Diet can help fight psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Scientists believe that psoriasis is associated with inflammation in the human body. The Mediterranean diet helps to fight it and effectively reduce the manifestations of the disease. This input came from French scientists at the Hopital Mondor in Creteuil . 

Experts analyzed information about the health of more than 35 thousand volunteers, of whom more than 3 thousand suffered from psoriasis, and a third of them were in a very severe form. According to observations, patients who ate foods from the list of the Mediterranean diet were much less likely to see a doctor due to exacerbation of psoriasis, and also had milder symptoms of the course of the disease. 

Fans of the Mediterranean diet consume large amounts of vegetable monounsaturated fats, antioxidants and polyphenols found in fruits and vegetables, as well as fiber. In addition, this diet involves a limited intake of dairy products, alcohol and meat. Previous studies have shown that severe forms of psoriasis are noted 22% less often among lovers of such food.  

Experts believe that this type of diet reduces the level of inflammation in the body, and it is this circumstance that helps to reduce the severity of the manifestations of psoriasis.

Do’s and don’ts for psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is an incurable chronic disease, therefore, in order to maximize the periods of remission, one should not only be treated, but also minimize the influence of provoking factors, and for this it is necessary to know them.

Psoriasis: Do’s and Don’ts

The mechanism of the onset and development of the disease remains unclear even today. There are several theories about the causes of psoriasis: immune, hereditary, endocrine, neurogenic, metabolic. Most scientists lean towards the theory of the complex influence of all causes. In addition, provoking factors are important.

Psoriasis and alcohol

Ethanol, present in any alcoholic beverage, is broken down by the liver into safe ingredients. However, with large amounts of alcohol or an unhealthy liver, this process does not occur quickly enough. The intermediate product of ethanol metabolism (acetaldehyde) begins to poison the body.

The skin is one of the ways to remove toxins, so alcoholics usually sweat a lot. Of course, not all drinkers have psoriasis, but in this group, the disease is diagnosed much more often, and is much more severe. Another argument in favor of the fact that alcohol is harmful for psoriasis is dehydration, which primarily affects the skin.

If we analyze the relative safety of alcohol in psoriasis, then the minimum manifestations are caused by high-quality drinks without dyes (vodka, dry white wine), and in small quantities. The most powerful provoking effect is possessed by beer, red sweet wines, champagne, and cognac.

Pool

A visit to the pool can be more uncomfortable psychologically than physiologically. Those people who have not encountered psoriasis closely enough have a rather distant understanding of the nature of the disease, and not always correct. Therefore, if necessary, it is worth explaining to them that the disease is not contagious and is not transmitted in the usual ways (household, sexual, etc.).

However, during periods of exacerbation, it is not recommended to visit the pool. And even during remission, you should pre-lubricate the affected areas with petroleum jelly so that they do not get water with disinfectants present there (for example, chlorine).

After the end of the swim, you need to rinse yourself with warm water, while observing the rules for washing:

  • Movements should be soft, do not rub the skin;
  • You should not wipe your body with a towel, just get wet on the wet surface;
  • All creases and hidden places must be thoroughly dried.

Some are worried about obtaining a certificate for visiting the pool – it is better to take it from an infectious disease specialist, and not from a dermatologist.

Psoriasis and sun

The beneficial effect of sunlight has been noticed by more than one psoriasis patient. However, like any medicine, sunbathing can become harmful if overdose. Therefore, it is necessary to adhere to several recommendations:

  • To accustom the skin to sun exposure gradually: starting with 5-7 minutes, bring the duration of the sun bath to half an hour;
  • Choose periods when the sun is less aggressive: before 10 am and after 5 pm;
  • Apply sun cream only to healthy skin;
  • Lubricate the affected areas after sunbathing with an anti-inflammatory agent recommended by a doctor.

And, of course, you can only sunbathe during periods of remission.

Products

Since some doctors put forward the theory of the development of psoriasis as a disease of metabolic processes, the principles of nutrition play one of the decisive roles in neutralizing symptoms. There are lists of foods that you can eat for psoriasis and forbidden foods. In the preparation of ready-made diets are especially popular diet Pagano and fire. The main principle of the first is a significant predominance (3 times) of alkali-forming ingredients.  

Prohibited foods for psoriasis include:

  • Vegetables and fruits with red pigmentation;
  • Spices and herbs, seasonings (especially from flowers and seeds), as well as products with their content;
  • Sweets, soda;
  • Fatty meats;
  • Smoked, salted, canned foods.

The best option is to draw up an individual diet with the involvement of a nutritionist and dermatologist. You should always be careful when consuming foods with increased allergenicity, drink plenty of fluids and try to exclude the possibility of gaining excess weight.

Psoriasis and sauna

Bath and sauna provide the most beneficial effect on the body and, in particular, on the cells of the base layer of the epidermis. Doctors recommend going to the bathhouse and sauna, as this significantly reduces the area of ​​the affected areas (by 10-13%), itching decreases, and the skin becomes soft and elastic.

