Lichen versicolor in humans: how to cope with the disease?

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My name is Khalisat Suleymanova - I am a herbalist. At the age of 28, I cured myself of uterine cancer with herbs (read more about my experience of recovery and why I became a herbalist here: My story). Before being treated using traditional methods described on the Internet, please consult with a specialist and your doctor! This will save your time and money, since the diseases are different, the herbs and treatment methods are different, and there are also concomitant diseases, contraindications, complications, and so on. There is nothing to add yet, but if you need help in selecting herbs and treatment methods, you can find me at my contacts: Khalisat Suleymanova

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In alternative medicine, tar soap is used for ringworm, and is also used to relieve the symptoms of psoriasis, eczema, seborrheic dermatitis and other conditions that cause skin swelling, itching and redness. Reviews of the product are impressively positive, with over 70% of all customers stating that they experience immediate relief after topical use. The active ingredient in this remedy is birch tar, which is used to successfully eliminate visible signs of the disease and reduce bothersome symptoms, especially itching, flaking and irritation.

Features of the course of the disease

A microscopic fungus that infects the top layer of skin and spreads spores into the mouths of the follicles. Activation of the disease does not occur immediately.

In the absence of favorable conditions, the fungus may not manifest itself in any way for a long time: from 15 days to several months.

At risk are school-age children and young people with reduced immunity, hereditary predisposition and a tendency to hyperhidrosis. Violation of personal hygiene rules, hormonal imbalances and gastrointestinal diseases can also push the onset of the disease to develop. Also, the development of lichen is promoted by foci of chronic infection in the body.

It can be:

• tonsillitis (chronic form);
• caries;
• tuberculosis, etc.

Symptoms of the disease are shown in the photo:

1. Peeling of the skin surface.
2. Increased sweating.
3. The appearance of a specific rash.
4. Possible itching.

The spots on the body have uneven edges and different colors. The further the disease develops, the larger the surface of the skin the rash covers. Most often, manifestations of the disease affect the armpits, chest, abdomen, back and sides.

For your information! Most cases of tinea versicolor affect the body, but can also occur on the scalp or nails.

The course of the disease is uneven, alternating between active and fading periods. Most often, the disease begins to develop rapidly in the warm season with high humidity. A cosmetic defect that accompanies a disease causes a person a lot of trouble, disrupting his quality of life and complicating social adaptation.

Tar soap

For preventive and therapeutic purposes, you can replace regular soap with tar soap.
The easiest way to fight the disease is to replace regular shower gel with tar soap; it will help overcome skin disease. The darker the soap, the higher the percentage of tar mixture it contains; it can also be used to prevent fungal infections. In the fight against lichen, tar soap is applied to the affected area and left until it dries, then washed off with water. This deprivation treatment lasts for 2 weeks.

Diagnosis and treatment

To select high-quality and effective treatment, the patient must undergo diagnostics. Without an examination, it is difficult to make an accurate diagnosis due to the similarity of symptoms with other diseases.

Diagnostic measures

Diagnostic methods:

• visual examination by a dermatologist;
• biochemical analysis;
• performing the Balser test;
• use of Wood's lamp.

There are the following types of diagnostics:

1. Biochemistry. A scraping is taken from the patient. The resulting sample may contain fungal spores when treated with appropriate chemicals.
2. Wood's method. The flaky top layer is scraped off. Areas affected by the fungus are detected using a special lamp that produces fluorescent staining. This analysis is carried out in a darkened room.
3. Balser's test. An alcohol solution of iodine is used for analysis. It treats the surface of the skin on the diseased area of ​​the body. Upon contact with the fungus, the color produced by iodine becomes more intense.

Remember! After diagnosis, the doctor prescribes appropriate treatment for the patient. It is selected separately for each patient, taking into account the patient’s condition and the duration of the disease.

For the treatment of pityriasis rosea

Tar soap for pityriasis rosea is used together with butter . To do this, mix oil and soap shavings in equal quantities, place in a water bath until smooth and use the product as an ointment for ringworm.

Soap and water

You can also get rid of the disease with a mixture of water and soap:

• should initially be grated and combined with warm water;
• for 10 g of chips you need a glass of water;
• the resulting product is left to act on the affected area of ​​the skin for 30 minutes.

