Diagnosis of psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis, like other skin diseases, is diagnosed by a dermatologist . Most often, a visual examination is enough to make a diagnosis of plaque -like (the most common type) psoriasis. At the first stage, a rash appears in the form of papules of various sizes. Close to each other, they coalesce to form psoriatic plaques , which have a clear border and a rich, hot pink color. In addition, the plaques are covered with a white, gray or yellowish coating – scales that easily peel off when scratched.

Thus, psoriasis is characterized by the presence of the ” psoriatic triad” – pinpoint bleeding, a symptom of a stearin stain and a terminal film. Stearin stain is easily removable scales on the surface of the plaque. The spot is formed due to the accumulation of air bubbles in the stratum corneum of the skin and increased lipid secretion. Intercellular connections are weakened, the stratum corneum does not receive nutrition, the cells die. Terminal film – the affected area, represented by thin, inflamed skin under a stearin stain. The film is wet and shiny, very thin and easily damaged. It contains many capillaries that expand during the inflammatory process. They are easily damaged by tearing off the terminal film. A lot of droplets of blood will come out on the surface – that same pinpoint bleeding .

Psoriasis can affect any part of the body, including the palmar-plantar surfaces and the scalp, depending on the type of disease.

However, in some cases, psoriasis can be confused with dermatitis or eczema. In this case, examination alone is not enough, a skin biopsy and a blood test are necessary. In blood tests for psoriasis, an increased level of leukocytes, proteins and a high erythrocyte sedimentation rate are found.

Since psoriasis is autoimmune in nature, histological analysis of the skin should not show the presence of microorganisms (for example, seborrheic dermatitis is characterized by the presence of Malassezia fungi furfur ). In addition, a biopsy of skin affected by psoriasis reveals an accumulation of so-called Rete bodies , thickening of the stratum corneum of the epidermis, accelerated formation of blood vessels in the skin under the plaque, immaturity of young skin cells, and the absence of a granular layer of the skin.

Also, with a progressive (acute) stage of psoriasis, a symptom of Koebner is observed. – the appearance of new papules at the site of skin damage: cut, burn, injection, etc.

In addition to the progressive, 2 more stages of the development of psoriasis are distinguished. At the stationary stage , the appearance of new plaques stops and existing plaques stop growing. The regressing stage is characterized by discoloration of plaques, their flattening, and the elimination of peeling. Hypo- or hyperpigmentation is often observed in the area of previous rashes.

About psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a non-infectious skin disease characterized by the appearance of psoriatic plaques. In addition, the appearance of plaques is accompanied by itching and flaking.

Psoriasis is a disease that does not depend on gender and age, it affects from 2 to 4% of the world’s population. The disease can manifest itself at any age, but in 70% of cases it manifests itself at the age of 15–25 years. Therefore, psoriasis is called a disease of the young.

Symptoms of psoriasis

Psoriatic plaques are inflamed, itchy red patches raised above the surface of healthy skin. Plaques may become covered with a crust that resembles wax or paraffin. Inflammations can occur anywhere on the body, but most often they occur at the places of folds and friction: elbows and knees, buttocks, palms and feet. Often, psoriasis appears on the scalp, vulva, or nails.

The area of the lesion can vary from small (the size of a pinhead) to the size of the palm of your hand or more. Manifestations of psoriasis are accompanied by severe itching and flaking, dead skin scales are easily removed from the surface of the skin when scratched. In difficult cases, suppuration and cracks may appear at the site of the lesion.

Also worth mentioning is the Koebner phenomenon , a condition in which psoriatic plaques develop due to scratches or other damage to the skin. This syndrome is characterized by a deterioration in the condition of the nails: the appearance of spots and depressions, thickening, brittleness.

There are two forms of psoriasis – summer and winter. The summer form of psoriasis is very sensitive to sunlight, so periods of exacerbation occur during this season. Much more common is the winter form of psoriasis, the provoking factor in which is cold.

Causes of psoriasis

Normally, the epidermis (surface layer of the skin) is updated on average every 30 days. In psoriasis, cells divide, mature, and die in as little as 5 days. That is why itching and peeling appear, leading to scratching, wounds and even suppuration.

The causes of pathology to date have not been fully identified. Possible researchers include:

  • autoimmune nature,
  • genetic factor
  • violation of metabolic processes,
  • neurological disorders.