However, in this case, the procedure must follow several rules:

  • The maximum possible stay in the steam room is 15 minutes;
  • Optimum t +55 + 60 ° С, not higher;
  • When visiting the sauna, it is recommended to drink herbal soothing decoctions and berry fruit drinks;
  • Do not rub and stretch the skin;
  • After leaving the steam room, you can swim in the pool not earlier than after 30-40 minutes.

The most pronounced therapeutic effect is observed after visiting the infrared sauna, when the affected areas are warmed up to a depth of 4 cm.

Doctors recognize the healing effect of any warming procedure, but only if it is carried out correctly and dosed.

What can help treat psoriasis

In the treatment of psoriasis, the greatest effect is brought by an integrated approach:

  • Medicines. Distinguish between means for external use and internal use. Among the most effective drugs are hormonal ointments. Akriderm for psoriasis (one of these remedies) is available in several versions with different effects;  
  • Physiotherapy, nutrition, psychotherapy, plasmapheresis are additional methods that increase the chances of successful treatment.

“Mystical” disease psoriasis: symptoms, causes

Dr. Hooman-Khorasani
Posted in Uncategorized

Dermatological diseases are recognized by experts as the most complex phenomena. It is often difficult to explain the nature of a particular skin ailment. The provoking factors for the formation of specific spots, seals, “moles” or warts can be both internal reactions of the body and external contact interactions. The difficulty of identifying the true causes of the disease is also characteristic of psoriasis, a widespread type of dermatosis.

According to experts, the striking activity of psoriasis “competes” with a similar indicator of diabetes. The frequency of new cases of the development of skin abnormalities partly explains the etymology of this disease. When determining the possible causes of the disease, it is important to evaluate the symptoms of psoriasis on two grounds: the location and intensity of the rash.  

How to visually identify psoriasis?

In general, psoriasis is extensive skin lesions in the form of specific red plaques covered with a light or white scaly crust. The primary signs of the disease are marked by the appearance of small formations. The proliferation of plaques is largely facilitated by independent attempts to eliminate them.

If the appearance of psoriasis was not preceded by mechanical trauma to the skin, the first spots can appear on any part of the human body. The preferred location for psoriatic skin abnormalities is the back, neck, arms, less often the frontal part, head and legs. In the acute period of the development of the disease, the symptoms of psoriasis are manifested by profuse rashes with scaly components, accompanied by severe itching in the lesions.  

Chronic psoriasis (after several months) is represented by a decrease in the activity of neoplasms. In this case, the old plaques gradually thicken, covered with characteristic white scales.

The final phase in the development of psoriasis is a period of regression. At this time, the skin formations become less noticeable or disappear altogether. The disease goes into a regression stage, but outbreaks of exacerbations are possible at any time. It is not possible to completely cure psoriasis.

Sources of psoriasis

Some of the most obvious causes of psoriasis are disorders of the immune system. Improper diet, chronic fatigue, and bad habits play an active role.

The primary symptoms of psoriasis are often found in people with mental disorders. A common cause of the disease is a genetic predisposition, while the risk of developing psoriasis is high in first- and second-line relatives (children and grandchildren). One of the most common provocateurs of skin pathology is any mechanical damage to the skin – scratches, abrasions, stab and cut wounds, burns (thermal or chemical).  

Treatment of “traumatic” psoriasis appears to be the most successful. While multifactorial varieties of the disease (immune, hereditary, psychosomatic) are recognized as incurable even with the maximum elimination of its formal signs.

The main method of influencing complex psoriasis is immunomodulatory therapy. The patient may be assigned a special anti-allergenic diet. Often, a course of psychological adaptation and climatotherapy (treatment at sea or mud resorts) are added to the standard treatment regimen. The effectiveness of this healing method is recognized by experts as low.

An unfavorable prognosis for the course of the disease is announced to HIV-infected patients, as well as to those with a high erythrocyte sedimentation rate (ESR).

Of course, the manifestations of psoriasis are an extremely unpleasant process, complicated by symptoms. The absence of the only correct treatment algorithm, the impossibility of establishing the true causes of the disease formally correlate psoriasis with the list of incurable diseases. At the same time, experts recognize the exceptional nature of this ailment. While not a deadly disease, psoriasis can manifest itself as a self-limiting pathology.

Psoriaten ointment. External treatment for psoriasis

Dr. Hooman-Khorasani
Posted in Uncategorized

People with psoriasis are ready to resort to using any means in order to quickly get rid of an unpleasant-looking disease. Someone uses the latest hardware techniques and folk remedies, while others prefer ointments and medicated creams recommended by dermatologists. Unfortunately, it is impossible to recover from psoriasis – you can only hide its symptoms, which manifest themselves outwardly on the body of a repulsive type of psoriatic plaques. In addition, many pharmaceutical drugs cause side effects and reactions in patients. What to choose among all the variety of ointments and creams?

Now the drug psoriaten ointment is very popular , which is used for the external treatment of psoriasis. Let’s talk about the composition, properties and methods of using this tool in more detail. 

