Furuncle and abrasions (furunculus, furunculosis)
Venereology / / April 30, 2016
Staphylococcal skin lesions
Furuncle and abrasions video
word "boil" is derived from the Latin word «furiare» - enrage.Old Russian name chirevatost boil and now almost does not apply.
Unlike folliculitis occurs here purulent inflammation, melting and partial necrosis of the hair follicle, its walls, the sebaceous gland and the surrounding tissue;necrosis in the circle formed by more or less inflammatory infiltrate.It ends the process because of the formation and the demarcation line and necrotic rejection molten mass, whereby there is formed scar tissue defect substitution.
First there is limited mild redness and swelling, are always painful, especially when touched or pressure.On palpation is felt more or less infiltration.Then, in the central part of the swelling is formed necrotic core with the molten fabric on top - pustules.After dissection (spontaneous or artificial) of the last rod moves gradually or immediately, causing tissue defect occurs quite rapidly which granulation is
Mostly boils occur without any general effects, but in some cases, especially in the localization of large boils on the head, face, neck, and when even a small furuncle undergoes trauma or irrational "squeezing", developed more orless severe general phenomenon, consisting in the chill, the temperature rises, sometimes up to 40 ° C and above, if you feel unwell, headache;often develops regional lymphadenitis and lymphangitis.Particularly dangerous are large boils, localized on the face near the front face of the veins communicating with the cavernous sinus, what creates the possibility of meningitis.Furthermore, the localization boils on the face, head and neck there is a risk of sepsis.It should be noted that since the application for the treatment of boils sulfonamides, antibiotics and then the above-mentioned serious, sometimes even fatal complications former boils now almost never meet.
If you have multiple boils or boil occurs one after another talk about abrasions, which can be a regional and widespread.The regional abrasions localized in any one area, such as the neck, helped by the presence of the patient closely and constantly rubbing the skin collar (especially with some contamination of the skin), or on the buttocks.If the boils appear in large numbers in a short period of time, say about acute abrasions;in those cases, when boils continue to occur for a long time or repeated relapses of acute furunculosis, we are talking about the so-called chronic recurrent abrasions.The latter form is usually very difficult to treat and requires a doctor's thorough examination of the patient for possible detection of pathogenic mechanisms, which may be different.
Boils can develop in all areas of the skin, which are the hair follicles, but the favorite is the localization of the posterior surface of the neck, lumbar region and buttocks, and face.
Furuncle usually diagnosed without difficulty.The distinguishing features are its significant pain, visual development, acute inflammation, and most importantly - the formation of pustules and central necrotic core.The latter allows, among other things, to distinguish between the so-called boils psevdofurunkuleza in which always there is no central pin and pustule.Keep in mind that often abrasions, as well as surface and stafilodermiya streptoderma arises secondarily as a complication of another disease of the skin, such as eczema, scabies, lice and OE
emergence of boils, as well as other forms of pyoderma, it warned in the firstcompliance with all the rules of basic hygiene both at home and at work.Protection of the skin from trauma (even the smallest), maceration, cooling and overheating, the fight against excessive sweating, as well as timely and efficient treatment of all available patient diseases of internal organs, nervous and endocrine systems and skin lesions, accompanied by itching (including fistula, ulcers, burns, traumatic injuries, etc..), is an important part of prevention boils, as well as a number of other clinical forms of pyoderma.When pyoderma, including razvivshemsya and boils, great preventive value is caring for the affected and its neighboring areas of the skin.It is these areas of skin 1-2 times a day carefully wiping any disinfectant, preferably 2% or camphor salicylic alcohol.This is particularly important because, on the one hand, the patient pyoderma avoid dispersion infection prohibit normal washing lesions with soap and water, and, on the other hand, the affected and their neighboring area of the skin especially are contaminated with microbial flora, includingdetachable already penetrated folliculitis or boils.
best local remedy is a clean Ichthyol, which has anti-inflammatory, permitting, keratoplasty and bactericidal properties.After treatment the affected area and its circumference by a disinfectant (except iodine tincture and mercury preparations) to the boil, capturing the entire area of inflammation, causing a thick layer ihtiola, on top of which lay a thin layer of cotton (not gauze!);the latter quickly bonded, so in most cases do not need a bandage.Imposing clean Ichthyol 1-2 times a day, it is easy to remove with cotton wool soaked in warm water.Net Ichthyol is a good way, usually interrupting the development of newly emerged boils and deep folliculitis.It is sometimes enough is a single overlay pure ihtiola to change the course of the disease process in a favorable way.After opening the boil on the penetrated portion is applied sterile gauze, and all around - even in the infiltrated areas - continue to be applied once a day Ichthyol clean.For large and strong painful boils over with pure wool ihtiola well apply heat (heating pad, etc..), Or to overlay ihtiola conduct irradiation lesions lamp.One can also use while suberythermal UV doses.
In order to prevent further eruptions with boils appropriate to apply the general ultraviolet irradiation.
Radiotherapy is shown only when a particularly severe boils on the face, scalp or neck if you can not for some reason use penicillin or another antibiotic effective in pyoderma.
for surgery should be resorted to only in cases of abscessed boil.
General treatment should be performed in all cases, boils, as well as single boils, when disturbed general condition of the patient, the presence of a large painful boils and boils in the localization of the face, head, neck, genitals.
In acute abrasions advisable to start with the general treatment of antibiotics.
paramount importance in the treatment of boils as well as some other forms of pyoderma has specifically targeted therapy of those diseases that can be the cause of boils.
- Sycosis ordinary
- Multiple abscesses in children (psevdofurunkulez Finger)
As an example, the following observations here.
1. The patient has diabetes boils;antidiabetic therapy (. insulin, diet, etc.) has a beneficial effect on the course of cutaneous pain, which is in this case, closely related to the underlying disease - diabetes.
2. A patient suffering from chronic recurrent furunculosis, relapses occur each time by eating excessive amounts of salt;significant limitation in salt diet eliminates boils.
3. Patients with chronic recurrent furunculosis found anemia;the use of iron supplements and vitamin B12 brings healing.
All this shows what a great therapeutic and prophylactic value in pyoderma has thoroughly comprehensive examination of the patient (not only the skin, but also to internal organs, nervous system, endocrine organs, blood, and others.)
should also be noted that the importancein the treatment of boils, diet is primarily restricted to carbohydrates and salts.Pyoderma patients should avoid spicy food and spices, as well as alcoholic beverages.With tendency to constipation recommended laxatives.
A number of patients with chronic recurrent furunculosis good effect on the course of the disease has systemic administration of brewer's yeast (vitamin B complex), which are appointed in relatively large doses - up to 10-20 pills of dried brewer's yeast or 1-2 cups of liquid brewer's yeastin a day.Upon receipt of such quantities of yeast need to monitor the state of the gastrointestinal tract.