Rosacea is a dermatological disease infectious, viral or other origin that occurs in humans. The second name of the pathology is Zhiber's disease. Occurs most often in case of weakened immunity, in autumn and winter time or after colds, so you need to know how to treat pink lichen, what are its causes, symptoms and how it looks.
What is rosacea?
Pityriasis rosea can appear on the face and anywhere on the body. Lichen can be solitary in nature, but most often group rashes occur next to the maternal plaque. Can take any form. Outwardly, it is a pink spot clearly outlined by a red border.
Initially, the affected skin is smooth, then the top layer becomes rough, and the lichen itself becomes a yellowish tint. Rarely, plaques present with blisters and small nodules.
There are several versions of which microorganism causes the disease. According to one theory, the disease appears due to the herpes virus. According to another - because of the bacterium streptococci. However, such microorganisms are involved only in the first stages, serving as a trigger.
Then an allergic reaction appears in the body, which causes the main symptoms of the disease.
The disease can be triggered by the following factors that weaken the immune system:
- stressful situations;
- hypothermia;
- Infectious diseases;
- Insect bites;
- Digestive disorders;
- Minor skin lesions;
- Metabolic disorders.
Another factor is washing with scrubs, hard washcloths and other aggressive products. They injure and overdry the skin, deprive the natural protection.
Spots may disappear on their own over time, in place of them then there are areas of skin of a darker color. This is due to the accumulation of melanin - a coloring pigment.
Some remain light spots, but over time, skin color returns to normal.
Usually, Gibert's disease resolves on its own with an increase in immunity, and it takes 4-6 weeks to get rid of the plaques. However, in patients with weakened immunity, the duration of the disease can be up to 6 months. At the same time, pink lichen can subside and intensify again.
Pink lichen - photo
Treatment of Zhiber's disease
Pink lichen is a harmless disease, and recovery skin possible without using medical therapy. However, given the cyclicity of the rash, full recovery may take a long time, so it is recommended to speed it up.
General principles of recovery
There are no drugs that specifically target pathogens.
If secondary elements have already arisen, then the body must be treated with care and pressure on spots and friction must be avoided. Neglect of this rule threatens to worsen the course of the disease and irritation of the skin.
Patients who have there is unbearable itching, drug treatment in the form of taking antihistamines is recommended. Removal of symptoms occurs with the use of ointments containing weak corticosteroids.
An important role in all therapeutic courses is given to nutrition. .
Diet at pink lichen requires the exclusion of the following products:
The patient should give preference to iron-fortified foods and breakfast cereals, and follow a plant-milk diet. It is useful to drink fruit compotes and mineral water.
Treatment, diagnosis, causes and symptoms of pink lichen - video
Medical treatment
Patients are shown antiviral and antihistamine drugs, hormones of the adrenal cortex and antibiotics.
Related article:
Treatment for lichen in humans - best practices treatment
What ointment to do external treatment?
There are several types of ointment against pink lichen.:
- Lorinden A- a steroid that relieves puffiness and itching with salicylic acid. Reduces the peeling of plaques, inhibits allergies and eliminates inflammation. First, a thin layer of the drug is applied to the plaques 2 or 3 times a day, then the manipulation is performed 1 or 2 times a day. The duration of the course of treatment is 3 weeks;
- Flucinar- a hormonal antiallergic drug that relieves itching and stops the peeling of the affected foci. Removes scales from plaques, improves color. The agent is applied a couple of times a day with a thin layer;
- Sinalar- a drug that combines a glucocorticoid and an antibacterial substance. Relieves inflammation, swelling and itching. The ointment softens and brightens the skin. The agent is applied in a thin layer, and then gently rubbed.
Deprive is commonly called flaky spots of inflammatory origin on the skin. As a rule, pathogenic fungi cause the disease: waste products irritate the basal layer of the skin, which causes excessive reproduction of epithelial cells and the formation of scales. However, there is one type of lichen that stands apart from fungal infections - pink or Zhibera.
Pityriasis rosea Zhibera (roseola scaly) is an acute inflammatory disease skin of suspected infectious nature. Most often they suffer from children older than 2 years, adolescents and young people. It is extremely rare in infants and people over 40 years of age. The incidence of pink lichen is low and is less than 1% of the world's population per year. The main danger of the disease is irritation and the addition of an allergic component with inadequate therapy or improper skin care. From what the disease appears and how to treat pink lichen, read on.
What causes disease?
The nature of pink lichen has not been identified to this day, since the causative agent of the disease has not been isolated. Most likely, it has a viral nature, the researchers suspect the involvement of herpesvirus types 6 and 7 in the development of dermatosis. Attribute pink lichen to infectious diseases allow the following features:
- cyclical flow - the development of elements on the skin is staged;
- seasonality of incidence - the largest number of cases of dermatosis is recorded in the autumn-winter period;
- the close relationship of the disease with immunodeficiency - as a rule, flaky roseola occurs against the background of infectious diseases, treatment with glucocorticoids, cytostatics, and general hypothermia. Often, pink lichen develops during pregnancy, since hormonal changes in a woman's body significantly weaken the activity of the immune system;
- the presence of a prodrome stage - a few days before the rashes, signs of general intoxication appear (ache in the joints, malaise, increased fatigue).
