Of the many dermatoses, it is worth highlighting one, which is to some extent a “dark horse” (in the classical manifestation, an absolutely simple clinical picture, the etiology and resolution of symptoms are still not clear). This disease is called "pink lichen" or "pink lichen" (in 1960 the first described the classical clinic and gave the name the disease to the French doctor Giber).
What is pink lichen
Pink lichen is a common dermatological disease characterized by independent resolution of the clinic, not an acute development process, the initial formation of a “mother plaque” (single, oval, flaky dermatosis, often not causing discomfort), further formation of similar plaques within 7-10 days, most often smaller, with a special arrangement (along the skin lines of the body, thereby resembling a Christmas tree).
There is no correlation between the development of pink lichen with race and age. The main factors are climatic conditions and gender. There is a positive increase in the incidence in spring and autumn (observation data are typical for CIS countries, but not for countries with tropical and subtropical climates).
Most studies have shown a greater predisposition to the disease in women than in men.
Etiology and pathogenesis
Of all the causes of pink lichen, a viral infection is proven. A number of facts confirm this.
- Clinical similarity to viral rashes.
- Rare recurrence of the disease.
- Occurrence at a certain time of the year.
- Outbreaks of disease recorded among specific populations.
Numerous studies highlight such causes as allergic diseases, bacterial and viral infections. The most reliable information that pink lichen is the reactivation of the herpes virus of types 6 and / or 7.
Classical complaints of a patient with pink lichen
- The appearance of a single plaque.
- In the future, without treatment - the spread of identical in form, but smaller in size, rashes.
- Itching in 50% of patients of moderate intensity.
- Headache, fever, sore throat, weakness, arthralgia (joint pain).
Skin manifestations in pink lichen are as follows. The main dermatological difference of pink lichen is the primary or maternal plaque, which has its own characteristics: round, pink or red in diameter no more than 4 - 5 cm. Secondary (daughter) plaques appear more often in closed areas of the skin, their size is much smaller than the mother .
The time between the appearance of the mother and daughter plaque varies from 14 to 60 days. There is a possibility of the simultaneous appearance of maternal and daughter plaques. The most favorite localization of rashes: back, chest, abdomen, shoulders.
Two types of foci are noted.
- Identical in shape and color with the mother plaque, but smaller in size. They are located along the skin lines.
- Small hyperemic rashes (papules)increase over time in quantity and size.
Both types of rashes can be present simultaneously.
Very rarely, rashes are located on the palms and soles (confused with eczema). It must be remembered that such symptoms are very rare and in the first place to exclude more likely pathologies.
Rare physical symptoms of pink lichen
There are cases of blistering on the cheek mucosa. Experienced doctors describe cases of nail changes after a disease (rarely).
Sometimes in patients, due to the systemic reaction of the disease, the lymph nodes increase (it is characteristic at the beginning of the disease in combination with headache, fever, sore throat, general weakness).
The modern algorithm of the clinic of pink lichen, which is guided by a doctor
- The first symptom of the disease is round or oval, flaky, hyperemic hearth with pronounced edges, from 2 to 5 cm in size, the so-called "primary medallion", which is most often located on the torso.
- In the period from several days to three weeks, a rash consisting of symmetrically located, morphologically similar, but smaller in size foci of pale - red or pink - brownish color with silver peeling.
- The foci are located on the lateral and front surfaces of the body, in particular in the center of the chest. Only with a severe disease do they switch to the proximal limb sites. On the lateral sides, it is especially noticeable that the foci are elongated in length, and their longitudinal axis points in the direction of the skin tension lines (localization according to the “Christmas tree” type). The collar of scales is most often between the center and the edge of the individual focus.
- The face and distal parts of the limbs are almost never affected.
- Mild itching often expressed slightly or occasionally.
- Often in the affected area with severe itching eczema recurs, since the skin there is easily amenable to irritation, including ointments containing glucocorticoid.
|Disease||Features for differentiation|
|Dermatophytosis of smooth skin||Flakes on the periphery of the rash, there are no clear boundaries, the form is diverse. Differentiates by test with KOH.|
|Nummular dermatitis||The shape of the plaque is round, peeling on the periphery is not, sometimes there are small sizes of vesicles (nodules). If differentiation is difficult, a skin biopsy is performed.|
|Teardrop-shaped psoriasis||The size of the plaques is smaller, the location does not depend on skin lines, peeling with larger scales, there is no maternal plaque. If differentiation is difficult, a skin biopsy is performed.|
|Parapsoriasis (pitiriasis) chronic lichenoid||The duration of the disease is longer, the size of the plaques is less, the favorite localization is the upper and lower extremities. If differentiation is difficult, a skin biopsy is performed.|
|Toxicoderma of the type of pink lichen||Lack of response to pink lichen therapy. If it is difficult to differentiate, it is necessary to collect the patient’s anamnesis in more detail (which drugs he took, at what dose, how long).|
|Baby Roseola||The disease is characteristic of children under 2 years old. Severe respiratory and catarrhal phenomena (often not differentiated and treated as SARS).|
Since the disease in most cases goes away on its own, therapy is aimed at accelerating the resolution of the clinical picture and preventing complications. In any case, the doctor says the benign completion of the disease. In order to reduce skin itching, anti-allergic (antihistamines), corticosteroid drugs are prescribed. Treatment aimed at the action of the etiological factor includes antiviral drugs (acting on the herpes virus) - the well-known Acyclovir.
It is worth noting that patients taking this drug in a large therapeutic dosage for 7 days achieve a clinical effect faster than those patients who receive a placebo or do not take anything at all. In this case, a full recovery occurs by the end of the second week.
Given that treatment with Acyclovir is a relatively inexpensive treatment option, doctors prescribe it to patients with a severe general somatic picture (a flu-like clinic), with a common form of pink lichen.
Phototherapy shows a good clinical effect, however, because of the risk of post-inflammatory hyperpigmentation, this treatment method is used with caution for strict indications.
The modern treatment algorithm that guides the doctor
- The disease and without treatment spontaneously regresses in the period from three to six months. Therefore, soft local therapy is recommended with a simple aqueous zinc solution (which contains zinc, talc, glycerin, purified water).
- For irritations, agitated suspension with glucocorticoids is effective. (agitated mixture with triamcinolone acetonide).
- Other activities, such as ointment with glucocorticoids, hot baths and frequent use of soap should be avoided, since they, like wearing woolen clothes, cause irritation and thereby slow down the healing process.
