How to diagnose and treat herpetic dermatitis

What is herpes in children

Children have herpetic dermatitis, a pathology that some know as Dühring's disease - a disease that occurs in a chronic form, affecting skin tissue with a polymorphous rash. The lesions are recorded not only superficially. Herpes simplex can be localized everywhere, including mucous tissues and internal organs.

Typically, therapy lasts a long time and transfers the pathology to a latent state. Due to the fact that the immune system in children is not stable, relapses often occur for various reasons.

Herpes simplex in children is a common anthroponotic viral disease. It is usually classified as herpetic:

  • eye disease;
  • encephalitis;
  • meningitis;
  • vesicular dermatitis;
  • eczema;
  • disseminated disease;
  • other forms of infection.

Prevention of herpetic dermatitis

The basis for the prevention of herpetic dermatitis of the eyelids, hands, mucous membranes is strengthening the immune system in all possible ways. To avoid vitamin deficiency in the winter-spring period, it is important not only to eat a lot of fresh vegetables and fruits, but also to take special multivitamin complexes. An important component of prevention is maintaining proper nutrition. If the body is hypersensitive to iodine or gluten, it is necessary to follow a strict gluten-free diet or a diet that completely excludes foods containing even small amounts of iodine (for example, seaweed).

Causes of the disease

The symptoms of the herpetic dermatitis virus can be provoked by:

  1. genetic predisposition;
  2. autoimmune pathologies;
  3. the body's individual response to gluten products and iodine-containing medications;
  4. hormonal imbalance;
  5. cancer diseases.

For the virus to become active, one of the following factors is sufficient:

  • Reduced barrier functions of the body for various reasons.
  • Psycho-emotional disorders, stress.
  • Negative effects of temperatures (sunburn, hypothermia).
  • Unbalanced nutrition, poor diet.
  • Wrong approach to physical activity.
  • Menstrual cycle.
  • The period of gestation.
  • Hypovitaminosis.
  • Syphilis.
  • Helminthiases.

Contact with a sick person with obvious signs of herpetic dermatitis, in the presence of negative factors, makes the possibility of infection more likely. Pathology is transmitted by airborne droplets, through household items. The carrier is most dangerous when the blisters break and fluid comes out.

Symptoms and signs of Dühring's dermatitis photo

Symptoms of Dühring's dermatitis are manifested by the following signs:

  • the patient’s general condition deteriorates significantly;
  • hyperthermia;
  • prostration;
  • skin sensitivity, tingling;
  • rash with characteristic blisters filled with clear liquid;
  • burning, itching in the affected areas;
  • enlargement of regional lymph nodes;
  • pain at the site of formation of the lesion.

The resulting pearly pearly papules on the lips usually do not pose a danger and do not cause unpleasant sensations, but create an unaesthetic appearance and can affect the psycho-emotional state.

The herpetic dermatitis virus can manifest itself as lesions on the shoulder blades, shoulders, lumbar region, buttocks, and on the folds of the upper and lower extremities.

If you are interested in what causes allergic skin dermatitis, read our publication.

What dermatitis happens can be found out in this article - types of dermatitis in adults.

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Folk remedies for treatment

It often happens that a rash appears on the face and neck and lasts for so long that even after contacting dermatologists or allergists, it is almost impossible to eliminate them. Therefore, if severe itching occurs, do not scratch the rash site: in the future you may encounter more serious problems with infected sores.

To achieve results in improving your condition, use an integrated approach on the following points:

  • diet;
  • use of antihistamines and anti-inflammatory drugs;
  • applying ointment, cream, gel in accordance with the instructions for use.

In conclusion, I would like to note that the virus, which is considered a minor and quickly passable problem, can develop into a fairly serious condition, both for children and adults. We recommend that on the very first day of unusual rashes you contact your local skin dispensary or your local physician for diagnosis and treatment.

To increase the body's protective functions, you should buy echinacea tincture at the pharmacy. Take 30 drops 1 time per day, in the morning on an empty stomach. The course of admission is 1 month. Not recommended for use by children under 12 years of age. This product is well tolerated. Rarely, side effects occur: nausea, vomiting, abdominal pain.

Another medicine to strengthen the body's defenses is Ginseng tincture. It should be purchased at a pharmacy. The price is “penny” for this miraculous remedy. It is indicated after illness to restore the body's defenses. Before using this drug, you should consult a specialist.

