DISEASES OF THE SKIN : ERYTHEMA EXUDATIVE MNOGOFORMNUÛ (ERYTHEMA EXSUDATIVUM MULTIFORMA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Acute infectious and non-communicable disease. The pathogen is unknown. Observed more frequently in spring and autumn. In some cases, rash type of erythema multiforme can be, apparently, a symptom of any chronic infection (or intoxication), for example, sore throat, malaria.
Symptoms. The rash consists of raised spots rounded shape, with distinct boundaries, the size of a lentil to 1 cm2 (and more). The sunken center of the spot, BladeCenter, peripheral platen is raised and bright red. The spots merge to form foci scalloped shape. Along with the spots can be papules, blisters, bubbles. Initially the rashes occur almost always on the back surface of the hands and feet symmetrically; then the rash extends on the back surface of the forearms and lower legs are relatively less common in the genital area, palms, soles.
Precipitation often on the buccal mucosa and palate in the form of papules, and blisters that turn into easy bleeding erosion. Subjectively, it is observed a slight itching, burning, with erosions on the mucosa of the pain. Poor overall health, weakness.
For cyclic - 4 - 6 weeks. Sometimes prodromal phenomena in the form of sickness, rheumatoid pains, sore throat, gastro-intestinal disorders. Rash outbreaks. Frequent recurrences, usually in spring or autumn.
Recognition is based on typical localization and symmetry of the rash, the characteristic colouring of eruptive elements, the seasonality of the disease.
General: white streptocide 0.6 3 to 4 times a day or salicylic sodium 0.5 4 to 6 times a day during the week. Drinking plenty of fluids, milk diet. In recurrent disease to look for a hidden nidus of chronic infection. If you suspect malaria is genitalia. Topically administered indiferente powder mixture and shaken. Large bubbles to puncture with subsequent application of lotions (goulard, rivanol 1 : 1 000, etc.). When rash on mouth is recommended astringent gargle of drilling fluid (tablespoon per Cup of water), hydrogen peroxide (a teaspoon per Cup of water), a weak solution of potassium permanganate.