What Is Pyoderma Faciale?
In dermatology clinics, patients with "pustules" and "cripples" are particularly numerous. This kind of disease is a purulent skin disease, which consists of staphylococcus, streptococcus
Pyoderma
Pyoderma
- Pyoderma is a common skin infection caused by Streptococcus and Staphylococcus, and it is more common in children.
About pyoderma
- In dermatology clinics, patients with "pustules" and "cripples" are particularly numerous. This kind of disease is a purulent skin disease, which consists of staphylococcus, streptococcus
- Pyoderma
Causes of pyoderma infection
- It is often infected by small scratches, lacerations, or insect bites. It can also spread from person to person and from one part of the body to another. The disease occurs more frequently in hot, humid summers, especially when living in a crowded area and poor sanitation.
Pyoderma symptoms
- It started as erythema or lumps of the skin, and developed into pustules, which became scabies after the discharge of pus, and may have itching. Heal without leaving scars. Such as scratching the affected area can quickly spread to other parts. Symptoms occur 1-3 days after the bacteria are introduced into the skin.
Classification of pyoderma
Impetigo impetigo
- There are several common pyoderma:
- Also known as yellow water sore, it occurs frequently in summer and autumn and is often infected by direct contact with patients. At first, the skin lesions were a few bright red pimples or blisters, rice grains to the size of soybeans, and then quickly increased and increased, and pustules formed. Eventually, the pustules burst, exposing the erosive side. Pustules often occur on the exposed parts of the face, limbs, etc., with conscious pain or itching. In severe cases, lymphadenitis or other diseases may be associated.
Pyoderma folliculitis
- More common in the head, other hair growth sites such as axillary, vulva can also occur. The skin lesions are rice-sized hair follicle papules, bright red or dark red, the center runs through the hair, and the edges are flushed, which quickly turns into pustules. Rash often occurs but does not merge. Later the pustule ruptures or the central hair is pulled, and a small amount of pus and plasma can be discharged. Can be completely cured without leaving traces.
Pyoderma rickets and rickets
- is a deep skin purulent infection caused by staphylococcal invasion into hair follicles. It started as a bright red cone-shaped raised follicular papules with a center penetrating through the hairs and gradually increasing to bright red or dark red. The surface was hard and conscious. Later, a pus plug was formed in the center, and a yellow-white pus spot was exposed at the top, which was crater-shaped after rupture.
Pyoderma erysipelas
- Erysipelas is caused by streptococci and often enters the body through small wounds on the skin or mucous membranes. The onset of erysipelas is rapid, and symptoms such as fever and headache often occur. Skin lesions often occur on the face and lower extremities, and the abdomen of infants is also common. It is mainly manifested by pale red and bright red edema patches with a tense and shiny surface, a burning sensation, and a clear boundary with surrounding normal skin. Severe cases can occur with blisters or blood blister, or with severe conditions such as sepsis, nephritis.
Pyoderma pyoderma
- Overview
- Gangrene pyoderma is a rare skin ulcerative disease that can develop at any age. However, it is most common among young and middle-aged people, with many women and children accounting for about 4% of the patients. Its cause is unknown, but is generally believed to be related to a compromised immune system.
- symptom
- Gangrene pyoderma occurs suddenly, and can occur in any part of the body. It is more common in the lower extremities. It can also occur in the head, neck, perineum, and genitals. The calf is more frequent and the pain is severe. Papules, blisters, or pustules quickly appear on the skin. These bullae become ulcers after ulceration and continue to develop around them. The ulcer surface can reach more than 10 cm; and the ulcer is deep and necrotic. Because the wound often has secondary infection and poor body resistance, it is often associated with sepsis and sepsis, which makes the disease uncontrollable; some patients will develop gangrene and have to amputate.
- The disease is a chronic process with recurrent episodes, with systemic changes such as fever, arthritis, enteritis, and blood tumors. This is because pyoderma is an autoimmune disease, often accompanied by rheumatoid, inflammatory bowel disease (such as ulcerative colitis, Crohn's disease, etc.), acute leukemia or other myeloproliferative diseases. Many patients have allergic reactions, and any minor trauma to the skin, such as clearing the wounds or even injections, can become lesions.
- treatment
- 1. When the condition is relatively mild, you can take a cleansing wounds, raise your limbs, apply antibiotics and corticosteroids topically.
- 2. If the condition is serious, especially when the wound is complicated with infection, in addition to treating the wound locally, sensitive antibiotics and immunosuppressants should be applied. Empirically, hormones such as prednisone are mainly used, and immunosuppressants such as azathioprine and cyclophosphamide can help control the disease.
- 3. Topical use of fusidic acid ointment can effectively treat impetigo, with a marked efficiency of 55%.
- 4. In general, patients are expected to have their inflammation disappeared within half a year, and their condition will be relieved after one year. But the recurrence rate is high. Skin can be grafted after inflammation disappears.
Pyoderma treatment
Western medicine treatment of pyoderma
- For the treatment of pyoderma, penicillin or erythromycin can be administered intravenously, while erythromycin, norfloxacin can be taken orally. The medication usually lasts for two weeks.
TCM treatment of pyoderma
- Chinese medicine uses Huanglian Jiedu decoction, Wuwei disinfection drink, etc.
Local treatment of pyoderma
- Can choose 50% magnesium sulfate solution for hot compress. If there is a blister, the blister fluid should be squeezed out, and then wet applied with 0.02% furancillin solution. You can also choose chloramphenicol alcohol, Baidubang ointment and other external coating. In addition, for repeated attacks of erysipelas, folliculitis, rickets and rickets, ultraviolet radiation is also effective.
Pyoderma prevention
- 1. Any minor cuts or abrasions on the skin should be quickly cleaned and treated. Keep the affected area clean and avoid contact and scratching.
- 2. When caring for patients, wash your hands often with soap to prevent spreading yourself and others.
- 3. Do not share towels, bath towels, and clothing with patients with pus dermatosis unless they have been treated in advance.
- 4. Report similar patients in time and take isolated treatment
- 5. After the disease is cured, due to the special constitution of the patient, his body should be protected and injured again.
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