Since the exact causes of the disease are unknown, it is not possible to investigate the mechanism of its transmission from person to person. As a rule, those who are sick are usually worried about the question of whether pink lichen is contagious or not, especially if there are small children at home. To date, there is no data on the outbreak of dermatosis, therefore, it is either not transmitted from person to person, or is slightly contagious.
How is rosacea manifested?
Since the causative agent of the disease and the mechanism of transmission are unknown, it is impossible to track the incubation period and its duration. Pink lichen planus begins with the appearance on the skin of an oval red spot with a diameter of 2-5 cm, slightly rising above its surface. By analogy with, it is called "maternal plaque". It peels off in the center with small bran-like scales. white color and does not cause subjective sensations (itching, pain, local temperature increase). The plaque appears 1-2 weeks before the main symptoms of pink lichen develop. In 20% of patients, it does not form at all, in some of them there are two of a small size.
What pink lichen looks like at the peak stage is easy to imagine. on the skin of the body and upper limbs(while the face and lower limbs usually not involved) appear pale pink spots with a diameter of 2-3 cm with a scaly edging along the edge. The scales are small, white, dry. The central part of the spots is thin, yellowish, slightly wrinkled. The reverse development of the elements begins from the center: the skin acquires a normal color, smoothes, the hyperemic scaly corolla becomes thinner. The rash does not appear all at once, so spots of varying degrees of maturity can be seen on the skin.
The foci are oval in shape, and their length is parallel to the lines of Langer. This is the name given to the lines along which the collagen fibers of the epidermis are located. Human skin is most extensible in these areas, and what is the reason for this nature of the rash is unknown to this day. The elements of the rash have clear boundaries and do not merge with each other, but can be located quite close to each other. As a rule, rashes are not plentiful.
The resulting rash in some cases is combined with an increase in lymph nodes, occasionally the body temperature rises, health worsens, moderate pain in the joints occurs. A rash with pink lichen, as a rule, does not itch, but in the case of an allergic component or irritation, mild itching occurs. In children inflammatory process on the skin it proceeds more rapidly, up to the formation of blisters with a thin lid and transparent yellowish contents inside. The foci of inflammation itch, burn and can capture the face, scalp.
Symptoms of intoxication persist for as many days as Zhiber's lichen lasts. Usually the duration of the disease does not exceed 6 weeks, the average duration is 4-5 weeks. How to understand that deprive passes? Loose elements begin to turn pale from the center, pigmentation disappears, there are no new additions.
How to diagnose?
The diagnosis of depriving Zhiber is established by a dermatologist after collecting an anamnesis, studying complaints and symptoms, and an external examination. In favor of the disease is the association of the rash with a previous infection, hypothermia, treatment with cytostatics or systemic glucocorticoids. The doctor can detect slightly enlarged lymph nodes throughout the body, they are painless, densely elastic in consistency and not soldered to the underlying tissues. In some patients, when examining the oropharynx, hyperemia of the pharynx and slight hypertrophy of the tonsils are revealed. Most important feature pink lichen - a characteristic arrangement of the elements of the rash along the lines of Langer.
With atypical clinical picture the doctor prescribes to clarify the diagnosis:
- a general blood test - it allows you to identify a bacterial or viral infection in a person, to suspect systemic diseases of the connective tissue;
- general urinalysis - with its help, kidney function is assessed, the intensity of the inflammatory process is judged;
- microprecipitation reaction (RMP) - it detects the presence of specific anti-syphilitic antibodies in the blood;
- microscopy of scrapings from skin elements - the method reveals fungal infection skin.
How to distinguish from other diseases?
A pale pink rash on the skin of the trunk and extremities occurs under various conditions, so there is a possibility of more than one mistake for pink lichen. serious illness. Differential Diagnosis pink lichen is built on the morphological features of loose elements and the results of laboratory studies.
Zhibera differs from lichen in the nature of peeling: seborrheic scales are dirty yellow, oily, large. Dry seborrhea, although it proceeds with similar pityriasis peeling, but its elements are not located along the Langer lines. They are localized on the most oily areas of the skin: face, upper back and chest, scalp.
Psoriasis pink differs from psoriasis in the absence of a maternal plaque: it disappears in 1-2 weeks simultaneously with dissemination of the rash. In addition, psoriatic rash is localized mainly on the head, face, hands and feet, in the joints. Its elements are not connected with Langer's lines.
Secondary syphilis, like lichen, is manifested by a painless, non-itchy, pale pink rash on the skin of the trunk. But syphilitic elements do not flake off, do not correspond to skin lines and are combined with a positive result of the microprecipitation reaction. Also, patients may indicate a dense formation in the genital area, oral mucosa a few weeks before the rash.
Guttate parapsoriasis looks like pink lichen in the color of the elements and their shape. The differences lie in the nature of peeling: it may not be, but when scraping over the surface of the spots, it appears, often the scale is one, thin and removed in the form of a film. If you scrape with effort, dotted spots appear on the surface of the rash element. dark spots- hemorrhages from damaged capillaries.
From pink lichen can be distinguished by the results of microscopic examination. Fungi form filaments of mycelium in the epidermis, which are found when examining scrapings from skin elements under a microscope.
How to treat lichen Zhibera?
