Subacute disseminated microbial eczema in an adolescent
- Authors: Grebenyuk V.N.1, Popov I.V.1, Isaeva V.L.1, Zatorskaya N.F.1
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Affiliations:
- Moscow Research and Practical Center of Dermatovenerology and Cosmetology, Department of Healthcare
- Issue: Vol 24, No 2 (2021)
- Pages: 145-150
- Section: DERMATOLOGY
- URL: https://journals.rcsi.science/1560-9588/article/view/64103
- DOI: https://doi.org/10.17816/dv64103
- ID: 64103
Cite item
Abstract
Microbial eczema among the various clinical forms of eczema in the structure of incidence ranks is on the second position after the true one. Adults get sick more often than children. The pathogenesis of microbial eczema is based on misfunctions in the immune status and microbial sensitization of the body Due to bacterial background, as well as dysbiosis in the microbiome.
The clinical picture of the disease is characterized by asymmetric localization of rashes on the limbs in the form of single plaques. The affected skin is reddish, squamous, slightly infiltrated. Outside the main foci, papulovesicular and pustular lesions, crusts are observed. Rash is not not always accompanied by itching. Microbial eczema was of a limited nature, manifested by coin-shaped foci, dot weeping, crusts.
We observed a patient of 15 years before admission to the hospital was ill for 8 months. At the same time, during the last three months, the pathological process on her skin existed acutely without any dynamics. The occurrence of a rash is not associated with anything. Multiple efflorescence were located throughout the skin, on the scalp, ears, in the ear region, on the face, neck, torso, upper and lower limbs, buttocks, accompanied by severe itching. The inflammatory pathological process was represented by excoriations, wet spots, erosions, crusts and erythematous-squamous foci of various shapes and sizes. Dermographism pink.
Repeated outpatient treatment brought temporary improvement. Due to the lack of therapeutic effect in the last 3 months, the patient was hospitalized in the branch “Kolomensky”. A comprehensive clinical and laboratory examination diagnosed disseminated subacute microbial eczema. Against the background of adequate therapy, the anti-inflammatory pathological process was completely resolved. Recommendations are given to maintain the achieved therapeutic effect.
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##article.viewOnOriginalSite##About the authors
Vladislav N. Grebenyuk
Moscow Research and Practical Center of Dermatovenerology and Cosmetology, Department of Healthcare
Author for correspondence.
Email: oranta28@mail.ru
ORCID iD: 0000-0001-5488-1497
SPIN-code: 9741-1983
MD, Dr. Sci. (Med.), Leading Research Associate
Russian Federation, 16 buil 2, Sel’skohozjajstvennaja street, 129226, MoscowIgor V. Popov
Moscow Research and Practical Center of Dermatovenerology and Cosmetology, Department of Healthcare
Email: doctorpopov@doctorpopov.com
ORCID iD: 0000-0002-0459-4075
SPIN-code: 5191-4876
Russian Federation, 16 buil 2, Sel’skohozjajstvennaja street, 129226, Moscow
Vera L. Isaeva
Moscow Research and Practical Center of Dermatovenerology and Cosmetology, Department of Healthcare
Email: oranta28@mail.ru
ORCID iD: 0000-0002-5189-8354
Russian Federation, 16 buil 2, Sel’skohozjajstvennaja street, 129226, Moscow
Natalya F. Zatorskaya
Moscow Research and Practical Center of Dermatovenerology and Cosmetology, Department of Healthcare
Email: oranta28@mail.ru
ORCID iD: 0000-0002-3876-6517
MD, Cand. Sci. (Med.)
Russian Federation, 16 buil 2, Sel’skohozjajstvennaja street, 129226, MoscowReferences
- Dumchenko VV, Orlov MA, Dorfman IP. Main priciples of pharmacotherapqutics of eczema. RMJ. 2015;23(19):1171–1174. (In Russ).
- Chernova NI, Perlamutrov JuN. Features of violation of the microbiome of the urogenital tract in sexually active women. Dermatology. Supplement Consilium Medicum. 2014;(1):47–50. (In Russ).
- Dikovitskaya IG, Korsunskaya IM, Nevozinskaya ZA, Guseva SD. External therapy of microbial eczema using diflucortolone valerate. Russian Journal Clinical Dermatology and Venerology. 2010;8(6):72–74. (In Russ).
- Dikovitskaya IG, Sakania LR, Korsunskaya IM. Optimization of topical therapy for microbial eczema. Russian Journal Clinical Dermatology and Venerology. 2012;10(6):42–44. (In Russ).
- Silina LV, Shvarts NE. Skin microbiome in case of microbial eczema. Russian Journal Clinical Dermatology and Venerology. 2019;18(1):49–54. (In Russ). doi: 10.17116/klinderma20191801149
- Zatorskaya NF, Sergeeva VV, Grebenyuk VN, Rozhdestvenskaya EA. Heterogeneity of clinical manifestations of microbial eczema in children. Russian Journal Clinical Dermatology and Venerology. 2018;17(6):28–32. (In Russ). doi: 10.17116/klinderma20181706128
- Reztsova PA, Raznatovskiy KI. Efficiency evalution of selective phototherapy in the treartment of patients with eczema. Russian Journal Clinical Dermatology and Venerology. 2019;18(3):322–326. (In Russ). doi: 10.17116/klinderma201918031322
- White G. Levene’s color atlas of dermatology, 2nd edition. Mosby-Wolfe, London-Boston-Tokyo; 1997. Р. 123–158.
- Grebenyuk NV, Grishko TN, Basse FB, et al. Microbial eczema in children: clinical and morphological features. Russian Journal Clinical Dermatology and Venerology. 2009;7(4):13–17. (In Russ).
- Potekaev NS. Eczema: historical aspects and current considerations. Russian Journal of Dermatology and Venerology. 2006;4(4):102–107. (In Russ).