Lichen vesica its symptoms. Lichen vesica: symptoms, treatment, reviews and photos. photos and effective treatment methods

Skin diseases always cause a certain amount of panic in the patient and his family members. It is especially unpleasant if one of the family members develops lichen on the skin, because most often it is transmitted through household means. Lichen vesica is one of the varieties of this disease, which belongs to the infectious diseases of the herpes group. This type of lichen is quite difficult to cure, it becomes chronic and will remind the patient of itself from time to time. lichen is difficult to confuse with any other species skin diseases, it has pronounced symptoms, is difficult to treat and can provoke a number of complications. It is important for every person to know about this disease, because it is better to prevent the disease than to treat it.

Symptoms of vesicular lichen and methods of infection

Until now, the causes of infection with this type of disease have not yet been fully studied by doctors. Some experts believe that the main reason for the appearance of such skin rashes is a decrease in immunity, as well as past infectious diseases.

Children in the early years of life are especially susceptible to infection with lichen vesica. At first, the disease may not manifest itself in any way, but only after some time it will show itself as a set of all the symptoms. Others, among the main causes of infection, especially highlight venereal infection, since the symptoms of lichen and herpes of venereal origin are also very similar. But the second option is not particularly justified, since in children such routes of infection are excluded.
The symptoms of lichen vesica are quite recognizable, because the very name of the disease speaks for itself.

Lichen vesica is manifested in clusters or single blisters. The rash is accompanied by redness on the skin and itching. The danger of lichen blisters is that they contain liquid, which, when the skin is damaged, gets onto healthy areas of the skin and provokes new rashes. It is this fluid that represents a viral infection. When the bubbles burst, a crust forms in their place. Over time, it disappears and the wound heals.

Most often, rashes are observed in the area of the lips and nose, but they also affect the mucous membranes of the mouth and genitals, which is why the disease is classified as venereological, and also appears on the buttocks and thighs.

Diagnosis of the disease and treatment

The statistics of this disease are simply impressive, because according to doctors, about 99% of the population of the entire planet is infected with this disease.

Most likely, everyone has had to observe rashes on the lips in the form of small blisters, which are popularly simply called “colds”. If the disease does not go away for a long time, and watery blisters themselves appear in other parts of the body, then it makes sense to seek help from a specialist and diagnose the route of infection with this disease.

In order to determine the viral origin of the liquid in the vesicles, it is taken for analysis. Also, herpes zoster is diagnosed through a blood test, which is taken to detect antibodies to the herpes virus itself.
The disease itself is not dangerous and only brings with it discomfort and even pain, especially if the wounds do not heal well after they burst. The duration of the disease, if the rashes are not scattered throughout the body, is about 2 weeks from the moment they appear on the skin until complete healing. If the patient is given medical assistance, then everything goes away much faster.

The most common method of treating lichen is considered to be applied locally to the skin. It goes without saying that their effectiveness largely depends on the stage at which they began to be used. Doctors say that ointments that suppress herpes infections should be applied even at the stage of itching.

Among modern methods it is worth highlighting ultraviolet exposure on the skin. It is necessary to do at least 10 such procedures. It also makes sense to take immune-stimulating drugs, as well as consume more vitamin C and B.

Among the folk recipes for combating lichen, chamomile decoction, olive oil with lemon zest as an ointment, and puffball pollen mixed with vodka should be highlighted. The last recipe is considered the most the best method the fight against vesicular lichen and rashes after such therapy go away quite quickly.

An interesting and useful video on the topic: “Lichen vesica: symptoms, treatment, prevention”:

According to statistics compiled by the World Health Organization, the vesicular form of lichen occupies a leading position in popularity throughout the world, only influenza is ahead of it. Lichen simplex has characteristic features, one of these is the formation of small blisters on the skin or mucous membranes. This problem causes a lot of psychological discomfort and also leads to serious complications. Let's look at the disease in more detail.

In fact, the word “lichen” refers to a group of somewhat heterogeneous diseases that have different pathogens.

Based on the nature of the causative agent of the disease, two types are distinguished:

Simple. Typically, lichen simplex occurs in children in the spring or autumn, and can be epidemic. The causative agent is streptococci, which mainly affect the smooth and delicate skin. Lichen simplex manifests itself as round or oval, clearly defined lesions of a whitish or pink color, covered with scales, and sometimes there may be slight itching. Especially noticeable on people with dark skin. Usually the skin around the mouth, cheeks, jaw is covered, and rarely the rest of the body. Treatment is easy - lubricated with certain ointments prescribed by the doctor. Swimming is prohibited during treatment.
Pityriasis (multi-colored) lichen. This is already a fungal disease. The pathogen is located in the upper layer of the skin, and it is very difficult to obtain a culture of the fungus for research. This disease is more common in adults; children are rarely affected by it. It is almost not transmitted through direct contact.

Yellow-brown-pink spots form on the skin, which do not become inflamed. Over time they increase. The color of the spots turns dark brown and is accompanied by peeling, but does not itch and does not bother patients. Most often, this disease occurs throughout the body, even on the hair of the head, but the hair does not undergo changes. The disease lasts a long time, treatment is usually delayed for several years, and relapses occur. The diagnosis is made easily, without difficulty - by the appearance and condition of the patient, sometimes some specific samples are taken.

Basically, keratolytic (medicines for external use) and antifungal drugs are used, very rarely anything is used internally. Patients are advised to avoid synthetics, lubricate the body once a week with salicylic alcohol (1-3% solution) and wash frequently, and prevent excessive sweating.

Shingles. Caused by a virus similar to chickenpox. It is also called herpes zoster due to the formation of blisters on the skin during the course of the disease.

After 7-8 days incubation period rash occurs. Before the rash, intense pain, fever, headache, burning, and weakness are observed. Based on the nature of the bubbles, there are types that will not be described in this article. The main feature of herpes zoster is the spread of the disease along the nerve fiber. It can be located on any part of the body, but the most common places are the head, forehead, neck, eye area, chest, abdomen, thighs.

Unfortunately, complications with deterioration of vision and damage to the auditory nerve are possible, so treatment is necessary. Usually, after shingles, immunity occurs, and patients do not relapse. The diagnosis is made quite easily by appearance and pain. This form of lichen is contagious through contact.

Antibiotics and many intravenous supporting substances, such as vitamin B1, acetylsalicylic acid for external use are prescribed. In some cases, acyclovir and analgesics are prescribed.

Pityriasis rosea. It is not completely known what causes its occurrence; perhaps it is an infectious-allergic process.

A round or oval “plaque” appears, with a slightly sunken base and covered with characteristic scales. Some time before this, patients may complain of weakness, fever and headache. Further causes a rash in the form of pink-red spots, clearly defined and oval, with scales, remains bad feeling sick. Sometimes accompanied by a feeling of itching and burning.

The course of this lichen is usually seasonal, with the development of pigmentation and long-term immunity.

Ointments with antibiotics and others active ingredients. Antibiotics are also used antihistamines by mouth, sometimes streptococcal vaccine, as well as many other drugs. Food irritants are limited; only short showers are allowed for the entire duration of treatment.

Red lichen planus. Unfortunately, the disease is chronic. It is characterized by rashes of papules on the skin and mucous membranes of the mouth. As with pityriasis rosea, the cause is unclear. There are several forms of this lichen; diagnosis is easy by appearance. To treat this disease, it is necessary to identify other somatic diseases that could provoke the disease. A certain diet is also prescribed and some external medications are used.

Of course, not all types of lichen are described here, but pay attention to the variety of diseases this word hides. And you shouldn’t always be afraid of a person when they say: “I have shingles,” because... many of its forms are not contagious upon contact and are also easily treated.

Inflammation is caused by a fairly common herpes simplex virus; in medicine it is classified as the first type. In different countries of the world, about 90% of the total population has a strain of herpes in their blood. Usually infection occurs while childhood, the virus enters the body through the air after contact with a carrier or at birth.