Pink lichen, as a rule, proceeds benignly and disappears on its own after 1-1.5 months from the appearance of the maternal plaque. Therefore, the treatment of pink lichen in most cases is not carried out. The patient is given advice on nutrition, personal hygiene and lifestyle, and observed during the illness.
The diet for pink lichen is hypoallergenic, all foods that can sensitize the body are excluded: citrus fruits, chocolate, coffee, whole milk, exotic fruits, red fish, seafood, smoked meats, marinades, semi-finished products, foods with bright colors, preservatives. You should stop drinking alcohol, observe the regime of work and rest.
Do not injure the skin, especially during water procedures. The washcloth must be changed to a soft sponge, which should be thoroughly dried after each bath. Shower or bath can be taken 1-2 times a week to minimize the risk of bacterial infection and skin irritation. Do not use perfumed and colored products for washing; hypoallergenic baby bath gels are best. You can lather the skin with baby soap.
Medications are prescribed for severe cases of pink lichen: the appearance of weeping areas, the addition of bacterial microflora, suppuration of the elements. In these cases, carry out complex therapy which includes:
- Antihistamines - they block the biological effects of histamine: increased vascular permeability, the release of the liquid part of the blood into the tissues with the formation of edema, itching. They are taken orally in the form of tablets for 7-10 days (Chloropyramine, Mebhydrolin, Clemastine).
- Desensitizing agents - they stabilize membranes immune cells and prevent the release of pro-inflammatory substances (histamine, interleukin) into the tissues. Adults are injected intravenously with calcium chloride 10%, 5-15 ml every 8-12 hours for 7-10 days.
- Glucocorticosteroids - they have a powerful anti-inflammatory effect, as they block various pathways for the implementation of the inflammatory response. Ointment for pink lichen contains hydrocortisone / betamethasone / methylprednisolone in a small concentration. It is applied in a thin layer on the elements of the rash 1-2 times a day for 5-7 days. Longer use, especially if applied in a thick layer on large areas skin can lead to the addition of fungal, bacterial microflora and thinning of the skin.
Most often, for the treatment of pink lichen, Akriderm ointment, Lokoid, Hydrocortiosone ointment are prescribed. Severe allergic pink lichen in some cases requires systemic use of glucocorticoids in the form of Prednisolone tablets.
- Astringents and drying agents are a chatter containing zinc (Tsindol). Zinc forms an insoluble colloid with inflammatory proteins, which protects the elements of the rash from infection and dries their surface.
Antibiotics for pink lichen are prescribed if bacterial complications occur. It is preferable to use the medicine topically in the form of ointments - Levomekoleva, Synthomycin.
Clotrimazole is an antifungal drug, respectively, it is prescribed when fungal microflora is attached. It is also prescribed in the form of an ointment - Exifin, Lotsiril, Batrafen. Despite the alleged viral nature of pink lichen, Acyclovir is not used for its treatment. The drug has a detrimental effect only on herpesviruses, and their participation in the formation of dermatosis has not been proven to date.
The question of how to quickly cure pink lichen worries most patients, since the unaesthetic appearance of the rash and various restrictions cause them significant discomfort. You can not prescribe yourself for treatment at home ointments with serious active ingredients. Their irrational use can lead to skin irritation, complications, the appearance of weeping areas on its surface. How to smear a rash in one case or another will be best told by a dermatologist.
The chronic form with pink lichen develops extremely rarely, most often it is acute. Immunity after the disease is not formed, or it is unstable and repeated cases of the disease are quite possible. Zhiber's lichen is a benign disease with a tendency to self-heal and the only thing it is dangerous for is the addition of pathogenic microflora or an allergic component. Specific prophylaxis not developed, measures for the general improvement of the body and strengthening of immune defense can be attributed to non-specific.
(Gilbert's disease) is a dermatological disease of an infectious-allergic genesis, which occurs most often in women and men aged 20–40 years. The disease always proceeds chronically, while periods of relapse and remission are clearly associated with the seasons of the year. The next exacerbations in most cases occur in the autumn and spring seasons.
Causes of pink lichen in humans
pink lichenThere are a number of theories that point to various reasons the appearance of rosacea. Currently, the closest to the truth is the point of view, according to which infections of viral origin play the leading role in the formation of pathology. This theory was put forward after studies in which patients were given injections containing antibodies of streptococcal bacteria. As a result of injections, allergic reactions appeared on the skin of patients, which indicated the presence of the causative agent of Gilbert's disease in the body.
In addition, it was noted that the presence of viruses in the patient's body that cause acute respiratory diseases, for example, the influenza virus, contributes to the development of the disease. At the same time, infectious agents mattered only for early stages development of the disease, and later they were joined by allergies. It was found that it is allergic reactions that cause, for the most part, skin lesions associated with the disease.
Examples of the manifestation of the disease in women and men: photo
Symptoms of depriving Gilbert and diagnosis of the disease
On the skin of a person infected with Gilbert's disease, many itchy lesions appear, which are oval or round spots and pink in color (this is the reason for the name of the disease). Initially, they are small in size, but over time they increase to 1–2 cm in diameter.
In about half of the carriers of the disease, one large (from 2 to 5 cm in diameter) “mother” spot initially appears on the skin, from which screening spots begin to spread later. After 1–1.5 weeks, small lesions cover almost the entire skin of the patient.
