Deprive is a collective medical term that combines fungal and viral skin diseases of different etiologies. Quite often, such dermatological problems occur in children. Medical statistics show that up to 80% of babies visiting various children’s institutions faced with this or that kind of depriving. Most often, these infectious dermatoses are diagnosed in children under the age of 14 years.
Diseases manifest themselves rash, peeling, itching, hair loss, changes in skin pigmentation. Some types of lichen are easily transmitted by contact and pose a threat to others. Therefore, with any suspicious symptoms and changes in the skin, it is urgent to show the child to a pediatric dermatologist or pediatrician.
Causes of disease
The most common types of lichen in childhood are:
Each of them is caused by certain reasons. Infection usually occurs in public places (swimming pool, bath), children’s groups (kindergarten, school), in contact with street cats and dogs.
So, the main cause of ringworm, is infection from people and animals with fungal infection. Pityriasis (multi-colored) versicolor cause infectious diseases, hormonal disruptions (diabetes, thyroid disease). Leukemia, rheumatism, seborrhea, or a genetic predisposition can be a factor provoking the development of multi-colored lichen.
The reason for the development of lichen planus in children is still not fully understood. Experts suggest that a genetic, viral, intoxication factor is capable of provoking its development. In addition, the disease may have an immune, allergic, or neurogenic nature.
Pink zoster in children most often appears after suffering intestinal, infectious diseases, vaccination. Presumably, the causative agent of the disease is the human herpes virus, and the infection can be infected by household or airborne droplets.
Shingles is caused by the same kind of herpes that is considered to be the causative agent of chicken pox. After suffering chickenpox, the virus remains in the “dormant” state of the child’s body and manifests itself under the influence of adverse factors.
Doctors dermatologists note that the incidence of lichen deprived species increases in the cold season, and children more often get sick with fungal species in the summer. In most cases, a single contact with carriers of the infection is not enough; for the development of the disease, predisposing factors are necessary:
- Reduced immunity after viral or bacterial infections.
- Adverse environmental factors (warm and wet weather).
- Injuries to the skin (scratching, scratches).
- Increased sweating, contributing to the proliferation of fungi.
- Stressful situations, neurosis.
- Endocrine disorders (diabetes, obesity, thyroid disease).
- Improper hygiene products.
How does deprive in children (symptoms, photo)
Each type of lichen in children has its own characteristic symptoms. We will tell about them in more detail.
Pink lichen in children It is considered the most mild form of skin disease. Rashes in the form of round or oval flaky spots appear on the arms, back, abdomen, legs and very rarely on the face. First, a single focus (maternal plaque) appears in the form of a bright pink oval spot up to 5 cm in diameter. About a week later, the body becomes covered with an abundant rash of a small size (up to 1 cm). A characteristic feature is the peeling in the center of the spot and a red border located on the periphery, which makes the rash element resemble a medallion. The child may be bothered by a weak itch.
The acute period usually lasts 4 to 5 weeks, after which the rash disappears without a trace. You can get rosy lichen only once in your life, as the body produces immunity. In most cases, the disease is easily treated and can disappear without medical intervention, you just need not expose the disease foci to irritation.
While washing, do not rub the skin with hard washcloths; avoid wearing tight clothes that rub the skin and limit the child’s frequent exposure to the sun. If you do not follow these precautions, the rash can become infected and accompanied by purulent complications.
Ringworm in children is the most common fungal disease affecting smooth skin, scalp, nail plate. From the moment of infection until the first symptoms appear, it may take 3-6 weeks. There are two forms of this disease: trichophytosis and microsporia.
Microsporia is transmitted in a household way (through clothes, a hairbrush, toys) or from a sick person and infected animals (both domestic and street). Infection occurs through damage to the skin (abrasions, scratches, eczema).
Trichophytosis is betrayed from farm animals and acutely affects the surface of the body and the scalp. A pronounced malaise, weakness, fever join the main symptoms of skin disease. The child’s sleep is disturbed, headaches appear, and there is no appetite.
For both forms of ringworm are characterized by the following common symptoms: the appearance on the skin of round or oval spots with clear boundaries. The skin in their center is highly flaky, covered with crusts and scales, the rash is accompanied by burning and intense itching.
Deprive the child’s head manifested by the formation of foci of round shape baldness. At the borders of this focus, the hair is broken off at the level of a few millimeters from the surface of the skin. Around the main focus can be grouped similar small lesions. If the fungus affects the nails, they become brittle, dull, change color, crumble easily.