The main active ingredients of psoriaten

Psoriaten ointment is the development of one of the German companies. The active ingredient of the drug is a matrix tincture of magnolia holly (proportion 10%). The composition of the bark, root and other parts of this medicinal plant includes such chemical compounds as berberine, palmatine and berbamine , oxyacanthin and many others. It is these substances that play an important role in the fight against psoriasis. They stop any inflammatory processes in the tissues of the epidermis, that is, they inhibit the formation of psoriatic plaques. Also, the substances that make up psoriaten ointment presumably affect the DNA and can, in a sense, help reduce the risk of inherited psoriasis “harmful” genes.

Some statistics

Some time ago, much attention was paid to the study of the properties of the drug and the degree of its effect on people with psoriasis. Here are some data.

In clinical studies, about 1000 people took part in the age category from 6 to 80. The course of treatment with local therapy for them lasted about 12 weeks. Throughout this time, at regular intervals, scientists conducted control examinations of patients.

At the end of the scientific and laboratory work, it was found that in 80% of all patients with psoriasis who took part in this study, psoriatic ointment really worked positively. Almost all patients tolerated the use of the new drug normally and without consequences, that is, they did not have any side effects or complications.  

Only 11 out of 1000 people could not wait for the desired effect from the applied ointment. Only 3 out of 1000 people complained of itchy skin. But the most important thing is that many patients who have tried the effect of psoriaten ointment on themselves managed to return to normal life after the first course of treatment. Under the influence of the ointment, the skin was completely cleared of the manifestations of psoriasis, psoriatic plaques disappeared , and the psychological state of the patients changed for the better.

Unlike other drugs (ointments and creams) that fight psoriasis, psoriatic ointment can be used almost always and for everyone due to the absence of any side effect. During periods of seasonal exacerbation of the disease, psoriaten will need to be used regularly, every day applying it to areas of skin lesions. During periods of remission of psoriasis, the need for the use of the drug disappears. This ointment is good because you will see the effect of the application after 2 weeks, and after 8 you will no longer have any external symptoms of the disease. Moreover, the drug is allowed both for children from one year old and for adults.  

All those who suffer from psoriasis are well aware of how others perceive his appearance and with what fear they relate to him. Thanks to psoriaten ointment , psoriasis will be defeated, you will be able to feel more freely in any environment, when communicating with any people.

Birch tar. Psoriasis has long been treated with this remedy

Dr. Hooman-Khorasani
Posted in Uncategorized

Psoriasis is a chronic dermatosis in which red, inflamed patches appear on the skin with constant scaling ( psoriatic plaques). The disease can develop at different rates, showing plaques on any part of the body. However, most often the disease affects the elbow joints, scalp, knee joints, lower back. There are many reasons and conditions favorable for the development of psoriasis. These are any physical damage to the skin, chemical burns, changes in hormonal levels, a strong decrease in immunity or stress, etc.

Psoriasis treatment also depends on many factors. Only a professional doctor should prescribe it. It is necessary to carefully apply potent agents during the progressive stage (the time of the appearance and growth of new plaques), so as not to provoke an even greater exacerbation. The main treatment is best done while the growth of the rash stops at the stationary or regressive stage of the disease. Folk remedies can be used in the treatment of psoriasis, but only after consultation with a specialist and only in combination with the main treatment.

Amazing Natural Cures

In the effective treatment of psoriasis, birch tar is indispensable (due to its natural antiseptic, wound-healing properties) Psoriasis is not an infectious disease, but in some cases it appears or worsens for the first time after an infection. Sometimes the disease can be complicated by an attached fungal infection or streptococcal purulent skin lesions. Having in its composition a huge amount of useful substances, tar relieves the general condition of the patient, relieves itching and inflammation of the skin. In addition, special substances contained in wood tar are able to regulate the growth of cells with damaged DNA, thereby slowing down the growth of psoriatic plaques.  

For treatment, tar is used both in pure form and with a small dose of concentration in the composition of shampoos and creams. For a stronger effect, birch tar is mixed with sulfur or salicylic acid. This ointment is used for the most severe forms of the disease. Heals tar birch psoriasis rather quickly. Already in the first week, the skin is noticeably cleared of crusts, by the end of the second week, a significant decrease in peeling and inflammation is noticeable, the time until complete healing depends on the stage of psoriasis and the individual characteristics of the patient’s body.  

Recipes and rules for the treatment of tar

To avoid irritation on the skin or exacerbation of the disease, it is better to start treatment with fat-based and weaker composition, where the tar components are less active than in water-based preparations. Sometimes, when the compositions are applied to the lesions, a short-term burning sensation appears. However, such sensations are repeated only in the first few times of using tar preparations.

1. Pure tar is rubbed into psoriatic plaques with a hard natural brush (with a concentration of no more than 5% – unrefined or up to 10% – cleaned). For better tolerance, up to 2% boric acid can be immediately added to the tar. It is necessary to wash off the ointment no earlier than after 30 minutes. Daily use is recommended. After removing tar residues, lubricate the affected areas with an indifferent ointment (boric, salicylic acid, or any other lanolin-based ointment).

2. In case of an old disease, to soften the skin, first take a medicinal bath with herbs and oils, lasting about half an hour, and then apply tar to the skin areas affected by psoriasis. Repeat the procedure until the plaque softens.

3. It is very easy to prepare homemade ointments, which include birch tar. For example, an ointment of this composition will cure psoriasis : mix 3 tablespoons of honey with 1 egg white, castor oil and tar, 2 tablespoons each.  