In the future, the rashes acquire a yellowish-brown color, their horny surface layer wrinkles, cracks and begins to peel off. After the affected areas of the epidermis heal, spots form on the skin in their place, which have excessive pigmentation (darker color) or completely devoid of it (whitish color). Later they disappear, leaving no trace behind.
Diagnosis of the disease is carried out mainly on the basis of information obtained during the examination of the patient, and is usually not in doubt, since the manifestations of pink lichen on the skin during its typical course are very characteristic. In rare cases, this disease has to be distinguished from the seborrheic form of eczema, secondary syphilis, superficial trichophytosis, or measles.
Traditional treatment
According to the views of the vast majority of modern dermatologists, with a typical, uncomplicated, pink lichen, targeted therapy is not required, due to the fact that the disease almost always goes away on its own. In these cases, patients are advised to follow a special diet that excludes from their diet foods containing a variety of allergic or irritating substances. gastrointestinal tract. These products include:
- any alcoholic drinks;
- smoked meat, fish and cheeses;
- pickled and salted foods;
- coffee, strong tea;
- chocolate.
In addition, patients are strictly forbidden to take water procedures (washing, bathing), as they almost always lead to the active spread of the pathogenic process on the skin and to the development of many complications. Carriers of this disease are especially strictly advised not to visit swimming pools, saunas and other public baths, rubbing the skin with a towel and using washcloths. In addition, they are not recommended to wear underwear made of wool or synthetic fabrics, they are advised to limit the application of all kinds of cosmetics to the skin.
If during a relapse of pink lichen, the lesions become very large and spread to all parts of the body, then patients are prescribed antiallergic drugs and antibiotics. For local healing of the skin, various agitated suspensions based on water and oil, gels and creams containing hormonal preparations of the adrenal cortex are used.
Folk remedies
Folk remedies, just like medications, are recommended to be used only in cases where the rash is accompanied by unbearable itching, pain and other unpleasant symptoms.
In order to noticeably improve the general condition of a patient with pink lichen, it is recommended:
- lubricate the lesions with apple cider vinegar (4 times a day);
- smear a leaf of fresh cabbage with fatty sour cream, apply it to the affected skin area and keep it until the compress is completely dry;
- lubricate lichen spots daily butter, essential oil peach, sea buckthorn, wild rose, St. John's wort;
- several times a day, wipe the affected areas with a decoction of beets with the addition of a few tablespoons of fresh honey;
- try to extract from fresh chicken egg the liquid between its film and the shell: use this substance to lubricate sore skin;
- regularly lubricate the affected areas with freshly squeezed celandine juice or alcohol tincture of this herb;
- grind 10 grams of dried calendula flowers in a coffee grinder, mix the resulting powder with petroleum jelly (1:5) and use the ointment to lubricate the affected skin areas up to 4-5 times a day.
The prognosis of treatment is almost always favorable. An exception to this rule may be pink lichen, to which serious complications (for example, purulent skin lesions) have joined.
Pityriasis rosea or Gibert's disease- This is an infectious-allergic skin disease that occurs after an infection or hypothermia. People with low immunity suffer predominantly. Rashes in the form of pink spots on the skin are characteristic. Approximately 50% of patients experience severe or moderate itching.
Pink lichen refers to infectious diseases, but it is not transmitted from person to person (although there have been cases when all members of the same family fell ill with pink lichen.) The onset of the disease is associated with the ingestion of a virus or bacteria, but skin rashes are caused by an allergic reaction of the body to pathogen activity.
Proportion of Gibert's disease among others skin diseases is 3-4%. Although the disease is quite common, it remains not fully understood. For example, there is no consensus on which microorganism causes the development of lichen.
Occurs in the cold season, more often in spring and autumn. It is during these periods that the immune defense of the body is weakened.
Men and women are equally affected. The disease occurs more often between the ages of 10 and 35 years. Children under 2 years of age rarely get sick. Perhaps this is due to maternal immunity, which is inherited. Pink lichen is common in children in adolescence and in pregnant women, which is associated with malfunctions in the immune system.
During a lifetime, a person can get pink lichen only once. After recovery, a strong immunity is produced in the body.
Gibert's disease is dangerous disease and eventually goes away even without treatment. However, it significantly spoils the appearance and mood.
Causes of rosacea
There are several versions of which microorganism causes the onset of the disease. According to one theory, this is a herpes virus of types 6 and 7. According to another theory, these are streptococcus bacteria. But microorganisms play a role only in the initial stages. They serve as a trigger. Then an allergic reaction begins in the body. It is she who causes the main manifestations of the disease.Factors that weaken the immune system can provoke the disease.
- hypothermia
- stressful situations
- Transferred infectious diseases
- Digestive disorders
- Insect bites
- Metabolic disorders
- Minor skin lesions
The official version of doctors - pink lichen is not transmitted from person to person. But according to another theory, bedbugs and lice carry the disease. At the site of their bite, the first, largest spot appears - the "maternal plaque". There is an opinion that you can get infected through personal hygiene items: washcloths, combs, towels.
What is pityriasis versicolor?