The main and most common complication is flu-like symptoms (fever, cough, headache, sore throat). It should be noted that these symptoms are in most cases low-intensity and short-lived.
As with many patients with dermatological pathology, one of the main complaints is anxiety and depression (likelihood of complications, quality of life). In the absence of concomitant diseases, pink lichen does not lead to serious complications.
Prognosis and clinical course
The most vivid somatic picture is observed in the first weeks of the disease (headache, temperature, general weakness, etc.). Pink lichen may manifest an increase and decrease in pigmentation of foci. Therapy with UV rays is dangerous for the development of post-inflammatory hyperpigmentation of the skin. Disease duration up to 10 weeks. Repeated cases of the disease are quite rare.
Pink lichen is a common non-inflammatory dermatological disease that occurs without relapse. The nature of this pathology is still not fully known. Since it often happens in the spring, a viral etiology is suggested. Changes on the skin have a characteristic picture and, in typical cases, a certain localization. A full clinic develops within 10 days and lasts no more than 10 weeks.
At the moment, therapy has been developed aimed at accelerating the resolution of the clinical picture and preventing complications. Despite the fact that the above information may coincide with your medical history, it is necessary to consult a specialist for differential diagnosis with other dermatological diseases and prescribe an individual treatment plan.
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Symptoms and Diagnosis
Typically, a person’s pink lichen has symptoms that are similar to a common cold. First, there is weakness, slight drowsiness, then one maternal plaque appears on the body - a large pink spot with a diameter of 5 cm.
Its edges slightly rise above the dermis and make the plaque look like a medallion or crater of a volcano. After a week, smaller rashes appear around her. They are clearly visible on a background of healthy skin. Smaller spots can be grouped and combined. Merging together, the rashes become like the outlines of a decorated Christmas tree. Often a similar allergic reaction is accompanied by mild itching. Complain about severe itching can people with increased emotional lability.
After another week, the color of the plaques changes. In the center, the rash takes on a brownish tint, but the edges continue to be pink. In the middle of the crater, yellowish scales appear over time, which do not last long. A hollow space forms between them and the skin. The air dries thin flakes, so they crack and fall over time.
In the acute period, Zhiber pink lichen actively “blooms”. The process is accompanied by a slight increase in temperature. Two months later, the symptoms described disappear, redness remains in place of the craters. The disease goes away by itself. Her symptoms finally disappear after six months. The chronic period does not occur. But treating lichen is still necessary. The disease does not lead to death, but in rare cases, the described allergic rashes can cause hydradenitis, folliculitis, streptococcal impetigo. The development of these ailments affects the quality of human life. To prevent the risks of complications, it is important to consult a dermatologist.
At the first stage, the doctor will carefully examine the affected area, listen and record complaints, make a scraping from the plaque and send the material for laboratory analysis. It is difficult to diagnose irritated pink lichen by symptoms: toxidermia, infectious exanthema and parapsoriasis have similar symptoms. However, there are three key points to identifying a disease.
- Usually pink gibber lichen leads to the appearance of skin rashes located strictly along the Langer lines (they go along the natural folds, where the bundles of collagen fibers are located). Each spot has a regular oval shape. The skin peels strictly in the center of the spot.
- Skin rashes do not appear immediately, but in stages. Gradually, they move from the back to the neck, arms and legs.
- At the same time, spots of different maturity can be seen on the skin: pink and clean, red, covered with white coating of scales.
Over time, plaques disappear. Patients in their place remain clean skin areas with dark or light spots. Gradually, the color of the dermis is leveled, and there is not even a trace of the disease.
Note! You cannot diagnose yourself by the read description. Flat and pink lichen have common symptoms. A similar clinical picture is also observed in dangerous infectious diseases: measles, rubella, syphilis. Therefore, to clarify the diagnosis, it is important to consult a dermatologist.
Cold pink lichen, unlike warts, does not have a specific pathogen. Laboratory analysis of scraping is not informative. However, it helps to differentiate the disease and exclude parapsoriasis and pityriasis versicolor. It is considered useful to conduct an RPR test to detect secondary syphilis.
Causes of the disease
Diagnosis does not give an exact answer to the question of why pink lichen appeared. Science is not yet known provocative factors, so it’s impossible to say exactly why red rashes appear on the body. However, there are four versions of the etiology of pink lichen:
- Some scientists suggest that the described symptoms are capable of herpeviruses of the sixth and seventh strain. The clinic of previous conditions is given as an argument. Some patients complain of a malaise, similar to the flu or a cold - the body's reaction to the attack of viruses.
- The second version says that the cause of the appearance of red spots on the body can be considered an infectious-allergic reaction. Confirmation of this theory is a positive reaction to the administration of streptococcal vaccine under the skin of a sick person.
- Adherents of the third version think that the described dermatological disease is a reaction of the body to hypothermia. A sharp drop in immunity leads to an outbreak of a cold of the skin.
- There are also those who believe that the impetus for the appearance of red plaques on the body is stress, a psychological breakdown or emotional shock.
The question of transmission methods also remains open. No one knows where the disease comes from. There is no consensus on whether spots after pink lichen bloom are contagious. It is known for certain that in a person with strong immunity after a cold, such skin allergic rashes do not occur. Children get sick just like adults.
The therapeutic regimen is developed based on patient complaints.
- If severe skin itching is observed, antihistamines (Cetrin, Suprastin) are prescribed.
- For skin treatment, it is recommended to use oils (sea buckthorn, peach, St. John's wort). They soften the epidermis.
- To prevent the penetration of infection, you can treat the affected areas with antiseptics (Sanguirythrin, Chlorophyllipt).
- To strengthen immunity, multivitamin complexes (Vitrum, Biomax), as well as immunostimulants are included in the treatment protocol.
- Activated charcoal helps to improve the general condition, relieve manifestations of allergies and intoxication.
Note! The use of hormonal ointments helps to achieve a quick effect. However, such drugs have side effects: they lead to thinning of the skin, cause its atrophy, stimulating the appearance of dermatitis.
Even if the disease is not treated, its manifestations will disappear by themselves in six months. The above drugs are designed to improve the patient's condition and bring about his recovery. To prevent complications, we recommend that you observe the following rules:
- Do not treat the appeared red spots with iodine, ointments containing salicylic acid and sulfur. These funds irritate and dry the skin, which means they aggravate the course of the disease.