Also, some of the alleged causes may be stress, infectious diseases, malnutrition, alcohol consumption, living in a cold climate, decreased immunity, streptococcal skin infections, skin trauma, taking β-blockers, aminoquinoline drugs, interferon and its derivatives, systemic glucocorticoids.

Patients with psoriasis are advised to refrain from drinking alcoholic beverages, marinades, peppers, and chocolate.

It is important to know that psoriasis is not an infectious disease and is not transmitted from person to person.

Diagnosis of psoriasis

Psoriasis, like other skin diseases, is diagnosed by a dermatologist. Most often, he makes a diagnosis through a visual examination of the skin. In some cases, a skin biopsy and blood test may be used.

Varieties of psoriasis

There are about 10 forms of psoriasis. As a rule, a person has only one type of disease. The type of disease is determined by the nature of the rash.

Treatment of psoriasis

It is impossible to completely cure psoriasis, but it is possible to achieve a long, up to several years, remission . Since there are many varieties of psoriasis, as well as the reasons for its development, most treatments are prescribed only by a doctor. The main therapy is a treatment with topical preparations that soften the skin, reduce itching and slow down cell division.

Additionally, vitamins (A, E, D), diet therapy to restore metabolism and antihistamines can be used. Physiotherapeutic methods can also be prescribed to help restore immunity, normalize metabolism and reduce rash and swelling.

In addition, therapeutic measures may include diet therapy and psychotherapy.

Prevention and standard of living of a patient with psoriasis

Since psoriasis is a chronic and in most cases autoimmune disease, it cannot be cured. Treatment should be aimed at achieving, and prevention – at maintaining remission.

The scientific literature describes the remission of psoriasis for 20 years with the observance of preventive measures, the constant supervision of a doctor, the exclusion of self-treatment.

Line ” Losterin “

Designed for daily skin care for chronic skin diseases – psoriasis, eczema, atopic dermatitis .

Dermatological products of the Losterin line contain a balanced combination of active ingredients, specially selected for the most effective effect on the skin in complex care for various skin diseases.

Eczema, dermatitis… What do we know about skin diseases?

Dr. Hooman-Khorasani
Posted in Uncategorized

Some of you have probably met with a disease that initially occurs in children under two years of age, and by adolescence, fortunately, is already gone. Eczema is a disease that affects the skin, accompanied by itching and dry skin. According to statistics, 15-20% of children suffer from eczema.

The second name for this disease is atopic dermatitis. You can “catch” this type of dermatitis when allergens enter the respiratory organs (for example, pollen, animal hair components, dust) or organs involved in the digestive process (substances that cause food allergies). Dermatitis can accompany a person throughout life, but usually it develops and disappears in childhood, up to 3 years. Atopic dermatitis manifests itself in the form of red irritations on the surface layers of the epidermis. At the same time, the skin begins to dry, itch, and subsequently, on the lesions, one can observe the appearance of weeping (serous fluid from bursting papules) with an admixture of blood droplets. Very often , eczema , atopic dermatitis , occurs on the hands, face and neck, on the elbows and in the popliteal region. Negatively on the body during the period of the disease affects the infection that enters the body through the affected areas of the skin.

Where does the disease begin?

Specialists involved in the study of chronic skin diseases cannot accurately determine the cause of eczema, dermatitis, psoriasis, and so on. A special role in this process is assigned to the genetic factor – that is, the disease is largely hereditary. The calm course of the disease, the stage of remission, does not cause any trouble to the patient, but can be interrupted at any time by a sudden exacerbation. Often, an exacerbation is associated with the body’s reaction to provoking factors (stress, illness, etc.) or contact of the skin with allergen substances.

Household chemicals, shampoos, bath foams or even soap can act as an allergen. In case of exacerbations, doctors advise changing the brand of washing powder or shampoo, as this can help improve the patient’s condition. By the way, some people have allergic reactions to jewelry (more precisely, to the metals they contain).

Following atopic dermatitis, the patient may develop contact dermatitis. In advanced cases, if left untreated, eczema and dermatitis can spread over the entire surface of the skin, which causes unbearable physical and psychological suffering to the patient.