Attention! Tar increases the sensitivity of the skin to light and heat, so it is highly undesirable to stay in the sun for a long time during treatment. It is not recommended to use tar and tar compositions for the treatment of psoriasis at a progressive stage. It is completely forbidden to use it in case of severe exacerbation of the disease, as well as psoriatic erythroderma.

Why is nail fungus dangerous? How does mycosis of the feet threaten us?

Dr. Hooman-Khorasani
Posted in Uncategorized

Nail fungus won’t go away on its own

Once started, a fungal infection will not go away until the fungus is destroyed. Fungi are very tenacious and can survive for months in the fallen off skin scales. What, then, can you expect from a fungus lurking in the nails?

Initially, the cells of the fungus enter the skin, fix, multiply and spread on it and then, under favorable conditions, are introduced into the nail from one side. Over time, the fungus affects all parts of the nail and spreads to other nails or skin.

Nail fungus is a hotbed and source of infection for other parts of the body. Even if all foci of the fungus on the skin of the feet or trunk are cured, re-infection will come from the remaining foci of infection in the nails.

Fungal nail diseases reduce quality of life

Studies conducted by the National Academy of Mycology have shown that the presence of nail fungus or mycosis of the feet significantly reduces the quality of life – a set of indicators characterizing the emotional, mental and social well-being of a person. For this, several thousand patients underwent examination, who answered the questions of a special questionnaire in 2001-2002.

It turned out that the quality of life in case of fungal nail disease decreases on average to 50–55% of the full value typical for a healthy person. At the same time, patients noted not only physical inconveniences associated with thickening or destruction of nails, but also experienced various experiences, fears, and negative emotions.

It was found that the nail fungus severely limits a person’s activity, interfering with his rest, sports, and communication with other people. Moreover, feelings of inconvenience and shame for the condition of their nails sometimes impeded a timely visit to a doctor. The longer the disease lasted, the more severe the nail fungus became, and the worse the quality of life became.

Health issues associated with nail fungus

The first and main health problem that is caused by the presence of mycosis of the nails is the fungus itself – a chronic infectious disease that is steadily destroying nails and threatening to spread to the people around them, especially to the family members of the patient.

However, doctors have identified other problems caused by nail fungus. Untreated onychomycosis and mycosis of the feet are considered as the gateway for other infectious diseases – for example, bacterial – erysipelas.

Fungal nail infection significantly complicates the course of diabetes.

Possible allergy of the human body, having a fungal infection – the formation of hypersensitivity to the fungus as an allergen, ie fungal allergy. Development or worsening of the course of diseases such as bronchial asthma, allergic dermatitis, various skin rashes and reactions is possible.

In very rare, isolated cases, as a rule, against the background of immunodeficiency, untreated nail fungus led to the development of deep mycosis – the germination or penetration of the fungus with blood into the internal organs, which was fatal.

Fortunately, most modern nail fungus patients do not have such outcomes. But even if you completely exclude their possibility, you cannot leave the fungal disease of the nails without treatment. It is impossible not to treat scabies, head lice and other infectious diseases. If you suspect a nail fungus, we advise you to see a doctor as soon as possible.

Fungus: a peaceful neighbor of a child?

Dr. Hooman-Khorasani
Posted in Uncategorized

Exactly 90 years ago, Ian Fleming presented to the world his discovery, the most important in medicine of the last century: an antibiotic! The first antibiotic, penicillin, was isolated from a mold that accidentally entered a colony of Staphylococcus aureus in a laboratory Petri dish.

But this beneficial fungus is far from the only one. Many of his “comrades” who inhabit the world around us and even our body are not at all so useful. Fungi can coexist with a person without harm for a long time, but if his immunity suddenly decreases, then they begin an attack. And since in children the immune system is just being formed, they are in a high risk group for mycoses. Let’s get to know the enemy by sight and get acquainted with dangerous fungi, their ways of entering the body and methods of treatment.

Fungi around us: good and different

Mushrooms are not only chanterelles, champignons or truffles, their world is huge and diverse. Mushrooms are inhabitants of all three elements, water, earth and air, they grow on trees and in soil, develop in the organisms of animals, birds and even insects.

Due to changes in the environment, mushrooms are increasingly beginning to settle next to a person: they are in houses and apartments, especially if there is poor ventilation and high humidity. They readily multiply on grain crops, in food, in the same bread, on fruits and vegetables.

The very useful ” Fleming ” fungus is also present everywhere. Even the ancient Egyptians knew a remedy for festering wounds: moldy bread soaked in water. And the history of the isolation of pure penicillin in industrial quantities remembers “Moldy Mary”: Mary Hunt’s laboratory assistant, whose duty was to buy all tainted food for research.  

The best strain for penicillin, by the way, contrary to the legends about black bread, was found on a melon. But in the USSR they did not reach vegetables: when, in 1941, intelligence reported that a supernova and effective drug was being created from mold in Great Britain, our mycologists began to look for properties in various molds. And just a year later, our mycologist Zinaida Ermolyeva isolated penicillin from a fungus that grew on the wall of a Moscow bomb shelter. Two years later, the first antibiotic was used in the treatment of the wounded.