- You can not take a hot bath, go to saunas and baths, steam affected areas. Heat and water contribute to the spread of lesions. Doctors advise not to wet plaques, when taking a shower, do not use hard washcloths, and after water procedures do not rub the body with a towel. After bathing, it is important to treat the skin with topical agents.
- Ultraviolet rays can worsen the condition of the skin, so prolonged exposure to the sun is prohibited.
- To aggravate the inflammatory process is capable of wearing synthetic underwear and clothing.
- It is noted that a high concentration of sweat enhances itching, therefore, during the acute course of the disease, you should not play sports.
A mandatory diet is considered. It should be based on products that are not capable of causing allergies. Chocolate, honey, eggs, nuts, citrus fruits, alcohol should be excluded from the diet. The latter exacerbates the course of any inflammatory processes.
To prevent re-infection, it is useful to temper, walk more in the fresh air, do exercises.
Is pink lichen dangerous for pregnant women?
More recently, the occurrence of pink lichen during pregnancy and childbirth was considered harmless. But recent studies have shown that this is not so. Much depends on in which trimester the disease appeared. If this happened at the beginning of pregnancy (up to 15 weeks), the risk of miscarriage or abnormalities in the uterine development increases.
The immunity in women expecting a baby is reduced, so the duration of the disease is stretched. Symptoms worsen, itching becomes pronounced. Combing leads to infection of the skin. Due to the presence of a number of contraindications, such conditions are difficult to treat.
If the appearance of pink lichen occurred in the second or third trimester, it does not pose a threat to the future mother and child. To eliminate the problem, methods and methods of treatment will be selected that will not harm the health and development of the baby. As a rule, a pregnant woman is prescribed vitamin therapy and topical treatment.
Prevention of pink lichen
Despite the fact that Gerber's disease is not transmitted from person to person, the main rule of prevention is to prevent contact with infected people. It is necessary to avoid hypothermia, protect yourself from stress, physical and psychological overload, overwork. It is important to constantly maintain immunity. In the period of exacerbation of colds, we recommend drinking multivitamin courses, tempering, and leading an active lifestyle. It is useful to give up bad habits, more strictly observe the rules of personal hygiene. Doctors advise to treat chronic diseases on time, avoiding the occurrence of relapses.
Knowing what a skin disease looks like, what pills and ointments help to reduce the time of “flowering”, what measures prevent re-infection, you can maintain health.
Symptoms and Clinic
1) Maternal plaque (see photo) is an important sign of the initial stage of the disease.
- A round reddening appears on the skin in the form of a spot 3-5 cm in size. Usually, a few days before the appearance of the maternal spot, patients notice an increase in temperature, malaise, joint pain, enlarged cervical lymph nodes - all symptoms, as with SARS.
- Maternal plaque slightly elevated above the skin.
- After a few days, the mother stain begins to peel off over its entire surface.
2) Child spots are the main symptom of pink lichen in humans.
- After 7-10 days from the appearance of the mother's spot, multiple pink spots appear from 5 mm to 2 cm in size on the skin of the chest, abdomen, back, arms and legs.
- The spots are round or oval, do not merge into conglomerates, raised above the surrounding skin. After a few days, the skin in the center of such a spot becomes pale yellow and begins to peel off. A few days later, the central part of the stain exfoliates and the skin becomes like a “tissue paper”.
- On the periphery, the stain does not peel off, it remains pink.
- A peeling rim remains between the central and peripheral parts of the spot (a symptom of a “collar” or “medallion”).
- On the body, spots are located along the folds and lines of skin tension (Langer line). This symptom is considered diagnostic - it helps to establish a diagnosis.
Spots are accompanied by mild itching. This is not the main symptom of the disease, occurs in only half of patients. Most often, the skin itches in children and young people with an emotional psyche, as well as with skin irritation.
Usually spots of pink lichen do not bleed. But with severe skin itching, patients, especially children, can comb blemishes.
4) The course of the disease
- After 3-6 weeks, the spots of pink lichen begin to fade in the center. The spots become annular. Then the peripheral part of the spot disappears.
- For some time after the disappearance of the spot, a section of increased (or vice versa - reduced) skin pigmentation remains. These age spots go away on their own for another 1-2 weeks. The consequences in the form of scars or scars with an uncomplicated form of the disease do not remain.
- With a favorable course, recovery does not drag out for a long time, and relapse does not occur.
- The disease recurs in people with immunodeficiency. These are HIV patients and patients with low immunity in blood cancer due to heavy chemotherapy.
- Pink lichen can be complicated by inflammatory phenomena on the skin: pustules, acne, the addition of fungal flora (mycosis). In rare cases, eczematization with weeping may join in children. To avoid this, follow these guidelines.
What can not be done to the patient
- Do not injure or comb the stains (so that the stains do not increase in size).
- You can not rub the skin with a washcloth or even a sponge when washing in a bath, in the bathroom.
- You can not take antibiotics yourself.
- You can not sunbathe, visit the solarium.
- Do not lubricate the skin with alcohol and iodine, brilliant green, ointments containing sulfur and tar, tar soap, salicylic ointment, vinegar, sea buckthorn oil, dough, flour, newspaper ash, apply cosmetics on affected skin - to prevent the spread of spots on the skin.
- Do not wear synthetic or woolen items (cotton only!).
- It is forbidden to wear things that injure the skin (a hard bra provokes the growth of spots under the breast).
Diet for pink lichen
1) Exclude allergenic and irritating foods from the diet:
- sweet, honey, chips, soda,
- chocolate, coffee and strong tea,
- artificial food additives and flavorings,
- smoked meats
- pepper and other spices
- fatty foods
- pickles and pickles,
- the eggs.
2) It is possible and necessary to include in the diet:
- Porridge made from natural cereals: oatmeal, buckwheat, millet, 5 cereals, 7 cereals, etc.
- Bread Borodinsky, Suvorovsky, Harvest, wholemeal.
- Boiled meat.
- Potatoes, carrots and other vegetables.
Can I wash?
Yes, you can, but not every day and only in the shower. You can not wash under hot water - only under warm. Do not use a washcloth. Do not use soap. Pat the skin with a towel (do not rub!).
How long will pink lichen go through?
The standard course of the disease is 10-15 days.
What to do if the rash does not go away for more than 2 months?
You should consult a dermatologist for an additional examination for the presence of another skin disease that masquerades as Zhiber lichen. Most often it is necessary to exclude parapsoriasis - this will require a skin biopsy.