Treatment Methods

Treatment of the disease directly depends on its severity. Usually, for eczematous pathologies, ointments containing hormones, lotions or creams with a softening effect are prescribed – this is with a mild course of the disease. External preparations are recommended to be applied to the affected areas of the skin several times a day, thereby ensuring optimal hydration of dry skin.

If a complex, severe form of the disease suddenly develops, due to the penetration of infections of various kinds into the lesions, a patient with eczema is prescribed a course of antibiotics.

Before buying any drug, a specialist consultation is required, since all drugs are different, have a different spectrum of action and may not produce the desired effect in one case or another. In addition, corticosteroids, hormones, traditional medicine are strongly discouraged from being used on their own, without a prescription from the attending physician. This is a mandatory rule and the key to successful treatment of the disease.

Dyshidrotic eczema. What do you need to know about her?

Dr. Hooman-Khorasani
Posted in Uncategorized

Skin diseases are among the most common on the planet. In addition to the main clinical symptoms, they cause great discomfort to the patient due to a pronounced aesthetic defect. An example of such a disease is dyshidrotic eczema . This is a chronic disease, often relapsing, affecting mainly the skin of the palms, hands and feet. Eczema is not particularly difficult to diagnose and is easily treatable, subject to early contact with a dermatologist.

The causes of this disease are still not fully established – scientists identify only factors that predispose to the development of eczema. These factors include stressful situations and extreme psycho-emotional overstrain. The cause of eczema can be frequent contact with allergens, both household (eg detergents) and food. The presence of endocrine diseases in humans, such as diabetes mellitus and hyperthyroidism, are also factors that provoke the appearance of eczema. And against the background of burdened heredity, the risk increases significantly.

Symptoms and diagnosis of the disease

The main manifestation of eczema is a rash on the back surface of the feet and hands, as well as on the plantar surface of the feet and in the interdigital spaces. Rashes are vesicles, no larger than 4 mm, containing a clear serous fluid. When ripe, the vesicles burst, and when dried, they form light yellow crusts.

Rash, i.e. dyshidrotic eczema , accompanied by severe itching, lead to nervousness and disturbed sleep of the patient. Since the vesicles lie in the deep layer of the epidermis, when combing, hemorrhagic smudges occur, which is manifested by the formation of bloody dark red crusts. In such a situation, it is necessary to avoid bacterial contamination of the wound, since upon contact with staphylococcal flora, infection will occur and pyoderma (a skin disease of a purulent nature) will develop.

For the diagnosis of dyshidrotic eczema is enough differentiate it from similar diseases. Fungal dermatitis, psoriasis and contact dermatosis have a similar clinical picture. But these diseases have other causes and a longer course.

eczema treatment

The fight against skin disease must begin with drug treatment. The patient is prescribed antihistamines , for example, Zirtek , Pipolfen , Suprastin or Tavegil. These drugs will reduce itching and calm the nervous system. Since the treatment of dyshidrotic eczema should be carried out in a complex manner, that is, with the simultaneous use of several methods, an equally important role belongs to hyposensitizing (magnesium sulfate, calcium gluconate) and immunocorrective ( methyluracil , thymalin) therapy. With a complicated course of the disease, aggravated by the presence of infection, additional antibiotic therapy is prescribed.

For local treatment, topical preparations are used – sulfuric ointment, salicylic ointment, lotions with a solution of tannin, amidopyrine, Burov’s liquid. To correct the immune state of the body, vitamin therapy is prescribed – vitamins of groups A, B, E, K.

To additional measures for the treatment of a disease such as dyshidrotic eczema , include physiotherapy. The most popular are thalassotherapy, UHF-therapy, UV-therapy, acupuncture. In the absence of contraindications, magnetic therapy can be prescribed. Electrophoresis and paraffin treatment are possible in the absence of infectious complications.

At home, it is appropriate to use baths for hands and feet from decoctions of chamomile, string, oak bark, sage, lavender. The total duration of such a procedure should be no more than 10-20 minutes. We must not forget that the treatment will be ineffective if you do not initially eliminate any contact with the alleged allergen.

Eczema is contagious. Or is it not?

Dr. Hooman-Khorasani
Posted in Uncategorized

For some reason, no one cares about the question of whether cirrhosis is contagious, whether it is possible to get sinusitis, or arthritis through 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 defense mechanism is triggered: “be careful – it is dangerous!”