Pityriasis rosea Zhibera- This is the second name for pink lichen. Gibert's disease is named after a French dermatologist who described the changes that occur in the body during rosacea.This disease has an infectious-allergic nature. Its appearance is associated with a weakening of the body's immune defenses. The reasons that cause it are not fully understood.
It appears as a large maternal spot, which can reach 10 cm in diameter. Small plaques-screenings appear after 7-10 days and are located on the sides of the body in the form of a Christmas tree, on the inner surfaces of the arms and legs.
Symptoms of pink deprivation
Both in children and in adults, Gibert's disease proceeds in the same way.. The first symptoms of pink lichen appear after an infectious disease. The appearance of the first spot is preceded by a deterioration in the condition. There is weakness, body aches. After that, a "maternal plaque" appears. It differs from the rest of the elements of the rash by its large size and more intense color along the edges. Most often it occurs on the trunk, in the area of \u200b\u200bthe chest or shoulder blades. Plaque size 2 cm or more. Pink colour. This gave the disease its name. Gradually, a yellow coating appears in the center of the spot, which eventually turns into small scaly scales. The edges of the plaque remain clean and smooth. Therefore, some doctors compare the appearance of pink lichen with a locket.
After 7-10 days secondary elements of the rash appear on the skin of the trunk, arms and legs - smaller pink spots. Their size is less than 1 cm, the shape is quite regular, oval. Usually they do not grow in width and do not merge with each other.
In the center of spots folded areas with scales appear, and along the edges - a border. Due to the fact that the skin shrinks and cracks, a person feels itchy. In some cases, small subcutaneous nodules filled with fluid are formed. In this form, the disease is milder and passes faster.
Secondary rashes often located on the Langer lines. These are the areas where the skin is most stretchable. They are located in the place where the bundles of collagen fibers lie.
Especially many spots appear in the groin area, on the inner surface of the thighs and forearms. The skin in these places is tender and rich. sweat glands. And these are favorable conditions for pink lichen. The face and skin under the hair on the head remains clean. No rash appears on the mucous membranes either.
Breakouts happen in stages. at intervals of 10 days. Before new spots appear on the skin, a person feels a deterioration in the condition: weakness and chills. This is due to the intoxication of the body.
On the skin of the patient, you can notice the elements of the rash, different in degree of maturity. Some of them are pink and clean, without scales - they are the freshest. Other more mature ones are covered with bloom.
Over time, the spots may disappear on their own.. Then darker areas of the skin remain in their place. This is due to the accumulation of the coloring pigment of the skin (melanin) on the diseased area of the skin. In some, on the contrary, lighter spots remain in place of the plaques. Gradually, the skin color evens out and there is no trace of the rash.
Usually pink lichen goes away on its own. when immunity increases. This occurs 4-6 weeks after the appearance of the maternal spot. But in patients with weakened immune defenses, the disease lasts up to 6 months. At the same time, it can then subside, then manifest itself with renewed vigor.
Improper treatment and non-compliance with hygiene rules may cause the rash to thickly cover the body and join bacterial infection. In this case, suppuration of the skin occurs.
Dangerous to self-diagnose based on descriptions and photos. The disease is quite difficult to distinguish from measles, rubella, secondary syphilis, psoriasis, and especially pityriasis (colorful) lichen. Each of these diseases requires special treatment and has quite serious complications. Therefore, it is necessary to contact a qualified dermatologist who will accurately diagnose and prescribe suitable medications.
What does pink lichen look like (photo)?
The disease begins with the appearance of the first and largest "maternal spot". It is located most often on the abdomen or in the region of the shoulder blades. The plaque has a pink or reddish-brown color. It is caused by the dilation of small blood capillaries in the top layer of the skin.
The plaque rises slightly above the level of the skin, which is caused by the release of fluid through the walls of the capillaries and edema. This area is wrinkled and cracked. It feels dry to the touch.
Gradually, starting from the center, the spot is covered with thin scales. They are brownish-yellow in color and resemble crumpled tissue paper. This is due to the fact that the inflammatory process caused keratinization of the upper layer of the skin and its exfoliation.
Particles of the epidermis exfoliate from the skin. Between them, a space filled with air is formed. This is what causes peeling.
After the center is covered with scales, it seems to sink. And the roller surrounding it from the outside remains raised and bright pink. The lichen area becomes like a medallion, which is a characteristic sign of Gibert's disease.
Gradually, the center of the spot is cleared of scales. What remains is smooth, dark pink skin, surrounded by a brighter border. Gradually, she turns pale, and the skin color evens out.
How to treat pink lichen?
