Vulgar ecthyma (ecthyma vulgare)
Venereology / / August 12, 2017
Streptococcal skin lesions
Vulgar ecthyma - the defeat of the same nature as strep impetigo, but more deeply, and located on the basis of edematous.First, there is a bubble with purulent or purulent bloody contents.After opening the bubble is formed tightly sitting dirty yellowish crust, beneath which is found plague (the so-called ektimatoznaya ulcer) mostly rounded shape with sharp edges and purulent bottom.After healing the scar remains pigmented round.Favourite localization - shin.Most ecthyma develop at a young age.A significant increase in the number of cases ecthyma in wartime, due to the lower limbs skin traumatization in a high contamination of the skin of these parts of the body, the long stay in the damp shoes and others. In peacetime, ecthyma are much less common, their appearance is often associated with the overall reduced resistance of the organism.
flow ecthyma is different.In some patients with the rational, and the early treatment of scar them for 1-2 weeks, in other cases, especial
under the crust consisting of horny masses, fibrin, degenerated epithelial cells, leukocytes, and microorganisms vessels dilated, and in the central part trombozirovany lesions;directly under the degenerated epithelium connective tissue contains many white blood cells.The epidermis near ulceration and Patriotic akantotichen.
Vulgar ecthyma can sometimes be mixed with syphilitic ecthyma, but in typical cases, the latter has a peripheral fitting crust corolla dark red, while the vulgar ecthyma is usually surrounded by a more lively and more diffuse inflammatory redness.In addition, in patients with syphilis, ecthyma having a specific character can simultaneously detect any other signs of secondary syphilis period.
carrying out the same activities as in other forms of pyoderma.