There are two main types of the causative agent of common herpes:

The first affects the skin on the face, mucous membranes of the eyes, lips, and corneas.
The second is characterized by rashes in intimate areas.

The second can be infected only after sexual intercourse, when the pathogen penetrates the surface of the mucous membranes. In any case, the virus vesicular lichen penetrates into circulatory system, then enters the ternary nerve, and then spreads throughout the nervous system. For a long time, it shows absolutely no signs of its existence. Reasons for the awakening of the virus:

Weakening of the body's protective functions as a result of past diseases.
Skin injuries.
Systematic stress, as well as psychological disruptions.
Immunodeficiency due to hepatitis or AIDS.
Sudden hormonal disruptions that occur in women as a result of menstruation.

Quite often, lichen occurs in children suffering from reduced immunity, as a result of which the eyes are affected. This can lead to the development of conjunctivitis and even a temporary decrease in vision. Rashes on the tonsils lead to problems with swallowing and eating food. On the hands, vesicular lichen can recur, that is, appear several times a year. This fact indicates the presence of serious health problems; for example, disorders may be hidden in one of the body systems. Many have experienced the effects of lichen on the lips, which is often confused with the consequences of a cold.

Lichen vesica is a serious skin lesion that consists of several small blisters containing clear fluid. The bubble has a round shape. Mostly, pustules appear on the cheeks or lips, as well as on the nose. In rare cases, symptoms appear on the genitals. Experts distinguish several types of the disease, depending on the location:

herpetic stomatitis, usually occurs in children on the inside of the cheeks;
herpetic glossitis, located on the tongue;
herpetic sore throat affects the mucous membrane of the nasopharynx and tonsils;
genital herpes is localized on the external genitalia.

It is the latter variety that is the most dangerous for patients, and it is diagnosed in men and women. Development on the mucous membranes can lead to severe swelling, lymphostasis in the thigh area, and cause cervical cancer or prostate tumor in the male body.

The development of the disease begins with a slight itching, which gradually develops into an unbearable feeling. This is accompanied by a burning sensation in the area where abscesses form. In this area, the skin becomes red and inflamed, and the surface becomes covered with small blisters. After a few days, the liquid inside them becomes cloudy; after some time, they may open, which will be accompanied by the release of ichor. As a result of this process, erosion and various damage will form on the skin. Basically, lichen vesica causes the following symptoms:

the focus of infection is characterized by the presence of characteristic rashes;
small sizes merge into large ones, resulting in significant unevenness on the skin;
chills, increased body temperature and even a state close to fever are observed;
as soon as the primary lesions disappear, secondary formations will begin to form in their place or nearby.

As soon as the liquid comes out of the bubble, it will begin to heal and become covered with a dry crust. After it falls off, ulcers and scars will remain on the skin.

An experienced specialist can identify simple vesicular standard lichen by its appearance. However, this is not enough; the doctor must refer the patient for an analysis of the secreted fluid and cytology of the scraping. These studies will refute or confirm the doctor’s assumption, and they will also help determine the presence of infections that will complicate the treatment process. Additionally, the patient may be prescribed:

blood test for antibodies;
if necessary, ultrasound examination of the internal organs;
PRC examination to determine the type of virus.

Biological material is collected only during the acute period of development, in order to obtain the most reliable information. Based on these data, a further treatment plan is drawn up. Therapy is a complex process, as it requires high competence from doctors; it is important to treat the disease comprehensively. It is impossible to completely cope with the causative agent of the disease, even with the help of modern medicines, therefore the main bias is aimed at reducing side effects, as well as suppression of virus activity.

Therapy necessarily includes the following aspects:

the use of antiviral agents, they inhibit the pathogen, which puts it into “sleeping” mode;
increasing the protective functions of the body;
the effect of a special vaccine, it is administered after the inflammatory process has been normalized. Thanks to this, it is possible to prevent a relapse of lichen.

Treatment of vesicular lichen can be supplemented with the use of a special ointment; it will act locally directly on the rash. You can give preference to one of the following options:

Florinal ointment.
Helepin ointment.
Acyclovir cream.

A specialist can prescribe physical procedures, and also undergo a course of irradiation with infrared light, and laser therapy will also not be superfluous. As a result of such manipulations, it is possible to act directly on the affected areas of the body.

Lichen vesica - dangerous disease, which requires great endurance and determination from the patient. This is due to the fact that it will not be possible to completely get rid of the disease; you can only “put it to sleep” and minimize the manifestation of symptoms. However, any negative factor can cause a relapse, which may require therapy again.

The content of the article

Herpes simplex, vesicular fever, "fever"). A serious disease that is characterized by damage to the skin, mucous membranes, and many organs and is considered as a general systemic disease. The herpes simplex virus (HSV) was isolated in 1912 by Gruter, Kraupa, Lowenstein in the contents of herpetic vesicles. Levaditi and Harvier pointed out the neurotropic nature of the virus. This was later confirmed experimentally by Doerr, Schnabel, Nicolau. In 1921, Lipschutz described acidophilic intranuclear inclusions in the epithelium of vesicles and noted their typical features. In the early stage, they fill the center of the nucleus, are diffuse, basophilic, contain viral antigen, are stained positively purple by Feulgen, and blue by hematoxylin and eosin. In later stages, these intranuclear inclusions are denser, eosinophilic, separated from the nuclear membrane, stain negatively according to Feulgen and do not contain viral antigen (Lipschütz inclusions). Until the 1960s, the existence of two antigenic types (herpes simplex virus type 1 and herpes simplex virus type 2) was not suspected, which were later identified by Schneweiss in Germany, Dowdell Nahmia in the USA. Typically, herpes simplex virus type 1 causes clinical symptoms in the oral cavity, while herpes simplex virus type 2 is primarily a genital infection. Herpes infection can affect the skin and mucous membranes. Central nervous system (encephalitis, meningoencephalitis, myelitis, encephalomyelitis). Eyes (keratitis, conjunctivitis, keratoconjunctivitis, uveitis). Liver (hepatitis), genitals, etc.

