Ecthyma: causes, symptoms, diagnosis, treatment
Last reviewed: 23.04.2024
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Ectima is a deep streptococcal ulcerative skin lesion.
At the beginning of the disease appears a large, size of a hazelnut, a single abscess with serous-purulent contents, after the opening of which a deep ulcer is formed, covered with a thick purulent crust of brown-brown color. The ulcer has steeply rising edges, a purulent soft bottom and is surrounded by a shaft of an inflammatory, painful infiltrate. Usually 3-4 weeks later the ulcer is filled with a granulation tissue and is healed by scar formation. Ecthima is often found on the lower legs, less often on the buttocks and trunk.
Differential diagnosis is carried out with syphilitic ectims, which do not have a pronounced inflammatory component; Serologic reactions to syphilis and study on pale treponema are positive.
Treatment of ecthyma. Prescribe broad-spectrum antibiotics (lincomycin, cephalexin, etc.). Effective ciprofloxacin (sispres) for one tablet 2 times a day. With gangrenous form, corticosteroids (30-50 mg / day), angioprotectors are added; proteflazid (15-20J drops 2 times a day), which has an immuno-correcting, antioxidant effect. External trypsin is applied externally on the ulcer, chemopsin (for cleansing from pus), then solcoseryl in a mixture with antibiotics, on the surrounding infiltrate - 20% ichthyol ointment, ichthyol camphor ointment, vinylin, etc. UVH, UFO, laser therapy are shown.
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