Rubrofitia (rubromycosis)- the most common mycosis of the feet, affecting the skin and nails of the feet, as well as smooth skin and fluffy hair of any parts of the skin, including skin folds, skin and nails of the hands.
The causative agent of rubrophytic is Trichophyton rubrum. Once on the skin, it can exist for a long time on it, without causing clinical symptoms. They provoke the disease, like all mycoses of the feet, high sweating of the legs, endocrine diseases and metabolic disorders, immunological deficiency. Ways of infection are the same with athlete's foot.
As well as athlete, rubrofitiya begins with a worn form, gradually progressing. The skin of the soles is markedly hyperemic and thickened; the surface of the skin becomes dry, covered with floury scales; enhanced skin pattern. From the soles, the disease spreads to the interdigital folds, the fingers, the lateral planes of the feet, all the nails (the athlete usually affects the nails 1 and 5 of the toes). Subjective symptoms are absent.
Damage to the nail plate (nail fungus) occurs in different types: according to the normotrophic type, the hypertrophic and the onychotic.
A characteristic sign of a change in nails according to the normotrophic type is a change in their color from yellow to white, the appearance of stains and stripes on them. The thickness and structure of the nail remains unchanged; nails retain shine. In the hypertrophic type, the nails become brownish-gray, lose their luster, become dull; they are thickened and deformed, partially destroyed, especially on the sides. Sometimes the patient feels pain when walking.
For oniholiticheskogo type characteristic color change to brownish-gray, fading, nail atrophy and rejection of it from the bed.
In addition to rupuritis, there are fungal infections of the hands, smooth skin, skin folds. Ruberophyte affects the palms and nails. Her clinical picture is characterized by the same signs as with the defeat of the feet, but less pronounced desquamation, which is explained by more frequent washing. Often only one palm is affected. The defeat of the nails on the hands occurs in the same way as the defeat of the toenails.
Diagnosis of rubrofitii is carried out on the basis of the clinical picture, the results of microscopic examination of pathological material (skin and nail scales). To confirm the diagnosis, a culture test can be carried out.
Depends on the nature of the changes. In cases of acute process with abundant wetting and swelling - in the beginning it will be necessary to calm down the inflammatory phenomena. To do this, prescribe rest, cooling gadgets, alternating them with warming compresses, for example, from Gulardovaya water, Burov liquid (1-2 tablespoons per glass of water), 1-2% aqueous solution of nitric acid silver (lapis) and 1- 2% solution of rivanol, etc. Large bubbles, after preliminary disinfection with alcohol, pierce. It is necessary to carefully and every day to remove scissors overhanging macerated stratum corneum.
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