Etiology, pathogenesis of lichen vesica

The causative agent is a filterable virus, which is pathogenic for a number of animals (mice, rabbits, monkeys and others). The herpes simplex virus is a large, enveloped virion, containing double-stranded DNA, belongs to the family Herpetoviridae, genus
Herpesvirus and reaches a size of about 180 nm. The virion consists of a DNA core and an icosahedral capsid. The capsid consists of 162 capsomeres, an inner membrane (tegument) and an outer membrane or shell (envelope). The virion also contains glycoproteins, lipids, lipoproteins, spermine and spermidine. The virion reaches 150-300 nm, the nucleocapsid - 100-110 nm, the nucleotide - 60-75 nm. Herpes simplex virus (HSV) is grown on the yolk sac of the chick embryo and tissue cultures. HSV is inactivated at a temperature of +50 - 52°C for 30 minutes, and at a temperature of +37°C for ten hours. The virus is resistant to low temperatures(at a temperature of -70°C it persists for a long time), remains pathogenic upon repeated freezing and thawing, and is resistant to ultrasound. HSV inactivators are ultraviolet and x-rays, alcohol, organic solvents, and proteolytic enzymes. HSV is sensitive to phenol, formalin, potassium permanganate. Currently, more than 80 representatives of herpes viral infection have been isolated, of which 8 representatives have been isolated from humans. Based on their identical biological properties, herpes viruses are divided into 3 subfamilies: Alphaherpes viruses (herpes simplex virus types 1 and 2, varicella zoster virus and herpes zoster virus). What alphaherpesviruses have in common is a short period of time for development, rapid spread throughout cells and a pronounced cytotoxic effect, which persist in humans for life in the nerve ganglia and other parts of the nervous system. Betaherpesviruses (cytomegalovirus). They are characterized by a longer development cycle, slow spread through cells and a latent course, located in cells salivary glands, kidneys and other organs. Gammaherpesviruses (Epstein-Barr virus) - the development cycle of this subfamily occurs only in B lymphocytes. Currently, the following subfamilies have been identified: VG-6, VG-7 and VG-8 types, which have not yet been classified. A number of authors classify herpes viruses as oncogenic viruses and point to the connection of malignant neoplastic diseases of the cervix and prostate gland with HSV type 2, or its association with other viruses and microorganisms (human papillomatous virus, chlamydia, mycoplasma, ureaplasma, etc.). Herpes viral infections are considered integration diseases, since the genome of the virus merges with the genome of the host cell, which leads to immunity disorders and the impossibility of completely sanitizing the body from a viral infection. After penetration, HSV attaches to the host cell and a “pocket” is formed in the cell wall, which is later transformed into a vacuole and the virus enters the cytoplasm. The nucleic acid is released from the outer shell proteins and the infectious activity of the virus is reduced. During the first 10-12 hours after infection, no signs of virus formation are detected in the cells, since during this period the structures of viral proteins and nucleic acids are formed. From these, the nucleic acid and capsomeres are then organized into a single structure (nucleocapsid or vironucleon). The virus reproduction cycle inside the nucleus completes its “ripening”. The virus enters the human body through skin or mucous membranes. During primary infection, which may be accompanied by symptoms or be asymptomatic, the virus from the entrance gate through the endo- and perineural tracts enters the sensitive spinal or cerebral ganglia, where a hidden latent persistent infection occurs. In addition, the virus penetrates many cells of the human body (it has tropism for blood cells and immunocytes), causing degenerative changes and cell death, a decrease in their functional activity, which ultimately leads to a state of immunodeficiency. The virus persists in the body throughout life and can periodically cause relapses of the disease, which can occur with varying degrees of severity and on any areas of the mucous membranes and skin. The herpes simplex virus can be detected in the blood serum of patients 4-8 days after infection, and then after a certain period of time IgG AT to the antigens appears.

Epidemiology of lichen vesica

According to domestic and foreign authors, about 90% of the world's population is infected with the herpes simplex virus and approximately 10-20% of them have various clinical manifestations of herpes infection, while in the rest, HSV is in a hidden latent state in the nerve ganglia. Herpetic infection is transmitted through close contact with persons who exhibit symptoms of the disease, as well as with persons without visible clinical manifestations (virus carriers). Infection occurs through household items (toiletries, dishes, children's toys, etc.), by airborne droplets, parenterally, during organ and tissue transplantation, during artificial insemination, through medical instruments if disinfection rules are not followed, by transfusion and transplacental routes. Inoculation of the herpes simplex virus occurs through the lips, skin, mucous membranes and conjunctiva of the eyes. It is possible that the genitals can become infected during sexual intercourse with a virus contained in saliva (“kissing disease”). Greatest danger In epidemiological terms, they are represented by patients during relapses during the period of blistering rashes, as well as virus carriers.

Diagnosis of lichen vesica

All diagnostic laboratory tests are used to detect a viral infection. Methods are used that are fast, specific and sensitive. However, when interpreting research results, sometimes certain difficulties arise, which is associated with a number of factors: variability of the virus; variety of clinical manifestations; latent clinical course. According to a number of authors, a diagnosis based only on the clinical picture allows identifying less than 40% of patients infected with HSV. Isolation of HSV in cell culture, including typing of HSV type 1 and HSV type 2, is the gold standard diagnostic test in the acute process, but less indicative in the stage of formation of ulcers and crusts. Tests for determining HSV Ag or HSV DNA using polymerase chain reaction(PCR), in which HSV DNA is amplified in samples of the material being tested. DNA hybridization technique. However, these diagnostic methods are expensive and practically inaccessible to the majority of the population. Serological tests. Biological (AT-RNAT neutralization reaction, complement fixation reaction - RSK). Solid-phase (reverse passive hemagglutination reaction - ROPHA, linked immunosorbent assay- ELISA and indirect immunofluorescence reaction). Protein specific immune tests, in particular immunodot. Used as tests for the antigen viral envelope glycoproteins HSV-1 (gG 1) or HSV-2 (gG 2). The tests use two sources of gG 2. Reactions based on recombinant gG 2 are also described. Western blot (immunoblot). Can detect AT to almost 50 individual proteins, including gG. HSV Ag is prepared from fibroblasts infected with HSV-1 or HSV-2, and viral proteins are isolated from the cells, transferred to nitrocellulose strips, and incubated with serum samples. received from patients. In case of opened vesicles, the cytological method can be used. The test material is fixed in 96° alcohol and in smears stained by Papanicolaou, it is sometimes possible to identify cells with specific cytological features for the herpes simplex virus. However, the identification of morphological changes caused by the herpes simplex virus does not provide grounds for asserting a primary or secondary infection, as well as identifying the virus (the same structural changes can be observed with Herpes zoster).

