Dermatitis on the legs. Treatment, ointments and creams for a child, an adult

Dermatitis on the legs Is a recurrent skin disease that occurs in an acute or chronic form. The disease is characterized by a progressive inflammatory process with rapid spread to healthy areas of epithelial tissues.

The treatment regimen for dermatitis is selected individually, depending on the nature of the origin of the pathological condition of the skin. In most cases, drugs of a local spectrum of action are used in the form of anti-inflammatory, wound-healing, antiallergic ointments and creams.

Types of dermatitis on the legs and groups of topical drugs for their treatment

Dermatitis can appear on the legs in adults and children of all age groups. There are a large number of classification types of this disease, which have completely different etiologies. Treatment of dermatitis using creams and ointments begins immediately after the type of disease and the cause of its occurrence have been established.

Simple contact dermatitis

The onset of simple contact dermatitis is a local reaction of the body to external stimuli. Signs of inflammation and edema of the epithelial tissues of the legs are observed for the first 3-5 minutes. after one or several negative factors have affected the surface of the skin of the lower extremities.

Simple contact dermatitis always proceeds in an acute form, accompanied by tissue edema, increasing inflammation and local damage to the epidermis. Treatment of this disease is carried out using anti-inflammatory and wound healing ointments. A prerequisite for the successful treatment of contact dermatitis is the elimination of pathological factors that cause skin irritation. Otherwise, a person will face a relapse of a dermatological disease of the legs.

Allergic dermatitis

Dermatitis on the legs, treatment (ointments and creams are prescribed by a dermatologist after the diagnosis) which is carried out on an outpatient basis, may have an allergic nature of origin. In this case, inflammation of the epidermis of the lower extremities occurs after a single or prolonged contact with a potential allergen.

This skin disease is provoked by the following factors:

• individual intolerance to certain foods;
• chemicals in soap or powder used to wash trousers;
• synthetic fibers of clothing;
• poor quality bedding;
• frosty air (cold allergy).

In terms of clinical manifestations, allergic dermatitis of the feet is similar to the contact type of the disease.

This disease is manifested by the following symptoms:

• itching;
• swelling of the skin;
• redness of the epidermis;
• hives;
• the formation of small blisters;
• red or pink rash;
• increased dryness of the skin and the appearance of white scales.

The main danger of allergic dermatitis is that itching, hives and rashes can spread to the groin, the surface of the abdomen and other parts of the body. In the absence of adequate treatment and further contact with the allergen, the development of bronchial asthma is not excluded. Therapy for allergic dermatitis of the feet is carried out with antihistamine creams, gels and ointments.

Atopic dermatitis

Among all diseases of the skin, atopic dermatitis is considered the most severe pathology, which is characterized by frequent relapses, and is difficult to treat with medication. This type of disease is caused by allergens and harmful chemicals that regularly enter the human body with food, through the air or drinks.

Atopic dermatitis is characterized by constant itching, progressive inflammation of the epidermis and destruction of its cellular structure. This type of dermatological disease of the legs very often turns into a chronic form with periodic exacerbations. Treatment of atopic dermatitis is always complex in nature with the obligatory elimination of irritant factors. Anti-inflammatory, antihistamines, non-steroidal medicines of the local spectrum of action are used.

Cold dermatitis

Dermatitis on the legs, treatment (ointments and creams are applied to the surface of the skin with signs of an inflammatory process) which is carried out in courses, occurs after prolonged contact with frosty air. The body signals that the skin of the lower extremities has undergone severe hypothermia.

Cold dermatitis is characterized by the following symptoms:

• strengthening of local blood circulation;
• redness of the skin of the legs;
• a slight tingling sensation;
• increased dryness of epithelial tissues and desquamation;
• the formation of local white spots;
• the appearance of blisters.

Almost immediately after the normalization of the temperature of the skin of the legs, the signs of cold dermatitis gradually disappear. This type of disease occurs in adults and children who do not dress for the weather, often freeze over. Cold dermatitis does not require special treatment. It is enough to moisturize the skin with a nourishing cream to prevent its pathological drying out, as well as to protect epithelial tissues from frosty air.

