Children at the age of a special love for street kittens and puppies are at risk of becoming infected with an unpleasant disease, which is popularly called deprived. We talked with the children’s dermatologist of the Dobrobut medical network Elena Deeva about the fact that it is important for parents to know about this disease.
Lichen – This is a group of dermatological diseases, which include five diseases: lichen rosacea (Gibert), lichen planus, pityriasis versicolor, ringworm and shingles. When they talk about lichen in everyday conversations, as a rule, they mean ringworm. This is a fungal disease that is caused by parasitic fungi of the Microsporum or Trichophyton genus.
Most often people have microsporia: fungal disease, which is caused by fungi of the Microsporum genus and affects the skin, hair, rarely nails. Microsporia is divided into two types:
anthroponotic – Transmitted from person to person. The incubation period of the disease (time from sowing a fungus to clinical manifestations) is long: a month and a half;
zoonotic – A person is transferred from the animal or through objects infected with wool or flakes of animal skin. The incubation period is 3-7 days.
As a rule, children suffer from microsporia, adults make up only about 10%. Children of preschool and primary school age are ill more often. The zoonotic microsporia is more common, which is logical: young children are not indifferent to stray cats and dogs. Especially to small individuals, which are just more often contagious: puppies and kittens. The peak of the disease is usually the end of summer and autumn, because during these periods more often the offspring in cats. At the same time, in cats, the carriage of a fungus without clinical manifestations is found in approximately 2% of individuals, and they are also infectious.
The following clinical manifestations are characteristic for rashes on smooth skin: pink spots with a scaly middle, clear borders, a cushion raised along the circumference of spots, on the surface of which there are bubbles, pink nodules, scales, small serous crusts. On the hairy scalp can be observed, as a rule, two or three large lesions and several small ones on the periphery. Inside which hair breaks off at the level of 5-8 mm from the skin surface, and gray muffs form on the broken hairs (this is a pure mushroom culture).
At the reception, the dermatologist first examines the clinical manifestations. It then examines under a scan tool called a Wood lamp. Trichopetia under the Wood’s lamp is not visible, and Microsporia luminesces with an emerald glow. The next stage is laboratory diagnostics. From the affected areas, either hairs are taken, or skin scales are scraped from the lesions and the presence of spores or the mycelium of the fungus is determined. Using this analysis, the species of fungi is determined.
Depending on the results of diagnosis, the treatment tactics is chosen. To begin with, according to the current Order of the Ministry of Health, all fungal diseases, including trichopetia and microsporia, are treated in the hospital. A child who has manifestations of depriving is potentially dangerous to others. With extensive processes, inpatient treatment is all the more necessary. As an exception, they can leave the child to be treated at home, if the parents are able to provide individual care and permanent sanitation of the habitat, as well as if they can isolate him from the team and other children, even brothers and sisters. At the same time, we are talking about single rashes, and not about an extensive process, and the disease has not affected the scalp.
Treatment is carried out necessarily under the supervision of a dermatologist. Clinical diagnosis and examination under the Voodoo lamp are carried out regularly to adjust the course of treatment. The duration and complexity of treatment depends on the degree of damage, the number of lesions and the age of the child. If the lesion is located on the scalp, antifungal drugs are administered orally. In this case, the treatment lasts at least a month, and it can take up to two to three months. With single foci and the absence of a downy hair lesion, only local drugs can be treated. In this case, you can achieve a positive result in two to four weeks.
Do not self-medicate!
Often, people who have already tried to treat microsporia at home come to the dermatologist’s appointment. Often, garlic or onion juice, vinegar, lemon juice are used for this, chlorine-containing substances, detergents and
Preventing the spread of depriving:
a sick child must be isolated and treated under the supervision of a dermatologist;
it is important to find out where possible the source of the infection. If it is a dog or a cat, the animal must be taken to a veterinary clinic;
the doctor must collect contacts of children with whom the sick child has come in contact, and they also need to be examined by a dermatologist twice at weekly intervals in the case of the zoonotic form and every five days for five to six weeks in the anthroponotic form;
disinfection must be carried out at the house where the sick person lives. Clothing, combs, bedding, hats, and underwear are disinfected. All things are erased, ironed; sanitary epidemiological station can also send a specialist with a solution for disinfection. It is possible to handle all the places where the child was located, his belongings and toys (sometimes soft toys should be thrown away) independently with chlorine solutions at home.