Blistering Clinic

Clinical symptoms appear on average 5-7 days after infection. Subjective sensations (itching, burning, tingling sensation, pain) preceding or accompanying the rash are a consequence of infectious inflammation of the nerve trunks and plexuses. Against an erythematous, edematous background of the skin and mucous membranes, multiple or single, painful, vesicles up to 1-3 mm in diameter appear with transparent or serous contents, which then become cloudy. After 3-5 days, the bubbles dry out and form yellow crusts. If they open, small pink-red erosions with small scalloped outlines appear. Crusts form and fall off, leaving behind temporary secondary pigmentation or depigmentation. Clinical manifestations usually last 2-3 weeks. When the bubbles are localized in areas subject to friction and maceration, they become eroded and ulcerated. There are localized, widespread and generalized clinical forms. Vesicles are located on the face (herpes facialis); lips (herpes labialis); wings of the nose (herpes nasalis); in the genital area (herpes progenitals); less often on the buttocks (herpes gluteales) and in the oral cavity (herpes buccalis). Blisters during herpetic infection often appear in certain diseases (acute respiratory viral infections, pneumonia, meningitis, malaria, etc.). Menstrual herpes (herpes menstrualis) occurs on the red border of the lips, in the buttocks, and genitals and occurs with every menstrual cycle. During pregnancy or menopause, the appearance of herpetic eruptions may stop. Relapse is caused by reactivation of the virus under the influence of provoking factors (focal infection, pneumonia, stress, influenza, acute respiratory viral diseases, hypothermia, immunodeficiency, etc.). Recurrent herpes is characterized by a severe long-term course, damage to the nervous system (meningoencephalitis), lymphadenopathy, and fever, which can lead to disability in patients. With each relapse, vesicles may appear on different areas of the skin and mucous membranes. There are viral lesions of the skin - blisters are located on the face in the area of the nose, the red border of the lips, as well as on the hands and buttocks. Viral lesions of the mucous membranes - the rash is localized on the mucous membranes of the oral cavity in the lips, cheeks, gums (gingivitis, stomatitis, pharyngitis). Grouped blisters appear, which open to form painful red-pink erosions with small scalloped outlines, covered with a gray film (aphthae). Increased salivation is noted. Viral eye lesions (ophthalmoherpes) - eye lesions predominantly occur in children, less often in adults. Poor prognosis when the eye is affected by primary infection (a harbinger of further generalization). It manifests itself in various forms (keratoconjunctivitis with skin lesions of the periorbital region, vesicular and dendritic keratitis, iridocyclitis, recurrent corneal erosion, optic neuritis). Ultimately it can lead to decreased visual acuity and blindness. Serious complications from internal organs and systems are observed. The central nervous system is affected (encephalitis, meningitis, myelitis, encephalomyelitis). Liver (hepatitis of adults, newborns). Mucous membranes (stomatitis, aphthous ulcers, genital lesions). Skin (herpetic eczema). Reinfection with the released virus of the skin and mucous membranes. Attachment of a secondary infection. Malignancy (cervical cancer). Recurrent herpes can occur against the background of a disturbance in the general condition (malaise, weakness, headaches, low-grade fever). Long-term neuralgia and other lesions of the nervous system are observed. Subjective disorders (itching, burning, pain) are more common, but somewhat less pronounced. Primary or recurrent herpes infections in immunosuppressed patients are accompanied by more intense ulcerations on the skin and mucous membranes than in patients with a normal immune system, and the herpes simplex virus can disseminate to many organs of the human body. Atypical clinical forms of lichen simplex (Kalamkaryan A.A., Grebenyuk V.N., 1995; Samtsov A.V., Barbinov V.V., 2002, etc.).
Abortive. Scattered small blisters appear in areas of the skin with a thickened stratum corneum. Serous contents are practically not visible visually. Microvesicles resemble miliary papules. Erythematous and pruriginous-necrotic. In most cases, they occur without rashes. Local subjective sensations are slightly expressed - itching, burning, soreness, tingling sensation, etc. Cut-off. In the area of the eyelids, lips, on the genitals in women (labia minora) and in men ( foreskin, skin of the scrotum) severe limited swelling appears without visible blistering rashes. Herpetic fever. Acute onset. Vomiting, headaches and muscle pain, meningeal symptoms, fever up to 39-40°C. After 2-4 days the condition improves and typical blisters appear. Zosteriform. Vesicles arise along the nerve trunks and plexuses (face, upper and lower limbs, torso). The condition is disturbed (malaise, headaches, weakness). Neuralgia has been present for a long time. Disseminated. In various areas of the skin throughout the body and on the mucous membranes, characteristic blisters simultaneously appear, which can often be located at a considerable distance from each other. Migratory. With each relapse, scattered vesicles appear in new places on the skin and mucous membranes. The same localization is not required. Hemorrhagic. On any area of the skin and mucous membranes, blisters with hemorrhagic contents of a red-brown color, up to 3-5 mm in diameter, form. They shrink into brown crusts, after which they fall off, leaving peeling, temporary pigmentation or depigmentation. Hemorrhagic-necrotic. Vesicles with hemorrhagic contents appear. Erosion and ulcers with necrotic gray-green masses open and form. Slow regression of the rash is characteristic. Elephantiase-like. A group of blisters appears in a certain area of the skin. In places of localization, significant swelling of the skin is noted and persistent elephantiasis develops. The course is chronic, long-term and severe. Erosive-ulcerative. The blisters burst with the formation of painful red-pink erosions and ulcers. Slow epithelization and scarring. Ulcerative. The vesicles transform into painful red-pink ulcers with a soft bottom and a gray-yellow coating on the surface. Localization on the genitals in women (labia majora and minora) and in men (foreskin, scrotal skin). Inguinal lymphadenitis and lymphangitis are observed. Chronic cutaneous herpes simplex. Patients with an immunodeficiency state are ill. Chronic long-term relapsing course. At the sites of the vesicles, painful round ulcers with small scalloped outlines form, sometimes reaching quite large sizes. Rupioid. Vesicles are localized in the face area, less often in other areas of the skin. A secondary pyococcal infection occurs. After opening the bubbles, the surface of erosions and ulcers is covered with layered dense
yellow-brown crusts. Lymph nodes are painful and enlarged. The skin over them is swollen and hyperemic. Frequent relapses are typical. Hand herpes. Mostly medical workers (doctors, nurses, nurses) who become infected from patients suffering from a viral infection. On distal sections Painful blisters with a dense covering appear in small numbers on the fingers and the back of the hands. Often, pathological process localized on the skin of the face (forehead, nose, cheeks, red border of the lips).

Differential diagnosis of lichen vesica

Vulgar impetigo. Children get sick more often. Characterized by rapid onset and spread of rashes. On open areas of the body (face, arms, legs, feet), flat conflicts (blisters with a flaccid, wrinkled covering) appear, along the periphery of which there is a rim of hyperemia. The contents of the phlycten are serous and transparent, and later become cloudy. The phlyctenes shrink to form dirty gray crusts, after which, when peeled off, a temporary depigmented spot remains. Phlyctens tend to merge into large lesions with irregular outlines. Aphthous stomatitis. Acute onset: temperature rise to 39-40°C, deterioration of general condition, profuse salivation, bad breath. Regional lymph nodes are enlarged and painful on palpation. Bubbles appear on the oral mucosa in the area of the lips, cheeks, palate, and tongue, which quickly open with the subsequent formation of an oval shape, painful erosions, ulcers and a bright red rim along the periphery (aphthae). Usually the disease lasts 2-3 weeks and ends with recovery.

Treatment of lichen vesica

An urgent problem is the development of adequate measures for the treatment and prevention of herpes infection. Antiviral drugs are widely used for external treatment, which occupy a significant place in the complex of treatment and preventive measures and, with rational, timely use, significantly influence the clinical manifestations of the disease. Interferon inducers. Prescribed "Kagocel" (Alex pharma GmbH. Germany; Nearmedic Plus LLC, Russia) - 1 tablet (0.012 g) orally 3 times a day or 2 tablets 3 times a day, for a course of 30 tablets. It has the ability to induce interferon production and causes the formation of so-called late interferon in the body (a mixture of a- and b-interferons, which have high antiviral activity); causes the production of interferon in almost all cell populations involved in the antiviral response of the human body (T- and B-lymphocytes, macrophages, granulocytes, fibroblasts, endothelial cells). When taking one dose, the interferon titer in the blood serum reaches maximum values after 48 hours. "Proteflazid" (dark green alcoholic extract, 1 drop contains 2-5 mcg of flavonoid glycosides isolated from wild cereals deschampsia caespitosa 1. and calamagrostis epigeios 1.) is prescribed 10 drops 3 times a day, 20-40 days. Has: antiviral effect (suppresses DNA polymerase in cells infected with HSV type 1 and HSV type 2 viruses, herpes zoster, AIDS, reduces and blocks viral DNA replication); immunomodulatory (increases the production of endogenous a - and y - interferons - causes nonspecific resistance, increases the immune defenses of the human body); adaptogenic against hepatitis B and C viruses; antitumor; antipyretic; antioxidant; improves protein synthetic function of the liver. Outside of exacerbation of the disease, it is prescribed orally in a therapeutic dose according to the following scheme; 3 drops 3 times a day (days 1-3); 5 drops 3 times a day (4-6 days); 7 drops 3 times a day (days 7-9); then 8-10 drops 3 times a day (3 months). Maintenance dose: 5 drops 3 times a day (every other day) for 2-4 months. For periodic exacerbations (exacerbation stages) it is prescribed according to the following scheme: in a therapeutic dose of 5 drops 3 times a day (1-2 days); 8 drops 3 times a day (days 3-4); then 10 drops 3 times a day (3-4 months). In a maintenance dose, 7-8 drops 3 times a day (every other day) for 3-6 months. "Flavozid" - has an antiviral effect on herpes simplex types I and II, Epstein-Barr virus, varicella zoster and is used in the complex treatment of hepatitis A, B, C4 (suppresses DNA polymerase in infected cells); immunomodulatory (maximum production of endogenous a - and y - interferons); antioxidant effect. Prescribed depending on age: up to 1 year - 0.5 ml 2 times a day; from 1 year to 2 years - 1 ml 2 times a day; from 2 years to 4 years - days 1-3 1.5 ml 2 times a day and from the 4th day 3 ml 2 times a day; from 4 to 6 years - days 1-3 3 ml 2 times a day and from the 4th day 4 ml 2 times a day; from 6 to 9 years - days 1-3 4 ml 2 times a day and from the 4th day 5 ml 2 times a day; from 9 to 12 years - days 1-3 5 ml 2 times a day and from the 4th day 6 ml 2 times a day; children over 12 years old and adults - days 1-3 5 ml 2 times a day and from the 4th day - 8 ml 2 times a day. Medicine "Mangogerpin" (active substances - 1 capsule contains mangiferin OD g; excipients - lactose, starch, magnesium stearate, talc), /manufacturer: BV Pharma Joint Venturi Company (BV Pharma), Ho Chi Minh City, Vietnam/ - antiviral drug plant origin. The antiviral activity of the drug extends to DNA-containing viruses (Herpes simplex types I and II, Varicella zoster, cytomegaloviruses) and RNA-containing viruses (human immunodeficiency virus). Recommended for the treatment of primary and recurrent infections of the skin and mucous membranes caused by Herpes simplex viruses type I and II, chickenpox, herpes zoster, Kaposi's eczema herpetiformis, and viral dermatoses. Has immunomodulatory properties (affects cellular and humoral immunity, stimulates the production of γ-interferon in blood cells); antimicrobial to gram+ (to a greater extent) and gram- microorganisms; chemopreventive, antihyperglycemic, antineoplastic; anti-inflammatory and analgesic; hepatoprotective and choleretic; antispasmodic; antioxidant, radioprotective, cardio- and nephroprotective; antiallergic, antiasthmatic and anthelmintic. It is prescribed orally, regardless of food intake, for adults and children over 12 years of age, 1 capsule 3-4 times a day (10 days). To prevent relapse, it is prescribed 1 month after disappearance clinical symptoms diseases in a course of 1 capsule 3-4 times a day for 14 days. During the inter-relapse period, it was recommended to continue treatment with courses of 14 days and an interval of 1 time every 3 months. There is an extremely limited selection of etiotropic drugs, which essentially includes the only active virostatic acyclovir, currently produced by a number of foreign and domestic companies under various names (Virolex, Herpevir, Zovirax, Milavir Cicloviran, etc.). The greatest effect is observed when treatment is started by the patients themselves, since doctors usually prescribe acyclovir 48 hours later. When treating an exacerbation, acyclovir is prescribed 200 mg 5 times a day for 5 days. Suppressive therapy is recommended for patients with 6-8 or more exacerbations per year. Externally antiviral drugs. 2% or 5% cream "Mangogerpin" - applied to lesions on the skin and mucous membranes 4-6 times a day for 10 days or more.

