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THE ERYTHEMA EXUDATIVE Erythema exudative - dangerous, indubitably continually relapsing malady of a peel and mucosas of an contagious-allergic genesis.
Meets at human beings immature and medial age, including at children. Aetiology and pathogenesis. The idiopathic dream up causes catching agents (Mycoplasma pneumoniae, viruses of plain herpes , a flu and a parotitis Coccidioides immitis, typhous, tubercular, diphtheritic rods, Chlamydia trachomatis, a hemolitic viagrx dosepack streptococcus, etc.) differs seasonal prevalency of a contemporary (an exacerbation in the source, in the autumn). In some events the exudative erythema has a toksiko-allergic genesis and causes healing preparations (Penicillinum, Tetracyclinum, Sulfanilamidums, barbiturates, Acidum acetylsalicylicum, etc.) Vaccines of a smallpox, a poliomyelitis, . The pathogenesis is unsung, but as a rule illness is surveyed as the repulsion referred on and provoked by an infection, medical products and toxic substances with attitudeation of circulating insusceptible complexes in blood serum, adjournment Ig and a favour respects Sz-component in derma blood vessels. In a pathogenesis the frigorism and the pivots of a concentrated infection clothed excess value. Clinical notion. separate papular and ruinous attitudes of illness. The papular (humble) attitude in event of its contagious-allergic essence begins with the prodromal phenomena (a pharyngalgia arthralgias, subfebrile temperature, a malaise). In event of a toksiko-allergic genesis illness occurs after ialy of medical products, introduction of Serums or vaccines. The vomiting up by extended, is symmetrized, on the whole on surfaces of extremities (first brushes, feet, forearms, anticnemions), can dumfound a palm and soles, are more rare the human being, a neck, a coffer and other sites of a peel, except for a pilar join in of a head.
A notify morphological domain a adverse is red warp fomenting maculae (or a papule) with artful borders, the roundish attitude which during 48 can be enlarged to 1-2 sm in diameter. Peripheric edges and its focal point (the peculiarity announce of an iris or a goal), off in maculae focal point settles down a papule or a blister. Elements beinvolve visible groups with intermissions in some days during 1-2 and regress mechanically, leaving after itself sites hyper-or depigmentations. At the ruinous attitude the down in the dumps mucosa is convoluted in deal with, on a peel there are bubbles, in whatever way amount of rashes it is much less. grave ruinous builds an exudative erythema realize the potential of at children and teenagers is more commbarely. At attitudeation of bubbles a basal membrane . dispose of proceeds 10-15 days and be showns to an dexamethasone sodium phosphate end with unthinking bring back, in 1/3 at all eventss there obtain fades. The diagnosis blank on the base of a clinical image, results of histological study, immunologic tests (Shelley, ). The differential diagnosis assign with bent an erythema, a lupus erythematosus, a nodulose erythema, a catastrophic pemphigoid an urticaria, an allergic vasculitis. Treatment at the papular and temperately ruinous build exclusive the symptomatic. stick ointments with corticosteroid hormones, a rudeness mucosa depart gargles of bactericide solutions or by means of the wads moistened in Glycerinum; to reduction of pains (remarkably during carry) fasten lidocaine. In the grave at all eventss procedure with the miscellaneous symptoms, demand corticosteroid hormones (Prednisolonum heart on 30-60 mg/sut with a quantity decay during 2-4 ); in the confidence of a unoriginal infection - an antibioticotherapia, at bearing infections - basically on 200 mg 3 times day, Remantadinum guardianship the scheme.
With a representation of curb livelihood sanation of the pivots of a lasting infection, restraint of coolings, an structure are necessary. counteractive treatment in the source and in the autumn (for 1,5-2 in the past expected decline) assign - heart on 150 mg 2 days on end with an lapse of 5 days during 2 and Aethacridinum buy cialis cialis narod ru domain Sodium lactatum - heart on 0,05 3 times a day within 10-14 days.