Inguinal epidermophytosis in men occurs under the influence of the fungus Epidermophyte. In medicine, this disease is called eczema Hebra. The pathogenic microorganism affects various folds of the skin with the accumulation of lymph nodes. Men are more inclined to the disease. Fungus prefers skin integuments that have high humidity. The epidermophyte easily affects the human body in violation of the rules of personal hygiene, the use of common means for washing the body and contact with the carrier.
Symptomatic of skin lesions
Disease is manifested in a man not immediately. After infection, the microorganism undergoes an incubation period. The first signs appear on the 10-14th day of carriage:
- Small red vesicles in the groin area;
- Itching and burning on separate parts of the body;
- Skin peeling.
In the early stages of the pathology, the patient is noted to have a slight itch in the groin area and on the inner side of the thighs. A week after the first symptoms on the surface of the skin appear oval arches that have convex edges. On the convex are small bubble papules. Papules have thin walls and are filled with liquid. As the growth grows, the middle of the stain is covered with healthy skin. The spots have a coloration ranging from red to brown.
The long course of the disease is characterized by peeling of the inguinal zone. If the disease is not subjected to drug therapy, then a man may experience a complication. Epidermophytosis passes into the follicular stage. Papules grow, fill with serous-purulent fluid. Some of the vesicles burst, and the pus comes out. At this stage of the epidermophytia, inpatient treatment is necessary.
Diagnosis of the disease
Experienced specialists diagnose epidermophytia at the first glance at oval circles in the inguinal zone of a man. For completeness of the clinical picture, a man needs to give a scraping from the skin. The procedure involves taking a small flake of epithelium from the affected area of the body. The scales are placed in a special solution and sent to a laboratory.
Under laboratory conditions, the epithelium is placed in an environment favorable for the propagation of the epidermophyte. After 7 days, laboratory assistants set the appearance of the fungus and select an effective therapy.
For delivery of scrapings a man must follow simple rules one day prior to the analysis:
- Do not use antibacterial gel to wash the body;
- Do not drink alcoholic beverages;
- 7 days prior to the analysis, abolish concomitant therapy.
An antibacterial gel can lubricate the clinical picture of the pathology. Part of pathogenic microorganisms can die for a short period of time, the disease can not be diagnosed correctly. Alcoholic drinks are harmful to the whole health of a man. Epidermophytes have a high sensitivity to alcohol-containing beverages. If a man consumes alcohol a day before the analysis, then the microorganism will temporarily pass into the spore form, which will complicate the establishment of the disease.
Many patients have concomitant chronic diseases, which are accompanied by a prolonged intake of medications. Some medicines have an effect on the fungus. This effect is especially observed in antihistamines and hormonal drugs. Before surrender scraping a man should consult with his treating specialist. The doctor will help to determine whether there is a need to cancel therapy.
Causes of infection with the pathogenic microorganism
Inguinal epidermophytosis is an infectious disease. Particularly to him are patients who suffer from allergic and psoriasis lesions of the skin. The causes of fungus development are different and divided into two main types:
- Direct infection;
- Secondary defeat.
Direct infection occurs by direct contact with the carrier of the disease. If the skin of the patient has microcracks, wounds or rubbing, the fungus quickly penetrates into the epidermis and causes epidermophyte. Non-compliance with the rules of personal hygiene in public places is also the cause of direct infection. The use of foreign sponge, gels for the body or shaving machines increases the risk of infection. When visiting public baths, saunas or bathing places, you should only use your towel and protective cream.
Secondary eczema lesions occur against the background of the disease. A man prone to allergic rashes, various neurodermatites, psoriasis, is easily infected by various pathogenic microorganisms. This is caused by the presence of microtraumas of the skin caused by combing the affected surface.
Treatment of
disease Treatment includes the use of external and internal medications. External medicines for epidermophytia are included in two pharmacological groups:
- Antihistamines;
- Antimycotic.
Antihistamines relieve itching and burning from the damaged skin of the inguinal zone. These medicines are applied evenly on the stains and do not rub. A good activity in epidermophytia is shown by combined antihistamines."Belosalik" and "Belogen" are popular. Both drugs consist of an antihistamine substance and an antibiotic. An antibiotic kills a pathogenic microorganism, and an antihistamine substance removes itching. The drug is used twice a day on a dry surface of the skin.