Mushrooms exist in our body, and they do not just “lodge”, but perform useful functions: they help the digestion of food and have a beneficial effect on metabolic processes. But as soon as they have a chance to reproduce well, they become obvious enemies.

Pathogenic fungi include mold, yeast and yeast-like fungi, dermatophytes . Doctors have known about fungal skin lesions for a long time, although the cause of the disease remained unknown. Dermatophytes were discovered in 1839 by I. L. Shenlein , or rather, he discovered the causative agent of the mysterious disease “favus”, known in our country as “scab” or chronic mycosis, and named it by his own name – Achorion schoenleinii . From this discovery, the history of medical mycology, the science of fungi that infect a person or live in harmony with him, began.

Mushrooms are harvested in autumn

Dermatophytes are those mushrooms whose activity doctors note in the fall, and a little less in the spring. They are the ones that cause the fungal infections most commonly known as ringworm. The causative agents of this lichen are fungi of the genera Microsporum and Trichophyton . Its symptoms are pockets of broken hair and affected skin, always ring-shaped. In English, such foci, by the way, are called “ring worms”, ringworm .

These fungi can live not only on hairy areas, but also simply on the skin. Then the main “folk” sign of ringworm – broken and fallen hair – for obvious reasons is absent.

These fungi need keratin, so they can settle exclusively on the skin, hair and nails, structures containing this protein, they do not penetrate into the body. Some dermatophytes can be transmitted from person to person through direct contact or indirectly, through objects, others are contained in the soil or are transferred from animals. Moreover, in animals, the course of the disease may be asymptomatic, without foci. The pathways and characteristics of immunity lead to the fact that the largest group of patients with lichen is children. In second place are young women.

Diagnosis of dermatophytosis is carried out not only by external examination. The best option is a combination of examination with a Wood lamp (ultraviolet rays) and microscopic examination of skin or hair scales.

All mycoses are divided into two groups: superficial fungal diseases and deep ones. Lichens, mycoses of the nails can be detected on examination. And deep ones, of which there are about 20 species, affect the internal organs. Unfortunately, most of these mycoses are detected already at a progressive stage. At the initial stage, only a mycologist can often determine the presence of these diseases.

The most common and most famous causative agent of deep mycoses is the yeast-like fungus Candida , the cause of candidiasis. However, it is able to cause not only candidiasis of the vagina or oral cavity, but also penetrate deep inside, settle in the intestines, joints, tissues of the lungs, kidneys. Most often, with deep mycosis, it gives out its presence with bronchitis, pneumonia, sinusitis, inflammation of the esophagus, intestines, in adult men, prostatitis.

The characteristic clinical manifestations also include cough, itching, burning, discharge from the urethra, vagina, unstable stools, whitish curdled deposits on the mucous membranes and the lack of effect from treatment with antibacterial drugs. 

Mold spores

Another fairly common pathology that threatens adults and, in particular, children is mycosis mold. It leads to aspergillosis, penicilliosis , zygomycosis , monosporidiosis , curvullariasis . The causative agent of such diseases, Aspergillus fungi are very common around us. This is a white or greenish mold on rotten wood, bread and fruit, vegetables, and homemade canned food.

Spores of this mold penetrate the body during inhalation and settle in the bronchi and on the alveoli of the lungs. If there are few of them, they are excreted due to the self-cleaning function of the airways. But if they get in large quantities or the child is already sick, then poisoning occurs and Aspergillus mycotoxicosis develops .

The most dangerous of all are fungi that multiply in wood. Aspergillus that grow on food is less aggressive. So, mycologists say that small mold spots on baked goods or dry fruits and apples can be cut out, and the remaining healthy person can eat. But if mold is seen in juicy fruits, especially near the seed, you must discard the whole fruit. The same applies to moldy nuts.

They also act with compotes, juices, syrups, throw them away without pity. Here jam and jam can be carefully separated from the moldy layer and, ideally, heated to a boil.

Cottage cheese and yoghurts with mold can not be eaten categorically. A small patch of mold on the cheeses, as long as it is on the surface and has not penetrated into the head, is not dangerous if it is properly removed. Well, the well-known cheeses “Roquefort”, “Dor Blue “, etc., from special molds, only benefit in taste. Although doctors recommend acquainting children with them later.

Who is at risk?

At risk for deep mycoses are children, especially those with chronic diseases, inflammatory processes, who have undergone surgical interventions. So, bronchial asthma causes a “positive” reaction to fungi in 50% of cases. Chronic bronchitis, diabetes mellitus are factors of increased risk of mycosis. But it can develop in full health, especially if there is stress in the child’s life, a violation of the diet, daily regimen or serious injuries.

Periodontal disease, untreated caries, chronic tonsillitis and an unbalanced diet can also “awaken” fungi in the body. Lack of food or, conversely, overeating. Anything that negatively affects the immune system.

Antibiotics and fungi: who wins?

Long-term use of antibiotics and hormonal drugs increases the risk of developing mycoses in children and adults. Treatment of such systemic fungal diseases is also carried out with antibiotics, but not the usual, but antifungal profile. By the way, like the first antibiotics, they were originally of natural origin: some antimycotic drugs are produced by bacteria of the Streptomycetaceae family , Streptomycetes .   

