DISEASES OF THE SKIN : THE MULTIPLE ABSCESSES OR PSEUDOHARENGUS (CHILDREN) (PYODERMIA SUDORALIS, PSEUDOFURUNCULOSIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Purulent inflammation of the sweat glands (barilari). Pathogen - aureus. Observed pseudoforces in infants, rare in children older than one year, mainly in immunocompromised (colitis, pneumonia, dystrophy), as well as the complications in the sweating sickness, scabies, eczema and other dermatoses. Often in the summer.
Symptoms. Dense dermal or subcutaneous nodes, quickly softens in the Central part and a fluctuating, long-term dehiscent, mostly multiple. Nodes and abscesses hemispherical shape, size to the hazelnut, well-circumscribed, Barbarano color. At autopsy allocated yellowish pus, often mixed with blood; stem, as in the boil, no. The healing of the scar; when early proper treatment of the elements develops back without scar formation. Along with nodes and abscesses, flat surface pustule of a pinhead. Localization: chest, abdomen, back, buttocks, scalp.
Current: rash outbreaks, are often accompanied by increases in temperature. Sometimes prolonged duration; we greatly debilitated, malnourished children may be fatal.
Meticulous skin care of the child; to avoid overheating, wraps.
The strengthening of the General condition. Breastfeeding, limit carbohydrates. The fish oil. Streptocide white (children up to 1 year from 0.2 to 0.4 per day, from 1 year to 3 years (up to 0.6). In multiple pseudoforces - intramuscular penicillin (children under 3 months of 1 000 units over 3 months old - 2 000 units 4 hours with night break 8 - 10 days). The overall irradiation with ultraviolet rays (in the absence of pulmonary tuberculosis). Hemotherapy (mother's blood): 4 to 6 injections of 2 to 6 ml. Rubdown healthy skin 3% camphor or 2% salicylic alcohol. Early opening of abscesses and thorough removal of pus. Lubrication of the abscess cavity with 1% iodine tincture, 2% solution of silver nitrate, aniline dyes.