Venous dermatitis

This disease is a complication of varicose veins and thrombosis. Symptoms of venous dermatitis appear in those areas of the lower extremities where the blood vessels have ceased to perform their previous functions. Lymph seeps through the damaged walls of the veins, which irritates soft tissues, causes severe itching, redness of the skin with further development of the inflammatory process.

The following factors contribute to the occurrence of venous dermatitis:

• overweight;
• cardiovascular disease;
• hereditary predisposition to varicose veins and thrombophlebitis;
• previous injuries of the lower extremities and vascular surgery;
• sedentary work;
• labor activity associated with lifting weights, prolonged standing;
• bad habits.

Venous dermatitis is one of the most dangerous diseases of the skin of the legs. In place of areas of the epidermis with signs of inflammation, trophic ulcers are formed, which do not heal for a long time despite the use of drugs. Treatment for venous dermatitis begins with blood vessel therapy. Apply gels-angioprotectors, anti-inflammatory, wound-healing, antipruritic ointments.

Dry dermatitis

A distinctive feature of dry dermatitis is a seasonal manifestation of the disease. Irritation of the skin of the legs occurs as a result of severe drying out of the epithelial cells. The painful condition of the epidermis develops after prolonged contact with dry and sultry wind, frosty air, salt water. First, there is a decrease in the local immunity of the skin, and only then the person observes typical signs of irritation with increasing inflammation.

Treatment of dry dermatitis is carried out with the use of non-steroidal anti-inflammatory ointments and the mandatory elimination of factors that provoke drying out of epithelial tissues.

Seborrheic dermatitis

Dermatitis on the legs, treatment (ointments and creams are used dosed, observing the rules of the instructions for using the medication) which is carried out by a dermatologist, may be a manifestation of seborrhea. This type of skin disease is most often diagnosed in men. Signs of dermatitis are observed in those areas of the epidermis where the largest number of sebaceous glands is concentrated. Adults and children with oily skin types are most likely to develop this condition.

Seborrheic dermatitis is characterized by the following features:

• burning sensation;
• severe itching;
• redness of the skin;
• increased dryness of the epidermis;
• peeling of epithelial tissues.

Quite often, seborrheic dermatitis is provoked by fungal infections. To eliminate this disease, antiseptic solutions, creams, gels and ointments with antimycotic properties are used. Treatment is carried out in 2 courses with a break of 7-10 days.

Infectious dermatitis

Eczema of infectious etiology is one of the symptoms of a concomitant disease that is caused by bacterial, fungal or viral microorganisms.

Inflammatory skin irritation of this type is characterized by acute symptoms in the form of:

• redness of the epidermis;
• multiple rashes;
• itching;
• pustules;
• trophic ulcers;
• burning pain;
• desquamation of epithelial tissues.

Dermatitis of this type is an immune response of the body in response to exposure to toxins that are produced by infectious agents. According to international statistics, about 20% of all skin diseases accompanied by irritation, inflammation and itching are caused by pathogenic microbes.

For example, the causative agents of syphilis, measles, scarlet fever, and chickenpox. Treatment of infectious dermatitis is carried out with drugs, the constituent components of which are effective against pathogenic microorganisms that caused the underlying disease.

Congestive dermatitis

The onset of congestive dermatitis occurs as a result of circulatory disorders in the lower extremities. At risk are people leading a sedentary lifestyle, abuse of bad habits, suffering from cardiovascular diseases.

In terms of clinical manifestations, congestive dermatitis resembles the venous type of the disease, but differs in a less acute form of manifestation. Treatment of the disease is carried out with anti-inflammatory, angioprotective, antipruritic ointments and gels.

The names of ointments and creams for dermatitis on the legs in adults, rules of application

Dermatitis on the legs, treatment (ointments and creams are evenly distributed over the entire surface of the diseased skin area) which takes from 10 days to several months, requires complex drug therapy.

Hormonal agents

Hormone-based medications are considered one of the most effective remedies for dermatitis. The main disadvantage of medicines in this category is a large number of side effects and contraindications for their use.