This must be done. Treatment of herpetic vesicular dermatitis itself is also necessary, otherwise you can get a “dormant virus”.

Today, there are many antiviral drugs that help fight this infection:

  • Acyclovir.
  • Vectavir.
  • Valaciclovir.
  • Viferon.
  • Exalb.
  • Famciclovir and so on.

Most often these are Cycloferon and glycyrrhizic acid, large amounts of which can be found in licorice root.

If it is started correctly and in a timely manner, the disease can completely disappear.

  • Decoctions of sea buckthorn, knotweed, juniper, licorice, and calendula are considered beneficial. It can be taken orally or added to bathing water. These herbs have pronounced anti-inflammatory properties and act as antihistamines.
  • Periodically you need to take tinctures and decoctions of ginseng, echinacea, eleutherococcus, and rose hips. These products can be purchased at the pharmacy or prepared yourself. Medicines have a positive effect on the functioning of the immune system, strengthen the body, thereby preventing the activation of the herpes virus.
  • At home, you can prepare an ointment to treat affected areas of the skin. For this purpose, you need to mix dry belladonna herb with pork fat in a 2:1 ratio. The mixture is prepared at a temperature of 90 degrees for six hours.

Of course, before using any home remedies, you should talk to your doctor and test for an allergic reaction.

Symptoms of pathology

If herpetic dermatitis affects the organs of vision, conjunctivitis, blepharoconjunctivitis, and keratitis develop against this background. When vesicles are localized on mucous tissues, stomatitis, gingivitis, and tonsillitis are diagnosed. The activity of the herpes virus manifests itself in the form of a rash on the face and upper extremities.

Genital herpes affects the vulva, penis, and urethra. It is worth noting that when pearly pearly papules form around the head of the penis, discomfort is not felt. Moreover, people can live with this symptom for the rest of their lives without posing a threat to the health of others. Visceral forms can provoke pneumonia and hepatitis.

If nothing is done, the disease affects the central nervous system, which is the cause of neuritis, meningoencephalitis

Wherever the location of the outbreak is noted, a number of characteristic symptoms are observed:

  • red skin fragments;
  • blistering;
  • tissue swelling;
  • transparent bubbles;
  • arrangement of bubbles in the form of a ring.

After the first symptoms have made themselves felt, the following appears: irritability; lethargy; restless sleep; hyperthermia; itching; discomfort. It is likely that signs of illness can cause depression.

Diagnostics

The diagnosis of herpetic dermatitis is made based on the clinical picture. Additional diagnostic methods are used to confirm:

  • General blood tests.
  • Cytology of fluid from the lesion for eosinophils. A high concentration of protective cells is observed in the affected fragment. The number of eosinophils can increase not only for pathological reasons, but also due to a change in eating habits in women during pregnancy and in children. The advisability of prescribing such an analysis is determined by the doctor.
  • PCR test allows you to identify the pathogen vesicles and its type in the liquid.
  • Enzyme immunoassay for M and G class antibodies. An increased IgM content confirms the course of the disease in an acute form. If an increase in IgG is detected, the disease is chronic.
  • The most informative analysis for diagnosing herpetic dermatitis is the immunofluorescence reaction. Antigens in the biomaterial differ due to their glow.
  • Ultrasound - prescribed to exclude cancerous tumors.
  • Computed tomography is the most informative method that allows you to study pathology at the cellular level. The doctor may prescribe an additional method if cancer is suspected.

The signs of herpetic dermatitis are similar to the clinical signs of Dühring's disease, dermatophilia, pemphigus, and atopic dermatitis; it is important to correctly carry out the differential diagnosis.

Algorithm of action for the first symptom:

SYMPTOMVesicles on tissues, blisters with clear contents, itching, tingling
CAUSEInhibition of the body's barrier functions, stress
DIAGNOSTICSExamination, cultural studies, at the discretion of the doctor
THERAPEUTIC METHODSAntiviral non-steroidal drugs, immunomodulators, antipyretics if necessary
DIFFERENTIAL DIAGNOSTICSDermatitis herpetiformis
DOCTORTherapist, dermatologist
NON-TRADITIONAL THERAPY METHODSAuxiliary means.

