Eczema - inflammation of the upper layers of the skin of a chronic form of a neuro-allergic nature, characterized by a persistent flow of rashes.Basically, the face, arms and legs are affected, sometimes rashes can be on the trunk.
In patients, there is an increased sensitivity of the skin to the effect of various stimuli, which causes a persistent and often overburdened course of eczema with concomitant diseases.
The pathogenesis of the disease is similar to the mechanism of development of allergic dermatitis. Often, the latter is a disease that precedes the appearance of a specimen.
The initial stage of eczema on the legs (see Fig. photo) can begin to develop with a combination of several factors. To begin effective treatment, it is necessary to determine the form of the disease and the cause of its occurrence.
Forms of the disease
Why does eczema occur on the legs, and what is it? In addition to the fact that eczema has various causes of appearance, it is also subdivided into species. They have some dependence on the ways of origin and localization.
- Varicose veins. It develops against a background of significant varicose veins, which is accompanied by itching, burning, reddening of the skin and its thinning. Legs swell, on the skin appear ulcers or open wounds.
- True. This kind of eczema of the feet, unlike that caused by varicose veins, appears under the influence of external causes. For example, true eczema is often a reaction to allergens or a consequence of chronic diseases. The treatment consists in eliminating the root cause, applying the ointment and strictly adhering to the diet.
- The microbial. Such eczema is accompanied by purulent inflammation, which provokes redness of the skin and the formation of vesicles. Inside the "boiled" areas is pus. After opening the vesicles, the skin becomes coarse, crusts appear. The cause of this eczema on the limbs can be extensive wounds, burns, erysipelas. Wet skin creates discomfort, it itches and looks intimidating.
- Professional. Appears for the most part in the open areas of the skin as a reaction to the effects of hazards associated with the professional belonging of the patient. The diagnosis is made by the occupational pathologist. Each next exacerbation proceeds with greater force, longer in time and heavier. Improvement occurs after elimination of the cause of the disease.
- Corneal. With it, as with the dishydrotic form, the elements are localized on the soles and palms, the surface (horny) layer of skin thickens, places of hyperkeratosis appear on the place of the blisters, reminiscent of homosexuality.
Determination of the cause is a key moment for the treatment of eczema on the legs. Surface exposure without treatment of the underlying disease rarely gives a positive result.
Causes of eczema
The disease appears as a result of prolonged neurosis, stress, if a person has been infected with a viral infection, also because of different chronic diseases, can be provoked by a pathogenic fungus.
Risk factors:
- influence on the skin of various allergenic substances;
- contact with chemical preparations, such as gasoline, paint, household chemicals, cosmetic soap;
- change in humidity, sudden temperature changes, climate change;
- varicose veins, thrombophlebitis;
- prolonged viral disease of a chronic nature;
- disruption of internal organs;
- disorder of metabolic processes;
- weakening of the protective function of the body;
- mechanical irritation from wearing woolen clothes;
- fungal diseases;
- a nervous breakdown or a stressful situation;
- unhealed wounds and sores.
Causes and degree of neglect can accurately coordinate the treatment technique, which will lead to a better result in a relatively short time.
Symptoms
Despite the abundance of forms, and types of eczematous reactions, there are common symptoms characteristic of eczema:
- In the initial stage, the foot skin becomes dry, markedly cracked. The formation of dense nodules begins, which are gradually grouped.
- There are bubbles with liquid, which eventually burst, causing the appearance of wet spots.
- Sometimes eczema can be in the form of dry cracks in the skin.
- In the affected areas, skin pigmentation is observed.
- Eczema on the feet often causes their puffiness.
- The patient may exhibit such psychological symptoms as insomnia, severe irritability, loss of attention and headache.
The defeat of the skin leads to a threat of massive infection with viruses, resulting in the development of a deadly form - Kaposi's eczema.
Eczema on the legs photo: the initial stage
Check out the detailed photos to know what eczema looks like in the initial stage and not only.
