Paratravmaticheskoy skin lesions

Paratravmaticheskoy skin - various pathological skin changes that occur locally or around the injury and pathogenetically associated with it. A significant part paratravmaticheskoy skin lesions occur around wounds, burns, frostbite, but they also possible in the result of minor trauma, little damaging the skin, but contributing to the implementation of pathogenic microbes, which are the main cause paratravmaticheskoy skin lesions. In the etiology of their greatest role is played by streptococci and staphylococci, sometimes fungi of Candida and other microorganisms. The pathogenesis of p. P. K. is very complex and diverse. Of great importance is the trauma and hemorrhage conducive to infection and damage to the nerves that cause impaired circulation and trophic disorders. Development paratravmaticheskoy skin lesions can contribute the defect in the treatment, in particular long deaf bandages, leading to maceration and creating favorable conditions for the reproduction of microbes and their fixation in the tissues. As a rule, p. P. K. they do not develop immediately after the injury, but after some time (weeks, months), during which the changing reactivity of skin, may cause sensitization to microbes or to products of tissue decay. Often the development p. P. K. precede phenomena amicrobic inflammation of the skin (dermatitis)caused the injury, sometimes the effect of irritating skin medicines. One of the forms of p. P. K. is a chronic diffuse strepto-staphylodermia (see Piodermia). Perhaps the development of this eczema. A special form p. P. K. is described S. I. Pavlov posttraumatic eczema, pathogenetically-related nerve damage, often with traumatic neuroma, and eczema develops below the last and disappears after surgical removal or elimination of compression of a nerve.
Paratravmaticheskoy skin infections are especially frequent in the lower legs; respond well to treatment. However, they are easily recur. Contribute to the recurrence of residual post-traumatic effects (circulatory disorders, infiltration of the skin, superficial phlebitis and limphangit, sensitisation of the skin), new injuries, etc. Without treatment, or if you have other adverse conditions p. P. K. can exist for a long time. But the source injury and p. P. K. there are only initial push, and further develop chronic piodermity, eczema and other chronic skin diseases.
Treatment. I need to resolve pathogenetic aspects that contribute to the development of p. P. K., to be used as opportunities open method of treatment of skin injuries, disinfectants (aniline dye, liquid Castellani, wiping solutions 2-5% of Liapis, 0,2-0,5% of rivanol, 2-3% of resorcinol, lubrication disinfectant salves and ointments containing corticosteroids in combination with antibiotics (for example, oksikort and others). Drugs should be changed at least once in 2-3 weeks to stop the addiction of microbes to the drug and skin sensitization to him. At the same time apply restorative treatment, vitamins, sometimes antibiotics subcutaneously or inside.