DEEP BLASTOMYCOSIS OF THE SKIN

DEEP BLASTOMYCOSIS OF THE SKIN- QR

DISEASES OF THE SKIN : - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention

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What is the DEEP BLASTOMYCOSIS OF THE SKIN and how it is treated?

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Etiology and pathogenesis DEEP BLASTOMYCOSIS OF THE SKIN

Deep blastomycosis of the skin. There are two forms:

  • American type (pathogen - blastomyces dermatitidis). Skin large infiltrated and ulcerated areas of red, covered with serous-purulent discharge, with resistant center and papillomatous razresheniya on the periphery. Ulcer surrounded by typical roller bluish-red color, on which are scattered small pustules. Peripheral growth of plaques can last for years. Localization on the exposed parts of the skin - the face, hands, arms, feet, and rarely the legs, buttocks.

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;

  • European type (caused by the Cryptococcus) - formation in the skin, subcutaneous tissue, and deep tissue homophobic nodes, microtiterplate in the Central part with the formation of ulcers; ulcers deep, crater shape, with saped, serrated, soft edges, covered by crusts.

 

Symptoms and course DEEP BLASTOMYCOSIS OF THE SKIN

For both forms of chronic, possible metastases in the internal organs.

Recognition DEEP BLASTOMYCOSIS OF THE SKIN

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).

Treatment of DEEP BLASTOMYCOSIS of the SKIN

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.

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