To date, the treatment of pink lichen causes a lot of controversy among doctors. Some experts believe that the disease goes away on its own when immunity is restored. Others argue that the body needs help to cope with the disease, otherwise it can drag on for 3-6 months. | Name of the drug | Mechanism of therapeutic action | How to apply | What effect to expect |
| Erythromycin | Macrolide antibiotic. Violates the production of proteins in pathogenic microorganisms, prevents their reproduction. In the first days of illness, the antibiotic reduces the number of microorganisms. This leads to a decrease in allergies and rashes on the body. | Most effective in the first days of the disease. After the 5th day of illness is not prescribed. Take 250-500 mg (1-2 tabs) every 6 hours. | Reduces the number of rashes on the body and speeds up the healing process. Prevents infection and inflammation. |
| Acyclovir | An antiviral drug that fights the herpes pathogen that causes pink lichen and other skin lesions. Interrupts the reproduction of the virus and stops its spread in the body. Stimulates the immune system. | Apply inside 1 tablet 5 times a day. Most effective in the first hours of the disease. | Prevents the spread of the rash throughout the body. Plaques are quickly cleared from the middle, turn pale and disappear. |
| Ultraviolet irradiation (UVI) | Destroys protein molecules in pathogens. Destroys bacteria and viruses. It is used only in the first 5-7 days after the appearance of the first plaque. In the later period of the disease, it can cause a deterioration in the condition and increase the number of rashes. | Irradiation is carried out daily in the first few days of illness. | Reduces the number of lichen areas, speeds up recovery. Prevention of purulent complications. |
| Tavegil | Antihistamine. Interferes with the action of histamine, which is produced in the body and is the cause of all manifestations of allergies in pink lichen. | 1 tablet in the morning and evening. | Relieves itching of the skin, reduces the number of new lichen spots. |
| Hydrocortisone | Hormone of the adrenal cortex. It has an anti-inflammatory effect. Removes swelling of the skin in lichen plaque, inhibits the development of allergies. | Apply a thin layer on the affected areas of the skin 2-3 times a day. | Relieves itching and swelling of lichen elements. |
| Tsindol | Suspension based on zinc. Dries the skin, prevents the growth of microorganisms and inflammation of the skin. | Wipe the affected areas 2-3 times a day. | Dries the skin and relieves itching. |
| Activated carbon | Cleanses the body of toxins by absorbing them. | 4 tablets 3 times a day 30 minutes before meals. | Improves general condition. Removes manifestations of allergies and intoxication. |
There are several other activities that will help to quickly cope with the disease.
- Doctors recommend following a diet that does not cause allergies. It is necessary to abandon spicy, pickled, smoked dishes and products that contain food additives. Coffee, strong tea and alcohol are also excluded.
- It is advisable to limit washing as much as possible. Water procedures lead to the fact that lichen spots are scattered throughout the body. This is facilitated by the use of soaps and gels that dry the skin. It is especially dangerous to bathe in a bath, lie in a hot bath and visit the pool. You can take a shower if necessary. After washing, it is advisable not to dry yourself with a towel, but to blot the skin with paper towels. You can not use cosmetics for the body, it can cause allergies and worsen the condition.
- If secondary small rashes appear, then you should not be in the open sun.
- In order to prevent inflammation on the skin, it is necessary to change underwear daily. It should be sewn from natural fabrics and freely pass air. Wearing wool or synthetics leads to the appearance of new areas of lichen. Clothing should not rub or squeeze the skin.
- Sweating causes the appearance of new spots of lichen. Therefore, avoid overheating and physical activity.
- It is important not to self-medicate. Some medicines, with sulfur and tar cause the spread of the rash.
What ointment can be used to treat pink lichen?
| Name of the ointment | Mechanism of therapeutic action | How to smear? | What effect to expect? |
| Salicylic-zinc paste (Lassar paste) | It has antimicrobial, anti-inflammatory and drying effect. Removes redness, narrows dilated capillaries. | The ointment is applied in a thin layer 1-2 times a day. | pink spots become almost invisible, the surface is aligned with the level of healthy skin. |
| Sinalar | The combined agent consists of the hormone glucocorticoid and an antibacterial substance. Prevents the exit of fluid through the walls of blood vessels. Relieves itching, swelling and inflammation. | Apply to lichen areas. Apply a thin layer and rub in easily. | Eliminates itching, makes lichen plaques lighter and softens the skin. |
| Flucinar | Hormonal drug. It has an anti-allergic effect, relieves itching. Fights peeling on the surface of lichen areas. | Apply a thin layer on spots 1-2 times a day. | Clears lichen plaques from scales and evens out skin tone. |
| Lorinden A | Combined steroid drug with salicylic acid. Relieves itching, swelling, inflammation and allergies. Reduces peeling on lichen plaques. | The first days are smeared with a thin layer 2-3 times a day. Then 1-2 times a day, but not more than 3 weeks. | Reduces peeling and swelling, makes rashes less noticeable. |
Do not use other means. Their use can worsen the situation and cause new rashes.
What are the traditional methods of treating pink lichen?
As is known, specialized treatment pink deprivation (Giber's disease) does not yet exist. And here ethnoscience offers many effective ways fight this disease. Let's take a look at the most popular folk methods rosacea treatment. | Means | Cooking methods | A course of treatment | Action efficiency |
| Apple vinegar
| Used in pure form. | It is necessary to treat the affected areas of the skin 3-4 times a day until complete recovery. | The first results will be noticeable in 5-7 days. The complete disappearance of lichen spots occurs in 1-2 months. |
| Celandine tincture | Fresh leaves and inflorescences of celandine, pour vodka. Let it brew in a tightly closed glass vessel for 2 weeks. The resulting tincture is diluted with water in a ratio of 1: 5 | The solution is taken both inside and outside.