After the time has passed, you should wash your skin with chamomile decoction.

Simple ways to treat complex diseases:

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Tar soap for pityriasis versicolor

The product is used as follows:

• foam the soap in your hands;
• apply intensively to the body instead of shower gel, paying special attention to the localized spots;
• leave the product for 3-5 minutes;
• rinse thoroughly with water.

In the initial stages, you can use one soap with tar, but if the disease is in an advanced state, you should strengthen the immune system and lubricate the lichen with salicylic acid after a shower with soap.

INTERESTING fact: Onions and type 2 diabetes

Another recipe for using tar soap for pityriasis versicolor (also known as pityriasis versicolor). You should thoroughly lather your entire body with soap and let it dry on your body, then rinse off using herbal infusions. You should also strictly observe diet and personal hygiene.

Methods of drug therapy

The main goal of treatment is to eliminate the causative agent of the disease. For this purpose, oral and local antifungal drugs are used. This treatment can be carried out at home.

For your information! If the disease is advanced, treatment will be lengthy.

In order to cope with versicolor, the patient is prescribed a set of measures, including the following medications:

1. Selenium preparations, for example, Sulsena.
2. Fluconazole or analogue drugs.
3. Antimycotic agents.
4. Imidazole (Ketaconazole, etc.).
5. Ozone therapy.
6. Use of products with salicylic acid.
7. Enrichment of the diet with vitamins.

In addition to the use of medications, the patient must strictly follow the doctor’s instructions regarding personal hygiene and maintaining a clean home. The duration of treatment in untreated cases is about a week.

Lichen planus: a modern clinician's view

Lichen planus is a chronic inflammatory disease of the skin and mucous membranes, characterized by papular rashes and accompanied by itching. We talk about methods of treatment for lichen planus with the head of the department of dermatovenereology and cosmetology of the State Budget Educational Institution of Further Professional Education of the KSMA of the Ministry of Health of Russia, Doctor of Medical Sciences Luiza Afgatovna Yusupova.

–
What are the features of the manifestations of lichen planus?
–

In the general structure of dermatological morbidity, lichen planus accounts for up to 2.5%, among diseases of the oral mucosa – 35%.

The disease appears at any age, but most cases occur in the age group from 30 to 60 years. Lichen planus develops in women more than twice as often as in men, mainly in perimenopausal women. In 1–10% of cases, the disease is diagnosed in children and is predominantly found in the Indian subcontinent or in immigrants from India. In patients with lichen planus of the oral mucosa, the disease develops with manifestations in the skin area in 15% of cases and in the genital area in 25%. In 1–13%, isolated damage to the nail plates is observed.

Lichen planus is characterized by the frequency of combination with various somatic diseases: chronic gastritis, gastric and duodenal ulcers, biliary cirrhosis of the liver, diabetes mellitus, etc. In addition, lichenoid lesions of the esophagus, stomach, intestines, bladder, endometrium may occur, which allows us to say about the multisystem nature of the pathological process in lichen planus. The incidence of malignant transformation varies from 0.4% to more than 5% over a follow-up period of 0.5 to 20 years, with almost all patients with the atrophic and erosive form of the disease developing cancer. Over the last period of time, there has also been a noticeable increase in the number of patients with atypical, infiltrative and severe forms of this pathology, which have the greatest tendency to malignancy in 0.07–3.2% of cases.

Lichen planus is characterized by a chronic, relapsing course, the duration of which varies from 5 to 40 years. The onset of the disease occurs with rashes, itching, malaise, nervous stress, and weakness. Often elements of lichen planus manifest themselves acutely. Clinical signs for classic cases of lichen planus are characterized by a dermo-epidermal papule with a diameter of 1-3 mm, having a polygonal outline, an umbilical central recess, no tendency to peripheral growth, the presence of the so-called Wickham grid, visible in the depths of the papules after applying water or glycerin to the surface . Rashes of papules have a bluish-red or lilac color with a pearlescent tint and a polished sheen when illuminated from the side. Usually, having reached a size of approximately 3–4 mm, the papular elements subsequently stop increasing, but have a pronounced tendency to merge with each other, forming larger lesions in the form of plaques, various figures, and rings. During this period of development of dermatosis, the so-called Wickham network is formed on the surface of the plaques in the form of small whitish grains and lines caused by unevenly expressed hypergranulosis. Lichenoid papules are located symmetrically on the flexor surfaces of the forearms, lateral surfaces of the torso, on the abdomen, mucous membranes of the oral cavity and genitals. Lesions in lichen planus can be localized or generalized, acquiring the character of erythroderma. Despite the therapy, relapses of the disease can occur with a frequency of 1-5 times a year. The most torpid course of lichen planus occurs in patients with verrucous, hypertrophic and erosive-ulcerative forms and in combination with diabetes mellitus, arterial hypertension and damage to the mucous membranes (Grinshpan-Wilapol syndrome).

Manifestations of lichen planus on the skin are quite variable, and they are divided into forms: typical (classical); atypical; hypertrophic; pemphigoid; follicular; pigment; erythematous; ring-shaped.

The mucous membranes are very often involved in the pathological process; they can be isolated or combined with skin lesions. Isolation of damage to the oral mucosa often occurs in the presence of metal dental crowns, especially if they are made of different metals. According to the clinical course, varieties are distinguished: typical; exudative-hyperemic; bullous; hyperkeratotic.

The histomorphological features of the typical elements of lichen planus make it possible to diagnose the disease according to the characteristic histological pattern, guided by pathohistomorphological examination. The main ones are: unevenly expressed acanthosis; hyperkeratosis with areas of parakeratosis; increase in rows of cells of the granular layer (granulosis); vacuolar degeneration of basal cells of the epidermis; diffuse arcade-shaped, strip-like infiltrate. In typical cases, the diagnosis of lichen planus is made based on the clinical picture. The classic (typical) form of lichen planus is distinguished from limited neurodermatitis, in which matte papules are formed, densely located from the periphery of the lesion to the center with the formation of lichenification of the skin, accompanied by intense itching and the presence of scratching in typical places. From syphilis, characterized by the presence of erosive, ulcerative or condylomatous rashes on the genitals, regional lymph or polyadenitis, roseolous-papular-pustular elements on the skin of the body, papules on the palms and soles, treponema pallidum in scrapings, positive serological reactions.

Lichen planus of the mucous membranes only should be differentiated from leukoplakia, syphilitic papules, pemphigus vulgaris, lichenoid reaction of the oral mucosa, Keir's disease, plasmacytic balanitis of Zona, bowenoid papulosis.

Isolated nail lesions with lichen planus should be differentiated from nail lesions with psoriasis, eczema, Devergie's disease, Darier's follicular dyskeratosis, infectious and fungal diseases.

– What is the etiology of the disease?

–

Currently, evidence has been accumulated on hereditary predisposition to lichen planus. Seventy cases of familial disease with this dermatosis have been described, and it has been noted that mostly second- and third-generation relatives are affected.

Of particular importance in the occurrence of lichen planus are dysfunctions of the liver and digestive tract. Important triggers are infections (particularly hepatitis B and especially hepatitis C). Also, many authors emphasize the connection between lichen planus and primary biliary cirrhosis, paying attention to the erosive-ulcerative form of dermatosis, which may be a risk factor in the development of hepatitis or cirrhosis. Under the influence of complex neurohumoral and immunological interactions in patients with lichen planus, a pathological process is formed, in which the leading role belongs to a violation of immunoallergic and cytochemical regulation associated with damage to the basal cells of the epidermis through the mechanism of delayed-type hypersensitivity through the system of stimulation of Langerhans cells and T-lymphocytes. The latter cause activation of basal keratinocytes, ensuring the development of the pathological process. As is known, favorable conditions for the development of immunological reactions in the skin are stressful situations, which can serve as a trigger for the occurrence of autonomic, neuroendocrine and humoral disorders, which implies the complex participation of all these factors

– What does treatment include?

–

The choice of treatment method for patients with lichen planus depends on the severity of clinical manifestations, duration of the disease, and information about the effectiveness of previous therapy. It is necessary to clarify the duration of the disease, the relationship of its occurrence with neuropsychic stress or past infections, previous treatment, and the presence of concomitant diseases. If the patient has applied for the first time and has not been previously examined, it is necessary to conduct an in-depth examination before starting treatment to determine the state of the nervous system, digestive tract, including the state of liver function, and also make sure that there is no hidden or overt diabetes mellitus. If only the oral mucosa is affected, it is necessary to consult the patient with a dentist to exclude developmental anomalies or the presence of artifacts that create problems in the mouth, including those of a traumatic nature. It is necessary to clarify the role of stress in the development of lichen planus. It has been established that stress, through a system of neurohumoral factors, has a general effect on the body of a patient with lichen planus, affecting the adaptive structures of the central nervous system, psycho-emotional status, immune system, aggravating the clinical course and clearly worsening the prognosis.

In the presence of limited rashes, treatment begins with the use of topical glucocorticosteroid drugs. For external treatment of patients with lichen planus, glucocorticosteroid drugs of medium and high activity are used. In the presence of widespread rashes throughout the skin, systemic drug therapy and phototherapy are prescribed. Considering the positive results from the use of corticosteroid and antimalarial drugs prescribed in combination orally, it is recommended to add drugs from these groups to patients with lichen planus. In the treatment of patients with lichen planus, tablets or injections of systemic glucocorticosteroid drugs are used. To treat the common form of lichen planus patients, retinoids are used for 3–4 weeks. In the erosive-ulcerative form, a cytostatic agent can be used for 2-3 weeks. As the disease progresses, detoxification therapy is used. To relieve itching, first-generation antihistamines are prescribed for 7-10 days, both orally and in injectable forms. During the period of exacerbation of the disease, patients are recommended to take a gentle regimen with limited physical and psycho-emotional stress. The diet should limit salty, smoked, fried foods. In patients with damage to the oral mucosa, it is necessary to exclude irritating and rough foods. Of the physiotherapeutic methods of therapy, phototherapy (suberythemal doses of ultraviolet irradiation) deserves attention.

It should be emphasized that in all cases, treatment of patients with lichen planus should be comprehensive and individual. It is necessary to provide for the prescription of drugs aimed at treating concomitant diseases, which often complicate the course of this dermatosis. The prognosis for the patient's life is usually favorable. One of the main tasks in the prevention of lichen planus is the fight against relapse of the disease. In this regard, it is important to sanitize foci of focal infection, timely treatment of identified concomitant diseases, prevention of taking medications that can provoke the development of the disease, general health measures, hardening of the body, prevention of nervous strain, and sanatorium-resort treatment. In order to prevent possible malignancy of long-existing hypertrophic and erosive-ulcerative lesions, patients should be under clinical observation. Persons with frequent relapses of the disease are also subject to it.

Gulnara Abdukaeva

Treatment with traditional medicine

The use of traditional medicine methods is possible only after agreement with the attending physician, since otherwise the body may be harmed and recovery will be delayed.

Recipe No. 1. Onion juice

For cooking you will need onions (2 pieces). It should be crushed and the juice squeezed out well. It is recommended to wipe the areas damaged by the disease with the resulting liquid using tampons.

Recipe No. 2. Calendula

One part of calendula flowers must be mixed with five parts of alcohol and left in the dark for 7 days. After this, the tincture is filtered and used to treat the affected areas of the skin.

Beneficial features

Tar soap is used to treat a variety of skin problems, as well as in cases of problems in the functioning of internal organs and human systems. The product consists of 90% ordinary soap and only 10% birch tar, but it is tar that has a positive effect in the treatment of varieties of lichen in humans. It is rightfully considered one of the best natural antiseptics that helps fight various bacterial, fungal and infectious pathogenic agents.

Tar soap has a number of useful properties.

It is capable of providing:

• anti-inflammatory effect (reduces the severity of skin inflammation during active rashes);
• antiseptic effect (disinfects foci of inflammation, as well as elements of the rash during their healing);
• antiparasitic effect (prevents the addition of a secondary infection caused by the action of pathogenic microorganisms);
• regenerating effect (restores the integrity of the skin, as well as the protective properties of the skin);
• healing effect (accelerates skin healing due to the development of a complicated form of lichen);
• drying effect.

