning everyone else about the patient’s approach. Such methods, in part, were justified, since dangerous contagious diseases, for the treatment of which no remedy had yet been found, were plentiful in the Middle Ages.

To the present

And only after several hundred years, at the beginning of the 19th century, the concept of “psoriasis” as a separately designated disease took on a clear outline. For the first time described the symptoms and manifestations of psoriasis, the stages of its development and possible complications, scientists from the UK. They differentiated leprosy from psoriasis, various fungal skin lesions, described the usual and unusual course of the disease (damage to the palms, soles, joints, nails, etc.). Subsequently, English researchers established a connection between disorders in the nervous system, as well as various diseases of the internal organs, and the occurrence of psoriasis.

More recently, in the early to mid-20th century, more accurate information about the essence of psoriasis was obtained. In particular, the relationship between the disease and metabolic disorders, the influence of viral diseases on the occurrence of psoriasis, and weak immunity was established. In addition, a hereditary predisposition factor to this disease was established. In the aggregate of established facts, psoriasis began to be talked of not just as a disease that affects the skin, but as a systemic disease that affects various tissues and organs of the human body.

The story of studying the causes of psoriasis, the mechanisms of its development and methods of treatment does not end there. Today, in many countries of the world, active research is being conducted aimed at finding means and methods for the complete cure of psoriasis. But, unfortunately, scientists have not yet come to any positive results.

Coin-like eczema: features, diagnosis, treatment

Dr. Hooman-Khorasani
Posted in Uncategorized

Eczema is coin-shaped (numullary) characterized by the appearance of rounded generalized foci of inflammation in the form of rapidly boiling papules and vesicles. The sizes of the primary lesions vary from 1 to 5 cm. Externally, the rashes are very similar to a fungal infection, accompanied by severe itching. The first manifestations of coin-shaped eczema are localized on the lower extremities, and eventually spread to other parts of the body (trunk, back of the palms), without any specific location.

Most often, coin-like eczema is found in the adult population, and women are much less susceptible to it than men. The disease develops gradually, without sharp jumps and without the presence of this disease in the anamnesis.  

Eczema belongs to the group of chronic skin diseases, the etiology of which is not fully understood. It is generally believed that the main causes of the onset and development of the disease are hereditary factors, external irritants (allergens of chemical or thermal origin), mechanical injuries of the skin, disturbances in the functioning of body systems and organs, impaired immune system functions, etc.

The clinical picture and diagnosis

Specific external symptoms of coin-like (numullary) eczema are round plaques with clearly defined borders, with a flaky surface in the form of small crusts. The characteristic areas of rashes are the lower and upper limbs, sometimes the torso. The clinical picture of the acute form of the disease is determined by the pronounced weeping of the epidermis in the lesions and the formation of new vesicular rashes.

Often, coin-like eczema is determined by acute lesions with exudate (excretion of serous fluid) and crusts, or chronic foci with erythema and flaky surface. In the acute form of the course, a secondary infection can join the eczematous lesion, which exacerbates the course of the disease. Symptoms of such processes are thick crusts of honey-yellow color on the surface of the foci.  

All stages of the development of eczema are accompanied by itching of various intensities (usually very strong, boring).

Since the external signs of coin-shaped eczema are similar to the symptoms of other skin diseases, when diagnosing, the doctor will certainly make the so-called differential diagnosis. Should be excluded:

– T-cell skin lymphoma on the legs, which is often mistaken for coin-shaped eczema;

– psoriasis, the hallmarks of which in this case are the “geographical” contours of the lesions;

– fungal infections, the symptoms of which are flaky, clearly defined edges of the foci and a noticeable regression of rashes in the center.

Coin -like eczema can be treated with great difficulty, since the course of the disease is often unpredictable, changeable, with frequent relapses. In this state, the disease can be an indefinite number of months or even years. Characteristic for this form of eczema is also the fact that the lesions tend to maintain size even at the stage of remission and to recur during periods of exacerbation in previous areas.  

How to treat?

When prescribing torpid treatment, it is necessary to conduct a patchwork test. The use of topical allergens, which include certain drugs (hydrocortisone, bacitracin, neosporin, etc.) can provoke the development of coin-like dermatitis. Therefore, it is necessary to abandon the use of all unnecessary moisturizing external agents, over-the-counter medications for internal use, infusions and decoctions of medicinal herbs.

In the presence of mycosis or fungal infections, antifungal drugs are prescribed. The presence of a secondary infection in the lesion foci needs treatment with systemic anti-staphylococcal antibiotics. To reduce itching, antihistamines are required. Good results in the symptomatic treatment of coin-like eczema are shown by phototherapy – irradiation of the affected skin with ultraviolet radiation of spectrum B.

In any case, treatment should be carried out only under the supervision of a specialist. Self-medication and treatment of eczema with folk remedies is highly not recommended.