Prevention of lichen vesica

Hardening. Boosting immunity. Sanitation of focal infection. Treatment of concomitant diseases.

The World Health Organization believes that dermatoses, which are caused by the blistering form of lichen, are the second most common in the world after influenza. This disease is characterized by a large number of tiny blisters covering the skin or mucous membranes, which give the disease its name.

One of the most common problems not only has a pronounced external defect, but can also cause serious complications. In this review, we will look at the causes, symptoms and treatments of lichen vesica.

Lichen vesica photo

Inflammation of lichen blisters is caused by the common herpes simplex virus, which belongs to the first type. Its strain is found in the blood of more than 90% of the world's population in different countries. In most cases, infection occurs in infancy: it enters the body through the respiratory tract, through direct contact with carriers of the disease, or during childbirth.

There are two main types of herpes simplex pathogens known to medicine:

In the first, the skin on the face, the cornea and mucous membranes of the eyes are actively affected, and the lips are affected.
In the second, the rashes are localized in the perineum and genitals.

Infection with the second type is possible only through sexual contact, when the virus enters the unprotected surface of the mucous membranes. With any type and method of infection, the cells of the vesicular lichen enter the blood, quickly penetrating the ternary nerve, and disperse throughout the nervous system.

They remain inactive for an indefinite period of time without causing discomfort. Having encountered it just once, a person will no longer be able to get rid of the problem even under the supervision of experienced doctors.

Symptoms of the disease

Pityriasis versicolor on the neck

Lichen vesica on the back is a lesion of a skin area with a rash of several small blisters filled with clear liquid. Each of them has the size and round shape of a grain.

The main place where such pustules appear is the surface of the cheeks on the face or the delicate contour of the lips, the conjunctiva of the eyes or the wings of the nose. The external genital area is less likely to be affected by the disease; soft tissue may be involved.

Depending on the place of occurrence, experts distinguish:

herpetic sore throat with damage to the tonsils or nasopharyngeal mucosa;
herpetic stomatitis (often occurs in children on the inner surface of the cheeks);
herpetic glossitis with rashes on the tongue;
genital herpes when localized on hollow organs.

The latter poses a serious danger to patients of both sexes. When developing on the surface of the mucosa, it can occur without symptoms, but cause severe swelling, lymphostasis in the thighs, and lead to cervical cancer in women or prostate cancer in men.

Lichen vesica on the patient's back

The development of this unpleasant dermatosis always begins with a characteristic itching, burning sensation in the area of the imminent appearance of ulcers. The skin in this area becomes red and inflamed, and its surface becomes covered with small blisters. After a few days, the liquid becomes cloudy, and the rashes themselves can open and secrete ichor. This leads to the formation of lesions and erosions on the skin.

Lichen vesica is characterized by several signs:

the lesion always has multiple rashes;
small ulcers can merge into large ones with uneven edges;
chills, fever, or fever may occur;
When the primary lesions disappear, secondary ones may form nearby.

After the fluid leaves the bubble, it heals quite quickly and becomes covered with dry crusts. After the latter fall off, there are no scars or ulcers left on the skin.

Reasons for the manifestation of lichen

Lichen vesica on a girl's face

After penetration into the body, the lichen vesica virus is localized in the lymph nodes and ternary nerve near the face, remaining active.

It may not manifest itself for years, but it develops quickly under a combination of factors favorable to it:

any weakening of the body’s defenses after viral and chronic diseases;
emotional experiences and stress;
some skin injuries;
immunodeficiency due to AIDS or hepatitis;
sharp fluctuations in hormones in women (menstruation).

Lichen vesica often appears in children with weak immune systems, affecting the mucous membrane of the eyes. Ophthalmoherpes leads to the development of acute conjunctivitis and a temporary decrease in vision in a child. With rashes on the tonsils and in the oral cavity, difficulties with swallowing and eating may occur.

Lichen vesica on the arm often recurs and can bother the patient several times a year. This indicates health problems or disruptions in the functioning of certain body systems. Many are familiar firsthand with its manifestation on the lips, which is mistaken for a complication of a cold.

Diagnosis of the disease

In many cases, experts identify lichen blisters on the leg visually by external rashes. But cytology of scrapings and secreted fluid is mandatory. It helps confirm (or deny) the presence of outsiders bacterial infections which may complicate treatment.

In addition, the patient expects:

PRC study to identify the type of virus;
antibody test;
Ultrasound examination of internal organs (if necessary).

All biological material is taken only in the acute period in order to obtain the correct data.

Basic treatment methods

Acyclovir cream is excellent for treating herpes and fungus

Treatment of any type of lichen vesica is for doctors challenging task, requiring an integrated approach. Modern medications are not able to completely destroy the pathogen, working only to suppress its activity and reduce side effects.

Therapy necessarily combines several areas and techniques:

Taking antiviral drugs such as Acyclovir, Famvir, which have a depressing effect on the pathogen.
Increasing immunity with a course of Cycloferon or Lykopid, some drugs based on interferons.
The introduction of a specially developed vaccine, which is carried out after the main inflammatory process has subsided and is aimed at preventing relapse.

To the treatment of vesicular lichen, it is necessary to add treatment of inflamed lesions with special ointments:

Khelepinova;
Florinalova;
Acyclovir cream.

Lichen vesica treatment with traditional methods

There are a lot of recipes that allow you to get rid of one or another type of deprivation. They are all different and not suitable for everyone. Therefore, before using it on your body, we advise you to first consult with a specialist.