Still, is eczema contagious or not? Is it possible to communicate without fear, contact, live under the same roof with a patient with eczema? To dispel all your fears and doubts, we will tell you 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 a disease can occur due to many factors or a combination of them. The main reasons for the appearance 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 onset of chronic dermatosis are caused by disturbances in the work of the endocrine, digestive, vascular, nervous systems, as well as infectious or chronic diseases of internal organs.

2. The stress factor. Yes, the onset of the disease can be caused by a nervous breakdown, depression, stress, severe fright or nervous strain. Unfortunately, this fact has been established for sure, but why shattered nerves serve as an impetus for the onset of eczema, scientists still cannot answer. It is impossible to say that eczema is contagious, in this case – it is clear to everyone.  

3. Weakened immunity. Indeed, as soon as the body’s defense mechanisms fail, a variety of diseases, including skin diseases, begin to attack it. In this case, a person does not have enough strength to fight, therefore any diseases progress and develop without hindrance. Get infected with a weakened immune system? Impossible! Which again proves the unreality of infection with eczema upon contact with a patient.

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

Development mechanism

What happens when eczema starts and develops? Under the influence of the above-mentioned unfavorable factors, the functions of the object’s immune system are disrupted. As a result, antibodies begin a massive attack on 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, and other clinical symptoms of the disease.

Often, fungal and viral infections enter 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 assert that eczema is contagious in no case is it wrong and unreasonable. Healthy people are much more likely to contract some other disease, but not a chronic skin disease. Therefore, do not refuse to communicate with people suffering from eczema – by doing this you will not bring yourself any harm, but allow the patient to feel not an outcast, but a completely normal member of society.  

Eczema of nails. How to keep the disease under control

Dr. Hooman-Khorasani
Posted in Uncategorized

Any disease does not have the best effect on the general condition of the body. The disease “weakens” the immune system and does not reflect in the best way on the appearance. Indeed, an unhealthy person in a crowd can be distinguished by their appearance, especially if they suffer from some kind of chronic skin disease. Eczema is one of those diseases that can bring suffering and severe discomfort throughout life. The disease is expressed by a number of unpleasant symptoms. The affected skin itches and bakes, bubble, rapidly resolving rashes appear on it, microerosions, crusts, cracks appear.

In acute periods, eczematous lesions on the skin look terrible. In the chronic form, eczema proceeds with pronounced relapses and remissions, therefore it gives the patient a lot of trouble and trouble. Very often the disease is localized on the extremities and “captures” the nails .

Symptoms of nail eczema

At first glance, nail eczema may appear similar to psoriasis. It is sometimes confused with shingles or fungus. Correct diagnosis is very important to effectively treat nail eczema. With psoriasis and other nail diseases, defects in the nail plate appear less than with eczema.  

The disease begins from the defeat of the nail hole. The nail loses light and becomes dull. The surface of the nail plate begins to peel off, the nail skin disappears. The further, the more the nail undergoes deformation. The nail plate begins to exfoliate. Over time, grooves and pits appear on the nail. Ulcers develop on the finger, around the nail. The nail becomes rough and gray. With a strong lesion, complete rejection of the nail plate is possible.

If you find visible changes in the nail plates, you should definitely seek professional help! An accurate diagnosis can only be established by an experienced doctor after a detailed examination of the patient and laboratory tests.

Treating nail eczema

Only complex therapy, the use of well-selected medications, and compliance with the requirements of preventive treatment help to cure the symptoms of the disease. To maintain immunity, patients are prescribed to take vitamins. Just like skin eczema, nail eczema requires careful monitoring of diet, daily regimen, and personal hygiene.  

The doctor chooses individual treatment for each patient. The course of medication is primarily aimed at eliminating the cause of the development of the disease. For local treatment, ointments and lotions are used, which are prescribed by the attending physician.

The use of alternative medicine for the treatment of eczema of the nails is not prohibited, but they should be used only after consulting a doctor. In folk medicine, there are a huge number of recipes for ointments, lotions, compresses, decoctions and other means that help to cope with this disease. As an example, here are two common home treatments for nail eczema.

