Causes and treatments for scalp pilaris

How to treat ringworm in humans at home

Ringworm is a highly contagious (contagious) infectious disease of the skin, hair or nails caused by pathogenic fungi. The infection can be caused by two types of fungi - Trichophyton and Microsporum. The correct designation of the disease is based on the name of the fungus that caused it, so doctors distinguish trichophytosis and microsporia.

Both of these forms of fungal infection (trichophytosis and microsporia) are combined under the general term ringworm. Thus, ringworm is also called trichophytosis, microsporia, dermatophytosis, dermatomycosis or dermatophytosis. Trichophyton fungi are microbes that parasitize only on human skin, while Microsporum infect both humans and animals. Ringworm is most contagious in children 4 to 13 years of age.

In the article we will look at ringworm, the causative agent of the disease, its symptoms, routes of infection, as well as preventive measures in the table.

Causes

The fungus Trichophyton tonsurans was first identified many decades ago. Its name is directly related to its ability to attack hair. Fungi that parasitize humans cause superficial and chronic ringworm. And bestial forms cause infiltrative-suppurative skin lesions.

1. Chronic diseases and vitamin deficiency contribute to the appearance of deprivation.
2. Infection occurs after contact with a sick person or his hygiene items, when working with hay and soil, after contact with an animal.
3. More often, the disease occurs against a background of decreased immunity and violation of personal hygiene rules, long-term care of animals and damage to the outer covering of the body (scratches, abrasions, burns).

We will tell you further about the symptoms and signs of ringworm in children and adults.

What consequences can lichen cause?

The most common and harmless type of lichen is pink. The course of the disease passes without complications.

Shingles can cause the following complications:

• inflammatory process in the membrane of the spinal cord and brain;
• partial or complete loss of vision;
• dysfunction of the musculoskeletal system;
• viruses that infect the respiratory organs and liver;
• postherpetic neuralgia.

Ringworm and versicolor often provoke the appearance of a secondary infection, which complicates the treatment process. In most cases, antibiotics are necessary. In addition, trichophytosis often leaves bald patches at the site of the fungal infection, which can remain forever.

A flat red fungus contributes to the manifestation of bacterial infections and the development of an inflammatory process in the patient’s oral cavity.

More often than others, the following categories of patients suffer from various types of lichen:

• pregnant and lactating women;
• people who do not care about their health and do not observe personal hygiene rules;
• children;
• pet owners;
• people with a low level of protective properties of the body.

This is interesting - popular questions about trichophytosis

Thrush is also a fungal infection

Characterized by inflammatory changes in the mucous membranes, skin and nails. Often accompanies:

• diabetes;
• gastrointestinal disorders;
• pregnancy;
• obesity;
• nutritional deficiencies;
• antibiotic therapy;
• AIDS;
• general cachexia;
• immunosuppressive treatment and corticosteroid treatment.

The development of these infections is facilitated by microtraumas and skin burns associated with getting wet or excessive sweating. Lesions on the mucous membranes resemble curdled milk and have the character of white spots. Then the mucous membranes show acute inflammation, accompanied by pain and burning.

The most common sites for thrush are the mouth, vulva, and vagina. Yeast infection is also the cause of jams - consisting of cracks with the formation of erosions in the corners of the mouth. They are usually bilateral and, if left untreated, can persist for a long time. Such changes cause pain when eating.

Thrush

Infection can occur at any age and is not associated with sexual intercourse (not sexually transmitted). Yeast lesions can occur in the folds - the armpits, groin, subjunctival and intermaxillary areas, as well as in the interdigital areas. In newborns and infants, yeast infections can occur as a result of diaper rash.

Incubation period of the disease

The incubation period of the fungal infection that causes the appearance of ringworm ranges from several days to 6–8 weeks and depends on the type of pathogen that has entered the body.

Superficial lichen may appear as the first symptoms within 5-7 days after infection. Infiltrative-suppurative lichen does not give any clinical manifestations for several months. The first signs of the disease appear no earlier than 6-8 weeks after the pathogen enters the body.

Mycosis of the feet

Fungal infection is a very common problem. Infection occurs through socks, shoes, wooden liners in bathtubs and swimming pools. Often found in athletes. In addition, athlete's foot is very common in people who work in very damp and warm environments, especially in rubber shoes.

The lesions are located in the interdigital spaces - between the fourth and fifth fingers and the third and fourth. However, they can spread to other toes. Skin peeling and cracks, sometimes painful, are diagnosed in the interdigital spaces. The changes are often accompanied by itching.

There is a certain genetic predisposition to interdigital mycosis, then these changes can be repeated for many years.