The diagnosis is made on the basis of an anamnesis (medical history), clinical symptoms and by excluding other diseases.
Laboratory diagnosis does not give characteristic signs of pink lichen (remember that the cause of the disease has not been established).
Zhiber pink lichen should be differentiated with a number of skin diseases:
Pink lichen during pregnancy and lactation
Zhiber pink lichen does not affect the fetus and the generic activity of a woman. Therefore, in pregnant women, this disease can not be treated with medication, but only follow a diet and a gentle regimen for the skin.
When breastfeeding, the baby will not become infected with pink lichen.
How and what to treat?
Treatment of pink lichen in pregnant women is carried out only with severe itching and severe inflammation of the skin.
Of the local preparations, only Tsindol or a chatterbox (zinc + talc + glycerin) is used. Corticosteroid ointments - only according to strict indications in extremely rare cases. When prescribing such ointments, breast-feeding should be discontinued.
Preparations for oral and injectable use are extremely rare and should be prescribed by a doctor according to strict indications in case of a threat to the mother's life.
Pink lichen in a child
Children are ill from about 4 years of age, but most often - adolescents (hormonal changes in the body, decreased immunity). The child is not contagious to others.
In children, pink lichen spots should be carefully differentiated from infectious diseases - measles, rubella.
How and what to treat?
Treatment in 90% of cases is not required. The most important thing in treating children is to follow a low-allergenic diet and prevent the spread of spots on the skin of the child, since children often comb and injure the affected areas.
With severe itching, Tsindol and antihistamines are prescribed (Claritin in syrup). If the symptoms are accompanied by eczematous phenomena, in rare cases, corticosteroid ointments and creams are prescribed in a short course (Beloderm cream, etc.).
Varieties and atypical forms of the disease
The disease can be divided into several forms, depending on the nature of the rashes on the body:
- spotted (drop-shaped, dotted, ring-shaped, generalized, confluent, etc.) - standard forms of the disease that occur in most patients,
- papular (follicular, spotty-papular) - rashes that form in patients rise above the skin, after which they disappear, and hyperpigmented skin remains in their place,
- urticarial - rashes form in the form of blisters,
- vesicular - small vesicles are formed, inside of which there is a liquid,
- hemorrhagic - the disease is characterized by the presence of pinpoint foci of subcutaneous hemorrhage.
In addition, the occurrence of atypical forms of the disease is possible when it begins not with the formation of a maternal plaque, but with an extensive rash on the face and neck. Atypical also include the above hemorrhagic and vesicular forms. They occur extremely rarely, but they should be feared and consult a doctor immediately.
Is pink lichen infectious?
Due to the fact that the causative agent of the disease has not been established, scientists find it difficult to answer the question of whether pink lichen is contagious. Most likely not contagious. It is precisely known that the disease occurs in people with weakened immunity, therefore, for reinsurance, doctors recommend limiting contacts with patients with pink lichen.
Although Zhiber's lichen is considered an infectious disease, it is impossible to say exactly which virus or bacterium is its causative agent. Most scientists suggest this is a type 7 herpes virus.
Due to the fact that the pathogen itself is unknown, much attention is paid to the causes of the onset of the disease.
The best known risk factors are:
- colds and SARS,
- the presence of various chronic infectious diseases in the acute stage,
- bronchitis, sinusitis, tonsillitis.
The fact that the disease is caused by a viral infection is confirmed by the following facts:
- the presence of the initial focus of the disease in the form of a maternal plaque,
- seasonal course
- the cyclical nature of the disease,
- development of persistent immunity after recovery.
Most often, pink lichen occurs in spring and autumn.
Photo depriving Giber: what it looks like
Pink lichen has characteristic features and is fundamentally different from other dermatoses. The photo shows various areas of the skin that can be affected by lichen, as well as features of the shape of pathological formations.
What is a “mother plaque”?
Pink lichen begins with the appearance of a “mother plaque” (lower spot in the photo), which has a diameter of two to ten centimeters. It can have a pinkish-red color and in 8 out of 10 cases, it is with her that the spread of smaller formations on the body begins. Although in 20% of cases there is no pronounced maternal spot, and foci begin to form in parallel with each other.
A week later, the “mother plaque” begins to peel off, and in the middle of the formation, the color of the spot changes from pink to yellowish. Basically, such a maternal spot appears on the chest, back, or stomach.
Manifestation in children
In children, pink lichen is rare. But most of these cases occur at the age of 4-12 years. This childhood disease is considered infectious, although today there is no exact information about the causes of its appearance.
5-10 days after the onset of maternal plaque, a rash appears on the child’s body. It is presented in the form of pink or red spots with a yellow tint with fuzzy oval outlines. Rashes are located along the lines of skin splitting, often affecting the shoulders, hips and side surfaces of the body.
Although the disease does not carry a great danger, the fight against the disease must be started immediately. Treatment of pink lichen in children mainly consists in raising immunity. To do this, doctors prescribe Ascorutin - tablets containing vitamins C and P, which are powerful antioxidants, or other vitamin therapy.
What does pink lichen look like in a person: photo
Skin with pink lichen is affected by single spots or group conglomerates (see photo).
What causes the 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 is of a viral nature, researchers suspect the involvement of herpes viruses of the 6th and 7th type in the development of dermatosis.The following signs allow attributing pink lichen to infectious diseases:
- the cyclicity of the flow - the development of elements on the skin is of a staged nature,
- morbidity seasonality - the largest number of cases of dermatosis is recorded in the autumn-winter period,
- a close relationship of the disease with immunodeficiency - as a rule, flaky roseola occurs against the background of infectious diseases, treatment with glucocorticoids, cytostatics, general hypothermia. Often, pink lichen develops during pregnancy, since hormonal changes in the body of a woman significantly weaken the activity of the immune system,
- the presence of the prodrome stage - a few days before the rashes, signs of general intoxication appear (aching joints, malaise, fatigue).
Since the exact causes of the disease are unknown, there is no way to investigate the mechanism of its transmission from person to person. As a rule, patients are usually concerned about whether pink lichen is contagious or not, especially if there are small children at home. To date, there is no data on the flare incidence of dermatosis, therefore, it is either not transmitted from person to person, or is slightly contagious.
How does pink lichen appear?
Since the causative agent of the disease and the transmission mechanism 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 spot of red color with a diameter of 2-5 cm, slightly rising above its surface. By analogy with psoriasis, it is called "maternal plaque." It peels off in the center with small, white, branched scales 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 two are small.
It looks easy to see what pink lichen looks like at the peak stage. On the skin of the trunk and upper limbs (while the face and lower limbs are usually not involved), pale pink spots appear with a diameter of 2-3 cm with a flaky border around 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, is smoothed out, the hyperemic flaky corolla becomes thinner. The rash does not appear at one time, therefore, spots of varying degrees of maturity can be seen on the skin.
The foci have an oval shape, and their length is parallel to the Langer lines. This is the name of the lines along which the collagen fibers of the epidermis are located. Human skin is the most extensible precisely in these areas, and the nature of the rash is not known to this day. 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 rash that has arisen in some cases is combined with an increase in the lymph nodes, occasionally the body temperature rises, the state of health worsens, and moderate joint pain occurs. A rash with pink lichen, as a rule, does not itch, but in the case of an allergic component or irritation, a mild itching occurs. In children, the inflammatory process on the skin 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 what lichen passes? The loose elements begin to fade from the center, pigmentation disappears, and there are no new rashes.
How to diagnose?
The diagnosis is made by a dermatologist after taking an anamnesis, examining complaints and symptoms, and an external examination. In favor of the disease, the rash is associated 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, have a tight-elastic consistency and are not fused to the underlying tissues. In some patients, when examining the oropharynx, hyperemia of the pharynx and slight hypertrophy of the tonsils are revealed. The most important sign of pink lichen is the characteristic arrangement of rash elements along the Langer lines.
With an atypical clinical picture, the doctor prescribes to clarify the diagnosis:
- general blood test - it allows you to identify a person with a bacterial or viral infection, suspect systemic diseases of the connective tissue,
- general urine analysis - 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 scraping from skin elements - the method reveals a fungal infection of the skin.
For the treatment of pink lichen, folk remedies can be used. There are quite a few different methods that can help with this ailment.
- Ten grams of dried marigold flowers need to be turned into powder. Add to it 50 g of petroleum jelly, mix thoroughly. The resulting ointment lubricates plaques up to three times a day.
- The cabbage leaf needs to be smeared with sour cream and pressed to damaged places.
- Boil buckwheat (20g per 400ml of water). In the broth, gauze napkins are moistened and applied to the affected areas.
- Dilute apple cider vinegar with water, grease the plaques with this solution. Celandine juice will do. Repeat up to five times a day.
- Stains are lubricated with various oils - sea buckthorn, rosehip, peach.
- Two yolks are mixed with 50 g of tar and ½ a large spoon of cream. Smeared on inflamed areas.
- You can lubricate plaques with a mixture of birch tar and butter.
- On a fine grater, beets are rubbed, honey is added. Mix thoroughly. The mixture must be put on a cabbage leaf and applied to damaged areas.
- Plaques are lubricated with a 10% alcohol solution. The procedure is performed once every five days! Helps to quickly deal with defects.
- A solution of boric acid is applied to the affected area with a cotton swab. The solution should be saturated.
- To raise immunity, you can drink rosehip infusions, dried fruit compotes.
The use of folk remedies in the treatment of pink lichen should be accompanied by caution. Before treatment, a consultation with a medical professional is necessary.
How to distinguish from other diseases?
A pale pink rash on the skin of the trunk and extremities occurs in various conditions, so it is likely to take more serious diseases for pink lichen. The differential diagnosis of pink lichen is based on the morphological features of the rash elements and the results of laboratory studies.
Zhiber's lichen differs from seborrheic eczema in the nature of peeling: seborrheic scales are dirty yellow in color, oily, large. Although dry seborrhea proceeds with a similar pityriasis peeling, 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.
Pink lichen differs from psoriasis in the absence of a maternal plaque: it disappears after 1-2 weeks at the same time as dissemination of the rash. In addition, the psoriatic rash is localized mainly on the head, face, hands and feet, in the joints. Its elements are not connected with Langer lines.
Secondary syphilis, like lichen, manifests itself as a painless, non-itchy rash of pale pink color on the skin of the trunk. But syphilitic elements do not peel 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 several weeks before the rash.
Teardrop-shaped parapsoriasis looks like pink lichen in the color of its elements and their shape. The differences are in the nature of peeling: it may not be, but when scraping along the surface of the spots, it appears, often a single flake, thin and is removed in the form of a film. If you scrape it with effort, point dark spots appear on the surface of the rash element - hemorrhages from damaged capillaries.
Pink lichen can be distinguished from fungal skin lesions by microscopic examination. Fungi form filaments of mycelia in the epidermis, which are detected by studying the scraping of skin elements under a microscope.
Nutrition and Diet
With pink lichen, a hypoallergenic diet is prescribed.
|It is advisable to exclude the use of the following products:||Low allergenic foods recommended for diet:|
The diet must be observed for 2-3 weeks for adults and 7-10 days for children. Before using a diet, consult your doctor.
How to treat gibber lichen?
Pink lichen, as a rule, proceeds benignly and passes independently after 1-1.5 months from the appearance of maternal plaque. Therefore, treatment of pink lichen in most cases is not carried out. The patient is given recommendations on nutrition, personal hygiene and lifestyle, and observed during the illness.
The diet for pink lichen is hypoallergenic, all products that can sensitize the body are excluded: citrus fruits, chocolate, coffee, whole milk, exotic fruits, red fish, seafood, smoked meats, marinades, convenience foods, brightly colored foods, preservatives. You should refuse to drink alcohol, observe the regime of work and rest.
Do not injure the skin, especially during water procedures. The washcloth should be replaced with a soft sponge, which should be dried thoroughly after each bath. You can take a shower or bath 1-2 times a week to minimize the risk of bacterial infection and skin irritation. You can not use perfumed and colored products for washing, children's hypoallergenic bathing gels are best suited. You can soap the skin with baby soap.
Medications are prescribed for severe pink lichen: the appearance of weeping areas, the attachment of bacterial microflora, suppuration of elements. In these cases, complex therapy is carried out, which includes:
- Antihistamines - they block the biological effects of histamine: increased vascular permeability, the release of the liquid part of the blood into the tissue 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 the membranes of immune cells and prevent the release of pro-inflammatory substances (histamine, interleukin) into the tissue. 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 ways of implementing the inflammatory response. Pink ointment ointment contains a small concentration of hydrocortisone / betamethasone / methylprednisolone. It is applied in a thin layer to the elements of the rash 1-2 times a day for 5-7 days. Longer use, especially if applied in a thick layer over large areas of the skin, can lead to the attachment of fungal, bacterial microflora and thinning of the skin.