Salt baths. Baths of sea salt not only do not corrode eczematous lesions, but promote their early healing. To prepare the bath, you need to pour a little water into a basin, add sea salt and dip the diseased limbs there. So sit for about twenty minutes. After that, lightly blot the ulcers with a soft towel and lubricate with a suitable cream or ointment. The procedure must be repeated several times.

Compress from mother-and-stepmother and milk. It is recommended to apply such a compress to the affected areas at night. It is necessary to pass the herb of the mother-and-stepmother through a meat grinder, combine with fresh milk and apply on nails. After that, you can pull on an oilcloth glove or wind a film, and a napkin on top. After a few sessions, the positive results of the treatment become evident.

Fight eczema, do everything possible to prevent exacerbations of the disease that interfere with life. Follow all the doctor’s recommendations and keep the disease under control at all times!

Proven products for skin beauty and health

Dr. Hooman-Khorasani
Posted in Uncategorized

Means for the treatment of psoriasis

Psoriasis has traditionally been considered a difficult disease to treat. Patients can only hope for the absence of remission, while there is no single method of combating the disease and a universal drug.

Psoriasis on the feet is treated with complex therapy. It is associated with the elimination of the cause of its appearance, the localization of unpleasant symptoms, the activation of support for the protective functions of the body. 

The Vitimed catalog contains the Vitilemna tablet preparation, which contains exclusively natural ingredients – amaranth, duckweed, propolis. Taking the drug strengthens the immune system and improves the general condition. The use of tablets in combination with Vitilemna gel helps in the treatment of skin diseases using ultraviolet rays.

Vit Derma Black Seed Oil stimulates skin pigmentation and helps in the prevention of cutaneous photoaging. The composition of the product includes biologically active components that help to preserve the youth and aesthetic appeal of the skin.

Customers are offered a wide selection of creams, shampoos, balms to improve skin health, as well as preventive and therapeutic equipment (UV lamps, Dermalight device).

Skin care products

Quasix cream is recommended for red spots on the cheeks, nose and upper chest. Effective for seborrheic dermatitis and demodicosis on dry / mixed skin. The action of the remedy is based on the synergistic effect of cassia bitter extract, sorbitol, nicotinamine.

Quasix Protector Cream is recommended as an antiparasitic, antimicrobial agent. It helps to reduce inflammation, restores the normal condition of the pores on the skin of the face, relieves pain.

Other highly effective products in this category are available to buyers:

  • whitening serum Neoton;
  • fluid from age spots Neoton;
  • moisturizing gel ACGLICOLIC.

7 reasons to make an appointment with a dermatologist

Dr. Hooman-Khorasani
Posted in Uncategorized

Dermatological problems can arise in early childhood and accompany him in one form or another throughout his life. About two thousand skin diseases have been described by modern dermatology. The peculiarity of such diseases is that they can be noticed by the sick person himself in the early stages, since skin changes are visible to the eye.

Some changes in the skin indicate problems within the body. In view of this, as well as the fact that there are so many types of diseases, it is not worthwhile to diagnose and self-medicate yourself. Better to see a specialist.

Reasons for contacting a dermatologist

Everyone knows such skin problems as acne, boils, fungus, papilloma, pigmentation, itching, various rashes, redness and even wrinkles, cracks, dry skin … Not all problems and do not immediately force us, unfortunately, to consult a dermatologist in time. However, there are problems that should not be left on the back burner.  

When to see a dermatologist

Sometimes the appearance of skin problems can be sudden and very surprising to you, especially if you are trying to follow healthy eating habits, hygiene, cosmetic maintenance of the skin. If this is an incomprehensible rash, discoloration, or neoplasm, do not look for an explanation of your problem on the Internet.

An objective assessment of your problem can only be given by an experienced specialist during a direct examination, finding out anamnesis, comparing with possible diseases, etc.

You need to rush to the doctor in the following cases

If simple remedies have not helped you get rid of acne. For example, for a long time, against the background of careful facial care, you used products based on salicylic acid and similar products known in the fight against acne, but did not get any result. Do not hesitate, go to the doctor. 

If you have seemingly not disturbing deviations from the norm:

  • dandruff,
  • oily seborrhea,
  • non-healing wounds.

Even in the case of psoriasis, the doctor will help get rid of the problem as soon as possible if you do not delay the visit.