But you need to know that antifungal medication alone is not enough. An important part of the therapy for mycoses is the “anti-fungal” diet, in which carbohydrate-rich foods must be excluded. They raise blood sugar, and sugar is an excellent breeding ground for the fungus.

A recent clinical case is indicative: an elderly patient with diabetes mellitus, chronic inflammation of the genitourinary system and violent behavior was admitted to a US hospital. The men found alcohol in their urine, although he certainly did not drink.

As it turned out, due to the increased amount of sugar in diabetes, bacteria and fungi actively multiplied and caused fermentation in the bladder. And as a result of fermentation, ethanol compounds were formed, that is, alcohol was produced inside the human body.

In addition to avoiding carbohydrates (sweets, pasta, cereals and bakery products, sweet fruits and berries), it is recommended to exclude from the diet everything that is cooked with yeast. During treatment, you will have to limit all foods that load the liver: fatty meats, rich broths, canned, smoked foods, fried foods. Vegetables, low-fat types of cottage cheese, sour cream, all fermented milk products, especially “live” kefirs, yoghurts, acidophilus, lean meat, poultry and fish in boiled or stewed form, are left in the diet. At the end of the treatment, a course of probiotics can be recommended .

Conclusion

Although there are useful mushrooms, many of those who help us, at the slightest danger, cease to be “friends.” It is not difficult to protect a child from them: it is enough to monitor proper nutrition, daily routine and hygiene. And if you have the slightest doubt, you should limit the use of sweets and consult a mycologist.

Pharyngitis due to fungal flora

Dr. Hooman-Khorasani
Posted in Uncategorized

Pharyngitis is an inflammatory process that affects the lining of the throat. In the event that this disease is caused by various representatives of the fungal flora, they speak of pharyngomycosis . At the moment, this pathological process occurs quite often. At the same time, both adults and children are at risk. The clinical picture with pharyngomycosis is mainly represented by local inflammatory signs, including soreness when swallowing, a feeling of perspiration and burning in the throat, discomfort, and so on. With late seeking medical help, such a pathology can acquire a chronic course, which is an unfavorable moment in terms of prognosis. In advanced cases, pharyngomycosis can cause a pharyngeal or paratonsillar abscess, and in the most unfavorable scenario, even fungal sepsis.

As we said, the prevalence of pharyngitis caused by fungal flora has increased significantly in recent years . According to various sources, among all inflammatory processes from the pharynx, it accounts for thirty to forty percent. Often this disease is diagnosed in childhood. It is interesting that both in adulthood and in children, this pathological process is quite often combined with fungal infection of the gums, tongue, and so on. It is worth noting that pharyngomycosis is characterized by a more severe course than inflammation of the pharynx, which has a different nature. 

The development of this disease is based on the effect on the mucous membrane of the pharynx of various representatives of the fungal flora. In the vast majority of cases, the causative agents are yeast-like fungi belonging to the genus Candida . In about five percent of cases, the inflammatory process is caused by molds such as aspergillus.

The most important condition for the onset of fungal pharyngitis is a reduced level of immune defense. It is most often encountered by people suffering from HIV infection or tuberculosis. However, sometimes less significant factors can provoke a fungal infection of the pharynx, for example, endocrine disorders, frequent respiratory infections, prolonged use of antibacterial drugs or glucocorticosteroids . It is noticed that the incidence rate among people using removable dentures is slightly higher.

We should also talk about HIV-infected people separately. As we have already said, among them, pharyngitis, which is of a fungal nature, is most common. This moment is easily explained by the fact that as a result of pronounced immunodeficiency, the body cannot prevent the active reproduction of fungi. Often, in patients with HIV infection, fungal foci are found in other internal organs. Statistics show that approximately ten percent of people with such a diagnosis subsequently die from the generalization of a fungal infection. 

The classification of this disease includes four of its main variants, which differ on the basis of concomitant morphological changes: pseudomembranous, hyperplastic, erosive-ulcerative and catarrhal. The mildest course is observed with a catarrhal variant. During the examination, redness and smoothness of the pharyngeal mucosa can be detected. With the pseudomembranous variant, whitish or yellowish foci of plaque are revealed. It is noteworthy that this plaque can be easily removed from the underlying tissues. Hyperplastic pharyngitis implies the appearance of dense white plaques that are difficult to separate from the underlying epithelium. The erosive-ulcerative variant is established when erosions and ulcers are found on the mucous membrane, which are predominantly superficial.

Symptoms characteristic of pharyngomycosis

In general, pharyngomycosis does not have any specific clinical manifestations. First of all, it is worth noting that it can be acute and chronic. The acute form is accompanied by much more striking symptoms. With late seeking medical help or inappropriate treatment, it usually becomes chronic. In the chronic form, frequent exacerbations are observed (up to ten or more times per year). It is she who most often leads to various complications.

Initially, symptoms such as a burning sensation and a sore throat are found. The patient complains of soreness during swallowing, especially when eating irritating food. Moreover, in normal cases, the pain syndrome has a moderate degree of severity. Often, the clinical picture is complemented by an increase and soreness of the cervical lymph nodes, subfebrile fever, and general malaise.

