tuberculosis of the skin is called a group of diseases, which is a major causative agent of tubercle bacillus. Their manifestation depends on the type of bacteria trapped on the skin, sex, age of the person, the state of the skin, endocrine and nervous systems, the presence of chronic diseases of internal organs.
TB skin - a fairly rare disease, most often it is accompanied by open or latent form of tuberculosis of the internal organs.Today, experts can not answer the question why, in some cases, the tubercle bacillus is capable of hitting the skin of man.Healthy skin, is usually a very hostile environment for the microorganism.The impetus for the development of the disease are primarily disorders of the endocrine system and disorders of mineral and water balance of the body.Favorable conditions for the development of cutaneous tuberculosis are: lack of sunlight, the same type meals, accommodation in disadvantaged from the point of view of ecology, field, work in hazardous environments in the c
term "lupus" combines the following diseases:
- Tuberculous chancre (primary tuberculosis of the skin);
- Acute miliary tuberculosis of the skin;
- Verrucose lupus;
- miliary tuberculosis, ulcerative;
- induratum erythema Bazin;
- lichenoid tuberculosis skin (lichen scrofulous);
One of the most common of these diseases is lupus.It susceptible to infection schoolchildren and women of any age.The disease has an effect the appearance of the following symptoms:
- appearance in shallow layers of the skin (no more than 3 mm) of specific tubercles, which are very well palpable.Such bumps are lyupom name and often localized in the ears, nostrils and upper lip.
- rapid growth of tubercles.In the absence of any measures to prevent the development of disease, lyupomy increase in size and merge into one big tumor.The surface of the skin, infected disease often becomes wet and willing.This type of tuberculosis tends to spread rapidly in the skin, the result of such an extension is the destruction of the nasal and ear cartilage, rejection phalanges, etc.The most serious complication of lupus is considered lupus carcinoma - a cancer of the skin, which can lead to a complete disfigurement of appearance, and even loss of life.
Skrofuloderma (primary and secondary) is often a companion of tuberculosis subcutaneous lymph nodes.The main feature of the disease is the appearance of seals located around the neck lymph nodes.These seals are usually well palpated, when probing seem soldered to surrounding tissues.Seals grow rapidly and can reach large sizes.Covering their skin becomes bluish.Over time, the seals are softened, express, in their place are formed painless, but quite deep ulcers.The end result of the disease is the malformation.Formed in the process of healing the scars of ulcers represent a strong cosmetic defect.
reason warty skin tuberculosis is part of healthy human skin contact with the skin of an animal afflicted with the disease.Most often it occurs in veterinarians and employees of livestock farms and pig farms.The first manifestation of warty tuberculosis is the appearance on the exposed skin of small oval or rounded elements gray-red.The skin in the affected areas are usually heavily shelled.Gradually merging, skin lesions take the form of a giant wart.In rare cases, the disease is accompanied by tuberculous lupus.
Infection tuberculous chancre is characteristic for children up to 10 years.At the site of the introduction of infection into the skin formed a small papule red-brown color, which is later converted into a surface ulcer.At the same time the patient is lymph node enlargement.ulcer healing occurs in a few months, in its place a thin scar - chancre.If the child is weakened immunity, the disease begins all over again.The result of the activities of Koch bacillus in this case can be a disfigurement of the affected areas of the body disease scars.
Treatment of tuberculosis of the skin
As mentioned earlier, lupus - a very rare disease, occurring against the background of the development of tuberculosis of internal organs or problems with the endocrine system.Treated disease complex with the use of specific antibiotics.The most effective drugs for combating tuberculosis of the skin include: rifampicin, isoniazid.
After the diagnosis of the disease, if it was installed during the initial stage of development, the expert usually appoints intramuscular ethambutol, florimitsina, streptomycin.Rapid onset of recovery promotes a combination of chemotherapy and vitamins.Action chemicals aimed at the destruction of the main causative agent of the disease, vitamins action - to strengthen the body's defenses.A very effective treatment for all forms of cutaneous tuberculosis is ftivazid (a derivative of isoniazid).One treatment lasts typically at least six months, depending on the shape and extent of the disease development.Preparations, which include ftivazid only appointed expert - phthisiatrician, as have a number of side effects.Among them are: headache, diarrhea, vomiting, dermatitis, dysuria, nosebleeds.Contraindications are liver and kidney disease, a disorder of the nervous system.As is usually given as adjuvant treatment for skin tuberculosis: clinical nutrition, electrophoresis, heliotherapy, intake of antioxidants and immune modulators.Self-treatment of the disease is not permissible.