We offer some of the most popular tips and recipes for combating lichen vesica:

Recipe No. 1. Alcohol tincture for lichen: take 300 g of alcohol (vodka is possible) and 40-60 g of bee propolis. Place all this in a dark vessel and leave for 10 days in a cool place. The resulting tincture is applied to areas of the skin that are affected by the fungus twice a day. The product helps get rid of lichen in 5-10 days.
Recipe No. 2. Take a fresh chicken egg, carefully break it, remove the white and yolk. There is a film inside the egg that covers it. It is under this film that there is a liquid that can treat lichen. Apply to areas of deprivation two to three times a day.
Recipe No. 3. We buy 50 g of seedless raisins, twist them to a creamy consistency, add 20 g of alcohol and let it brew for a couple of hours. Then we apply it to the places where there is lichen. The secret is that the raisins begin to ferment and produce fungi, which in turn kill the lichen.
Recipe No. 4. Every housewife has table salt and regular baking soda in her kitchen. You need to take two tablespoons of these two ingredients, pour boiled water until creamy consistency, let cool. Rub the resulting product into the skin 2-3 times a day. Usually, lichen vesica goes away within 4-5 days of using this recipe.

We remind you that in case of fungus or lichen, the use of any medications and agents traditional medicine must be agreed with a dermatologist.

Disease Prevention

Lichen vesica can be prevented if you are attentive to the treatment of any disease and undergo regular courses of immunotherapy. The disease practically does not manifest itself in people who avoid hypothermia, take multivitamins and eat properly.

Lichen vesica reviews

Guest 30 years old

In the summer I went with my children to the sea in Odessa. The heat was terrible, and somewhere, perhaps on the beach, I picked up vesicular lichen. Upon arrival home I went to the doctor. He prescribed Sertamicol cream, but when I started applying it, red spots began to appear on my skin - an allergy to the drug. Sertamicol had to be replaced with Akriderm, which quickly cured my lichen.

The fungus remedy is simply wonderful, non-irritating, non-stinking and inexpensive. In addition, the doctor advised me not to temporarily use synthetic clothes and advised me to wear only cotton clothes. That's what I do now. Good health to everyone.

Valera, 34 years old

When I discovered the first symptoms of pityriasis versicolor on my hand, I immediately began to use my grandmother’s old, proven method: I take several heads of garlic, grind them in a garlic press, apply the pulp to the sore spot for 4-5 minutes. Garlic burns strongly and can leave a severe burn, so you need to be careful, especially for girls.

It burns strongly, so I endure it as long as I can, but the garlic eats up the fungus completely, and the next day it will be gone. I advise you to wash your hands after contact with any animals, since they are the first carriers of lichen.

Lichen vesica is also called wet lichen; it is considered one of the most common types of disease among human dermatitis. Most often, the nature of its origin is considered allergic and it is unable to be transmitted to other people. Usually the disease is chronic and sluggish, but there are cases when patients develop a fairly acute form of lichen.

For many months and even years, this disease brings a person physical discomfort and a feeling of inconvenience in society. In other words, this type of lichen is considered herpes simplex, which manifests itself in the form of small blisters on the skin filled with a clear liquid. According to WHO statistics, almost 90% of the entire population of the planet suffers from this disease.

Relapses of the disease can occur absolutely at any time and in the most at different ages. This is because the virus that has entered the body and caused the appearance of fungus never leaves it again. There are cases when people are not bothered by lichen for several decades, and for some, relapses occur annually during the period of exacerbation of the body’s allergic reactions.

Causes and symptoms of lichen vesica

A relapse of the disease can be triggered by a variety of factors coming from the human body and the environment. Most often, provocateurs can be hormonal imbalances and stressful situations in a person’s life, strong exposure to ultraviolet rays and overheating in the sun, and previous infections of various origins.

Difficulty quickly and complete treatment Ringworm is related to that. that the world's scientists have not been able to fully study the causes that provoke the emergence of the disease. However, there are several main factors that experts confidently classify as the main causes of the development of lichen in humans. The main ones include the following:

Disturbances in the normal functioning of the human nervous system, which can begin even in early childhood and are completely inherited. hereditary predisposition in almost fifty percent of cases is the root cause of the development of lichen.
The blistering form of lichen can also manifest itself as a result of various types of infections, as well as damage to the peripheral nervous system. Disorders of the digestive system, as well as the gastrointestinal tract, often lead to a deterioration in the condition of the sick person.
Impaired functioning plays an important role in most dermatological diseases. endocrine system, which is responsible for essential functions in the human body.
Not only internal problems in the body become the causes of the disease and its progression. The environment and various external factors can enhance clinical picture diseases, but almost never act as the root cause of lichen. Aggressive chemicals and professional employment of a person play an important role in the development of lichen.

The clinical manifestations of lichen largely depend on the degree of the disease in a person, as well as on his predisposition to allergic reactions. Dermatological symptoms begin with the appearance of a slight burning sensation, itching and discomfort on the skin. Over time, all this develops into the development of inflamed areas on the human body.

After this, several foci of inflammation begin to actively turn red and acquire a burgundy hue. Groups of rashes begin to form on several parts of a person’s body, in the center of which there are bubbles of different diameters. Usually these are small rashes, inside of which there is a clear liquid without any characteristic odor. Pain and a tingling sensation appear when erosion forms and blisters open.

Modern methods of treating the disease

It is important to diagnose the correct disease in a timely manner and begin to treat it only with an integrated approach. Majority medical supplies, sold in pharmacies, are capable of quite effectively dealing with the causative agents of lichen in a short period of time.

Wet lichen can be treated with several types of therapy, but it is better to combine several of the following methods:

taking medications such as Acyclovir or Famvir. They have a targeted effect on the body and can have a detrimental effect on the causative agent of the disease;
It is important during the period of exacerbation of deprivation to maintain the immune system in good shape. In this case, a course of using such medicines. like Cycloferon or Lykopid. They are made on the basis of interferons, to which lichen is very sensitive;
prevention of relapse can be achieved by selecting and administering a certain type of vaccine for a person; it is best to use it during the period of subsidence of the main course of the disease to achieve the greatest effect

For many decades, traditional medicine has also remained popular, and it is good to use it in combination with drug therapy and physiotherapeutic procedures. There are several of the most popular recipes that can actually be prepared at home using available ingredients:

Alcohol based tincture for lichen. To prepare it you will need about one glass of pure alcohol, which can be replaced with vodka. Add about 50 grams of propolis to the liquid and leave the solution in a dark and cool room. optimal time exposure - ten days. After this time, the tincture can be applied several times a day to areas of the skin localized by the fungus. In just a week, you can almost completely eliminate the symptoms of lichen.
Ordinary raisins have a secret property. During the fermentation process it produces certain types fungi that can fight lichen. To prepare the mixture, just finely grind about 50 grams of seedless raisins and dilute the pulp with 20 grams of alcohol (vodka). Let it sit for several days and apply spot-on several times a week.
Every home has ordinary salt for cooking and baking soda. It is these two components that together negatively affect the nature of the occurrence of lichen. For cooking simple recipe You will need to mix two tablespoons of both components together and dilute them with boiled water to obtain a mixture with a thickness reminiscent of sour cream. Rub the product onto the affected areas of the skin several times a day.

Lichen vesica is a characteristic manifestation of the herpes simplex virus, in which small blisters with clear contents are observed. They often appear on inflamed areas of the skin.

1 Medical indications

Dermal lesions due to the herpes virus are quite common. They rank second in frequency of detection after influenza. The situation is complicated by the fact that almost 9 out of 10 inhabitants of the planet are carriers of this complex virus. Relapses of the disease can develop at any time.

In most cases, activation of the microorganism occurs under stress, nervous tension, with hypothermia. Therefore, such lichen is often called “cold”. Other reasons can trigger an episode of herpes:

overheating;
emotional outbursts;
infectious diseases;
hormonal imbalance.

Every HIV-infected patient has symptoms of lichen.

The development of lichen simplex can be caused by viruses of 2 serotypes, one of which causes a rash on the patient’s face (on the lips, nose, cheeks, cornea of the eyes). Infection with such a pathogen occurs in childhood. Most often, the virus enters the body through the respiratory tract, by contact. Another subtype provokes the appearance of a rash on the perineum, buttocks, and genitals. Infection is possible only through sexual contact.

