Aktinichesky dermatitis is the inflammation of skin resulting from beam influence. Aktinichesky dermatitis can be caused by sunshine, artificial sources of UF-radiation and the ionizing radiation. The clinical picture of dermatitis depends on intensity and time of influence of radiation for skin. Chronic aktinichesky dermatitis can develop at farmers, welders, working melting and foundry shops, radiologists. Treatment of aktinichesky dermatitis includes use of the healing creams and means for treatment of burns, prevention of infection and fight against a pain syndrome. At necrotic changes of big sites of skin plastic closing of defect can be required.
Aktinichesky dermatitis is the inflammation of skin resulting from beam influence. Aktinichesky dermatitis can be caused by sunshine, artificial sources of UF-radiation and the ionizing radiation. The clinical picture of dermatitis depends on intensity and time of influence of radiation for skin. Chronic aktinichesky dermatitis can develop at farmers, welders, working melting and foundry shops, radiologists.
Symptoms of aktinichesky dermatitis
Emergence of the first symptoms of sharp aktinichesky dermatitis is preceded by the hidden period. For solar dermatitis it makes only several hours, for beam (radiation) — from 1 day to 2 months.
Sharp aktinichesky dermatitis of a solar origin is characterized by reddening and puffiness of skin with feeling of burning, an itch or pain. Sometimes it proceeds with temperature increase, nausea, weakness and the phenomena of the general intoxication. As a rule, solar dermatitis leads to a large lamellar peeling of skin. In some cases on skin there can be serous bubbles after which opening erosion are formed. At chronic solar dermatitis open sites of skin have a bronze shade, become dry and reinforced, on them red plaques appear.
The clinic of sharp beam dermatitis allocates 3 stages. The reddening stage (eritematozny) is a puffiness, reddening and morbidity of an affected area of skin. Emergence of dot hemorrhages speaks about deep defeat and the adverse forecast. The bullous stage of beam aktinichesky dermatitis is characterized by strengthening of hypostasis, increase of pain and emergence of big bubbles (the size to egg) with a thick tire. After opening of bubbles the becoming wet erosion which healing happens to formation of a hem are formed. The stage of a necrosis can develop against the background of bullous or bypassing it. It is followed by serious condition of the patient, high temperature, sleeplessness, severe pains. On skin there are ulcers which are not healing within several months. When healing an ulcer the hem which any superficial trauma leads to a repeated necrosis and formation of a trophic ulcer is formed.
Chronic aktinichesky dermatitis from ionizing radiation is followed by atrophic processes in skin. Skin becomes thinner, loses elasticity, becomes dry and sensitive, on it painful cracks appear. Then sites of the raised orogoveniye (giperkeratoz) and warty growths begin to arise. Damages of skin from artificial sources of UF-radiation are similar to solar dermatitis, but often are followed by intoxication, keratity and konjyuktivity.
Red plaques at chronic solar dermatitis, sites of a giperkeratoz and growth of skin at chronic radiation dermatitis can be the cause of cancer of skin.
Treatment of aktinichesky dermatitis
Treatment of sharp aktinichesky dermatitis for solar or artificial UV rays consists in application of the cooling lotions, the healing creams and means for treatment of burns. At emergence of bubbles carry out their piercing.
In treatment of the first stage of radiation aktinichesky dermatitis locally apply corticosteroids, , . At formation of bubbles from them suck away liquid and apply the pressing bandage. At suppuration the bubble is opened and impose disinfecting ointment, to the patient appoint an antibiotic. Treatment in stages of a necrosis is directed to infection prevention, knocking over of pains, immunity strengthening, stimulation of processes of healing. If the site of a necrosis is well delimited, then carry out its surgical excision. At big not healing sites of a necrosis plastic surgery, and in extremely hard cases — amputation of an extremity can be required.