Symptoms

What does ringworm look like in the initial stage, how to recognize it in time and prevent hair loss? Unfortunately, a person may not notice the first signs of the disease immediately. Any area of ​​the scalp begins to lose its vegetation. The hairs gradually thin out, fall out and break, changing their length to 1 - 2 mm. Peeling of the skin adds to the problem. As the disease progresses, the lesion acquires clear outlines.

Symptoms of ringworm (see photo) are more noticeable on the chest, back, lower and upper extremities. A person may notice such deviations as:

• burning and itching spots;
• redness and swelling of the skin;
• framing the hearth with a solid roller;
• blistering of the lesion with subsequent leakage of contents and the formation of crusts.

If nails are affected by trichophytosis, the plates become brittle and dull. Their structure thickens and coarsens. Subsequently, the nails crumble and change color. Dents on the plates, grooves and a dirty gray color are a characteristic sign of lichen.

In addition to ringworm patches on the head, problem areas can also appear on the body. The disease manifests itself as a rash, the elements of which are similar to round red spots. Since the fungus feeds on keratin taken from the upper epidermal layers, the skin elements gradually acquire the contours of a ring. Having “eaten” the keratin in one area, parasitic microorganisms move on. This is why plaques grow in diameter and change the boundaries of their edges.

The accumulation of dermatophytes leads to the formation of a bright border. Its bubbly and scaly appearance indicates increased fungal activity in this area. Sometimes the parasites return to the center of the ring and again use it as a source of nutrition. But this is only possible when keratin reserves are restored. The so-called “ring within a ring” is a clear sign of increased dermatophyte activity.

Treatment

The combination of drugs prescribed to the patient depends on the severity of damage to the skin, nail plates and hair follicles. Antifungal therapy may be local or general. In the first case, a child or adult needs to use creams and ointments that suppress the activity of the microsporia pathogen. Drugs in this group are not recommended for use by girls during pregnancy and lactation. Topical sprays are effective in treating large areas of ringworm. Modern formulations do not leave stains on the skin and are not absorbed into the fabric of clothing.

A severe inflammatory reaction is treated with a combination of antifungal and hormonal drugs. Patients will have to apply ointment applications to the affected areas. After this, the skin is treated with iodine solutions. The oral tablet intake schedule is formed by a dermatologist based on the clinical picture of the pathology.

The addition of a secondary infection to microsporia involves the use of drugs based on betamethasone, gentamicin or clotrimazole.

Chronic ringworm

It can be localized on the scalp, fingernails or smooth skin. On the head, lesions are localized, for the most part, at the temples and the back of the head. The lesion is a small (no more than 0.5 cm) smooth scar, similar to an atrophic one, which peels off a little, but has no signs of an inflammatory reaction. At the site of this lesion, the hair breaks off at the very root, forming a spot called a blackhead.

Chronic ringworm on smooth skin is most often localized on the buttocks, thighs, knee and elbow joints, or palms. In this case, the lesion looks like a bluish or pinkish spot of a fairly large size with a vague outline. The surface of the spot is moderately peeling.

Typically, lesions are characterized only by mild itching; there are no other subjective symptoms. Nails affected by lichen become dull, cloudy, gray in color, the outer edge becomes jagged and is easily painted. The nail can suddenly become very thick or, on the contrary, thin.

Diagnostics

The diagnosis is based on a visual examination of the patient, as well as collecting a medical history and questioning about possible sources of infection. If in doubt, the doctor will scrape the affected area.

The collected materials are examined under a microscope or placed in a nutrient medium for three days, during which rapid growth of fungal colonies is observed. When filaments of mycelium and spores of a fungal pathogen are detected, its identification is made.

Diagnostic methods for determining the type of lichen

The main ways to determine fungus are the following:

• visual examination of the patient, where the color, shape and location of the rash are determined;
• collection of complaints and analysis of symptoms.

Each species is determined by different methods. First of all, a sick patient should seek advice from a dermatovenerologist.

Shingles is difficult to determine by simple visual inspection, so additional diagnostic procedures will be required:

• searching for the presence of antibodies to viral pathogens;
• bubble content analysis;
• using the hybridization method to determine the genome of the virus.

If pityriasis is suspected, the doctor will send the patient for blood and urine tests, and will also conduct a microscopic examination of the scales to exclude the diagnosis of syphilis. Pityriasis can be diagnosed better than other types of disease through visual examination.

Lichen versicolor can be identified by the results obtained from the following procedures:

• Examination of the lesion site with a Wood's ultraviolet lamp. The doctor “examines” the fungal spores, which turn yellow or brown.
• At the appointment, the doctor drops a few drops of iodine onto the affected area of ​​the skin and immediately wipes it with a cotton swab moistened with alcohol. If it is a multi-colored fungus, the skin will turn brown.
• Taking a sample by scraping the skin for microscopic examination in a laboratory.

To diagnose lichen planus, the patient will be referred for general blood and urine tests, as well as a skin sample for histological examination.

