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Pink lichen: photo, treatment


Pink lichen Pink lichen (pitiriaz or Zhiber disease) is a skin disease of erythematous-squamous nature, which is characterized by the formation of pink round or oval spots with a flaky surface. This pathology affects people of any age, but more often than not, girls and women of middle age become its “victims”. This disease is characterized by seasonality (its outbreaks are noted in the spring and autumn period).

Unfortunately, today science does not have accurate data on what is the causative agent of the disease. Many authors suggest that Zhiber disease has an infectious, and more specifically, viral etiology. However, its infectiousness is insignificant (in clinical practice only a few cases have been described, when the disease affected the whole family).

During the conduct of pathoanatomical studies of skin lesions, hyperpigmentation of the skin, disturbance of the keratinization process of epidermal cells, and the presence of intercellular and intracellular edema were noted. In the development of this pathology in the papillary layer of the dermis, blood vessels dilated, small edema appeared, and focal perivascular lymphoid infiltration consisting of lymphocytes was formed.

Causes of pink lichen

Despite the fact that to date there is no accurate data on the causative agent of pink lichen, many experts are inclined to believe that the cause of the disease is the herpes virus of the seventh type.

However, the disease can develop in people with weakened immunity, during pregnancy, due to hypothermia, and after previously transferred respiratory infections.

Science does not know the exact route of transmission, but there is an assumption that it is transmitted by airborne droplets. Also, according to experts, the lichen pink can be transmitted through household items (combs, towels, etc.).

After treatment, the person acquires a strong immunity.

Symptoms of pink lichen

Pink lichen photo I would like to emphasize that the pink lichen is often not accompanied by any subjective sensations. Only in rare cases, patients complain of a slight or moderate itching. As a rule, this group of patients includes overly emotional people or those who, due to the nature of their professional activities, are forced to face irritating factors.

At the earliest stages of development of the pathological process on the patient's body (most often on the body in the shoulder girdle), a single focus appears in the form of a small pink-red spot (the so-called “maternal spot”), which has a peeling in the form of small transparent transparent scales. Gradually, the formation begins to grow in size and reaches 2-5 cm. Its central flaky part has a paler color and slightly subsides. On the periphery, the “mother” plaque is colored in a more intense red-pink color and rises slightly above the healthy surrounding skin. After peeling the scales, a spot remains, surrounded by a narrow circle with a brownish spot in the center.

After the maternal plaque in a few days, numerous “babies” (reddish-pink oval spots with characteristic peeling) start to form on the body. Most often they are localized on the back, abdomen and limbs.

Secondary scaly eruptions are usually located along the Langer lines (conditional lines on the skin that correspond to the direction of the bundles of collagen fibers and indicate the direction of its maximum elongation). Visually neither resemble spruce branches.

на волосистой части головы, кистях, стопах и на лице вторичные очаги розового лишая практически никогда не появляются. Note: on the scalp, hands, feet and on the face, secondary lesions of pink lichen practically never appear.

In the early stages of the disease, body temperature may rise in patients. On average, Giber disease lasts 4-5 weeks. Then the spots begin to fade and gradually disappear, leaving no trace behind. After about 6-12 weeks, recovery begins. However, sometimes there are times when Pitirias lasts for several months and even years.

Atypical forms of pink lichen

In the absence of primary maternal plaque, atypical forms of pink lichen (papular, follicular, vesicular, urticarial and miliary) develop. In clinical practice, such forms of the disease are very rare.

Ring-shaped Vidal ribs

Giant pink versicolor is one of the atypical forms of the disease. It is characterized by a small number of rounded pinkish-yellow rash, but the size of the formations are truly gigantic (they can reach 5-8 cm in diameter).

To date, the exact etiology of giant pink lichen is not known. Some experts claim that its occurrence provokes a fungus that lives on the surface of the skin, while others argue that it is caused by bacterial microflora.

As a rule, Vidal's ringed ringworm develops spontaneously. It is often provoked by the appearance of a strong nerve overload, an abrupt change in climate or a malfunction of the immune system.

Rose lichen is a disease that proceeds in three stages:

  1. Stage of primary itching. During this period, on a limited area of ​​visually healthy skin in the evening and at night there is a severe painful itching.
  2. Stage of nested lichenification (compaction of the skin due to the formation of small, slightly elevated papules due to scratching, with unclear edges and a shiny surface). In this case, there is an increase in skin pattern, and the skin becomes rough, fine-grained, hard and dry.
  3. Stage diffuse lichenification. At this stage of the disease, so-called “discs” of thickened skin of pink and coffee color are formed, towering above healthy skin. They are striated by deep parallel paved grooves that intersect each other at different angles. These formations can be covered with thin scales, abrasions or crusts. The skin on the affected area is very thickened and overdried.

Giant pink versicolor is a disease that can last for years. It is characterized by seasonal exacerbations. Abnormal manifestations disappear arbitrarily, leaving behind pigmented or depigmented spots. As a rule, no more than three giant disks form in one patient. Their favorite localization sites are the genitals, large articular joints, the crotch area and the back of the neck.

It should be noted that the ring-shaped Vidal-bordered lichen can often be combined with Gibert's disease.