Causes and treatment of lichen simplex in a child

2 Clinical manifestations

The rash is located randomly over the surface of the skin. Previously, a feeling of discomfort and burning appears on the skin. The cover turns red, small grouped bubbles with transparent exudate appear on it. After 2-3 days, the bubbles begin to burst, and erosive formations appear in their place. In this case, patients feel severe pain, tingling and discomfort in the affected area. Dry crusts appear at the site of the rash, which can easily fall off. The rash does not leave marks or scars.

Lichen vesica has several clinical forms:

1. Pathology of newborns - there is a sharp rise in body temperature, swelling of the mucous membranes of the cheeks, tongue, and tonsils. Bubbles appear on them, which turn into erosion. Enlargement of the lymph nodes in the head may also occur.
2. Chronic pathology manifests itself periodically in the form of rashes. The frequency of such episodes varies: there are remissions lasting up to several years. Dermatosis rarely occurs, in which new elements of the rash develop against the background of unhealed old formations.
3. Genital herpes - its causative agent is the first serotype of the virus. The disease develops through self-infection or through the use of other people's hygiene items (washcloths, toothbrushes, towels).
4. Kaposi's eczema is an extremely severe manifestation of the herpes virus. This dermatosis herpetiformis occupies large areas skin, provokes severe pain, causes a rise in body temperature. After healing, scars often remain on the surface of the skin. In severe cases, the virus can affect not only the skin, but also internal organs. There have been cases of death.
5. Gladiator disease is a rare form of pathology that occurs in athletes who compete in close contact with an opponent (wrestling). The rash is typically localized in the neck, face, and shoulders.
6. Pathology of fingers is rare. It is characterized by a large affected area. This disease is often transmitted through injury or damage to the skin.

Symptoms and treatment of lumbar lichen

3 Diagnosis of pathology

Thanks to the specific clinic, the diagnosis of dermatosis is simple. Already during the initial examination, an accurate diagnosis can be made. To confirm, a number of additional studies are carried out:

1. Samples for cytology. They are taken from the vesicles by scraping, stained and examined under a microscope.
2. Blood test for the presence of antibodies to the herpes virus.
3. PCR, which is carried out to detect the virus and determine its type and subtype. Venous blood or secretions from the genital organs are taken as laboratory material. This study is relevant for acute period pathology, and during the period of remission it can be false negative.

Causes, symptoms and treatment of herpes zoster

4 Therapy methods

Herpes cannot be cured. The main emphasis in treatment is aimed at strengthening the protective properties of the immune system. This is done in order to minimize the frequency of relapses of the pathology. Best used complex therapy against herpes.

The first stage is the use of antiviral medications (Acik, Famvir). This significantly reduces the concentration of the virus in the body in a short time. The second stage is the use of immunomodulatory medications (Cycloferon, Likopid).

At the third stage, treatment is carried out with an inactivated vaccine. It can be carried out a month after the exacerbation is relieved. This method of struggle is recommended only after consulting specialists.

The choice of drug, its dosage and method of use is selected by the attending physician individually.

It is based on the patient’s condition, the presence of complications, the type of virus and the state of immunity.

Physiotherapy is often used as an adjunct:

UFO methods;
infrared irradiation;
laser therapy.

5 Non-traditional approaches to combating dermatoses

Due to the prevalence of this disease many try to cope with the exacerbation of the process at home:

1. Aloe juice. Effective method defeat the virus at its best early stages. It is important to lubricate the skin repeatedly at the first symptoms of pathology.
2. Tea tree oil. Excellent for treatment different stages illness. They lubricate the rash three times a day. You can also use sea buckthorn and fir oil.
3. Iodine. Helps with herpes in its earliest stages. The rash is generously lubricated with iodine at the first signs of burning on the skin.
4. Herbal teas are used to maintain human immune properties. They drink tea made from rose hips, lemon balm, chamomile, and sweet clover.

6 How to prevent the development of the disease?

The most contagious period is the exacerbation of the disease. Therefore, at this time it is important to completely avoid kissing, hugging, and close contact. Some recommendations should be followed:

Wash your hands thoroughly after each touching the bubbles;
medicated creams and ointments should be applied to the rash areas cotton swab, not with your hands;
an infectious patient must have individual dishes, towels, and hygiene items;
Do not crush the bubbles or tear off the crusts - this is fraught with the spread of infection to healthy areas of the skin and the addition of bacterial flora;
To increase the body's protective qualities, it is best to take multivitamin complexes.

To prevent relapses of herpes, it is important to lead a healthy lifestyle, harden yourself, and get enough sleep. You should always dress appropriately for the weather, avoid hypothermia and excessive ultraviolet radiation.

Herpes simplex (herpes simplex) is a disease of viral origin, which is characterized by the formation of grouped vesicles (bubbles) on the skin and mucous membranes. HSV-1 and HSV-2 are herpes viruses of the first and second types that provoke the development of the disease. The most commonly diagnosed form of lichen labialis, which is often called a “cold on the lips.” Genital herpes is localized in the groin area, affecting the external genitalia. Both forms of dermatosis are treated with antiviral medications, but neither of them can completely destroy the causative agent of the infection. Therefore, the disease often recurs due to a decrease in the body’s immune forces.

Causes and symptoms of lichen blisters

The development of herpes simplex is accompanied by the formation of grouped vesicles filled with light yellow liquid. For this reason viral disease received a second name - vesicular lichen. According to WHO data, dermatoses caused by herpes viruses are second in prevalence after influenza. Almost all adults are carriers of the infection, so it is impossible to prevent infection.

Lichen vesica is a systemic disease that affects not only the epidermis, but also internal organs with mucous membranes. HSV-1 and HSV-2 are neurotropic viruses that can penetrate nerve roots and nodes (ganglia), to which immunocompetent cells do not have access. This is why lichen vesica cannot be cured completely.

Reactivation of the herpes virus occurs when the body's immune forces decrease. Relapses of dermatosis can be provoked by:

hormonal imbalances;
vitamin deficiencies;
exacerbation of chronic diseases;
hypothermia/overheating;
psycho-emotional stress;
consequences of radiation therapy;
taking immunosuppressants;
skin injuries;
secondary immunodeficiencies.

Lichen vesica is characterized by rashes appearing on the surface of the epidermis and mucous membranes. They are grouped spherical vesicles. Clinical manifestations of dermatosis depend on the type of herpesvirus and the location of the rash.

Herpes on the lips usually appears in the autumn-winter period, after hypothermia, and also against the background of a general decrease in immunity.

Depending on the place of formation of the vesicles, several forms of lichen are distinguished. The most common ones include:

herpetic stomatitis – blisters and erosions on the mucous membranes of the oral cavity;
herpetic glossitis - rashes are localized on the tongue closer to the root part;
labial herpes - affects the mucous membrane of the lips and the skin around them;
herpetic sore throat - the infection penetrates the mucous membrane of the nasopharynx and palatine tonsils;
genital herpes - rash and ulcerations affect the perineal area and external genitalia.

Vesicular lichen begins with the appearance of itching and burning in places where vesicles later appear. After this, the lesion turns red and swells, and after a day blisters form on it. After 2-3 days they open, resulting in painful erosions. Within 1-2 days they are covered with dark yellow crusts, the formation of which signals the beginning of recovery.

In addition to local manifestations, lichen vesica is accompanied by fever up to 39°C, malaise and body aches. Despite the seemingly trivial nature of the disease, it can cause serious complications. Against the background of a severe decrease in immunity, the infection quickly progresses, affecting internal organs. If left untreated, dangerous bacteria and fungi penetrate into the ulcerations, causing suppuration.

Contagiousness

Ringworm with blisters is transmitted through direct contact with infected tissues. Infection often occurs transcutaneously, that is, through the skin during periods of asymptomatic virus carriage. In the environment, herpesvirus type 1 can persist for 24 hours at room temperature. Therefore, the infection is transmitted through household contact through dishes, towels and other household items.

