DEPRIVE A CHILD: HOW TO TREAT
Children at the age of a special love for street kittens and puppies at risk of becoming infected with an unpleasant disease, which popularly called deprived. We talked with the children’s dermatologist of the Dobrobut medical network Elena Deeva about the fact that it is important for parents to know about this disease.
Deprive is a group of dermatological diseases that include five diseases: lichen rosé (Gibert), lichen planus, pityrias, zoster and shingles. When they talk about lichen in everyday conversations, as a rule, they mean ringworm . This a fungal disease that caused by parasitic fungi of the Microsporum or Trichophyton genus.
Most often, microsporia occurs in humans : a fungal disease that caused by microsporum spp. And affects the skin, hair, and rarely nails. Microsporia divided into two types:
anthroponotic – transmitted from person to person. The incubation period of the disease (time from sowing a fungus to clinical manifestations) is long: a month and a half;
zoonotic – transmitted to humans from animals or through objects infected with wool or animal skin. The incubation period is 3-7 days.
As a rule, children suffer from microsporia, adults make up only about 10%. Children of preschool and primary school age are ill more often. The zoonotic microsporia is more common, which is logical: young children are not indifferent to stray cats and dogs.
Especially to small individuals, which are just more often contagious: puppies and kittens. The peak of the disease is usually the end of summer and autumn, because during these periods more often the offspring in cats. At the same time, in cats, the carriage of a fungus without clinical manifestations found in approximately 2% of individuals, and they also infectious.
Manifestations of the disease
The following clinical manifestations are characteristic for rashes on smooth skin: pink spots with a scaly middle, clear borders, a cushion elevated around the spots, on the surface of which there are bubbles, pink nodules, scales, small serous crusts.
On the hairy scalp can be observed, as a rule, two or three large lesions and several small ones on the periphery. Inside which hair breaks off at the level of 5-8 mm from the skin surface, and gray muffs form on the broken hairs (this is a pure mushroom culture).
At the reception, the dermatologist first examines the clinical manifestations. It then examines under a scan tool called a Wood lamp. Trichopetia under the Wood’s lamp is not visible, and Microsporia luminesces with an emerald glow.
The next stage is laboratory diagnostics. Either hairs taken from the affected areas, or skin scales scraped from the lesions and the presence of spores or mycelium of the fungus is determined. Using this analysis, the species of fungi is determined.
Treatment of lichen
Depending on the results of diagnosis, the treatment tactics chosen. To begin with, according to the current Order of the Ministry of Health, all fungal diseases, including trichopetia and microsporia, are treated in the hospital.
A child who has manifestations of depriving is potentially dangerous to others. With extensive processes, inpatient treatment is all the more necessary. As an exception, they can leave the child to be treated at home if the parents are able to provide individual care and permanent sanitation of the habitat, as well as if they can isolate him from the team and other children, even brothers and sisters.
At the same time, we are talking about single rashes, and not about an extensive process, and the disease has not affected the scalp.
Treatment carried out necessarily under the supervision of a dermatologist. Clinical diagnosis and examination under the Voodoo lamp carried out regularly to adjust the course of treatment. The duration and complexity of treatment depends on the degree of damage, the number of lesions and the age of the child.
If the lesion is located on the scalp, antifungal drugs administered orally. In this case, the treatment lasts at least a month, and it can take up to two to three months. With single foci and the absence of a downy hair lesion, only local drugs can be treated. In this case, you can achieve a positive result in two to four weeks.
Do not self-medicate!
Often, people who have already tried to treat microsporia at home come to the dermatologist’s appointment. Frequently, garlic or onion juice, vinegar, lemon juice used for this, chlorine-containing substances, detergents, etc. can even used.
These methods can cause contact dermatitis, including chemical burns. Often the lesions applied to the lesion sites: ash, celandine. This, together with a bacterial infection that often joins “thanks to” popular treatment methods, greatly complicates diagnosis and the course of treatment.
Preventing the spread of depriving:
A sick child must isolated and treated under the supervision of a dermatologist;
it is important to find out where possible the source of the infection. If it a dog or a cat, the animal must taken to a veterinary clinic;
the doctor must collect contacts of children with whom the sick child has come in contact, and they also need to examined by a dermatologist twice at weekly intervals in the case of the zoonotic form and every five days for five to six weeks in the anthroponotic form.
Disinfection must carried out at the house where the sick person lives. Clothing, combs, bedding, hats, and underwear disinfected. All things erased, ironed; sanitary epidemiological station can also send a specialist with a solution for disinfection.
You can independently treat all the places where the child was located. His belongings and toys (sometimes soft toys recommended to throw away) with chlorine-containing solutions at home.