  • If you notice an itchy rash. This is how various dermatitis, eczema and allergies manifest themselves. If you postpone a visit to the doctor, problems can be aggravated by infection of the scratching, soreness. The doctor will help you identify the causes of the rash and prescribe adequate treatment.
  • If there is a noticeable change in the color or shape of the mole, small bleeding sores appear, this is a reason to immediately go to a dermatologist, since these symptoms may indicate an oncological problem.
  • If you unsuccessfully want to get rid of scars on the skin with the help of ointments and various creams, then a qualified specialist can help.
  • If the remedies for cellulite and stretch marks promised by cosmetic companies were ineffective, then a professional approach will allow you to achieve what you want. But you need to know that there is no complete elimination of cellulite.

Have you noticed almost black spots on your skin? Have you tried to get rid of them on your own and have failed? The dermatologist knows how to solve your problem using the latest techniques.

It’s important to know!

Checkups from a dermatologist are just as important as checkups from other specialists. This inspection is recommended once a year. Such an examination will give you confidence in yourself if everything is in order. And thanks to such examinations, it is possible to identify oncological neoplasms on the skin at an early stage, when even you have not noticed anything yet. As you know, early diagnosis is the key to successful treatment.

And be attentive to all kinds of neoplasms! As soon as you notice them, immediately contact a specialist!

Treatment of dermatitis with drugs Advantan Flucinar and Fucicort

Dr. Hooman-Khorasani
Posted in Uncategorized

Today, to get rid of the external symptoms of dermatitis, you can use hormonal and non-hormonal ointments and special creams. Most experts disagree about the benefits of these drugs. According to some, non-hormonal drugs are the most effective, while others believe it is better to use hormone therapy, which will have a positive effect on the patient.

Hormonal ointments in dermatology

The list of hormonal drugs is extensive and includes a large number. Usually, the following drugs are prescribed to treat dermatitis:

  • Flucinar. This product comes in the form of a gel and ointment. The drug is prescribed for the diagnosis of seborrheic and atopic dermatitis. In addition, it is effective in the treatment of erythema and psoriasis in adult patients. The use of the drug is contraindicated in children under two years of age . The active ingredient is fluocinalone acetonide. According to patient reviews, this drug has minimal side effects.  
  • Advantan. Available in the form of an ointment, cream, emulsion. It is prescribed to relieve symptoms of atopic, allergic, and contact dermatitis. The main active ingredients of this drug are aceponate and methylprednisolone. The latter gently acts on the surface of the skin. Reviews of patients regarding this remedy are contradictory. According to some, it is a salvation for allergic and inflammatory symptoms, especially for young patients. Others believe that, on the contrary, it exacerbates the course of the disease. 
  • Fucicort. Available in the form of an ointment, cream. It is used for dermatitis aggravated by bacterial infections. Usually Fucicort is prescribed for seborrheic, atopic, contact dermatitis, as well as lichen, eczema and lupus erythematosus. If the patient has symptoms of genital and perianal itching, occlusive dressing, serious lesions of the skin surface and diaper rash, the use of the ointment should be careful. According to reviews, this drug is effective for external use, relieving allergy symptoms for a long time. Due to minor side effects, it can be used in pediatrics.  
  • Locoid. Release form cream, ointment. This drug contains hydrocortisone butyrate. This component helps to quickly relieve inflammation, swelling and itching.

It is prescribed for the treatment of skin ailments. And also for:

  • eczematous rash;
  • psoriasis;
  • dermatitis – seborrheic, atopic and contact.

Usually, after therapy, the effect lasts for a long time, relieves swelling, itching, and inflammation.

  • Celestoderm. Ointment from the group of corticosteroids, which treats seborrheic, contact, radiation, atopic and other types of dermatitis. This remedy relieves itching, helps to moisturize the skin surface. A thin layer of Celestoderm is applied to the affected skin. It is used to treat children from 6 months, since the child’s body is too susceptible to hormonal drugs. According to patients, this drug is highly effective, while they note that only regular use helps to obtain a lasting effect.
  • Prednisone. Forms of release of these drugs are various – tablet form, injections and ointments. A drug of weak activity with side signs. It is applicable for allergic diseases with praises of non-microbial etiology.  