The duration of treatment with antihistamine creams is selected by the doctor depending on the nature of the lesion and the course of the disease. In parallel with this pharmacological group antimycotic ointments and creams are used. The composition of such ointments includes a substance that has a pathogenic effect on the epidermophyte. There is a huge number of drugs effective for the disease. A broad-spectrum antimicrobicide is terbinafine. This substance cleaves the membranes of fungal cells and destroys them. The pathogenic microorganism perishes. In pharmacies, you can buy various creams containing terbinafine: Lamizil, Termicon, Candide, Mycosyst, Mycosoril and others.
Antimycotic medicines are applied to the inguinal zone and do not rub. Duration of treatment is 28 days. During this period, the male is killed all the epidermophytes and their dispute.
For internal use, substances that have antiallergic and antifungal effects are necessary. Antiallergic drugs are taken in the evening to reduce itching at night. There is a huge number of such drugs. Physicians divide antihistamines into generations.
The older the generation of the drug, there are more side effects it has.
Many pharmacists recommend the use of the following medicines:
- "Cetrin";
- "Erius";
- Fenkarol.
This group of drugs does not cause significant drowsiness in patients with inguinal epidermophyte. This greatly facilitates the use of the drug. A man can take pills at any time of the day with the appearance of itching or burning. Antiallergic drugs must be taken within 14 days of the disease.
Antimycotic preparations for internal use should be selected with a specialist. Pharmacies offer a large selection of this pharmacological group. You can buy such drugs as: Nizoral, Flukonazol, Irunin, Terbinafine and others. Tablets are taken one at a time. Reception is conducted strictly on time, every 24 hours. Antimycotic therapy is conducted for 28 days. During this period, a person completely gets rid of the pathogenic microbe, his spores and cysts. Patients are advised to prevent the disease every 6 months.
With a mild form of inguinal epidermophytosis, it is recommended that a man treat spots with a solution of iodine and an alcohol solution of chlorhexidine. These solutions have antiseptic and drying effect. Alcohol chlorhexidine should be used before applying cream or ointment to the affected area of the body. Washing the papules with an antiseptic helps reduce fungal activity and improves the penetration of drugs into the epidermal layers.
Preventive measures
A man must follow simple rules to avoid infection with a fungus. It is necessary to strictly follow the rules of personal hygiene. Do not use general washcloths, body wash products and shaving tools. The patient should use an individual towel and slippers in public baths, saunas and bathing areas.
If the house has people with inguinal epidermophyte, then it is necessary to ensure that they use a separate towel and personal hygiene products. A man should avoid contact with an infected person, as the disease is very contagious and is quickly transmitted through direct contact with the skin.
To protect skin in public places, creams or sprays can be used that form a protective film on the surface of the epidermis. The most popular are the drugs that contain dexpanthenol. This substance forms a film on the surface of the skin and prevents penetration of the pathogenic fungus into microcracks. A convenient form of dexpanthenol is a spray. The substance forms an abundant foam when squeezed out. The foam easily spreads over the skin and is quickly absorbed, leaving no fatty film.
The patient should also carefully monitor their diet. Fungi react to an increase in sweating in the inguinal zone. Such an effect is possessed by sharp spices, garlic, mustard and salt. A man should completely exclude from food sharp and fried foods. Alcoholic drinks and smoking provoke the lubrication of the clinical picture in the patient. Long-term abuse of alcohol-containing beverages leads to untimely manifestation of the disease. Usually this occurs at the last stage of the pathology, when treatment can be performed only in the hospital.
Since epidermophytia is a form of eczema, it is activated by malfunctions in the nervous system. Various nerve stresses, prolonged stress and depression lead to the appearance of spots on the inguinal zone in a larger amount. Treatment should be accompanied by the use of psychotropic drugs and antidepressants. Complex forms of the disease must be accompanied by the introduction of medication through a dropper under the supervision of a doctor.
If a person discovers small red spots in the form of circles that itch and flake, he should seek help from a dermatologist. The doctor will establish a diagnosis and prescribe adequate treatment of the disease. Self-medication can aggravate pathology.
