Seborrheic eczema

Seborrheic eczema, dermatitis, on the one hand, adjacent to eczema, on the other - standing close to oily. In most cases, seborrheic eczema begins with the scalp, eyebrows, sometimes from the chest and back, pubis. But in most cases, seborrheic eczema begins with the scalp, then descends from above downwards. On the scalp appear erythematous-scaly disks slightly yellowish, up to 20-kopek coins and more.
At first dry, in the future these centers become greasy or even give the impression thick yellowish green crusts. These elements can be and on the ears, eyebrows, around the mouth, on the nasolabial fold. Covered asbestovyi scales, they are located on the red background and gradually merging, form sometimes solid disks. In the localization of eczema on the scalp it, expanding on the periphery, or goes on the forehead or on the edge of body hair growth, ending sharply defined, sometimes quite infiltrated red border, often similar to politicheskie disks ("seborrheic crown"). Back eczema descends on the ear, grabbing BTE folds, neck and forming drain eczematous lesions in the form of a helmet ("eczematous helmet"), Seborrheic eczema often also affect the eyelids, and developing blepharitis often is extreme redness and swelling of the eyelids with cracks in their outer edge and the presence of erythema and scales. From the highlighting secret eyes in patients often in the morning stick together. Moreover, there is also conjunctivitis. Eczema on the scalp is often complicated by secondary infection, bubbles, pustules mocked method with an itch that is not very typical for seborrheic dermatitis. Permanent residents of the scalp are white and gray staphylococci, as well as the particular disputes; in addition, a significant number of people scalp replete with dandruff. All of this can contribute to the beginning of seborrheic dermatitis. Seborrheic eczema the smooth skin most often localized on the skin of the chest and scapula areas. Lesions covered with greasy scales, merging, form plaques with winding edges ("maps"), their surface is slightly elevated above the skin, no bubbles. Itching or no, or minor. By poskablivanii for peripheral area are sometimes classified bright drops of liquid. Developing centers are being extended on the periphery, and the center skin gradually to normal. Seborrheic eczema smooth skin without treatment can be from a few weeks to months, rational treatment accelerates its devolution. Eczema of this kind on smooth skin sometimes simulate fungal infection, ringworm and other Microscopic examination of a scraping from scales allows to establish the correct diagnosis.

Seborrheic eczema (unna), dermatose figuree mediothoracique (Brock), seborrheic dermatitis (lever) - a kind of skin lesions observed in patients suffering from liquid oily. This "eczema" is localized in the sternum, on the back, between the shoulder blades and along the spine, as well as on the face (especially in the nasolabial folds and in the eyebrow region) and the scalp. Characterized by a rash of small point follicular nodules yellowish-pink color, covered with greasy yellow-grayish scales. Later knots formed plaques of various sizes, too, yellowish-pink color, covered with greasy scales, then plaques merge, forming larger pockets with scalloped shape. Subjectively minor itching. The disease is easily cured, but it is prone to relapse. Histologically in the epidermis minor acanthosis expressed parakeratosis, on separate sites of a small foci of spongiosa. In the dermis slight swelling papillary layer and okoloserdecna infiltration of lymph and white blood cells. Sometimes neutrophils, which penetrate the epidermis, form microabscess. The etiology is not installed. Perhaps, the causative agent of the disease is detected Annoy morecock, representing, according to Saburo, a special kind of staph (Staphylococcus cutis communis).
Treatment. The best results are lubricating 5-10% sulphuric ointment or cream with white sediment mercury (2-5%). To prevent relapse treatment of the main seborrheic process, in particular the constant rubbing the affected areas 2% salicylic or rezortsinom alcohol.