Hydrocortisone ointment

The hydrocortisone ointment contains the active substance hydrocortisone acetate at a concentration of 10 mg per 1 g of the drug.

It is a synthetic glucocorticosteroid for external use, which is prescribed in the following cases:

• eczema;
• seborrheic dermatitis;
• erythroderma;
• contact, as well as allergic dermatitis;
• neurodermatitis.

Hydrocortisone ointment is applied to the surface of the diseased area of ​​the skin of the legs from 2 to 3 times a day with the duration of the course of therapy from 6 to 20 days, depending on the severity of the disease. The average cost of this medication is 145 rubles. per tube 10 g.

Advantan

The active component of the drug Advantan is a synthetic substance methylprednisolone aceponate in a dosage of 1 mg per 1 g of the finished medication. This dermatitis remedy is available in the form of a cream, ointment and emulsion for external use.

Advantan is prescribed for the treatment of dermatitis of the following types:

• atopic;
• contact;
• infectious;
• dry;
• allergic;
• neurodermatitis;
• professional.

Advantan is applied to the surface of the diseased area of ​​the skin of the legs 1 time per day. The ointment is evenly distributed over the entire area of ​​the epidermis affected by dermatitis. The duration of the therapeutic course is from 2 to 12 weeks. Advantan is approved for use in children aged 4 months and older, and its average cost is 460 rubles. per tube 20 g.

Non-hormonal ointments and creams

Treatment of dermatitis on the legs can be carried out with the use of external drugs, which do not contain hormone-based chemicals.

Bepanten cream

The active ingredient of the non-hormonal cream Bepanten is dexpanthenol. It is a wound-healing and anti-inflammatory agent that accelerates the processes of tissue regeneration, prevents the further spread of dermatitis to healthy areas of the skin of the legs.

Bepanten cream is applied 1 to 2 times a day, distributing the drug in an even layer over the entire area of ​​the epidermis. The duration of the therapeutic course is determined by the doctor, but on average it ranges from 5 to 10 days. The average cost of this drug is 625 rubles.

Zinc ointment

The zinc ointment contains the active substance zinc oxide at a concentration of 10 mg per 1 g of medication. The auxiliary function is performed by the additional component of petroleum jelly. Zinc ointment has anti-inflammatory, protective and emollient effects, creates an unfavorable environment for the development of pathogenic microorganisms.

This drug is indicated for the prevention and complex therapy of atopic, contact, allergic dermatitis. Zinc ointment is applied to the affected area of ​​the skin of the legs from 1 to 2 times a day with a uniform distribution over the entire area of ​​the epidermis. The duration of treatment depends on the severity of the dermatological disease. The average cost of zinc ointment is 38 rubles. for a jar weighing 25 g.

Moisturizing topical preparations

The use of preparations with a moisturizing effect is indicated in cases where dermatitis of the skin of the legs does not have signs of complication caused by increased dry skin, prolonged exposure to frosty or sultry air.

La Cree Atoderm

La-Cree Atoderm nourishing and moisturizing cream is prescribed for patients with signs of atopic dermatitis of the skin of the legs.

This drug has the following biochemical composition:

• licorice extract;
• urea;
• restoring complex of substances Bio-Ceramidyl Pure;
• Peach oil.

Moisturizing cream La-Cree Atoderm relieves itching, eliminates signs of dryness and flaking of the skin, accelerates the processes of tissue regeneration. This remedy is applied 1-2 times a day to the affected area of ​​the skin of the legs. The average duration of a therapeutic course is 10 days, and the cost of a medication is 231 rubles.

Elidel

German cream for atopic dermatitis Elidel contains the chemical pimecrolimus. This drug has anti-inflammatory, regenerating and moisturizing effects. Elidel cream is indicated for use in therapeutic courses lasting up to 1.5 months.

The drug is applied to the affected area of ​​the skin of the legs 1-2 times a day. The drug is evenly distributed over the entire surface of the epidermis. Elidel cream is approved for use in children aged 3 months. The average cost of this tool is 824 rubles. The sale of the drug is carried out by prescription.