Also, the ointment can be used for:

  • Lupus erythematosus;
  • Limited neurodermatitis;
  • Psoriasis, eczema, erythroderma;
  • Various dermatitis;
  • Urticaria, toxicoderma.

Cancellation of the drug should be made by gradually reducing the dosage of the drug.

  • Elokom. Available in ointments, lotions and creams. It is a synthetic hormonal agent that effectively and quickly relieves itching. Reducing fluid exudate (in serous fluid, blood and pus). If the wound is wet, the use of Elokom is contraindicated. If its application is local, then the absorption of blood does not occur, which prevents a negative effect on the weakened body of the patient. 
  • Lorinden. A drug that quickly relieves itching, kills germs, relieves inflammation and relieves allergies. This remedy is intended for the treatment of dermatophytes, mycoses and bacterial infections.   
  • Ftorocort. A medicinal product produced in the form of an ointment is prescribed for:
  1. Neurodermatitis, psoriasis;
  2. Acute and chronic eczema;
  3. Leiner’s disease;
  4. Stinging by insects;
  5. Exfoliative erythroderma;
  6. Non-infectious ear inflammation – otitis media.

When combining the ointment with occlusive dressings, a systemic effect of the components of the drug is possible, therefore, it is necessary to use it with great care, especially when children are being treated.

Non-hormonal ointments and creams in dermatology

According to the comparative characteristics, non-hormonal drugs, in contrast to hormonal ones, give a positive result after a longer time. Moreover, they are side effects, not counting the individual sensitivity of the patient to the components of the drug. 

Among the most common are the following:

  • Eplan. Available in cream form. It is used in the treatment of eczematous dermatitis, eczema of microbial etiology, insect stings, psoriasis, herpes and burns. This remedy effectively relieves swelling and scabies, and can also have a preventive effect on chemical irritation.    
  • Exoderil. There are tubes of ointment or cream in pharmacies. This remedy is effective against the fungus and often the doctor ascribes it if the cause of the skin inflammation has not been found out. Exoderil is prescribed for cutaneous candidiasis of all forms, pityriasis versicolor, and inflammatory dermatomycosis.   
  • Gistan-N. Release form – ointment, cream. This drug is used externally and is a biologically active additive, which is prescribed for dermatitis of atopic and allergic origin. In addition, this drug relieves itching well, even after an insect bite. But do not confuse this non-hormonal drug with the analogous Gistan-N with hormones. Therefore, before starting to use it, you must carefully read the composition of the drug. 
  • Bepanten. This product is available in the form of a cream, lotion, ointment. It is prescribed for various types of dermatitis to moisturize the skin, get rid of itching and erythema. Very often, mothers use this drug for the prevention of diaper rash in babies, since it creates a protective layer on the skin and promotes rapid skin regeneration.  
  • Radevit. The drug is produced in the form of an ointment and cream. It is prescribed for the treatment of contact, atopic and allergic dermatitis in order to relieve negative symptoms on the skin. Radevit relieves itching, inflammation and softens the skin of the face and hands, especially in children. Also promotes skin regeneration. 
  • Skin cap. The drug is available in the form of shampoo, cream, gel, aerosol. Skin-cap represents a whole series of antimicrobial, antiproliferative and anti-inflammatory agents. This drug has been found to be the most effective and non-hazardous for patients. It is prescribed for the treatment of such forms of dermatitis as atopic, seborrheic and diaper. In addition, creams and ointments are used to treat eczema, seborrhea, psoriasis and excessive dryness of the skin.  

It must be remembered that in order to eliminate the symptoms of all types of dermatitis, only preparations for external use are not enough! Treatment should be carried out in a comprehensive manner and drugs in local dermatology play an important role in such therapy.