In the event that the inflammatory process was caused by yeast-like fungi, the examination reveals symptoms such as swelling and redness of the mucous membrane, as well as whitish cheesy plaques on it. When these plaques are removed, hyperemic foci or areas of ulceration are found under them.

Diagnosis and treatment of the disease

Initially, this disease can be suspected on the basis of concomitant clinical manifestations in conjunction with a general examination. Additionally, pharyngoscopy is shown, which will reveal signs of an inflammatory process, and a smear from the pharynx followed by its microscopic and cultural examination.

Treatment for fungal pharyngitis begins with antimycotic drugs, which are prescribed for one to two weeks. The choice of antimycotic agents will depend on the nature of the pathogen. Studies show that fluconazole is most effective in the inflammatory process caused by yeast-like fungi . Local therapy is reduced to antiseptic treatment of the posterior pharyngeal wall and tonsils.

Epidermophytosis inguinal – fungal infection

Dr. Hooman-Khorasani
Posted in Uncategorized

Fungal infections, or dermatomycosis, are quite common in the population. They can be caused by different pathogens and localized in different parts of the body. Thus, the activity of the fungi Epidermophyton floccosum and other epidermophyton can lead to the development of epidermophytosis inguinal.

The reasons for the development of the disease

Epidermophytosis inguinal occurs as a result of infection with fungal organisms that can infect the outer layers of the skin. Epidermophytos are quite common, so almost every person occasionally encounters them. Fungi are easily transmitted:

  • by contact (from sick people);
  • by household (when using objects shared with a sick person – washcloths, towels, shoes, linen, etc.);
  • with insufficient hygiene when visiting public places, for example, a sauna or swimming pool.

However, the infection may not develop after every contact of a healthy person with the pathogen. The likelihood of epidermophytosis increases:  

  • with a decrease in the body’s defenses (against the background of other diseases, an unhealthy lifestyle, etc.);
  • with frequent presence in conditions of high temperature, as well as humidity (with regular visits to baths, saunas, beaches, swimming pools, work in hot shops, playing sports, etc.);
  • in the presence of diabetes mellitus;
  • when basic hygiene is neglected, for example, when using joint washcloths or towels;
  • in the presence of all kinds of damage to the skin.

Symptoms of a fungal infection

Inguinal epidermophytosis manifests itself on the skin of the groin area. The infection most often affects the upper and inner thighs, and can spread to the gluteal folds, the skin around the anus, and the scrotum. In some situations, foci of the disease are observed in the armpits or directly under the mammary glands (in the formed fold). It is extremely rare that the skin in the interdigital spaces suffers from epidermophytosis inguinal and even less often it becomes the cause of the destruction of the nail plate.  

The first manifestation of the disease is small flaky specks. They look red and inflamed and are usually less than half a centimeter in size . Over time, the size of such spots increases, they become oval. Areas of infection with a red surface, look friable and swollen. On closer inspection, you can see that the spots are covered with small bubbles, possibly crusting.

If the infection continues to develop, the lesions merge. As a result, inflamed and itchy areas are formed on the skin, the size of which reaches fifteen centimeters, and sometimes more. The central part of such a spot looks pale and sunken. And along the edges of the formation there is a roller formed from exfoliating cells of the epidermis.

It should be noted that manifestations of epidermophytosis inguinal can be observed not only in the groin. Sometimes foci of infection occur on other areas of the skin, for example, on the surface of the hands, abdomen or back. But this disease never affects the scalp.

In the absence of adequate and timely therapy, the disease can become chronic.

Skin treatment for epidermophytosis

Timely seeking medical help and correct diagnosis make it possible to cope with epidermophytosis inguinal in a relatively short period of time – in two to three weeks. Treatment is carried out under the supervision of a specialist dermatologist and is complex. Patients are prescribed a variety of medications that may be presented: 

  • antihistamines;
  • antiseptics;
  • antifungal drugs;
  • anti-inflammatory drugs, etc.

Usually, doctors strongly recommend that patients with epidermophytosis perform mandatory disinfection of their home and personal belongings:

  • wipe all surfaces and objects with vinegar solution;
  • throw away washcloths, as well as pumice and other things that cannot be disinfected;
  • wash towels with clothes at a temperature of 90 ° C;
  • disinfect shoes with vinegar essence.

Medicines in the treatment of epidermophytosis inguinal

All medicines for the treatment of this disease should be selected exclusively by the attending physician on an individual basis. So, to neutralize the inflammatory process and wetness (when the infection is at an acute stage of its development), patients are shown the use of anti-inflammatory drugs and antiseptics, most often in the form of solutions:

  • resorcinol (1%);
  • silver nitrate (0.25%);
  • chlorhexidine (0.1%).

Such drugs should be used to apply lotions to the affected areas. In parallel, doctors often advise taking antihistamines , which are good at reducing the severity of itching and neutralizing swelling. 

After eliminating the main manifestations of the inflammatory process, you can switch to the use of local antifungal drugs:

  • sulfur-tar ointment 3 – 5%;
  • iodine solution 2%;
  • fucorcin ;
  • ointments with terbinafine or ketoconazole , etc.

