Classification of lichen
The following types of disease are distinguished:
- pityriasis rosea – has an infectious-allergic origin, manifested clinically by the formation of oval or round scaly pink spots on the skin;
- lichen planus - the exact causes of its occurrence are unknown, it is manifested by the formation of red flat papules with a shiny smooth surface and a depression in the center, this type of lichen affects not only the skin, but also the mucous membranes;
- herpes zoster is a disease caused by one of the herpes viruses (the same virus causes chickenpox in children);
- trichophytosis (ringworm) - caused by parasitic fungi;
- pityriasis versicolor (pityriasis versicolor) is a fungal disease.
Safety precautions for self-medication
Home treatment of pityriasis versicolor with folk remedies can lead to severe allergic reactions. To avoid them, be sure to do an allergy test before applying any home remedy to your skin. To do this, the composition is spread on the back of the hand. If after 30 minutes there is no negative reaction, you can use it to treat lichen.
When using aggressive agents (vinegar, lemon, boric acid, sulfur ointment), you must ensure that they do not get on healthy areas of the body and mucous membranes. It is also important that homemade formulations do not fall into the hands of children.
Reasons for deprivation
The disease is caused by various viruses or fungi. Factors that can trigger the development of lichen are:
- weakening of the body's immune defense;
- hereditary predisposition;
- hypothermia;
- diseases of internal organs;
- long-term use of certain medications;
- stress, constant psycho-emotional tension;
- tendency to frequent colds and allergies.
Some forms of lichen are transmitted after contact with a sick person or animal. In some cases, the reasons for the development of lichen remain unclear.
Berry composition
A plant with red sour berries, which is called cranberry, contains a complex of useful substances necessary for the human body. It contains:
- alimentary fiber;
- water;
- thiamine;
- proteins;
- pectin;
- ash;
- carbohydrates;
- ascorbic acid;
- magnesium;
- vitamin B9;
- potassium;
- vitamin A;
- pyridoxine;
- organic acids;
- thiamine;
- manganese;
- folic acid;
- copper;
- riboflavin;
- sodium;
- iodine; barium;
- titanium;
- phosphorus;
- chromium;
- iron.
Symptoms of lichen
The disease can occur with a pronounced clinical picture or in a latent form. Ringworm can affect small areas of the body or the patient's entire skin.
The clinical picture depends on the type of lichen, but there are a number of signs that are common to all types of the disease:
- severe skin itching;
- pigmentation disorder - the affected skin becomes lighter or darker, it may acquire a pink, brown or red tint;
- peeling of the skin or the appearance of blisters with clear liquid inside in the affected areas.
Different forms of lichen have their own symptoms:
- Ringworm. It is transmitted through animals, so it most often affects children. It is manifested by the formation of pink spots on the skin. In addition, spots appear on the hair, causing hair loss and fragility. With timely treatment, ringworm disappears without a trace after some time.
- Shingles . It manifests itself in the formation of profuse rashes on the body, pain and severe skin itching. The patient scratches the itchy areas of the skin vigorously, which leads to the penetration of pathogenic microorganisms under the skin and the development of a secondary infection. With timely treatment, the symptoms of the disease disappear in about a month.
- Pityriasis rosea. Usually develops against the background of influenza or ARVI. It is manifested by the formation of pink spots on the surface of the skin. After a few weeks, they begin to peel off, causing mild itching, after which they disappear completely. This type of lichen is not contagious.
- Versicolor (pityriasis versicolor) .
It manifests itself in the formation of spots on the skin in the area of the limbs, neck, and back. This type of lichen is a seasonal disease and is most acute in autumn and spring. Tinea versicolor is not contagious. The development of the disease occurs when the body is in a weakened state or a person has a hereditary predisposition to the disease. The main symptoms are spots on the skin that initially have a milky tint, then become dark brown. The spots are especially visible after prolonged exposure to the sun. There is slight peeling along the edges of the spots. There is no pain or itching. - Lichen planus. It manifests itself in the formation of flat, very itchy nodules on the skin. In addition to the skin, mucous membranes and nails may be affected.
Contraindications
This wonderful healthy berry is not for everyone. People who are susceptible to various allergic reactions, after using the berries, may observe manifestations of allergies on the body in the form of rashes, itching and severe irritation. Often, during the treatment of deprivation, cranberries are consumed orally to increase the body's defenses in the fight against this insidious deviation. In this case, it is contraindicated to include cranberries in the daily diet of nursing mothers and small children under 3 years of age. Therefore, before using cranberries for medicinal purposes, the patient should consult a doctor and determine the safety of such treatment.
Diagnosis of lichen
Diagnosis of the disease includes the following studies:
- collecting anamnesis, interviewing the patient;
- external examination of rashes, determination of their location, color, shape, size.
Based on the data obtained, the dermatologist makes a preliminary diagnosis. Depending on what type of lichen the doctor has identified, he may prescribe additional studies to finally confirm the diagnosis, carry out differential diagnosis and prescribe adequate treatment:
- microscopic examination of scales - to exclude syphilis;
- blood test (general, biochemical);
- urine test (general);
- to diagnose herpes zoster - PCR examination of the contents of the vesicles to detect the DNA of the virus, detection of antibodies to the pathogen in the patient’s blood;
- to diagnose lichen versicolor - Balzer test (the lesions are treated with iodine and wiped with alcohol, lichen versicolor turns brown), examination with a Wood's lamp, microscopic examination of the scales;
- to diagnose ringworm - examination of lesions with a Wood's lamp (the ringworm turns green), microscopic examination, blood and urine tests, inoculation of the taken biomaterial on nutrient media to identify the pathogen and determine its sensitivity to antibiotics;
- to diagnose lichen planus - a histological examination of a sample of the affected skin, blood and urine tests.
Unusual methods
Sunflower ash will help with rosacea in children. To do this, you need to dry and burn the sunflower flower without seeds. Dilute the ash with water and lubricate the stains.
Paper ashes will relieve itching and irritation from lichen. To do this, you need to roll a blank sheet of paper into a bag, place it on a saucer and set it on fire. Remove the large ashes; fine powder and a yellowish coating will remain on the saucer, which are necessary to treat the disease.
Propolis ointment, prepared on a fat basis, will help quickly and painlessly cure lichen in children. To do this, propolis is crushed, mixed with animal or vegetable fat, slightly heated in a water bath until a homogeneous consistency is formed, and then infused for another day. After this, the product is ready. Lubricate the affected areas twice a day until complete recovery.
Fresh yeast dough will cure lichen in two to three weeks. To do this, apply small pieces of dough to the stains and leave for two hours.
Treatment of deprivation
The choice of treatment regimen depends on the type of disease . Pityriasis rosea usually goes away on its own and does not require special treatment. If rashes appear, the patient is advised to stop wearing tight, synthetic, woolen clothing. Compliance with a hypoallergenic diet is indicated. It is not recommended to stay in the sun for a long time and use decorative cosmetics.
If progression of the disease or the addition of a secondary infection is observed, then the prescription of antihistamines and antibiotics, as well as immunomodulators, is indicated to strengthen the body's immune defense.
Therapy for pityriasis versicolor is carried out using local (ointments, gels) and systemic (tablets) antifungal agents. During periods of possible relapse of the disease (autumn, spring), it is recommended to apply local antifungal agents to the skin for preventive purposes.
To treat ringworm, local antifungal agents and aseptic solutions are used. When a secondary infection occurs, antibiotics are indicated. For long-term persistent course of this type of lichen, multivitamin complexes and other immunomodulators are prescribed.
Lichen planus usually occurs due to weakened immunity and is a complication of any somatic disease. Therefore, therapy is aimed at eliminating the causative factor. In addition, the patient is prescribed antiallergic drugs, immunomodulators, and topical corticosteroids.
Shingles can be so severe that it is treated in a hospital setting. Severe pain is relieved with analgesics, NSAIDs; in especially severe cases, narcotic analgesics can be used.
In addition, the patient is prescribed sedatives, local and systemic antiviral drugs, and immunomodulators.
Beneficial features
The rich composition of cranberries makes them extremely beneficial for the human body. It has been noted that cranberries have a beneficial effect on digestion, improve appetite and normalize stool. The sour berry helps in the treatment of gastritis, low acidity and pancreatitis, due to its ability to enhance the production of gastric and pancreatic juice.
Cranberry helps dilate blood vessels in the heart and reduces body temperature.
Cranberries have a diuretic and bactericidal effect, which allows them to be used in the treatment of infectious and inflammatory kidney diseases. Cranberries protect the genitourinary system, protecting it from infection and the proliferation of various bacteria. The healthy berry stops inflammatory processes occurring in the human body, prevents cancer pathologies and reduces the level of “bad” cholesterol in the blood. Cranberry juice helps to dilate the coronary vessels of the heart, lower high body temperature and increase the effectiveness of antibiotics when used together.
Doctors recommend consuming cranberries for the following diseases:
- high blood pressure;
- diabetes;
- rheumatism;
- cystitis;
- influenza and ARVI;
- polio;
- anemia;
- dermatological pathologies;
- toxicosis.
Folk remedies for lichen
Treatment with folk remedies is aimed at returning a person to health. At the same time, there are no chemical ingredients in the formulation of home remedies. Treatment of scabies and lichen involves the destruction of the pathogen. Since the scabies mite is localized in the outer area of the body, ointments, creams, etc. are considered the most effective means.
Irregular use and careless attitude of the patient leads to predictable complications. All persons living in the same territory must undergo treatment at least once.
Homemade recipes for scabies and lichen
Folk methods of disposal are effective means that have proven their effectiveness over many years of practice.
- Prophylactic. Prepare a steep solution of table salt at the rate of 250 milligrams of water per 4 tablespoons of salt. After you have lubricated your body with it, you need to walk around for a while without washing off the dried solution.
- Recipes to relieve itching
- More water is taken per 1 kilogram of barley, a decoction is made from this mixture, which is poured over a person.
- Mix half a liter of ethyl and 50 grams of salicylic acid. Wipe the skin with the solution 2 times a day (preferably morning and evening).
- Fat-based ointments
- Prepare a composition of 1 tsp. turpentine and 2 tbsp. l. butter.
- Prepare a mixture of 1 tbsp. l. melted lard, 1 tbsp. l. finely ground laundry soap, 2 tsp. sulfur, 1 tsp. birch tar. The ointment is applied to an exceptionally clean body, so you need to wash first. Walk smeared until the next morning. The next day the procedure is repeated. The full course of treatment is three days.
- A mixture based on butter and bay leaf. Both components are mixed in equal proportions. The bay leaf is first finely crushed. The resulting mixture is applied to the plaques until the disease completely disappears.
- Decoctions and aqueous suspensions
- Pour 0.5 cups of buckthorn bark into 0.5 liters of water, boil and keep on fire for about 12 minutes. The saucepan is removed from the heat, placed in a warm place and kept in such conditions for about 20 minutes. Use the prepared broth 2 times a day.
- Bread kvass is heated to the temperature at which the skin can tolerate the procedure. The folk remedy is used for lesions on the skin of the hands. Hands should be dipped into the kvass and kept there for as long as possible.
- Preparations based on birch tar
Tar has established itself as a highly effective agent that destroys pathogens. It is used exclusively as an external agent due to its high carcinogenicity.Therefore, its use is preceded by a procedure that determines the patient’s susceptibility to tar. The natural component is applied to the wrist or elbow. The skin's reaction to a foreign substance will appear (or not appear) in just a few minutes.
- Birch tar is applied to the affected areas. So you need to wait a few hours, and then rinse with water diluted with bran.
Birch tar and butter are mixed in equal proportions. The ointment is applied to the skin and covered with a bandage. Most effective in the treatment of pityriasis rosea.
- One part of birch ash and three parts of tar are mixed. The product has proven itself as an external medicine for the scaly form of lichen and psoriasis. Leave the product on for several hours, then wash it off.
- A cream is prepared from equal parts of tar and fish oil. The resulting pulp is used as a compress. This remedy gives excellent results in patients with lichen with a viral or fungal etiology. After the compress has been removed, it is necessary to examine the affected area. A reddened and moist ulceration requires application of zinc ointment, but not earlier than 2 hours after the compress is removed.
- Salicylic acid is mixed with high concentration crude tar.
- Tar soap shows excellent results in the fight against pityriasis versicolor or pityriasis rosea. This product is quite popular, but its effectiveness depends on the color: the darker the soap, the higher the concentration of nutrients.
- Unusual compounds
- Rubbing dark raisin paste into problem areas.
- Grated garlic is mixed with honey. The resulting mixture is applied to the skin.
- Crushed garlic in the form of a compress is applied to the plaques for a quarter of an hour.
- Leave a compress of lemon and garlic on the rash for 2 hours. You can also use one lemon.
- The newspaper is rolled up and secured in several places to prevent it from unrolling. Place it on a plate and set it on fire. Apply dark brown ash to the ulcers.
Birch tar, which has long been used in dermatology, has many beneficial properties: it restores keratinization, has antimicrobial, antiparasitic, drying, vasoconstrictive, analgesic effects, reduces redness and soothes itching. In case of chronic eczema, psoriasis and other infiltrative processes in the skin, it has a resolving effect (Albanova V.I., 2002). Birch tar is used both in its pure form and as part of finished medicinal preparations (sulfur-tar ointment, Vishnevsky ointment, Wilkinson ointment, Yam ointment, etc.) and medicinal prescriptions for the treatment of many skin diseases. Birch tar is made from birch bark, the outer layer of birch bark. Like other substances of plant origin, tar has a complex composition; it contains phenols (up to 15%), organic acids (up to 5%), esters of organic acids (up to 10%), organic bases and other substances (aldehydes, ketones, alcohols, heterocyclic compounds, etc.). Birch tar is a black oily liquid with a specific odor. The use of tar for chronic dermatoses is limited - it is not applied to large areas of the lesion and is practically not prescribed to children. A method for purifying birch tar from polycyclic aromatic hydrocarbons, allomelanins, turpentine, water, developed at JSC "Retinoids" et al. allows you to sharply reduce the content of these substances in it, which reduces the likelihood of side effects (Arkhapchev Yu.P. et al., 2004; Arkhapchev Yu.P., Khromykh N.N., 2005).
The main disadvantage of tar preparations is their pungent odor and the brown color that stains laundry when it is smeared on the skin, as well as poor absorption of the preparations by the skin, which makes the skin look untidy. The noted disadvantages can be overcome by applying tar preparations to the skin for a short period of time, after which they are washed off from the skin (by analogy with coal tar preparations).
In order to establish that when purifying tar, its medicinal properties are not lost, and that short-term application of tar is effective and well tolerated, a comparative study was conducted on the effects of purified and Pharmacopoeial tar on skin diseases.
The study was conducted in a double-blind manner at the Scientific Dermatological Institute.
Characteristics of the drug: Pharmacopoeial and purified tars are a homogeneous mass of creamy consistency, black in color, with a characteristic odor of tar.
Packing: glass bottles of 20 g, marked with one or two zeros.
The study included adult patients of both sexes, without age restrictions, with a clinically established diagnosis. Women were excluded during pregnancy and breastfeeding, pediatric patients, patients with individual sensitivity to tar preparations, patients with pyoderma, psoriatic erythroderma, pustular psoriasis and isolated lesions of the scalp, liver and kidney diseases (with impairment of their function), as well as serious concomitant diseases that require treatment during the clinical study and may interfere with its completion.
Tar was applied to the affected areas for 15–30 minutes, depending on subjective sensations (burning sensation at the site of application, etc.) once a day. After 15–30 minutes, it was washed off the skin with warm water in the shower using soap or shower gel. Dry skin or a feeling of tightness was eliminated by using indifferent creams or ointments (5% urea ointment, ointment base). In case of extensive skin lesions, accompanied by a disturbance in the general condition and pronounced subjective sensations, combination therapy was prescribed. It included antihistamines, desensitizers, sedatives, vitamins, and detoxification therapy. Photosensitizing and diuretics were excluded from combination with tar.
The individual patient card was filled out by a doctor. The patient was explained the method of using the medication, paying attention to the accuracy of its implementation, and was also informed about possible side effects.
The pattern of patients visiting the Center and the activities carried out are shown in Table 55.
Table 55. Pattern of patients visiting the Center
Ongoing events | 1st visit (start of treatment) | 2nd visit 1 week | 3rd visit 2 weeks | 4th visit 3 weeks |
Lab tests | X | X | ||
Clinical assessment | X | X | X | X |
Assessing side effects | X | X | X | X |
During each visit, symptoms of the disease were recorded in scores or quantitatively - the number of papules and plaques, infiltration, exudation, peeling, erythema, pigmentation, skin cracks, itching. Clinical assessment was carried out using a four-point system: 0 – no symptom, 1 – mild, 2 – moderate, 3 – severe symptom. If papules and plaques were present, their number and size in cm were recorded in the table.
The final results were also assessed in points: 1 point – clinical cure; 2 – significant improvement; 3 – improvement; 4 – no effect; 5 – deterioration.
Laboratory examination, including clinical blood and urine tests, was carried out before the start of treatment and after its completion.
Assessment of consumer qualities. The patient was asked to answer the following questions:
- Is tar easy to use?
- Did you encounter any difficulties with dosing during treatment?
- How do you feel about the comfort of using this medicinal product (smell, color, does it stain clothes, underwear, is it easy to remove)?
Previous and concurrent treatment (local and systemic, indicating the names of drugs and their dosage form) were noted in the individual card. Unscheduled visits to the patient (without calling a doctor) and changes in the therapeutic regimen were entered into the card.
When using tar preparations, the following side effects are possible: individual intolerance; erythema in the lesions, pigmentation in resolved areas and around the lesions, the appearance of follicular pustules when applying the drug to the hair growth area.
Tar tolerance was assessed by the presence of drug allergies, acute irritation, itching and burning at the sites of application. If such complications or pustules appeared, treatment was stopped. In case of erythema, the time of tar application was reduced; the development of pigmentation did not require changes in treatment tactics.
When using tar, it is undesirable to apply it for a long time on large surfaces of the skin.
16 patients (11 women and 5 men) participated in the study. Three patients (all women) dropped out of the study and stopped participating in it for reasons not related to the effectiveness of treatment. Below we present data on 13 patients (8 women and 5 men) who completed treatment. The age of the patients ranged from 17 to 52 years (average age – 32.5 years). Tar, marked with one zero, was received by 7 people (first group), two zeros – by 6 (second group). Six patients with extensive skin lesions were prescribed combination therapy. It included RP at a dose of 100,000 - 300,000 IU in 3 patients, polyphepan, lipoic acid, novo-passit - in one patient, Essentiale Forte, xanthinol nicotinate, calcium gluconate, RP at a dose of 300,000 IU in one patient, polyphepan, gluconate calcium, fenkarol, xanthinol nicotinate - in one patient.
Table 56 shows the clinical characteristics of the disease in both groups.
The final results in points are shown in Table 57. Table 56. Characteristics of the disease
Signs | First group (single zero) | Second group (two zeros) |
Duration of the disease | From 1 to 39 years (average 14 years) | From 2 months up to 29 years (average 9.3 years) |
Age of onset | From 7 years to 31 years (average 20.4 years) | From 6 years to 44 years (average 23 years) |
Duration of exacerbation | From 2 to 5 months. (average 2.4 months) | From 1 to 2 months. (on average 1.5 months) |
Previous therapy: systemic local | 6 people 3 people | 5 people 6 people |
Severity: mild moderate severe | 0 5 people 6 people | 0 1 person 1 person |
Table 57. Evaluation of the results of treating patients with tar in the compared groups
Grade | 1st group (one zero) | % | 2nd group (two zeros) | % |
Clinical cure | 1 | 14,3 | 0 | 0 |
Significant improvement | 2 | 28,6 | 2 | 33,3 |
Improvement | 4 | 57,1 | 4 | 67,7 |
No effect | 0 | 0 | 0 | |
Deterioration | 0 | 0 | 0 |
As can be seen from the table above, the treatment results were better in the first group (one zero).
The dynamics of individual signs of the disease during treatment are shown in Table 58.
The decrease in the number and infiltration of plaques occurred faster and was more pronounced in the first group.
There were no significant differences between the groups in terms of exudative changes, resolution of erythema, and reduction in desquamation. Table 58. Results of monitoring the dynamics of individual signs of the disease during the treatment of patients with tar
Start of treatment | 1 Week | 2 weeks | End of treatment | |||||
Groups | I | II | I | II | I | II | I | II |
Papules | 2,3 | 2,5 | 2,0 | 1,9 | 1,7 | 1,0 | 1,3 | 0,6 |
Plaques | 2,0 | 1,8 | 2,0 | 1,7 | 1,7 | 1,5 | 1,3 | 1,5 |
Infiltration | 3,0 | 2,2 | 1,9 | 1,9 | 1,4 | 1,3 | 1,0 | 1,1 |
Exudation | 1,7 | 2,1 | 1,3 | 1,3 | 0,5 | 0.5 | 0,3 | 0.3 |
Peeling | 2,0 | 2,3 | 1,5 | 1,7 | 1,1 | 1,4 | 0,6 | 0,9 |
Erythema | 1,9 | 2,3 | 1,5 | 1,9 | 0,9 | 1,3 | 0,8 | 1,3 |
Pigmentation | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
Cracks | 0 | 1 | 2 | 1 | 1 | 1,5 | 0 | 0,3 |
Itching | 1,9 | 1,4 | 1,3 | 1,1 | 0,8 | 0,3 | 0,6 | 0,3 |
At the beginning of treatment with tar, 3 patients experienced an exacerbation reaction (1 from the first group, 2 from the second) - the erythema became brighter, skin cracks appeared, severe dryness, increased peeling and hyperkeratosis. This was especially noticeable in the presence of rashes on the palms and fingers. Subsequently, the reaction subsided and a persistent tendency towards improvement was noted - small papules disappeared, areas of clearing appeared in the plaques, and the plaques themselves disintegrated into small fragments, peeling became less, itching disappeared. It should be noted that, contrary to expectation, pigmentation with the new method of application was observed in one person. Despite the positive dynamics, within a month it was possible to achieve a cure in only one patient (rashes without pronounced infiltration and exudation were located on the face and scalp) in just 17 days. In other patients, the positive dynamics slowed down somewhat by the end of the month.
Resolution of small papules not treated with the drug (disappeared in 2 out of 6 patients and decreased in number in 3 patients of the first group, disappeared in 2 and decreased in 2 out of 4 patients who had papules before treatment, in the second group), indicates the general effect of the drug or the action at some distance from the lubricated areas.
Adverse clinical symptoms in the first group (one zero) included: dry skin at the application site in 2 patients; sharply painful cracks in the skin of the hands after 4 days of use in one person, a feeling of tightness of the skin in one person; in the second group (two zeros): increased formation of cracks on the fingertips and on plaques in two; severe dry skin, not relieved by the use of emollients in one. The lack of differences in the two groups allows us to associate these symptoms with the drying effect of tar on the skin, which requires correction during treatment. Other unfavorable symptoms included a deterioration in the clinical picture due to ARVI in one patient, a short-term loss of consciousness during the first application of tar in one case (the patient generally did not tolerate odors well), folliculitis in the last week of treatment inside resolved plaques in 1 patient, burning in places applying tar for approximately 5 minutes throughout the entire treatment period in 1 patient.
