DISEASES OF THE SKIN : DEEP BLASTOMYCOSIS OF THE SKIN - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Deep blastomycosis of the skin. There are two forms:
Recognition. Should be distinguished from syphilitic gummy ulcers (see), verrucose of tuberculosis of the skin (see), chronic ulcerative pyoderma vegetans (see). With a deep blastomycosis of the skin is noted several lesions, pustule on the periphery of ulcers, soft papillary of depravity;
For both forms of chronic, possible metastases in the internal organs.
For the diagnosis of deep blastomycosis should be deleted a number of dermatoses resembling deep blastomycosis. In smears from the pus found (but not always) the elements of the fungus in the form of round or oval cells with double sheath, sometimes budding. Great diagnostic value has a culture of the fungus. Crucial histological examination of biopsies from the lesion tissue. In controversial cases, it is recommended intraperitoneal inoculation of pathological material animals (Guinea pigs or mice).
Inside the iodine in large doses, as in the treatment of actinomycosis (see). In the presence of small lesions is surgical excision, electrocoagulation. Renthenolohiya. Local treatment: after cleansing the sores hydrogen peroxide packs of lwholesale solution, the lubrication of aniline dyes, lapis.