Antipruritic ointments

Treatment of dermatitis on the legs, which has an allergic nature of origin, is carried out with the use of antihistamine ointments, gels and creams with antipruritic effect.

Fenistil

The Fenistil gel contains the active ingredient dimethindene maleate at a dosage of 100 mg per 100 g of the finished medication. According to the pharmacological mechanism of action, this drug is a blocker of H1-histamine receptors, but at the same time its properties are manifested locally in the area of ​​application to the skin surface. Fenistil gel is used 2 to 4 times a day, depending on the stage and severity of the dermatological disease.

This tool is approved for use in children aged 1 month. In case of increased itching immediately after applying the gel to the surface of the skin, or the appearance of a feeling of discomfort, burning sensation, it is necessary to stop further use of this medication. Such reactions of the body indicate an individual intolerance to the constituent substances of Fenistil. The average cost of this drug is 373 rubles. per tube 30 g.

Radevit

Radevit ointment is a drug for external use that is not a blocker H1-histamine receptors, but at the same time it has antipruritic, regenerating and anti-inflammatory action.

The composition of this medication contains retinol palmitate at a concentration of 10 mg, colecalciferol in an amount of 50 μg and alpha-tocopherol acetate at a dosage of 5 mg. Ointment Radevit is applied to the skin affected by dermatitis, 1-2 times a day. The duration of the therapeutic course is 2-3 weeks, the average cost of this drug is 331 rubles. per tube 35 g.

Antibacterial and antifungal ointments

Treatment of dermatitis caused by infectious microorganisms is carried out using antibacterial and antifungal ointments. Preparations of this group suppress the pathogenic activity of pathogenic microbes, relieve acute inflammation, partially remove itching and burning sensation.

Levosin

Levosin ointment is a combined broad-spectrum drug.

The composition of 1 g of this product contains the following chemicals:

• chloramphenicol at a concentration of 10 mg;
• trimecaine with a mass fraction of 30 mg;
• sulfadimethoxine at a dosage of 40 mg;
• methyluracil in an amount of 40 mg.

Levosin is an antibacterial agent for the treatment of infectious foot dermatitis, which has anesthetic properties and also accelerates the skin regeneration process. This drug is applied to a sterile gauze pad, which is attached to the surface of the affected skin of the legs. The duration of the therapeutic course is determined by the doctor. The average cost of the drug Levosin is 70 rubles. for a tube of 40 g.

Exoderil

Exoderil antifungal cream is an effective treatment for foot dermatitis caused by a mycotic infection. The active ingredient of this drug is the substance naftifine hydrochloride at a concentration of 10 mg per 1 g of medication.

Exoderil cream is applied to the affected area of ​​the skin of the legs 1-2 times a day. The final dosage regimen for this medication should be established by a dermatologist. The average cost of Exoderil antifungal cream is 290 rubles. per tube 15 g.

Safe ointments, creams and gels for dermatitis in children

The table below lists the safest creams, ointments and gels that are approved for use in in relation to children with signs of dermatitis, differ in the minimum number of contraindications and side effects effects.

Drug name	Price
Baby cream Freedom Tick-Tock	334 r
Weleda Altey cream	RUB 951
Pantestin	1400 RUB
D-Panthenol Novatenol	390 rbl.
Sensitial	236 r

For moisturizing and nourishing the sensitive skin of a newborn baby, preventing the occurrence of contact dermatitis of the feet, you can use the usual hypoallergenic baby cream with nourishing properties.

Dermatitis on the legs is an unpleasant recurrent skin disease that can affect the epithelial tissues of adults and children. Treatment of this disease is carried out on an outpatient basis with drugs for external use. External treatment of the skin of the legs is carried out with creams, gels and ointments that have anti-inflammatory, wound healing, antipruritic properties.

The treatment regimen for dermatitis depends on what factors triggered its occurrence. Preliminary elimination of the causes of irritation of the epidermis of the legs is a prerequisite for effective treatment. The general terms of therapy are from 7 days to 2-3 weeks. In the course of treatment, steroid and non-hormonal ointments, antipruritic and moisturizing creams are used.

Video about dermatitis on the feet

Doctor about dermatitis on the legs: