Sikoz is the pustulous disease of skin caused by golden staphylococcus. Development of a sikoz is the cornerstone neuro and endocrine violations which change sensitivity of follicles. Sikoz strikes area of growth of a beard and moustaches on a face. The disease begins with clinic of superficial follikulit which extends to healthy sites of skin, recur and have long character. It is possible to diagnose on the basis of a characteristic clinical picture. However for successful treatment it is necessary to establish a disease etiology (mikotichesky, staphylococcal, lyupoidny).
Sikoz is the pustulous disease of skin caused by golden staphylococcus. Development of a sikoz is the cornerstone neuro and endocrine violations which change sensitivity of follicles.
As treats group of piodermiya, microinjuries and cuts can provoke its emergence during shaving. Chronic rhinitis can provoke too as skin over an upper lip is loosened, and during a smorkaniye there is a rubbing in of slime which contains a large number of staphylococcal flora. Chronic conjunctivitis often precedes a skin sikoz a century. Removal of hair from a nose by means of tweezers leads to a sikoz on the internal surface of wings of a nose and on a nasal partition.
Clinical picture of a sikoz
Sikoz arises on a hairy part of the face, the area of moustaches and a beard is surprised. diagnose for women less often, and it is localized on the internal surface of wings of a nose, on eyebrows and on edge a century. On skin of axillary hollows, on a pubis and on the skin covered with long hair arises in isolated cases.
Sikoz begins with formation of superficial follikulit which settle down groups in the form of disks. In process of growth of follikulit the neighboring sites of integuments are involved in process, and as a result sikozy the most part of skin is surprised. Primary manifestations of a sikoz in the form of superficial follikulit begin suddenly and also suddenly take place. But after short time follikulit comes back, its current becomes long, there are deep defeats of follicles and it is clinically possible to observe a picture, typical for a sikoz.
The skin affected sikozy is sharply inflamed, hyperemic and edematous. Morbidity at a touch increases and hypersensitivity of an affected area. At a sikoza skin becomes covered by a large number of gnoynichok which are very close located to each other, their basis is condensed and has bright red color.
Purulent pustula quickly shrink because of what all surface is filled in with their contents. As a result the skin affected sikozy becomes covered by lurid or greenish crusts. Over time crusts disappear, but because of continuous purulent process appear again. After removal of crusts the becoming wet inflamed surface is bared. Often at a sikoza reddening and puffiness goes beyond the main center.
On the periphery of the zone struck sikozy there are scattered isolated impetigo elements which in process of the peripheral growth of the main center merge with it. As at a sikoza follicular pustula arise one by one, without adequate therapy inflammatory infiltrate increases.
The site struck sikozy painful only at a touch, for the rest complaints to an itch and burning patients show extremely seldom. Sikoz completely disfigures a human face, and therefore besides the main purulent process people have depressions, they become closed and cannot lead active lifestyle. The general condition of patients at a sikoza does not suffer, temperature increases extremely seldom, regionarny lymph nodes are normal.
Parasitic differs from ordinary in less expressed infiltration zone, lack of highly standing single purulent papules and proceeds sharply, without recurrence as at a parasitic sikoz immunity develops and often there is a self-healing.
Lyupoidny is a rare form of stafillokokovy defeat of hair follicles, has a sluggish wavy chronic current. At a lyupoidny sikoz the pustulization is expressed poorly, but after treatment there are atrophied sites of skin and persistent baldness.
In spite of the fact that the same golden staphylococcus is the reason of a lyupoidny sikoz, the etiology and the mechanism of development are not found out up to the end as the microbic factor is only one of links in pathogenesis. At a lyupoidny sikoz additional colonization of the follicular device other gramotritsatelny microflora is possible. Often lyupoidny develops against the background of the seboreyny status, diabetes and a chronic focal infection.
To thicket lyupoidny diagnose for men of middle and advanced age, the zone of a beard and moustaches, temporal and parietal sites of a hairy part of the head is surprised. Lyupoidny has a chronic current and begins with a stagnant eritema. On its background there are grouped follicular small knots, pustula and light yellow crusts. Grayish scales are localized near the struck follicles and easily are removed at a poskablivaniye.
Over time pustula and crusts merge, forming the roundish plaque with a diameter up to 3 cm which is accurately delimited from healthy skin. Because of infiltration it has wine - red color and is located on the flat painless condensed basis. Further the plaque begins to turn pale from the center to the periphery, skin over it becomes thinner, becomes smooth and deprived of hair, the element zapadeniye characteristic of a lyupoidny sikoz with development of an atrophy of skin in the center develops. Within such plaque new pustula are not formed that is important difference of a lyupoidny sikoz from vulgar. Sometimes in a zone of a plaque single bunches of hair remain.
The zone of peripheral infiltrate is insignificant – about 1 cm, skin is slightly ennobled, hyperemic, moderate infiltration is noted. In this zone it is possible to see numerous follicular papules with rare pustula in the center. The defeat center sikozy slowly increases due to peripheral growth and due to emergence of the new inflamed follicles. In most cases the affected area has the correct rounded shapes, but sometimes growth of the center prevails on one of poles of a zone of a sikoz, then the form of the struck zone becomes asymmetric and accepts uneven outlines.
Lyupoidny proceeds many years, sometimes with the long periods of incomplete remission, becomes aggravated spontaneously without any objective reasons. The general condition of patients at a sikoza does not suffer, painful or unpleasant feelings are practically absent, except for cases when a lyupoidny sikoz a hairy part of the head is surprised. Morbidity at the same time is explained by anatomic features of head skin and proximity of an aponeurosis.
Diagnostics of a sikoz
Bright clinical manifestations allow to make precisely the diagnosis, but it is necessary to differentiate vulgar, parasitic and lyupoidny sikoza. The fungal infection is the cornerstone of a parasitic sikoz and already later staphylococcal microflora joins. At a lyupoidny sikoz the clinical picture differs a little.
By results of microscopy mikotichesky flora is excluded or confirmed. Crops and cultural inspection purulent separated and crusts will see to purpose of antibiotic treatment, otherwise to allocate the activator much more difficult. Together with allocation like the activator conduct examination on its sensitivity to antimicrobic medicines.
Treatment of a sikoz
Therapy of sikoz usually long. It is carried out by the dermatologist or the mycologist and consists in local use of antimicrobic ointments and in reception of antibiotics in inside. During the periods of an aggravation apply disinfecting lotions with permanganate of potassium and boric acid which prevent a repeated obsemeneniye and soften purulent crusts. After rejection of crusts alternately apply gentamitsinovy and sintomitsinovy ointments.
As soon as process of a gnoyeobrazovaniye abates, the centers struck sikozy grease with solutions of aniline dyes – diamond green or methylene blue. The zone around a sikoz is processed iodic solutions. Antibiotics of a tetracycline row – , and chlortetracyclin, accepted in inside or in the form of intramuscular injections, have bakteriostatichesky effect on staphylococcus. Laser treatment and Ural federal district therapy is successfully applied.
Reception of vitamins, iron medicines which stop nervous breakdowns is shown to in total patients with sikozy. At extensive defeats sikozy apply a staphylococcal vaccine and autogemotransfuziya. The forecast at treatment observance favorable, but it must be kept in mind that during antibiotic treatment and not observance of the diet excluding alcohol and spicy dishes leads breaks to formation of strains of stafilokokk, steady against antibiotics.
Prevention of sikoz is respect for hygiene, accuracy during shaving and processing by antiseptics of small injuries not to allow their infection.