Is it possible to cure

The disease is complex and characterized by cyclicity. By self-medicating or ignoring the problem, the course of the disease can provoke complications. Often the disease spontaneously goes into remission. Even proper treatment does not guarantee a positive result. An anti-gluten diet helps alleviate symptoms. It is worth noting that even minor progress in therapy is not a reason to cancel the doctor’s appointments or reduce the concentration of drugs and the daily dosage.

If the doctor's requirements for treatment are followed, the prognosis is favorable

Medicines

When diagnosed with herpetic dermatitis, treatment is carried out using conservative methods. Treatment of complex cases takes place in an infectious diseases hospital; mild forms can be treated at home. Drugs are prescribed mainly aimed at combating the herpes virus:

  • "Acyclovir";
  • "Viferon";
  • Famciclovir.

In addition, to enhance the therapeutic effect, medications from the sulfone group are used:

  • "Sulfaperidine";
  • "Dapsone";
  • "Autosulfon".

Therapeutic methods are selected depending on the form of herpetic dermatitis. Mild herpetiformis - treated with sulfone drugs (Autosulfon, Dapsone), Diucifon. It is also recommended to take ascorbic acid, folic acid, B vitamins, and antihistamines.

If the desired result cannot be obtained, the doctor resorts to the help of corticosteroids and antihistamines. Brilliant green and Fukortsin help dry open wounds after the integrity of the vesicles has been damaged. Throughout the course of treatment, it is recommended to use immunomodulators.

Traditional medicine - Home methods of assistance

Non-traditional methods of treatment have recently become popular. They give good results and are often included in complex treatment by the attending physician. It is important to understand that in order for folk recipes to bring the expected result, an accurate diagnosis must be established and the cause of the disease must be determined. Self-medication can aggravate the problem and cause complications.

A competent approach to herbal medicine allows you to select medicinal herbal infusions to eliminate inflammatory processes and smooth out allergic reactions. The most used forms are infusions, lotions, compresses:

  1. Acyclovir ointment, cycloferon, is used for local lesions of mucous tissues.
  2. Interferon is used to make lotions, rinses, inhalations, and prepare ointments.
  3. The lesions are treated with methylene blue (1 - 3%), brilliant green (1 - 2).
  4. The oral cavity is lubricated with hydrogen peroxide (3%).
  5. For an analgesic effect, anesthesin and lidocaine are used.
  6. For hyperthermia, ibuprofen is used.
  7. If relapses occur frequently, Viferon is used in combination with B vitamins.
  8. For therapy, the use of antiherpes vaccine and antiherpetic immunoglobulin is effective.
  9. Interferon inducers (Anaferon, Cycloferon) are indicated for children.
  10. It is important to review your diet.

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Diet

For herpetic dermatitis, it is necessary to follow a dietary diet. Products containing gluten should be excluded completely (all cereals). It is also necessary to remove foods and medications rich in iodine (seaweed, fish, iodized salt, shellfish).

Traditional medicine

The approach to solving the problem must be comprehensive. Therapy for herpetic vesicular dermatitis includes the following algorithm of actions:

  1. Antiviral drugs.
  2. Antihistamines.
  3. Methylene blue, Fukortsin solution.
  4. Vitamins Z, C, B, folic acid, mineral complexes.
  5. Diet food.
  6. Physiotherapeutic methods of influencing the lesion:
  • Ural Federal District;
  • Laser therapy;
  • Infrared irradiation.

Only a doctor can make a diagnosis and prescribe treatment, after collecting an anamnesis and conducting additional diagnostic examination methods. The patient’s task is to follow the recommendations of the leading specialist and dosage.

How to overcome herpetic vesicular dermatitis using traditional treatment methods

Before you start using traditional medicine recipes for the treatment of herpetic vesicular dermatitis, you should consult with a therapist or dermatologist, since some formulations can smooth out the effect of drug therapy or enhance their effect, which may require dosage adjustment.

Herpetic vesicular dermatitis is treated with an integrated approach, for this it is recommended:

  • Internal use of licorice or knotweed decoction.
  • An ointment based on pork fat with the addition of belladonna has proven itself well. The mixed components are simmered in the oven for 6 hours at 90 degrees.
  • Ulcerative formations and erosions are treated with lotions of potassium permanganate solution.