Treatment of eczema on the legs
In the case of eczema on the feet, treatment involves the application of both local and general methods of therapy. Due to local effects on the foci, blisters and ulcers heal, the rash disappears, and the goal of general methods of treatment is the elimination of internal pathologies.
For the appointment of local therapy, the doctor evaluates the stage of the disease and the extent of the damage. If the bubbles are intact, it's enough to use special talkers. If the bubbles are damaged and wet, then you will need to use cooling compresses with a soothing effect.
Even if you are sure that you have eczema, do not forget that there are three types of disease - true eczema, professional and microbial. And each of these types of eczema requires its own kind of treatment, which the dermatologist appoints after the necessary tests are given.
Regardless of the causes of eczema of the legs, and also from the basic treatment, the patient should adhere to a special diet, which includes a large number of dairy products and plant foods.
In addition, the patient should completely exclude from the diet products such as alcohol, smoked products, spices, sweet and sour dishes, chemical additives and the like. It is especially important to adhere to a strict diet during the exacerbation of the disease.
Physiotherapy
Among other things, local therapy involves treatment with the help of hardware therapy. It best relieves eczema:
- electrophoresis;
- phototherapy;
- cryotherapy;
- laser irradiation.
The doctor, as a rule, appoints ten sessions. The main thing is to visit them all without missing it. Then with each next time the skin on the legs will look better.
Preparations for eczema
Systemic treatment of eczema is based on the use of the following groups of drugs:
- Calcium preparations (Calcinov, Calcemin Advance, Calcium Gluconate, Calcium D3 Nycomed).
- Enterosorbents (Polysorb, Uvirzor, Enterosgel, plasma-substituting solutions).
- Corticosteroids (Diprospan, Prednisolone).
- Anti-allergic (Claritin, Erius, Suprastin, Diazolin, Fenkarol).
- Immunomodulators (Pyrogenal, Metuluracil, Timolin, Lycopid).
- Soothing (Relaxil, Persen, Novo-Pasit, Aminazin, etc.).
- Vitamin Complexes.
When eczema antibiotics are used only to treat its microbial variety, as well as in the case of the formation of foci of pustular infection.
Than to treat an eczema on legs or foots: the list of ointments
At home, you can use an ointment from eczema, which should be applied to the affected areas - this is one of the main means of treating the disease. How to treat eczema with these drugs - you will tell a dermatologist.
Hormonal ointments:
- Prednisolone- contraindicated in diabetes mellitus, hypertension and renal failure, as well as during pregnancy. The course of treatment - no more than two weeks, because the drug is addictive, and can also cause a violation of the menstrual cycle, increase body weight, rash, a general decrease in immunity.
- Hydrocortisone ointmentis one of the most popular means by which eczema is treated. A mother can be appointed by a doctor with a variety of allergic inflammations on the skin, the drug helps, as a rule, quickly enough. This ointment should be applied a thin layer on the affected area of the skin. The procedure is important to repeat about 2-3 times during the day.
- Soderm- Another popular remedy for the treatment of eczema. This drug is usually referred to as corticosteroid drugs. Glucocorticosteroid activity of Soderm is 30 times higher than that of the same cortisol. Soderm initially relieves pain and itching. In addition to positive action, this agent also has a number of side effects
Non-hormonal ointmentsfrom eczema are prescribed at the initial stage of the disease, with moderate or insignificant inflammation of the skin.
- Aurobin - ointment, which is used in the early stages of the disease. It perfectly restores the integrity of the skin.
- Dermasan- is not recommended during pregnancy, breast-feeding, possible allergic reactions to the components of the ointment, and also in the presence of open ulcers on the skin. Apply this remedy up to three times a day.
- Skin-cap is a very effective ointment for eczema, especially infectious. It is good because it does not cause side effects and is suitable for all categories of patients. The course of treatment is two weeks.
These ointments can be used for a long time, as they do not cause addiction and do not harm the body, in contrast to hormonal local drugs.
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