Trichophytosis can be determined using the following methods:

• “X-raying” of the skin using a Wood's ultraviolet lamp. This form of fungus will turn green.
• Submission of biochemical blood and urine tests.
• Determining the degree of sensitivity of the pathogen to selected antibiotics by inoculating the sample taken on nutrient media.
• Taking a sample by scraping the skin for microscopic examination in a laboratory.

Treatment of ringworm in humans

When treating ringworm in humans, the basis of therapy is the fight against the fungus that causes dermatomycosis. Therapy at home combines local treatment with ointments for lichen - antifungal creams, sprays, shampoos with oral antifungal drugs.

The treatment regimen is prescribed by a dermatologist, the main aspects are as follows:

1. Ringworm of smooth skin responds better to treatment with Terbinafine and tolnaftate.
2. To treat lichen in the morning, a 5% iodine solution is usually used. In the evening, as a rule, sulfur-salicylic or sulfur-tar ointment is prescribed; treatment with pure salicylic acid 3% is also possible.
3. A dermatologist can write out a prescription for the production of Vidal's milk in the prescription department of a pharmacy - alcohol, camphor, salicylic acid, sulfur lotion, boric acid, glycerin. Or Lassar pastes - petroleum jelly, starch, salicylic acid, zinc oxide.
4. For local treatment, the doctor may recommend various ointments, creams, shampoos containing Clotrimazole, Ketoconazole, Mycoseptin, Terbinafine, Mycoconazole. (Local antifungal agents - creams, sprays, gels).

For systemic treatment of dermatomycosis, Griseofulvin is used; it is a natural antimycotic that has a narrow spectrum of action, namely, it is active against dermatomycete fungi, Trichophyton, Microsporum, Epydermophyton, Achorionum.

1. Treatment must be accompanied by oral administration of griseofulvin. It should be taken for 15-25 days, and a bacterioscopic scraping should be taken once a week to detect fungus. As soon as the fungus is not detected, the intake of griseofulvin is continued every other day, at the same dose that the doctor calculated, for another 14 days, so that there is no relapse of the disease.
2. If the feet are affected by the fungus, it is recommended that they be treated with Ketoconazole or Clotrimazole orally, and selenium sulfide applied externally.

For the treatment of chronic ringworm, in addition to antifungal agents, both local and oral (Griseofulvin), vitamin therapy, immunomodulators, and drugs that strengthen blood vessels and improve microcirculation are also indicated.

Preventive measures

You can prevent the occurrence of pilaris and prevent relapses of the disease by following simple rules of prevention:

• carefully monitor the cleanliness of your skin and hair;
• enrich your daily menu with vitamins and other healthy elements;
• monitor your health condition and, if necessary, do not delay your visit to the doctor;
• practice active recreation, travel, sports.

The prognosis for curing lichen pilaris and complete restoration of the scalp is favorable, provided that you consult a doctor in a timely manner and strictly follow all his recommendations for treatment and prevention of the development of keratosis pilaris.

Hygiene measures when in contact with a sick person

If you or your child have touched a sick animal or interacted with a sick person, then you need to take immediate action.

1. The sooner you wash away particles containing fungus from your skin, the less likely you are to become infected.
2. Wash your hands several times with antifungal soap. The simplest remedy, which is available in almost every store, is cinnamon laundry soap, or better yet, soap with birch tar.
3. Wash your entire body with this soap. Suddenly, particles of the patient’s skin got under his clothes. Do not use a hard washcloth. It leaves micro-scratches on the skin, into which fungus easily penetrates.
4. To wash your hair, you must use an antifungal shampoo. For example, Nizoral. You can also use it as a shower gel.
5. A modern remedy with a powerful antifungal effect is Citeal. Dilute it in a small container five times. You will end up with a foaming liquid that can be used to wash your hands and entire body.
6. Lavender oil, tea tree oil and turpentine have an antifungal effect. They can be used to treat small areas of skin.

Also, five days after contact, it is advisable to consult a dermatologist. He examines the body with a Wood's lamp. If you do become infected, the disease can be detected in the early stages. This will help you quickly treat her at home and avoid going to the hospital.

Prevention measures

Prevention includes maintaining good personal hygiene and isolating sick animals or people.

At the place where the patient is identified, thorough disinfection is carried out, bed linen and accessories, soft toys, and carpets are subjected to heat treatment. A sick child is not allowed into the children's group until the ringworm is completely cured. Patients are prohibited from visiting swimming pools, saunas, and baths. Kindergarten teachers, nannies, utility workers, and bathhouse attendants are suspended from their duties.

Is ringworm dangerous for humans? The most serious consequences are persistent alopecia areata due to scarring of the skin tissue. The disease should be treated as soon as it begins to manifest itself in order to prevent infection of the immediate environment and reduce the risk of developing a severe allergic reaction.