Research has proven that birch tar is able to stop the synthesis of DNA molecules if they have any defects in their structure.

Despite the fact that unrefined tar is most effective, soap based on it has also proven itself well. In addition, this product can be purchased at any hardware store at a very attractive price.

Acute otitis media

According to statistics, acute forms of otitis media account for 30% of the total number of ENT diseases. Most often it occurs in preschool children.

Symptoms of acute otitis media

The disease is characterized by an acute onset with the appearance of the following symptoms:

• earache;
• ear congestion or hearing loss;
• increased body temperature;
• anxiety;
• disturbance of appetite, sleep;
• headache and toothache.

Causes of development of acute otitis media

In most cases, the disease can be caused by various pathogenic microorganisms - viruses, microbes, fungi, etc. In exudate obtained from the middle ear, respiratory viruses are found in 30-50% of cases. The most common causes of otitis are parainfluenza viruses , influenza viruses, rhinoviruses, adenoviruses, enteroviruses, respiratory syncytial viruses, etc.

In 50-70% of patients with acute otitis media, bacteria are detected in the exudate from the middle ear (most often Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis).

Often the cause of otitis is a mixed (viral-bacterial) infection.

When making a diagnosis, a differential diagnosis is made with myringitis (inflammation of the eardrum) and exudative otitis media.

The occurrence of otitis media is directly related to the condition of the nose and nasopharynx: rhinitis and tonsillitis often provoke inflammation of the middle ear.

Otitis often occurs against the background of decreased immunity and immunodeficiency states.

1 Diagnosis of otitis in MedicCity

2 Diagnosis of otitis in MedicCity

3 Diagnosis of otitis in MedicCity

Routes of infection

The most common route of infection into the middle ear is through the auditory tube during rhinitis and sinusitis.

It is possible that infection can penetrate through the blood during influenza, scarlet fever and other infectious diseases.

In rare cases, the infection enters the middle ear through the ear canal due to injury (rupture) of the eardrum.

Stages of acute otitis

There are 5 stages of the disease:

• stage of acute eustachitis: feeling of congestion, noise in the ear, normal body temperature (if there is an infection, it may increase);
• stage of acute catarrhal inflammation in the middle ear: sharp pain in the ear, low-grade fever, inflammation of the mucous membrane of the middle ear, increasing noise and congestion in the ear;
• pre-perforative stage of acute purulent inflammation in the middle ear: sharp unbearable pain in the ear, which radiates to the eye, teeth, neck, pharynx, increased noise in the ear and decreased hearing, increased body temperature to 38-39 degrees, the blood picture becomes inflammatory in nature;
• post-perforation stage of acute purulent inflammation in the middle ear: pain in the ear becomes weaker, suppuration appears from the ear, noise in the ear and hearing loss do not go away, body temperature becomes normal;
• reparative stage : inflammation is stopped, perforation is closed with a scar.

Causes and symptoms

At present, the causes of lichen planus are not fully understood. There are several hypotheses with which researchers are trying to explain this disease:

1. One idea is related to hereditary predisposition.
2. In accordance with the infectious theory, there is a certain virus that is located in the skin and manifests itself when immunity decreases, increased physical activity or stress.
3. Ideas of neuroendocrine genesis associate lichen ruber with experienced mental trauma or severe shock.
4. The theory of allergic origin speaks of a complex of nervous, infectious, intoxicating, hereditary, viral and other factors.
5. Another hypothesis attempts to explain the occurrence of lichen ruber by pathologies of the gastrointestinal tract and endocrine system.

The first signs of lichen planus are malaise, weakness, and unusual agitation. Next comes a rash - at first it is smooth, later scales appear on it. Papules can have different shades of red. If you apply vegetable oil to them, you can see a characteristic mesh pattern. The rash causes a burning, tingling sensation.

Most often with lichen ruber, rashes appear on:

• surfaces of the forearms;
• genitals;
• wrists;
• elbow bends;
• nails;
• lower back.

In approximately 20% of cases, signs of lichen develop in the oral cavity.