Pink lichen in children

Pink lichen is considered a pathology of infectious-allergic genesis. Most often in childhood it develops after vaccination, long-term medication (antibiotics, vitamins and sulfonamides), after suffering respiratory viral infections, and also due to local irritation caused by synthetic underwear. However, pathogenetic factors include foci of chronic infection, endocrine pathologies and diseases of internal organs.

In the early stages of the disease, a maternal plaque forms on the body of the child (a large erythematous focus with clear kennels and peeling in the center). As a rule, it is localized on the hips, in the abdomen or on the chest.

During this period, children complain of headaches, malaise and pain in the joints. The temperature remains normal or rises to subfebrile marks.

5-10 days after the occurrence of maternal plaque on the body, the child has a profuse rash. It is presented in the form of pink or red with a yellow shade of spots with fuzzy oval contours. Rashes are located along the lines of splitting of the skin, often affecting the shoulders, hips and lateral surfaces of the body.

At the same time, in childhood, the lichen pink can be localized on the scalp. When this formation acquire a pale pink color and begin to peel abundantly.

With inadequate treatment and care in a child, Jiber's disease may be complicated by pyoderma, as well as the appearance of skin manifestations, with its clinical features resembling eczema. In such cases, extensive moist areas appear on the patient's body. Most often they are localized in tight places of clothing, as well as in large folds of skin.

In a normal, uncomplicated course of the disease, after 6-8 weeks, the pathological process is spontaneously resolved, and after it, the patient develops a strong immunity.

Experts in the event of pink lichen in children do not recommend the use of active therapy. However, parents must correct the diet of the sick child. It should not contain foods that may cause allergies or irritate the digestive tract. Also during the period of the disease active water procedures are contraindicated, as they can provoke further spread of skin rashes.

Pink lichen and pregnancy

Despite the fact that the pink lichen is a self-limiting disease, and it goes away on its own after just 6–8 weeks with almost no complications, many experts are concerned about its effect on pregnant women.

In the study of 38 cases of Zhiber disease in pregnant women, it was found that 5 expectant mothers had a miscarriage. Those women who got sick in the first trimester of pregnancy, the incidence of spontaneous abortion was 62%. In babies born to women who had had Pitiriasis in the second trimester of pregnancy, doctors revealed hypotension and general slowness of movements. And only 33% of women in labor reproduced perfectly healthy children. True, nine of them gave birth early, but, nevertheless, the babies were healthy.

It should be noted that in women with an extremely severe form of Gieber's disease, pregnancy ended in miscarriage. In addition to extensive skin rashes, they had symptoms that were completely atypical for this pathology. Patients complained of severe headaches, insomnia, fatigue and lack of appetite. In the course of a detailed examination of one of the patients who had a miscarriage, experts found out that a herpevirus type VI was found in both her and the fetus, which was in the activity phase.

These studies suggest that the disease of rosy lichen in early pregnancy is fraught with spontaneous abortion, as well as the emergence of health problems for the unborn child. Unfortunately, today doctors do not know how and with the help of what can be dealt with this ailment and its complications.

According to statistics, pink zoster in pregnant women occurs much more often than in the general population. I would like to emphasize that a small group of subjects was involved in the study, and therefore the results require retesting, but at the same time, this information should be taken into account.

Pink lichen diagnostics

Photos of pink lichen The diagnosis is made in the course of a visual examination if the patient has a primary lesion of pink lichen (maternal plaque), as well as in the presence of spotted lesions typical of this form of pathology.

Without fail, in the process of diagnosis, Zhiber's disease should be differentiated from a number of diseases with similar symptoms (dermatitis, seborrheic eczema, psoriasis, mycoses of smooth skin, pityriasis, pterygoid parapsoriasis, syphilitic roseola and Lyme disease).

To exclude the aforementioned diseases, the patient takes material from the lesions and also performs serological diagnostics (Wasserman reaction). In some cases, the patient is examined by foci with the help of Wood's luminescent lamp.

Pink lichen treatment

It should be noted that, as a rule, if you develop pink lichen after about 6-12 weeks, the person recovers on his own, without the use of any kind of medication. However, patients must strictly follow all recommendations of their treating physician. During illness, the skin needs proper care, and the patient should follow a strict hypoallergenic diet.

Patients are not recommended to wear clothes that cause pressure or friction on certain areas of the skin, as this may trigger the development of an allergic reaction with subsequent exacerbation of the disease. Also, experts do not advise in the midst of illness to be in the sun and take baths.

In the case when the disease occurs on the background of elevated temperature, patients are shown to receive antipyretic drugs, and in the presence of severe itching - antihistamine drugs. In parallel, local treatment with corticosteroids, as well as water and oil suspensions, relieving from itching can be prescribed.

For the entire period of treatment, patients with rosy lichen, will have to abandon the wearing of synthetic and wool underwear and a number of cosmetic products for body care.

In order to speed up the process of disappearing lesions, some experts recommend treating the skin with salicylic alcohol, and in the event of an infection being joined, the patient is prescribed antibacterial therapy and desensitizing agents.

Prevention of pink lichen

Unfortunately, methods have not yet been developed that could prevent the development of the disease, since its nature has not yet been determined. In order to prevent specialists recommend to avoid hypothermia, adhere to the rules of personal hygiene and minimize contact with patients suffering from rosy lichen.

| 10th of April 2014 | | 29 682 | Skin diseases
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