Everyone has heard of such an infectious cutaneous disease as ringworm, but not everyone knows how to identify its symptoms and identify the disease in its initial stages( see photo).Let's try to do this, based on the current knowledge of dermatologists, reviews about the disease and the methods of treatment described in the literature.
Ringworm( microsporia) - fungal infection of the skin, hair, nails, which can infect everyone. It is caused by the fungi microsporum and trichophyton. This is a well-studied type of lichen. This skin pathology is called microsporia and trichophytosis( depending on the pathogen).Trichophytosis one person can catch from another, microsporia - from the animal.
Reasons for
What is it? Ringworm in humans can be caused by anthropophilic fungi, that is, those that parasitize only in the human body. Often there is ringworm in children, when they play with animals or just help them take care of
. The characteristic of ringworm, first of all, includes damage to the hair( including mustache), smooth skin of varying degrees of depth penetration and nails. All symptoms of ringworm are visible to the eye, their description is quite informative, but not very aesthetically.
The human ringworm, the disease is infectious and can be transmitted in several ways :
- First, personal contact with the infected person.
- Secondly, the use of things and the subject of an infected person.
- Thirdly, a long stay with an infected person in the same room, there will be enough even for the slightest trauma of the skin, so that the infection can penetrate the body.
Risk factors for increase the chance of catching a fungus, it is:
- , the damaged integrity of the skin;
- softening of the skin during prolonged exposure to water or high humidity;
- weakened immunity;
- presence of other skin diseases;
- treatment of soil without protective gloves;
- regular stress and depression.
In humans, the first signs of a sheared hair loss are felt for two weeks, after which the disease begins to affect the skin. To correctly determine the type of lichen, a person must undergo an examination with a dermatologist.
Symptoms of ringworm in humans
The incubation period of ringworm can last from several days to 1.5-2 months. It all depends on the type of fungus. What does ringworm look like? The disease in most cases has pronounced symptoms that are easy to notice with the naked eye:
- is marked by severe itching of certain areas of the skin;
- appear small tubercles in the region of the ears and eyes;
- the tubercles gradually turn into quite noticeable spots;
- next stage is a crust on the spots;
- on the affected skin breaks the hair, if, of course, they exist on this site;
- spots grow in size and quantitatively, gradually occupying other areas of the body and passing to the legs, arms, abdomen.
Any area of the skin and head may be affected. When there is a hair loss on the scalp, the first symptoms can be overlooked. Gradual hair loss occurs, they become brittle at the base. The skin begins to peel, itching. After 7-10 days, clear boundaries of the lesion are visible, occupying a large area. Around vesicles pour vesicles with purulent contents. Hair starts to fall even more strongly, on the ends the gray deposit is swept up.
Nails are affected by ringworm much less often than skin. Clinically, this is manifested by the appearance of white spots on the outer edge of the nail. After a while the nail in this place begins to soften and crumble.
Chronic form
The chronic form of ringworm is a disease common only among women who have not cured superficial ringworm since childhood. Usually, it manifests itself in cases when a woman has thyroid disorders and ovarian function, as well as with avitaminosis and general exhaustion of the body.
Ringworm in humans: photo the initial stage of
To accurately understand how ringworm in a person in the initial stage looks like, see detailed photos of affected skin areas in humans.
Diagnosis
The diagnosis is based on a visual examination of the patient, as well as the collection of an anamnesis of the disease and a survey of possible sources of infection. In case of doubt, the doctor performs scraping from the affected area.
The collected materials are examined under a microscope or placed in a nutrient medium for three days, during which a rapid growth of fungal colonies is observed. When detecting filaments of mycelium and spores of a fungal pathogen, its identification is made.
Treatment of ringworm in humans
In the event of ringworm in humans, the basis of treatment is the fight against the fungus that caused dermatomycosis. The course of treatment is prescribed only by a doctor dermatologist, and is carried out at home. It combines local therapy with ointments from lichen - antifungal creams, sprays, shampoos with the intake of antifungal drugs inside.
The following medicines are effective for the treatment of ringworm:
- Mikokonazol;
- Griseofulvin;
- Clotrimazole;
- Ketoconazole;
- Mikoseptin;
- Drugs with active terbinafine( eg, Lamisil, Terbifin, Terbizil, etc.).
When a fungal infection affects the smooth skin, patients are prescribed external antifungal agents, as well as an alcohol solution of iodine, sulfuric and sulfur-tar or sulfur-salicylic ointment. With the development of a pronounced inflammatory process, the administration of combined preparations containing hormones is indicated.
When the scalp is damaged, the hair must be completely shaved before the procedures start, after which antifungal therapy is performed using etiotropic drugs of systemic action. In this case, the antifungal antibiotic griseofulvin is most often prescribed. It should be noted that the course of treatment should be under the control of a fluorescent lamp.
After the termination of treatment of ringworm, scraping again for bacterial analysis from the surface of the skin in places where it used to be deprived, is handed over 3 times - immediately after the treatment, in a week and in 2-3 months. Only if all 3 analyzes give negative results, ringworm is considered cured. If the results are positive, then the course of treatment should be reviewed and another scheme should be prescribed.