rubrofitii

Rubrofitii (rubromikoz) - the most common fungal infection of feet. Mainly affects the feet, can be spread on hands, large folds, especially inguinal-femoral, and other areas of the skin with frequent involvement of vellus and sometimes long hair.

Etiology, pathogenesis. Pathogen - Tr. rubrum. It affects the epidermis, dermis, subcutaneous fat sometimes. It may cover not only continuitatem, but lymphohematogenous way. Source - a sick man. Transduction see. Athlete. Contributing factors are the same and elidermofitii and various general pathological processes, long-term treatment with antibiotics, corticosteroids and cytotoxic drugs, especially in the common forms.

The clinical picture. Ill mostly adults. The most frequent localization - foot and hand. The classic form is characterized by erythema and dryness of the palms and soles, marked thickening of the horny layer, mukovidnym desquamation, especially on skin grooves. Subjective feelings are usually absent. Rubromikoz stop can take place also by the type of squamous, and disgidroticheskoy intertriginoznoy athlete, differing from it the ability to defeat the rear stop, where there are slightly infiltrated plaques, covered with nodules, vesicles, pustules, crusts and scales. Subjectively - itching. These forms can be and on the hands, here at differing intensity. Rubrofitii stop can proceed rapidly with the general phenomenon of acute type of athlete Pidvysotsky (see. Athlete). Outside the feet and hands rubrofitii lesions are characterized by rounded contours, sharp edges, intermittent peripheral roller, low infiltration, bluish-pink color with a brownish tinge and varying the intensity of peeling. The defeat of major folds of the skin characterized by a strong infiltration, numerous excoriations, painful itching. Manifestations in the legs, thighs and buttocks often occur on follicular-knotted type. Atypical flowing rubromikoz can simulate various dermatoses: atopic dermatitis, lupus erythematosus, acnitis, infiltrative-suppurative trichophytosis, staphylococcal sycosis, Duhring dermatitis, and many others. Outbreaks can be extensive and numerous (generalized form).

Treatment. Inside - griseofulvin, Nizoral; locally - see the athlete's foot.. Generalized forms require treatment in a hospital.

The forecast in the absence of aggravating diseases and proper treatment is good.

Prevention. Personal - the prevention of sweating; timely treatment of diaper rash and processing of micro traumas; correction of circulatory disorders of the lower extremities. Public -vypolnenie hygiene requirements in the baths, swimming pools, showers and sports clubs.