Coin eczema

Dr. Hooman-Khorasani
Posted in Uncategorized

A chronic and recurrent form of dermatosis of an allergic nature, manifested on the skin by the appearance of a rash of various types that causes itching.
Reasons for the appearance of coin-like eczema The

suppression of the function of the cellular and humoral divisions of immunity determines this skin pathology. As a reaction of the immune system to the action of any antigen, an inflammatory spot appears on the skin. An important role in the occurrence and development of this pathology is played by the following factors:
• Diagnosed vegetative-vascular dystonia
• Hormonal imbalance • Disruptions
in the functions of the nervous system
• Pathologies of the digestive system
• Decreased trophic features of tissues
• Disruptions in the general metabolic pattern
• Stress
• Serious nutritional deficiencies
• Contact with allergens such as chemicals.
According to the source of origin, eczema can be of microbial origin. It appears as a result of secondary microbial infection of already existing skin lesions, such as trophic ulcers, burns and other wound defects. One type of microbial eczema is the so-called coin eczema. This type of dermatosis is caused by bacteria.
Symptoms of coin eczema

Causes of occurrence and methods of treatment of coin eczema
Nummular, or the so-called coin eczema, has its own characteristics when examined in detail. Erosions have a rounded, clearly limited circle shape with a diameter of one and a half to three centimeters, sometimes larger (thanks to the shape of the eruptions, it is called coin-shaped). The color of the spots is cyanotic-red, and from above are visible vesicles, small bubbles with a transparent yellowish liquid.
After some time, weeping erosive plaques remain in place of the bursting bubbles. Subsequently, erosion is delayed and in their place scales and crusts become visible. The most common location is the back of the palms, the folds of the arms and legs. Less common on other parts of the body.
The rapidly disappearing form of this type of eczema is called eczematid. Outwardly, they are very similar to the usual coin-shaped eczema, but the foci are covered only with scales. The rash is accompanied by severe itching and burning. When scraping in place of the scales, point erosion is visible with emitted droplets of liquid.

Diagnosis of the disease

Seborrheic eczema, plaque psoriasis, lichen rosacea have similarities with coin-like eczema. Therefore, difficulties with diagnosis can arise even for a specialist: a thorough examination through a magnifying glass is necessary, as well as identifying the reasons when interviewing a patient. Circulatory disorders occurring with varicose veins, microtrauma, fungal lesions often precede this type of eczema. In particularly difficult cases, tissue histology may be required.
Coin eczema therapy
The first condition for overcoming this skin pathology is the elimination of all possible causes predisposing its appearance. Such reasons can be malfunctions of the nervous system, various microbial infections, hormonal imbalance and the digestive tract. To eliminate the causes, there are a number of physiotherapy procedures and all kinds of drugs.
So, to overcome neurotic disorders, antidepressants, sedatives and stronger tranquilizers are used. To begin with, the specialist will advise you to try more gentle folk methods: infusions of soothing plants such as chamomile, lemon balm, valerian, motherwort and others.
Antimicrobial drugs are given intravenously and intramuscularly. Plaque eczema cannot be treated without the use of antiallergic drugs, such as diazolin, suprastin, etc.
If the alimentary tract is suspected of the occurrence of coin eczema, then enzymatic drugs, as well as drugs to eliminate dysbiosis, will come to the rescue. Among physiotherapeutic procedures in the fight against this type of eczema, applications of paraffin, mud, exposure to ozone, acupuncture, ultra-wave therapy, and ultraviolet rays are popular.
It is also necessary to carefully monitor the sterility of the affected surface. The addition of a secondary infection, viral or bacterial, very seriously delays the treatment of the disease.
Diet as an effective way to prevent and treat various skin pathologies
In any of the manifestations of skin rashes, diet is effective. It is recommended to avoid:
• Hot spices and various spices
• Alcohol
• Pickles and marinades
• Citrus fruits
• Fish products
• Citrus fruits
• Red berries
• Eggs
• Nuts
• Products containing dyes and preservatives.
It is recommended to eat dairy products, plant foods. It is advisable to cook all products in a gentle way: cook or bake, but not fry or smoke.
It is difficult to overestimate the need to comply with the rules of personal hygiene, timely treatment of various skin pathologies, allergic skin manifestations. Try to avoid contact with household chemicals, do not abuse cosmetics, synthetic and woolen fabrics.
Unfortunately, getting rid of coin eczema forever is unrealistic. Therapeutic measures are aimed at relieving acute symptoms such as burning and itching. Subject to the recommendations of a specialist, careful implementation of the recommendation, people manage to achieve a certain result in the treatment of coin-like eczema.
Predicting the nature and duration of remission is difficult due to the individual characteristics of the individual, as well as adequate identification of the cause of eczema and carefully selected medications. For this reason, only an experienced specialist can deal with the diagnosis and selection of therapy.