In weakened children, ringworm may be accompanied by lymphadenitis (inflammation of the lymph nodes) and folliculitis (the formation of pustules). In the absence of adequate treatment, the disease can turn into a severe form, with damage to the deeper layers of the skin.
Chippy (varicolored) versicolor can be transmitted by contact with soil, plants, a sick person or an animal. The incubation period of the disease ranges from 2 weeks to one and a half months. Rash most often appear on the scalp, shoulders, chest, back, between the shoulder blades. At first, spots of light pink or dark brown color, various outlines and sizes appear on the body.
The affected areas begin to peel off strongly, the spots coalesce and form a scaby crust, which eventually disappears. Manifestations of tinea versicolor are rarely accompanied by itching. The parts of the body affected by the lichen are not exposed to tanning and remain unpigmented (discolored). Atopic or seborrheic dermatitis in children is often a risk factor and can provoke the appearance of chives.
Shingles in children develops after suffering from varicella. This is the hardest form. depriving, which can last for years and provoke serious complications. The appearance of the rash is preceded by malaise: weakness, chills, fever, tingling along the sensory nerves in the area of future lesions. After about two days, groups of small bubbles appear on the skin, filled with a clear liquid. Rashes are located linearly along the nerve branches.
In the acute period, the child has a fever, itchy skin, radiating pain along the trigeminal and intercostal nerves, inflammation of the lymph nodes. After a few days, the contents of the bubbles become cloudy, they open and dry. In their place, crusts form, after falling away, which remains light pigmentation. It may take 15 to 30 days before full recovery.
Herpes zoster can be accompanied by conjunctivitis, stomatitis, neuralgia, and optic neuritis. Due to scratching the itchy blisters, bacterial infection and the formation of pustules are possible. In children with a weakened immune system, there is a risk of severe complications (encephalitis, meningitis). In the event of the first unsuccessful symptoms, you should call a doctor and immediately begin treatment. Only a qualified specialist can correctly diagnose the disease and prescribe the necessary and correct treatment.
Lichen red in children is very rare. In this form of the disease, mucous membranes, skin, and nails are affected. Rashes in the form of rounded flat papules appear on the folds of the extremities, back, chest, sides of the abdomen, in the axillary and inguinal areas. In very rare cases, lesions are fixed on the mucous membrane of the mouth. The surface of the papules is distinguished by a slight impression, a waxy shine and a bright red or crimson color. Elements of the rash can be located in small groups and have a different size, from very small, to fairly large, the size of a pea. The disease has three stages:
The progressing stage is characterized by profuse rash of red elements, desquamation, severe itching, and neurotic disorders. The child constantly combing itchy places, does not sleep well, becomes capricious and irritable.
At the stationary stage, a change in the appearance of papules is noted. They flatten, change color, becoming more pale. The intensity of itching at this stage decreases.
The regressing stage is characterized by the cessation of rashes, the disappearance of itching and the abundant appearance of pigment spots at the site of the disappeared elements of the rash.
Lichen planus in infants is characterized by a tendency of the elements of the rash to unite, hyperemia and swelling of the affected areas. The course of the disease can be long – from one to six months, with recurring exacerbations.
The diagnosis of diseases is carried out by a pediatric dermatologist, mycologist or infectious disease specialist. The specialist conducts a visual examination of the skin, fluorescent diagnostics, selects samples for analysis. Each form of lichen has its own morphological features and characteristic fluorescence of lesions, which is manifested in the study of the skin under the Wood’s lamp.
To determine the type of fungus, make a scraping of the skin and examine the sample under a microscope, spend bakposev to determine the microflora. For the diagnosis of lichen planus, morphological examination of tissues is resorted to, and for shingles, a special blood test (ELISA) is performed.
Lichen treatment in children
The treatment plan for the lichen will depend on the type and severity of the disease. Infectious forms of infection suggest the temporary isolation of the child and the cessation of contact with other children.
The primary measure in ringworm therapy is to isolate the patient and thoroughly disinfect his belongings. A patient with a lesion of the scalp is shaved off before treatment. Treatment begins with an appointment antifungal drugs (griseofulvin). The regimen and dosage is determined by the attending physician. When joining a bacterial infection is used antibiotics broad spectrum.