Most often, Acriderm ointment, Lokoid, Hydrocortiosone ointment is prescribed for the treatment of pink lichen. Severe allergic pink lichen in some cases requires systemic use of glucocorticoids in the form of Prednisolone tablets.
- Astringent and drying agent is a mash mill 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 locally in the form of ointments - Levomekoleva, Sintomycinova.
Clotrimazole is an antifungal drug, respectively, it is prescribed when joining fungal microflora. It is also prescribed in the form of ointments - Exifin, Laciril, Batrafen. Despite the alleged viral nature of pink lichen, Acyclovir is not used for its treatment. The drug has a detrimental effect only on herpes viruses, and their participation in the formation of dermatosis has not been proven to date.
The question of how to quickly cure pink lichen is a concern for most patients, since the unaesthetic appearance of the rash and various restrictions cause them significant discomfort. You can not appoint yourself an ointment with serious active ingredients for home treatment. Their irrational use can lead to skin irritation, complications, the appearance of weeping areas on its surface. What to smear a rash in one case or another is 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. Lichen Gibber is a benign disease with a tendency to self-heal and the only thing that is dangerous is the addition of pathogenic microflora or an allergic component. Specific prophylaxis has not been developed; non-specific prophylaxis includes measures to improve the overall health of the body and strengthen immune defense.
The surest remedy for pink lichen is welding. More precisely, UV radiation from welding. I have this ailment every year. Ointments prescribed by dermatologists did not give any results. At work, complained to a colleague about a problem. He gave me the first session of "welding therapy" 15 minutes of tanning from a semiautomatic device was quite enough. Since the whole back burned, I had to sleep on my stomach. By morning, the spots were completely stunned, and I forgot about the disease for a year.
Hurray! I found an effective way to cure r.L. For a week, smearing and drinking the pills prescribed by the doctor did not help. From the pills I slept on the go, and from the ointment there were more and more rashes, and it all wildly scratched. Mom got her old healthy lifestyle magazines. for 2003-2004, and deducted such a recipe. Buy salicylic acid (costs about 10 p.) and ointment-Celestoderm-B with Garamycin (about 200 p.) First, wipe the affected area with acid, and then apply a thin layer of ointment. Wear only cotton underwear. Try not to wet. But if necessary, immediately after water procedures bolyachki.Skolko run once a day, depending on the severity zabolevaniya.Ya done 3 times a den.Proshlo already at 4, and the itching was gone after 2 applications.
What does it look like?
In a typical case, at first one pink spot appears (it is also called a maternal spot), after which smaller spots appear on the skin of the body, arms, legs (usually above the elbows and knee joints), sometimes they slightly rise above the skin, almost always peeling. On the periphery, the spots are brighter, in the center - lightening. The skin of the face, scalp, hands and feet are usually not affected.
If the diagnosis was made correctly and the right recommendations for skin care were immediately given, then itching or other subjective sensations may not occur at all. I’ll add from myself that although atypical forms also occur, as a rule, dermatologists make this diagnosis without difficulty.
Dont touch me!
In most cases, within 1.5–2 months, the spots go away on their own, without medical treatment, only due to gentle, non-irritating skin care. The main thing here is to resist the temptation to smear the spots on your own with something: for example, hormonal ointments, iodine (mistaking for a fungus), your favorite brilliant green (so that everyone sees that he is sick), sulfuric or some other ointment (scabies, they say) ...
It’s a paradox, but pink lichen doesn’t really like to be treated. The fact is that the skin of such patients becomes extremely sensitive to external and internal influences and easily “explodes” in the eczematized form of pink lichen.
Therefore, the right approach to this disease is the most sparing regimen and less intervention.
From the tablets, the following drugs are prescribed:
- Ethacridine lactate,
- Calcium pantothenate,
- antihistamines (loratadine),
- glucocorticosteroids (prednisone).
All of them provide symptomatic treatment, as well as accelerate the restoration of the skin after lesions of its deprive. In addition, antibiotics fight the possible infection that caused this manifestation.
Why do lichen rashes appear
Doctors consider immunological problems to be the main provocateurs of development of depriving Zhiber. Confirms the hypothesis of seasonality of frequent diagnosis of the disease. Pathology is more often detected in the fall and spring. At this time, the human body suffers from climate change, infectious attacks. Pink deprive often fall ill after suffering an acute respiratory viral infection.
Protective forces can weaken in conditions of increased physical and psycho-emotional stress, metabolic disorders, prolonged exposure to stress, and depletion of nutrient reserves in the body.
There is an infectious-allergic theory of the development of lichen giber. According to her, some viral and bacterial infections activate the production of specific antibodies that mistakenly perceive their own skin cells as foreign agents. Antibody attack provokes reversible disturbances in the epidermis. After the breakdown of the protective cells, the manifestations of lichen begin to weaken.
Dermatologists associate pink lichen with a state of intoxication. Pathology is more often detected in able-bodied people who, due to their profession, come into contact with chemicals. Lichen can be triggered by bad habits, liver damage, regular disturbances in the patient's diet.
A separate factor is considered metabolic and endocrinological diseases. Imbalances in hormones and interruptions in metabolism adversely affect the state of the whole organism (including the functioning of the immune system). In patients with diagnosed lichen giber, chronic diseases of the cardiovascular system are often detected.
The tendency to pink lichen determines regular skin irritation. Regular use of abrasive scrubs, hard washcloths, frequent visits to the solarium, and enhanced skin cleansing during hygiene procedures can activate the disease.
When collecting an anamnesis in patients with Zhiber's lichen, more often several provoking factors are more often identified. It is impossible to establish which of them became the main cause of the disease.
How to recognize gibber's lichen
A rash of pink lichen can appear on any part of the body. More often it is located on the chest, stomach, back. It can spread to the skin of the upper and lower extremities, neck, in the armpit area. In isolated cases, lichen rashes are found in the groin. Characteristic skin changes are never found on the feet and palms.
At the very beginning of the development of the disease, even before the appearance of characteristic spots, the patient may feel a slight malaise - weakness, drowsiness, fatigue. Occasionally, rashes are preceded by an increase in body temperature to subfebrile values, aches in the joints, an increase and increase in the sensitivity of lymph nodes in the neck and under the lower jaw. The main symptom characteristic only for pink lichen is the appearance of a maternal spot on the skin (often on the chest or under the shoulder blade on the back). It has a pronounced pink color, significantly rises above the plane of healthy skin. In about a quarter of patients, the spot is very itchy; in 50%, only mild discomfort occurs.