When resorting to the help of ancient recipes, you need to understand that some concomitant diseases may be immune to the action of herbs, therefore, when using home treatment, you should remember the risks. An effective therapy must be selected by a doctor, taking into account the characteristics of the body and the complexity of the disease.

Treatment

often do not require specific treatment; symptomatic therapy is carried out. In severe cases, antiviral therapy is prescribed (acyclovir, Valtrex)

Medical services for the treatment of the disease Herpetic vesicular dermatitis

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Complications of Dühring's dermatitis

Signs of herpes development should not be ignored. If you do not seek professional help from competent specialists, a complication may develop in the form of additional infection. If the incubation period after timely measures taken lasts a week or two, then with a complicated virus, the pathology can be significantly delayed.

If the disease is left untreated, the lesions may well spread to internal organs. Mostly, inaction negatively affects the functioning of the kidneys and central nervous system.

Prevention of herpes in children

Prevention of herpes in children includes: teaching basic hygiene rules; maintaining the body's barrier functions. Children infected with the virus should avoid prolonged exposure to the sun, excessive physical exertion, stress, and emotional shock.

Newborns are isolated after contact with sick people. If the mother has signs of herpetic dermatitis on her body, measures should be taken to prevent the baby from becoming infected. It is recommended to wear masks and avoid too close contact. If the breast is not affected by viral foci, breastfeeding is not interrupted.

To exclude intrauterine infection of the fetus, expectant mothers are examined for HSV. If there are signs of infection, 0.2 ml/kg of immunoglobulin is administered. If a woman in labor has genital herpes, childbirth is carried out by caesarean section.

If the mother's clinical picture indicates a disease, the newborn is examined additionally. When diagnosing a pathology, therapy is carried out with Acyclovir.

Herpetic dermatitis, at first glance, does not seem to be a serious problem, but this is where its insidiousness lies. Particular attention should be paid to the disease in children. The first symptoms are a signal from the body about the need to seek professional medical help.

Treatment

In case of illness, complex therapy is necessarily prescribed. Drugs alone are not enough

It is important to completely reconsider your lifestyle. It is necessary to maintain immunity, provide adequate nutrition, etc.

d.

As for drug treatment, it is prescribed depending on the severity of the symptoms of the disease, the frequency of relapses, the general condition of the infected person and is based on the intake and application of antiviral drugs, immunomodulating agents, etc. to the skin.

Drug therapy

Treatment of dermatitis is based on taking antiviral drugs to reduce the frequency of exacerbations and reduce the intensity of symptoms. For this purpose they prescribe:

  1. "Acyclovir".
  2. "Famvir."
  3. "Valacyclovir."
  4. "Valtrex".

Valtrex and Famvir

1 2

The duration of drug treatment is 5-7 days.

Immunosubstitution therapy is mandatory. The duration of therapy will directly depend on the patient’s condition and the intensity of the disease manifestations. The best immunomodulatory drugs are: Cycloferon, Lykopid, Ridostin.

Local treatment is also used for herpetic vesicular dermatitis. The following are considered effective antiviral ointments:

  1. "Acyclovir".
  2. "Pentsivir".
  3. "Fenistil".
  4. "Zovirax".

Acyclovir and Zovirax

1 2

To dry out the rash and quickly heal the affected areas of the skin, local sulfur-based products are prescribed. For large lesions, the use of corticosteroids is recommended.

There are many treatment methods for herpetic dermatitis. Thus, to prevent the development of secondary infection, it is recommended to use antiseptic drugs. In addition, physiotherapeutic and hardware methods - ultraviolet irradiation, infrared irradiation, laser therapy - are effective in combating the disease.

Traditional therapy

Effective folk remedies against herpetic dermatitis are:

  • a decoction of celandine, string, sea buckthorn, knotweed, calendula and wormwood - applied to the affected skin;
  • aloe juice, celandine, garlic, sea buckthorn oil;
  • to maintain immunity - tincture based on echinacea, nut peels (green), tea with lemon, honey, rose hips, black currant leaves;
  • a mixture of lard and dried, crushed belladonna leaves (2:1);
  • Corvalol lotions, rinsing the mouth with hydrogen peroxide (for stomatitis);
  • lotions made from laundry soap, toothpaste, sulfur, raw chicken protein.
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