To improve the overall condition and maintain the body, a small patient is prescribed multivitamin complexes, immunomodulating agents. Antihistamines or corticosteroid ointments are used to eliminate intense itching. For external use discharged antifungal agents local action (ointments, gels, lotions, lotions). In addition, foci of iodine, sulfur tar or ichthyol ointment are treated daily. When the scalp is damaged, fungicidal shampoos (Nizoral, Sebozol) are used.
For treatment of scaly depriving used drugs – keratolytics (iodine, resorcinol or salicylic alcohol, tar ointment). They prescribe antifungal ointments (clotrimazole, nizoral, exoderil) and mineral – vitamin complexes. Physiotherapeutic procedures give a good effect: sunbathing, magnetic therapy, quartz irradiation.
Shingles treated with antiviral drugs (acyclovir), which are prescribed orally or intravenously throughout the week. If treatment is started within two days after the first symptoms appear, this significantly reduces the duration of the acute phase of the disease. To relieve pain, prescribe analgesics, nonsteroidal anti-inflammatory drugs, make novocaine blockade.
Intramuscular injections of vitamins C, P, group B are prescribed; interferon preparations are used to strengthen the immunity. Prozerin helps to improve the blood supply to the damaged areas of the skin; in case of severe illness, intravenous ribarin is prescribed. For topical administration, interferon ointment is prescribed. The complex of therapy includes physiotherapeutic procedures: Solux, UV radiation, magnetic therapy, ultrasound therapy.
Treatment of lichen planus start with the treatment of associated diseases (immune, neurological, allergic). To eliminate the neuroses, therapy with sedatives (valerian, bromine, motherwort), vitamin therapy courses (vitamins C, A, E, group B) is indicated. When joining an infection, antibacterial drugs are recommended, in severe cases, glucocorticosteroids (prednisone) are used for treatment.
To relieve intense itching, antihistamines are used orally, and the affected areas are topically treated with corticosteroid ointments (dermozolon, lorinden). Ichthyol ointment and ointment based on tar and sulfur contribute to the resorption of infiltrates. After the removal of acute symptoms, physiotherapeutic procedures are shown: UHF, phonophoresis with hydrocortisone. To consolidate a positive result at the end of the course of therapy, sanatorium-resort treatment is recommended.
An important point in the treatment of depriving children is the careful observance of hygienic norms, the disinfection of personal belongings, the linen and clothing of the patient. Parents should stop the child’s attempts to comb the itchy skin, this will help avoid complications and the accession of a secondary infection. The affected skin should not be wetted, therefore for the whole time of treatment water procedures should be excluded.
Another important condition for the successful treatment of the disease is careful hygiene, adjustment of nutrition, adherence to a hypoallergenic diet, the abandonment of clothes made of synthetic materials. Only clothes made from natural fabrics allow the skin to breathe and prevent excessive sweating. Wet cleaning should be done daily in the child’s room and the surfaces should be disinfected.
The treatment of the small patient is continued until the blood test confirms that the infection has receded. Only in this case, the parents can be sure that there will be no recurrence of the disease.
Parents reviews on depriving children
I still remember with horror the period when my daughter fell ill with ringworm. Infected, most likely from street cats. She can not calmly pass by the animals, always stretches to stroke. Characteristic red spots appeared first on the body, and then on the head.
Hair began to break and fall out, formed a small bald spot. My daughter is very worried and complexes about this. Her hair had to be shaved off until they had grown back, the girl was wearing a headscarf. The doctor prescribed griseofulvin. A very heavy drug, his daughter swallowed with difficulty, there was an emetic reflex. I started to complain that my kidneys hurt.
Rashes every day smeared with iodine, sulfur-tar ointment. Twice a week, we washed our hair with Nizoral shampoo. After two weeks of torment, the rash of fat turns pale and disappears. Now nothing bothers. A bald head overgrown. Now we are trying to protect our daughter from contact with street animals.
Review number 2
Last year, my five-year-old son was diagnosed with chinexis. We assume that infected in kindergarten. First, on the shoulders and chest appeared pink rashes, a slight itch. Then the rash began to grow and merge, forming flaky crusts. The child had to be isolated, disinfected all his clothes, bed and toys.
Dermatologist prescribed antifungal drugs. Several times a day, the code was treated with iodine, salicylic alcohol, ointment with tar. After the crusts disappeared, discolored skin areas remained on the child’s body for some time. Now it’s all over. We try to closely monitor the condition of the child and protect him from unwanted contact.