| The tool is used as a therapeutic and prophylactic. The result comes in 7-10 weeks. |
| elderberry tincture | Dried elderberry inflorescence (1 tablespoon) pour boiling water (200 gr). Let it brew for 30-40 minutes. | Tincture for internal use. Consume 3 times a day before meals. Serving - 3 tbsp. Course of treatment: 35-40 days. | Usually 1 course is enough. If necessary, the course can be repeated 2-3 weeks after the first. |
| Attention! With prolonged use of the above funds, an allergic reaction is possible. In this case, it is worth suspending treatment for at least 2 weeks. | |||
| Ointment of glycerin and talc | Take zinc oxide (2 tablespoons), mix with glycerin and talc, pour water until a homogeneous viscous mass is obtained. | The ointment is applied to the affected areas of the skin twice a day. The course of treatment is until the complete disappearance of lichen. | Immediately relieves inflammation, reduces itching. The disease usually resolves completely within 6 weeks. |
| Ointment from tar | mix Birch tar with butter in equal proportions. | The ointment is applied to the lichen at night in the form of a compress. The course of treatment is 7-10 days | After 10 days, lichen usually goes away. Otherwise, the course of treatment can be repeated. |
| Buckwheat broth | Take 20 gr. buckwheat and cook it in 400 gr. water. Cool down. | The decoction is applied to the affected areas of the skin three times a day. The course of treatment is 5 weeks. | After 2-3 days, the itching disappears. The effect becomes noticeable after a week. |
| Cabbage | Fresh cabbage leaves soaked in sour cream | cabbage leaf for 30 minutes is applied to the foci of the disease. | Has a powerful antipruritic effect. Removes irritation. |
| Raw yeast dough | Dough recipe: 200 g milk, 30 g yeast, 800 g flour, 1 egg, 2 tbsp. l. honey, 4 tbsp. oils. | The dough is applied to places affected by lichen for 2 hours once a day The course of treatment is 5 days. | Very effective remedy on early stages manifestations of the disease. |
| paper ash | Roll up a piece of stationery paper and place it on a plate with the peak up. Ignite and wait for complete combustion. The resulting ashes are diluted with 2-5 drops of alcohol. | The affected areas are smeared with a solution three times a day. The course lasts until the complete disappearance of plaques. | Used from day one. The result comes in 3-5 weeks. |
Despite the fact that natural remedies are quite effective, treatment may not always suit you personally. If you notice allergic manifestations on your skin or there are more rashes, then stop treatment and consult your doctor.
Prevention of pink deprivation
To prevent the development of the disease, it is necessary to avoid hypothermia, infections and stressful situations. Support immunity with protein foods and vitamins. This is especially important in the autumn-winter period. Get fit and lead an active lifestyle. In this case, you will be able to avoid pink lichen and other, even more dangerous diseases.
Pink lichen in a child. How to treat?
Qualified pediatric dermatologists say that pink lichen in a child does not need treatment, and the symptoms will disappear on their own when immunity is restored. It is believed that good nutrition, rich in protein and vitamins, can speed up recovery. The menu must include meat, dairy products, fresh vegetables and fruits. Proper care of a child with pityriasis rosea is the basis of treatment.
- Compliance with a hypoallergenic diet. Temporarily exclude eggs, fish, nuts, honey, sweets (especially chocolate), citrus fruits, pineapples and other exotic fruits.
- Daily change of linen. All clothing must be loose-fitting and made from natural fabrics.
- Avoid rubbing, steaming the skin. Temporarily give up diapers.
- wash baby warm water in the shower as needed. Some doctors recommend using Friederm with zinc instead of gel and shampoo for water procedures.
1. Sorbents- take in
- Elokom - applied once a day with a thin layer only on the affected area. The duration of treatment is determined individually.
- Hydrocortisone ointment - 1-2 times a day with a thin layer up to 7 days.
- Skin cap - inhibits cell division, which reduces plaque and flaking in the foci. The foci are treated with a cream or spray 2 times a day. The course of treatment is up to 2 weeks.
- Fukortsin - cotton swab dipped in a solution, combed foci of pink lichen are treated 2-3 times a day.
How to treat pink lichen at home?
Treating pink lichen at home is quite simple. It is enough to exclude skin irritation and not consume foods that can cause allergies. However, before starting treatment, be sure to consult a doctor. Even if your symptoms fully fit the description of the disease, this does not mean that you can correctly diagnose yourself. There are at least five other diseases that have similar manifestations.If the dermatologist has determined that you really have pink lichen, then you need to take the following measures:
Recall that each of medicines has a list of contraindications, so only a doctor can prescribe and determine the dosage.
As you know, there are theories about the infectious-allergic and viral nature of the disease. Based on this, attempts are being made to treat pink lichen:
- immunomodulators - Recombinant alpha / gamma interferons, Kagocel;
- antiviral agents - Acyclovir, Geviran;
- antibiotics - Erythromycin, Azimed.
Pink lichen does not interfere with performance, and with this diagnosis they do not give a sick leave. You can go to work and treat pink lichen at home along the way.
Rose deprive during pregnancy. What to do?
Pink lichen during pregnancy is a fairly common phenomenon. High incidence, compared with other population groups, is associated with hormonal failure and a natural decrease in immunity during this period of a woman's life. The disease itself is not dangerous to the health of the mother and child, and does not threaten the course of pregnancy, however, severe itching and associated nervous tension worsen the woman's condition. In this regard, if pink lichen developed before the 15th week, then the risk of miscarriage increases. What to do if the doctor diagnosed pink lichen during pregnancy?