It should be noted once again that the choice of medication is carried out by a doctor. Typically, antifungal medications should be used twice daily until the skin is fully healed. This usually takes about one – one and a half months.

In the event that the inguinal epidermophytosis occurs in a particularly severe form or becomes chronic, it becomes necessary to take antifungal drugs internally. The doctor may prescribe drugs based on:

  • fluconazole ;
  • intraconazole ;
  • ketoconazole ;
  • terbinafine .

If the ailment is complicated by the addition of a secondary infection, antibiotic therapy is indispensable. Usually, treatment with antibacterial drugs is carried out at the initial stage – in parallel with the use of anti-inflammatory drugs for local action.

You should not try to cope with epidermophytosis on your own. Improper treatment of the infection is fraught with the development of a chronic form of this disease.

Fungal ear infection and its causes

Dr. Hooman-Khorasani
Posted in Uncategorized

A fungal infection that affects the outer or middle ear, as well as the postoperative cavity that remains in the mastoid process, is called otomycosis . This disease is not accompanied by any specific clinical manifestations. It includes pain syndrome, ear discharge of varying volume, and impaired hearing function. This condition is quite difficult to treat. Despite this, in the overwhelming majority of cases, the prognosis for otomycosisfavorable. In advanced situations, this pathology can lead to the spread of an inflammatory reaction to nearby anatomical structures, for example, to the parotid gland. Other possible complications include adhesive otitis media leading to permanent hearing loss and even fungal sepsis.

Fungal infection affecting various parts of the ear is a fairly common problem in the population. According to statistics, among all otitis media, otomycosis in adults accounts for about eighteen percent. In children, this figure is already twenty-seven percent. Most often, such a pathological process is detected among people living in a tropical climatic zone. Men and women are equally often faced with otomycosis .

In the vast majority of cases, this disease is one-sided. A bilateral inflammatory reaction occurs in no more than ten percent of cases. The most severe is otomycosis , accompanied by damage to the postoperative cavity. According to statistics, about fifteen percent of such patients subsequently face relapses.

In the overwhelming majority of cases, molds belonging to the genus Aspergillus act as the causative agent of otomycosis . In addition, this infection is often caused by yeast-like fungi belonging to the genus Candida . Separately, it should be said that sometimes fungal flora can be brought into the ear from the primary candidal focus in the genital or skin area. Much less frequently, dermatophytes and actinomycetes act as pathogens .  

There are a very large number of factors that contribute to the onset of this disease. First of all, these are various traumatic effects on the ear, including the ingress of foreign objects there. Existing skin pathologies accompanied by itching, for example, allergic dermatitis, can also lead to the development of an inflammatory process as a result of systematic scratching of the skin in the outer ear area. Other predisposing moments include a low level of personal hygiene, increased sweating, previous inflammatory diseases from various parts of the ear, as well as local dysbiosis. As for local dysbiosis, most often it is caused by the use of antibacterial drugs, decreased immunity, metabolic disorders, and so on.

The classification of otomycosis includes four of its main forms, distinguished on the basis of the localization of the inflammatory reaction. The first form implies the development of a fungal infection in the outer ear. According to various sources, it accounts for from twenty to fifty percent. In the second form, the middle ear is captured. She is diagnosed in about twenty percent. The third and fourth forms are lesions of the tympanic membrane and the postoperative cavity in the mastoid process, respectively.

During the course of a fungal infection, three successive stages are distinguished: precursor , acute and chronic. The precursor stage is characterized by the absence of visible clinical manifestations, however, there are complaints of discomfort in the ear area. The acute stage is accompanied by vivid inflammatory signs, and the chronic stage is accompanied by an alternation of remissions and exacerbations.

Symptoms characteristic of otomycosis

In this article, we will talk in more detail about the two most common forms of otomycosis . When the outer ear is affected, symptoms such as a feeling of congestion and itching in the external ear canal occur. The ear canal itself becomes edematous. The presence of abundant discharge from the ear is noted, and intense pain is mandatory . It is noteworthy that the pain syndrome becomes even stronger during swallowing or chewing. 

On examination, another characteristic symptom is found – this is a pronounced redness of the skin of the outer ear. Often, this pathological process leads to a significant decrease in auditory function. In addition, it can be complicated by regional lymphadenitis and secondary lesions of the parotid salivary gland.

Most often, the development of a fungal inflammatory process in the middle ear is preceded by chronic inflammation already there. A sick person indicates a sudden deterioration in his condition. Symptoms such as intense ear pain , profuse discharge from the ear, worsening hearing loss and recurrent headaches are present.  

Diagnosis and treatment of infection

Diagnosis of this disease cannot be based solely on concomitant clinical manifestations, since they are not specific. The leading role is played by microscopy and cultural examination of exudate from the ear. An otoscopy is mandatory. It is also recommended that a number of studies be conducted to assess auditory function.

This infection implies the appointment of special antifungal drugs. Treatment begins with the use of local antimycotics , and in the presence of relapses, systemic antifungal agents are also connected. Additionally, hyposensitizing therapy, vitamins and restorative agents are prescribed .