The maternal spot is mutating. Over time, it increases in size. The diameter can reach 5 cm. The pink color in the center of the spot changes to yellowish. The surface is slightly flaky. After exfoliation, the skin in the center of the lichen becomes like tissue paper. The edges remain pink, raised and somewhat inflamed. Altered maternal spots have a clear round shape, outwardly resemble a medallion. As a rule, no more than 3 large spots occur during the entire course of the disease.
The rash appears on the body on the 7-10th day of the development of pathology. It is represented by multiple rounded (or irregularly shaped) spots of pink color. They form around the maternal spot, often on the lines of maximum tension of the skin or folds on the body. Child spots are much smaller. The diameter of the largest does not exceed 2 cm. Despite the vastness of the rashes, the individual elements do not merge with each other, remain isolated until the symptoms are completely eliminated. The lichen rash itches, sometimes there is a burning sensation or irritation on the skin. After some time, small rashes are transformed - they become smooth, yellowish, flaky.
Sometimes maternal and daughter spots appear wavy - every 7-10 days. For this reason, lichen polymorphism is observed on the patient’s skin - at the same time, rashes are present at different stages of development.
After exfoliation of the stratum corneum of the epidermis, pigmentation of the skin changes in place of primary and secondary spots. After depriving Giber, depigmented white spots may remain, or vice versa - signs of hyperpigmentation. In the second case, the tracks are brown in color, darker than healthy skin. Pigmentation disorder reversible. The process of transformation of spots takes 10-14 days. The disease lasts 1-1.5 months. All traces disappear after 2 months, from the moment the first element appears on the skin.
The complicated course of the disease
The development of lichen indicates a violation of the barrier function of the epidermis. During the course of the disease, the patient's skin is more sensitive to external stimuli. With severe itching and violation of the rules of treatment, the development of complications is possible - injuries (as a result of combing spots), pustular rash, attachment of a fungal infection.
Pink lichen is able to develop in a generalized form - with the spread of a rash throughout the body. In rare cases, vesicles with serous contents appear on the borders of the rash. This increases the risk of complications - infectious skin lesions, the development of weeping eczema, psoriatic hyperkeratosis. Atypical and complicated forms last longer, accompanied by severe inflammation of the skin, intense discomfort (pain, burning, itching). You can suspect the development of complications if the lichen does not go away for 2 months.
It’s important not to confuse the disease
A dermatologist is involved in the diagnosis and treatment of pink lichen. There are “skin” specialists in all private and state polyclinics. If a rash is detected, you should immediately make an appointment with a doctor. Other diseases (including systemic ones) may be masked under Zhiber’s lichen, the delay in the treatment of which promises serious health problems.
Due to the unexplained etiology of the disease, specific laboratory methods for its diagnosis do not exist. A doctor may suspect pink lichen on the first appointment. For complete certainty, the patient will be checked for other diseases with similar symptoms.
Lichen Giber can be confused with pityriasis versicolor. The rash is similar, however, the spots are monomorphic (the same everywhere throughout the disease). To differentiate pathologies, a microscopic examination of the scraping is performed. With pityriasis versicolor, parts of the fungus are visible in it - hyphae and clusters of spores. Pink lichen is similar to secondary syphilis. It also appears pink or red spots on the body. To refute suspicions, a Wasserman reaction is carried out. Based on dermatoscopy and medical history, the disease is distinguished from measles and rubella, allergic rash, trichophytosis, psoriasis and eczema.
Is it necessary to treat Zhiber's lichen?
There are no specific treatments for pink lichen. Activities are reduced to eliminating the effects of provoking factors and preventing complications. However, this does not mean that you can not go to the doctor. Pathology must be controlled to prevent its transition to more complex skin diseases.
With or without treatment, signs of pink lichen disappear in 6–8 weeks.
General principles of treatment
During the manifestation of depriving Giber, the patient must provide gentle skin care. You can not wash yourself with sponges, washcloths, brushes, use cleaning products, acid peels, take massage and laser resurfacing courses, or sunbathe on the beach or in the solarium. All these are additional aggressive effects on the skin. They contribute to the spread of rashes and increase the risk of complications. When taking a shower, it is allowed to use soft gels without aggressive surfactants, acids and oils. It is desirable that the agents have a neutral pH level. Hot showers and baths are prohibited until complete recovery. It is undesirable to swim in open water, a pool.
After hygiene procedures, do not rub the skin with a towel. For wiping, it is better to use a piece of cotton fabric - a diaper, a sheet. To eliminate excess moisture, you should treat the skin with soaking movements.
Before a full recovery, it is necessary to abandon cosmetics (lotions, sprays, emulsions) with pigments, alcohol and oils in the composition. The creation of a greasy film on the skin promotes the growth of pathogenic bacteria and fungal microorganisms.
Drying of the skin is also highly undesirable. For its prevention, the body is treated with lotions with zinc salts. The substance accelerates regenerative processes, eliminates harmful microbes, and promotes accelerated epidermal renewal.
There is no special diet against pink lichen. Correction of the diet consists in the rejection of harmful products, provocateurs of allergic reactions. Until complete recovery, the following should be excluded from the menu:
- fatty and fibrous varieties of meat (pork, ducklings, goose),
- products with additives in the composition (chips, crackers, snacks, convenience foods),
- confectionery (cookies, fatty cakes, cakes),
- sources of simple carbohydrates (sugar, preserves, jams),
- highly allergenic products (citrus fruits, chocolate, strawberries, honey),
- pickles and pickles,
- smoked meats, fatty sausages,
- baking, baking, fried dough,
- alcohol in any form.
The patient should make a menu based on whole grain cereals, quality meat, low-fat dairy products, fresh vegetables and fruits (it is better to choose local and seasonal).
Prescription of drugs will be required if Gibert's lichen provokes severe skin itching or occurs in a complicated form. Among systemic drugs, antihistamines (Tavegil, Fexofast, Erius) can be prescribed. In order to suppress oral allergies, calcium gluconate tablets may be prescribed. They eliminate discomfort on the skin and reduce the activity of allergic reactions. With the addition of a bacterial infection, as well as with a generalized form of pathology, antibiotics can be prescribed. The drug, its dose and duration of treatment is determined solely by the doctor.
