Медицинский совет (Mar 2022)
Actualization of the issues of effective external therapy of microbial eczema: description of clinical cases
Abstract
The present study discusses the etiopathogenetic theories of the occurrence of eczema – a chronic recurrent allergic skin disease often encountered in the practice of a dermatovenerologist, formed under the influence of exogenous and endogenous trigger factors, characterized by the appearance of polymorphic rash, inflammatory reaction, disorders of various systems and organs that contribute to the debut or examination of the pathological process. Among the causal influences, various exogenous factors are also noted: infectious agents – resident and transit symbionts – bacteria and fungi, viruses, as well as physical and chemical direct and indirect effects, food products, some medicines. a variety of immunological disorders are described, a modern classification of eczema with the isolation of clinical forms is indicated, a description of the clinical stage-by-stage course of eczema, features of efflorescence in acute and chronic eczema and their variants of evolution in various clinical cases the standard treatment regimens are considered – the appointment of general-acting drugs and local dosage forms. We have described in this publication various clinical cases of treatment of patients suffering from chronic microbial eczema, against the background of their somatic health or with comorbid burden using traditional therapy regimens with the inclusion of combined external agents containing a corticosteroid, an antibiotic and an antimycotic, in accordance with clinical recommendations. All patients at the end of the course of prescribed therapy noted a significant improvement in the form of almost complete relief of erythema, significant leveling of itching, disappearance of wetness, the presence of papular and papulovesicular rashes and manifestations of infiltration, peeling and lichenization of the affected areas of the dermis.
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