Infection with genital herpes does not only occur through sexual contact, as is commonly believed. There is a possibility of transmission of HSV-2 through household means through personal hygiene items. Patients at the stage of opening the vesicles pose the greatest danger to others. At this moment, a liquid containing millions of viral particles emerges from the vesicles. Therefore, doctors do not recommend close contact with patients until dense crusts form on the erosions.

How to diagnose the disease

Lichen simplex is very easily diagnosed in patients who have never been in contact with carriers of HSV-1. In such patients, in 90% of cases, fairly large blisters form in the corners of the mouth, which can be accompanied by viral gingivitis. Atypical forms of dermatosis are difficult to diagnose in adults without laboratory analysis.

For precise definition of a viral skin lesion, the doctor conducts a cytological examination. Analysis of the contents of the vesicles allows us to confirm or exclude secondary infections in the lesions, which can aggravate the course of vesicular lichen. In addition, patients must undergo the following types of examinations:

Ultrasound of internal organs (if necessary);
blood test for antibodies to HSV-1 and HSV-2;
PCR diagnostics to determine the type of herpes virus.

Biomaterial is taken for histological and cytological examination only during periods of exacerbation of lichen. This guarantees the receipt of accurate data on the patient’s health status, on which treatment tactics will depend.

Treatment of vesicular lichen

The main goal of therapy is to reduce the number of virions in the body and increase immunity. To get rid of vesicular lichen, antiviral and immunostimulating drugs are used. The first ones destroy herpes virus infection, and the second – increase the activity of immune cells.

The healing process can be accelerated only with an integrated approach to solving the problem. To achieve sustainable remission, they focus on drug treatment and proper nutrition. Replenishment of microelements and vitamins in the body prevents the development of hypovitaminosis, which often leads to a decrease in the body’s reactivity.

Antiviral and anti-inflammatory drugs

Antiviral tablets and ointments are first-line drugs that are included in the treatment of vesicular lichen. They interfere with the biosynthesis of viral DNA, due to which the number of virions in the body decreases. To destroy herpes viruses, the following are used:

Acyclovir;
Herperax;
Valtrex;
Famvir;
Zovirax;
Pentsivir.

To relieve inflammation, reduce tissue swelling and painful sensations use non-steroidal analgesics - Ibuprofen, Naproxen, Diclofenac. Ointments such as Fenistil Pencivir, Vivorax, Alpizarin, and Giporamin also have pronounced anti-inflammatory activity.

Features of nutrition and hygiene

During the treatment of vesicular lichen, you need to adhere to proper nutrition. The diet includes foods with high content lysine, vitamins B, C and E. They increase immune defense and reduce acidity in the body, thereby creating conditions unfavorable for the development of virions. Foods that are recommended to be consumed for shingles include:

ginger;
Brewer's yeast;
chicken eggs;
lean meat;
seaweed;
casein;
lemon;
soy products;
potato;
milk;
seafood.

It is advisable to exclude alcoholic beverages, fast food, spicy foods and fatty fish from the diet. They place excess stress on the liver, which can affect a person's immune defense.

The likelihood of the rash spreading depends on compliance with hygiene measures. To prevent further development depriving, you need to adhere to the following rules:

wash your hands often with disinfectant soap;
use only personal hygiene products - towels, combs;
change bed and underwear at least once every 2-3 days;
apply medicinal ointments to the vesicles only with cotton pads or swabs;
do not touch the lesions with dirty hands.

Folk remedies

To relieve the manifestations of vesicular lichen, antiviral agents prepared from natural products and medicinal plants.

To speed up recovery, the following are used to treat blistering rashes:

Propolis tincture - 40 g of propolis is poured with 300 g of alcohol and infused for several days. The prepared product is used to treat the skin around the vesicles to prevent the spread of the rash.
Aloe - several leaves are twisted in a meat grinder and the juice is squeezed out of them using gauze. The liquid is used to treat blistering rashes 4-6 times a day.
Garlic - juice is squeezed out of crushed garlic and the lesions are treated with it 3-4 times a day at the first signs of lichen. Before the procedure, the skin is cleansed of impurities using an antiseptic.

Raisins, decoctions of St. John's wort, calendula and thyme are also used to combat dermatosis.

Additional Methods

To speed up the recovery processes in the skin and improve immunity, they resort to physiotherapeutic treatment. In the fight against lichen blisters, the following methods are used: ultraviolet irradiation, laser therapy, infrared irradiation, electrophoresis, etc.

Prevention and complications

Dermatosis of viral origin can cause serious complications, which are conventionally divided into two types:

Nonspecific complications - appear due to the addition of secondary fungal or bacterial infections. This can lead to the development of purulent inflammation and disturbances in the functioning of the nervous system.
Specific complications - occur with inadequate or untimely treatment of lichen. As the disease progresses, the virus penetrates the internal organs - liver tissue, brain, esophagus.

During periods of exacerbation of lichen, the patient poses a danger both to himself and to others. Touching the blistering rash can spread the infection to the mucous membranes of the eyes, genitals and other healthy areas of the body. Relapses of dermatosis can be prevented by constant monitoring of the immune system. To reduce the risks of reactivation of HSV-1 and HSV-2, you must:

treat exacerbations of chronic diseases in a timely manner;
use antiviral ointments at the first symptoms of lichen;
adhere to a healthy diet;
eliminate bad habits;
take immunostimulating drugs in the autumn-spring period.

Children more often than adults suffer from viral dermatosis, which is associated with the immaturity of the immune system. To reduce the likelihood of virus reactivation, they should be given multivitamin complexes from time to time.

Lichen vesica is a characteristic manifestation of the herpes simplex virus, in which small blisters with clear contents are observed. They often appear on inflamed areas of the skin.

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Medical indications

In most cases, activation of the microorganism occurs under stress, nervous tension, and hypothermia. Therefore, such lichen is often called “cold”. Other reasons can trigger an episode of herpes:

overheating;
emotional outbursts;
infectious diseases;
hormonal imbalance.

Every HIV-infected patient has symptoms of lichen.

Clinical manifestations

Lichen vesica has several clinical forms:

1. Pathology of newborns - there is a sharp rise in body temperature, swelling of the mucous membranes of the cheeks, tongue, and tonsils. Bubbles appear on them, which turn into erosion. Enlargement of the lymph nodes in the head may also occur.
2. Chronic pathology manifests itself periodically in the form of rashes. The frequency of such episodes varies: there are remissions lasting up to several years. Dermatosis rarely occurs, in which new elements of the rash develop against the background of unhealed old formations.
3. Genital herpes - its causative agent is the first serotype of the virus. The disease develops through self-infection or through the use of other people's hygiene items (washcloths, toothbrushes, towels).
4. Kaposi's eczema is an extremely severe manifestation of the herpes virus. This dermatosis herpetiformis occupies large areas of the skin, provokes severe pain, and causes a rise in body temperature. After healing, scars often remain on the surface of the skin. In severe cases, the virus can affect not only the skin, but also internal organs. There have been cases of death.
5. Gladiator disease is a rare form of pathology that occurs in athletes who compete in close contact with an opponent (wrestling). The rash is typically localized in the neck, face, and shoulders.
6. Pathology of fingers is rare. It is characterized by a large affected area. This disease is often transmitted through injury or damage to the skin.

Diagnosis of pathology

1. Samples for cytology. They are taken from the vesicles by scraping, stained and examined under a microscope.
2. Blood test for the presence of antibodies to the herpes virus.
3. PCR, which is carried out to detect the virus and determine its type and subtype. Venous blood or secretions from the genital organs are taken as laboratory material. Such a study is relevant for the acute period of pathology, but during the period of remission it can be false negative.

Therapy methods

The choice of drug, its dosage and method of use is selected by the attending physician individually.

It is based on the patient’s condition, the presence of complications, the type of virus and the state of immunity.

Physiotherapy is often used as an adjunct:

UFO methods;
infrared irradiation;
laser therapy.