For local elimination of itching, inflammation and the prevention of infectious complications, local remedies are prescribed. Mostly prescribed gels and ointments with a hormonal component in the composition (Flucinar, prednisone, Celestoderm). External funds are applied twice a day. Rub lightly, leave until completely absorbed. If the use of hormonal drugs is contraindicated, ointments and gels with an antihistamine effect are prescribed (Fenistil, Psilo-Balm, Traumel).
For treatments of large areas of the skin, a zinc mash or liquid drug Zindol is recommended.
The lack of officially recognized treatment tactics depriving Gibert does not stop traditional medicine practitioners from prescribing various home remedies. For the treatment of pink lichen recommend:
- wipe stains with tincture of calendula three times a day,
- apply dough cakes for the night,
- lubricate the rash with essential oil of tea tree, cloves, cinnamon,
- treat new spots every night with brilliant green, fucorcin or iodine,
- rub the ashes of the burned newspaper twice a day into the stains,
- apply the pulp of aloe leaves, Kalanchoe, money tree,
- lubricate lichen with rosehip, sea buckthorn, apricot oils,
- wipe affected skin with vinegar,
- make compresses from a mixture of aloe juice and honey.
Doctors deny any benefit to such treatments. The adverse effects of alcohol, organic acids, fat, can aggravate the course of the disease. To cure pink lichen quickly, traditional healers recommend taking general strengthening agents inside. To stimulate the immune system and restore metabolism are able to:
- rosehip broth,
- Echinacea tea
- adaptogens - tincture of ginseng, eleutherococcus,
- mixes of fresh fruits and berries.
By agreement with the doctor, for general strengthening purposes, you can take vitamin-mineral complexes, preparations based on purple coneflower.
Special information about pink lichen
Depriving Giber can not be infected from humans or animals. The disease does not spread in water bodies, in household contacts. The patient is not contagious, and therefore there is no need to limit his communication and bodily contacts with other people. Even intimate contacts are not capable of causing transmission of lichen.
Pathology in approximately 4% of cases is diagnosed in children older than 4 years.Pediatricians are advised to use children's antihistamines, protect your skin rashes, and wear gloves for the child at night. Combing rashes is the main cause of infection of the rash and the appearance of ulcers.
The appearance of pink lichen in a future mother does not threaten the child in any way. The disease does not require treatment in 90% of cases. As a regenerating and antipruritic agent, pregnant women will recommend safe preparations with zinc. Nursing mothers can also not be afraid of depriving. It is impossible to infect a child with them. However, when using hormonal drugs, breastfeeding will have to be abandoned for a while.
The disease usually proceeds with mild symptoms. A person is able to go to work and do the usual things. Only patients with a complicated form of pink lichen can count on a paid sick leave.
If the illness occurred at the conscript - departure to military institutions will be delayed. Delay will be given until the moment of complete recovery and the disappearance of skin rashes.
Deprive Gibber in the life of one patient occurs once. Complications, periodic relapses and a prolonged course of the disease indicate serious internal diseases. The most dangerous of them are HIV and oncological pathologies. In the first case, lichen recurs against a background of malfunctions in the immune system. Due to their persistence, the disease lasts several months in a row. Against the background of oncology, pink lichen is activated after courses of chemo- or radio-wave therapy. Such methods of treating malignant tumors have a pronounced immunosuppressive effect, cause exacerbation of chronic diseases, uncontrolled multiplication of microbes in the body, activation of autoimmune and allergic diseases.
Pink lichen is a non-infectious dermatological disease, the main cause of which is a decrease in immunity. To support the body's defenses, a person must eat well, be physically active, monitor their own hygiene and treat infectious diseases in a timely manner. To prevent seasonal decline in immunity, it is appropriate to take vitamin-mineral complexes, homeopathic and herbal remedies to prevent flu and colds. Deprive Giber does not require specific therapy. Diseases that can be covered by pink lichen must be treated.
How to organize your life for patients?
- For the period of treatment, abandon any ointments, creams, cosmetics. Particularly dangerous compounds with irritating effects, used for application to the back and joints.
- Refuse to visit baths, saunas, baths. Only a shower (and the jets should not be very “tight”), water of a pleasant temperature (neither cold nor hot).
- Do not wipe yourself! Excess water should be patched with a soft terry towel.
Unfortunately, patients do not always comply with the above recommendations. And then dermatologists (especially in the presence of itching) have to prescribe antihistamines and mild dosage forms with hydrocortisone. However, they should be used with extreme caution, observing the dosages recommended by the specialist, but it is better to do without the safety precautions that I have already mentioned.
Although pink lichen is a pretty harmless thing, nevertheless “folk” medicine and recipes from the HLS newspaper is clearly not an option that can be dispensed with.
Products: cream with hydrocortisone om, levocetirizine, desloratadine
The disease is usually fought at home. A dermatologist prescribes not only appropriate medical treatment, but also gives certain recommendations. Wearing synthetics as well as woolen clothing should be excluded. Do not take water procedures until recovery. As for the diet, it should be hypoallergenic. If you are prescribed treatment, strictly adhere to all dosages and doctor's advice.
Although Zhiber's lichen is considered an infectious disease, there are practically no cases of transmission of the disease from a sick person to a healthy contact or in any other way. Therefore, there is no reason to shun and avoid carriers of this dermatosis.
Zhiber’s lichen usually appears in people with immunity problems, suffering from constant stress, having vitamin deficiency, etc. Moreover, the presence of contact with the carrier of the disease practically does not play any role.
Features in children
In children, pink lichen passes as easily as in adults. But do not think that you can not go to the doctor and cure the disease yourself. As soon as you notice a strange spot on the skin of a child, contact a dermatologist. He will investigate this formation and determine its nature and causes, as well as prescribe adequate treatment. Recovery is as fast as in adults, so there are no special worries about the course of the disease with proper treatment.
If previously it was believed that Zhiber’s lichen does not affect pregnancy in any way, now studies are appearing that claim the opposite. Therefore, pregnancy should be planned when the disease is already defeated, especially since relapses will not appear.
Lichen deprivation is dangerous only in the first months of pregnancy, as it can cause miscarriage and other problems. In the second and third trimester, the disease does not threaten the child, but it is worth treating. It is important to consult a doctor, since not all drugs are allowed during pregnancy. In particular, antibiotics are prohibited.