- vitamin therapy- vitamins A, C and all representatives of group B. They strengthen the immune system and speed up recovery. Vitamins are taken as vitamin complexes(Pregnavit, Additiva) or separately.
- calcium gluconate contains calcium salts that improve the condition of the musculoskeletal system of the mother and fetus, have an anti-allergic, hyposensitizing effect. Calcium gluconate reduces the permeability of blood vessels and cell membranes, which prevents the development of inflammatory and allergic reactions on the skin. Take 1 tablet 3 times a day for 2-3 weeks.
- Phototherapy- irradiation with an ultraviolet lamp or short-term (15-20 minutes) exposure to the sun. UV radiation strengthens the immune system, improves skin condition and kills pathogenic bacteria.
- External treatment of pink lichen in pregnant women:
- Oil solution of chlorophyllipt - has antimicrobial properties and accelerates regeneration, has a softening effect. Lubricate the foci with a solution 1-2 times a day.
- Sea buckthorn, peach, rosehip oils - contain vitamins, flavonoids and fatty acids, which have anti-inflammatory and regenerating effects, soften the skin, reducing itching. Gauze napkins moistened with oil are applied to the foci for 10-15 minutes 2 times a day.
- Zinc ointment- reduces inflammation and irritation, forms a barrier that prevents the penetration of bacteria and infection of the foci. Apply 2-4 times a day to the affected areas of the skin.
- Advantan cream is a "hormonal" corticosteroid that reduces itching, burning and other manifestations of pink lichen. Apply with caution, only as prescribed by a doctor 1 time per day, no more than 4 weeks.
What is impossible with pink lichen?
Dermatologists acknowledge that effective drug treatment that would suit all patients does not exist. However, if you exclude everything that is impossible with pink lichen, then the manifestations of the disease will disappear in 1-2 weeks.With pink lichen it is undesirable:
Pityriasis rosea Zhibera - a skin disease of unknown etiology, manifested by characteristic rounded spots of pale pink color with slight peeling.
Pink deprive Zhibera is common, in 4-5% of patients who have applied to a dermatologist. It is observed mainly in middle-aged women, rarely in children and the elderly, more often in the autumn-winter period.
The peculiarity of this disease is that with and without treatment, it will not resolve before 6-8 weeks. Subjective sensations in most cases are absent, sometimes itching is noted (in emotional people and when exposed to skin irritants).
Etiology (causes) of Gilbert's pink lichen
No hereditary predisposition was noted. Risk factors for the development of pink lichen Zhibera are infectious diseases, prolonged hypothermia.
The infectious onset of the disease is not rejected due to the connection with the transferred angina, influenza, SARS. Sometimes several family members get sick.
Symptoms of pink lichen Gilbert
Manifestations all begin with a "mother's spot" - a spot large size, pinkish-yellowish in color, with peeling. After peeling off the scales, a narrow “collar” remains, bordering the central brownish-yellow part of the spot. The periphery retains a pinkish color. Similar elements are compared with medallions. This is a pathognomonic (i.e., very characteristic of this particular disease) sign. In rare cases, there are rashes of several primary foci located in different parts of the body.
After 7-14 days, the number of spots increases, they are smaller in size, pinkish or pinkish-yellow in color, the so-called "kids". Secondary rashes in the form of scaly oval spots of red or dark pink oval color, in most cases located along the Langer lines and resemble the branches of a Christmas tree. Most often, spots are noted in the trunk and proximal parts of the limbs. observed in very rare cases.
Recovery occurs spontaneously after 6-12 weeks. In very rare cases, the disease can last longer - up to several months and years. Relapses of the disease are extremely rare.
Atypical forms of pink lichen
TO atypical forms include forms with the absence of a primary maternal plaque, with rashes in the face and neck, and the so-called irritated pink lichen - pityriasis rosea irritata, which occurs with friction, pressure, sweating, improper treatment and is characterized by severe itching and target-like spots, like erythema multiforme. In very rare cases, rashes in the form of vesicles, hemorrhages and pustules are possible.
Diagnosis of pink deprivation of Gilbert
Diagnosis of pink lichen is based on a characteristic clinical picture. It is important to contact a specialist - a dermatovenereologist for an accurate diagnosis, since pink lichen, its manifestations, may remind you of other dermatological diseases. So, syphilitic roseola is excluded on the basis of the presence of peeling, maternal plaque, negative serological reactions and no other signs of syphilis. Based on the correct diagnosis, therapy is prescribed.
Treatment of pink deprivation of Gilbert
There is no specific treatment for rosacea. The disease usually resolves on its own. During the onset of secondary rashes, friction and pressure of the elements are not recommended to avoid the appearance of an irritated form of pink lichen. The opinion that taking a bath and shower contributes to the development of the disease and the appearance of an irritated form is not justified - just while taking water procedures, it is necessary to avoid strong friction with a washcloth or sponge.
At severe itching antihistamines, topical corticosteroids (hydrocortisone) and prescription antipruritic mixtures are prescribed.
There are studies showing that taking high doses of erythromycin, acyclovir and ultraviolet irradiation leads to a more rapid and uncomplicated course of the disease.