The new method of application is more comfortable than the old one (lubricating the lesions and leaving the medicinal product under a bandage for a long time). The advantage is that it does not stain clothes and bedding and does not leave a strong unpleasant odor. The disadvantage is the smell during the application period, and when used to treat the scalp, the smell from the hair remains.
The results of the study showed that both types of tar have pronounced therapeutic activity for psoriasis. The therapeutic effectiveness of local tar therapy alone is not sufficient to achieve complete regression of the rash. The clinical effectiveness of the drug designated by one zero (first group) was higher compared to the drug designated by two zeros. More side effects were noted in the second group of patients who received tar, indicated by two zeros. A serious disadvantage of tar is the development of dryness and cracks in the skin, which requires additional use of skin softening and moisturizing products. The new method of using tar (short-term application) is more acceptable for patients compared to the old one (applying tar to the skin twice a day). When deciphering the symbols on the labels, it turned out that purified tar was marked with one zero, and pharmacopoeial tar with two.
After receiving the results described above, the group of patients receiving purified birch tar was expanded.
Additionally, 63 patients with chronic dermatoses aged from 15 to 60 years, both men and women, were treated (Table 59) (Lukina O.G. et al., 2002). Table 59. Nosological composition of patients
Clinical diagnosis | Patient gender | |
husband | wives | |
Psoriasis: - widespread with a predominance of papules; - widespread with a predominance of plaques; - limited | 38 20 15 3 | 12 7 5 0 |
Atopic dermatitis | 1 | 5 |
Eczema: - chronic; - true; - microbial; - seborrheic; | 1 0 0 1 | 6 5 1 0 |
Treatment was carried out on an outpatient basis. The drug was applied to the lesions once a day for an average of 30 minutes (from 10 minutes to 1 hour) for 25 days. In addition, patients received additional treatment, including antihistamines, detoxification agents, and vitamins. The final result was assessed by the dynamics of the main clinical signs of the disease using the following characteristics: recovery, significant improvement, improvement, no effect, deterioration (Table 60).
A positive effect was noted in 98.4% of cases.
In one case, there was no effect from the therapy. In 80% of patients, an increase in skin itching was noted in the first 2 days of treatment. The itching continued only during the period of application and disappeared after the tar was removed. After 3-5 days the itching stopped. Discontinuation of the medication and the use of additional agents were not required. Table 60. Results of treating patients with various skin diseases with tar
Diagnosis | Number of Abs(%) | Get well. Abs(%) | Meaning improvement Abs(%) | Improved Abs(%) | Absent eff. Abs(%) | Deteriorated Abs(%) |
Psoriasis | ||||||
ordinary | 50(79,4) | 35(55,4) | 14(22,2) | 0 | 0 | 0 |
widespread with a predominance of papules | 27(42,9) | 21(33,4) | 6(9,5) | 0 | 0 | 0 |
widespread with predominance of plaques | 20(31,75) | 12(19) | 7(11,1) | 0 | 1(1,6) | 0 |
limited | 3(4,76) | 2(3,2) | 1(1,6) | 0 | 0 | 0 |
Atopic dermatitis | 6(9,5) | 0 | 1(1,6) | 5(7,9) | 0 | 0 |
Eczema | ||||||
chronic | 7(11,1) | 0 | 0 | 7(11,1) | 0 | 0 |
true | 5(7,9) | 0 | 0 | 5(7,9) | 0 | 0 |
microbial | 1(1,6) | 0 | 0 | 1(1,6) | 0 | 0 |
seborrheic | 1(1,6) | 0 | 0 | 1(1,6) | 0 | 0 |
Total | ||||||
Abs | 63 | 35 | 15 | 12 | 1 | 0 |
% | 100 | 55,6 | 23,8 | 19 | 1,6 | 0 |
In 20.6% of patients (patients with eczema and neurodermatitis), on the 4th–5th day of using DBO, an exacerbation of the skin process was observed - oozing and microvesicles appeared against the background of infiltration and hyperemia. Exacerbation of a local nature was limited to the site of application. To stop the exacerbation, the dose of antihistamines was increased; in 3 cases of eczema, injections of corticosteroid drugs were additionally prescribed (Kenalog 40 intramuscularly, 1.0, once), local lotions with solutions of boric acid 1% or ethacridine lactate 1:1000 and Elokom in the form of a cream or solution . During the period of exacerbation, purified birch tar was discontinued for 2–3 days, then use was resumed.
No abnormalities were observed in the clinical blood test. In 62 patients, no changes in clinical urine analysis were observed; in one case (concomitant arthropathy) there was an increase in the number of leukocytes to 20–30 in the field of vision, squamous epithelial cells to 12-20 in the field of vision; by the end of treatment the indicators did not exceed the norm. In 57 cases, there were no deviations in the study of biochemical blood parameters. In one case, an increase in bilirubin level to 32 µM/l was observed (the patient suffered hepatitis A 1.5 years ago); in five cases there was an increase in the level of alanine aminotransferase and aspartate aminotransferase to 2 mmol/h/l and 1.25 mmol/h/l, respectively; in two cases - an increase in the level of alanine aminotransferase (which was obviously associated with alcohol abuse). By the end of therapy, deviations in indicators were observed only in one case - in a patient who had suffered hepatitis A.
A more pronounced effect was achieved with widespread psoriasis with a predominance of papules; for eczema and atopic dermatitis, the effectiveness of the drug was lower.
Thus, DBO is effective in the treatment of chronic dermatoses (the best results are achieved in psoriasis); The method of short-term application of the drug is effective, easy to use and available on an outpatient basis. With eczema and neurodermatitis, an exacerbation occurred on the 4-5th day of treatment, which is limited only to the site of application of the drug, is short-term, requires additional therapy, but does not affect the results of treatment. According to laboratory studies, birch tar has no side effects on the liver and kidneys.
prof. Albanova V.I.
Seal
Prevention of lichen
The main methods of preventing the disease are:
- compliance with hygiene rules;
- refusal to use other people's hygiene items (cosmetics, towels, etc.);
- rejection of bad habits;
- proper nutrition;
- giving up a sedentary lifestyle;
- timely treatment of somatic diseases that can provoke the development of lichen;
- regular sanitation of foci of chronic infection in the body;
- refusal of uncontrolled use of medications;
- avoiding stress, hypothermia;
- hardening the body, strengthening the immune defense;
- avoiding contact with people and animals that are carriers of lichen;
- When the first suspicious symptoms appear, you should immediately consult a doctor - this will help you start treatment on time and avoid the deprivation becoming chronic.
General recommendations for using home remedies
If you choose one remedy or another on your own, recovery will take a long time. To activate the exfoliation process, you must regularly use antifungal agents prescribed by your doctor, take baths with soap, and wipe your body with salicylic alcohol.
Treatment of lichen versicolor at home should be carried out after consulting a dermatologist.
In addition to official medicine and traditional methods of treating fungus, certain recommendations must be followed:
- Maintain a proper balanced diet. Avoid sweets, salty, fried, spicy and smoked foods.
- Take sunbathing in moderation if the disease is diagnosed in the warm season.
- Maintain personal hygiene.
- Iron underwear and bed linen, preferably with a steam iron.
- Wear underwear only made from natural fabrics.
- Avoid excessive sweating.
- Ventilate the room more often and wet clean the room.
Where can I buy
The online store “Russian Roots” specializes in the supply of ingredients for home recipes. Here you can buy folk remedies for lichen and scabies without fear of fakes and counterfeits. The company has established an excellent courier delivery service in the capital and near Moscow region. Moscow has a whole network of herbal pharmacies, which have components for the treatment of skin diseases of various etiologies. The online store sends goods by mail to remote parts of the country.
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Precautionary measures
With frequent use, tar is addictive, so you should not abuse this product. All infection treatment procedures are carried out at intervals of 1-2 weeks. To prevent the disease, it is better to use soap with a small percentage of tar product. We must not forget about the individual factor - some patients may experience allergic reactions to this substance. Reducing the dosage of a natural product will help solve this problem; in some cases, individual intolerance to the substance requires a complete rejection of tar.