nasal vestibulitis
Introduction
Introduction to nasal vestibulitis Vestibitisitis (vestibulitsofnose) is a diffuse inflammation of the nasal vestibular skin, often digging nose, acute, chronic rhinitis and sinusitis, allergic reactions or nasal foreign body (more common in children) secretion stimulation, long-term dust (such as cement, asbestos) , fur, tobacco, etc.) work in the environment, easy to induce or aggravate the disease, divided into acute and chronic. Acute nasal vestibular skin redness, pain, severe cases can be extended to the upper lip junction, tenderness, epidermal erosion and covered with molting, chronic nasal anterior vestibule itching, burning and scab, nasal hair loss, skin thickening, cleft palate Or covered with scaly suede. basic knowledge Sickness ratio: 0.05% Susceptible people: no special people Mode of infection: non-infectious Complications: acute cellulitis
Cause
Causes of nasal vestibulitis
Rhinitis (40%):
In the acute case, the skin in the nasal vestibule and the junction with the upper lip is red, swollen and superficially erosive, and the nasal hair is attached with a sticky pus. The patient feels pain in the nostrils, especially in the case of blowing his nose. In general, it is to check the acute redness, cleft palate and superficial erosion in the nasal vestibule and the junction with the upper lip. The nasal hair is attached with a sticky pus, and the patient feels pain and discomfort in the nostrils, especially when the nose is swollen. In patients with chronic nasal vestibulitis, the nasal hair often falls off, and the nasal vestibule is accompanied by dry or purulent sputum. The patient often feels itching, fever and foreign body sensation in the nostrils.
Nasal foreign body (20%):
Nasal foreign body is easy to cause skin damage and cause inflammatory reaction, congestion, redness, pain, discomfort, fever and foreign body sensation, etc., and severe inflammatory reactions may also cause purulent secretions.
Environmental factors (15%):
Long-term work in dust (such as cement, asbestos, fur, tobacco, etc.), easy to induce or aggravate the disease.
Other factors (10%):
Frequent excavation, allergic secretions, etc., diabetics are often susceptible to this disease.
Prevention
Nasal vestibulitis prevention
1. It is forbidden to dig nose, and adults are forbidden to pull nose hair.
2, more children and rhinitis patients, should pay attention to often run out of nose, so that the nasal cavity is kept smooth and clean.
3. Actively treat all nasal diseases.
4. Take medicine and change medicines in time.
5. It is forbidden to wash the affected area with soapy water.
6, breast-feeding, be careful not to let the milk sweat invade the lesion area.
7, fasting pungent spicy food (scallions, garlic, snow red, mustard, mustard, pepper, pepper, leeks, curry, a lot of ginger) and hard to digest food.
8, keep the patient's stool smooth.
9, itching, can be given acupuncture or acupressure, acupoints: Shenmen, Quchi, Hegu.
10. If you fail to heal, you should rule out the possibility of diabetes.
Complication
Complications of nasal vestibulitis Complications acute cellulitis
Will cause cavernous sinus thrombosis and surrounding cellulitis.
Symptom
Symptoms of nasal vestibular symptoms Common symptoms of nasal vestibular itch scaly nose hair shed scars nose hair whitening
It is divided into acute and chronic. In acute cases, the nasal vestibular skin is red and swollen, painful. In severe cases, it can be enlarged to the upper lip junction, there is tenderness, the epidermis is eroded and covered with molting, and the chronic anterior chamber is itchy, hot and scarred. The nose hair is shed, the skin is thickened, chapped or covered with scaly suede.
Examine
Examination of nasal vestibulitis
The anterior nasal examination can be seen in the nasal vestibular skin lesions. Divided into acute and chronic. Acute nasal vestibular skin is red and swollen, painful, severe cases can be extended to the upper lip junction, there is tenderness, epidermis erosion and covered with molting. Chronic anterior uterus is itchy, burning and crusting, nose hair falling off, thickening of the skin, chapped or covered with scaly suede. Exams can be seen in the nasal vestibule and at the junction with the upper lip. The skin is red, swollen and superficially erosive. The nasal hair is attached with a sticky pus. The patient feels pain in the nostrils, especially when blowing his nose. In patients with chronic nasal vestibulitis, the nasal hair often falls off, and the nasal vestibule is accompanied by dry or purulent sputum. The patient often feels itching, fever and foreign body sensation in the nostrils.
Diagnosis
Diagnosis and differentiation of nasal vestibulitis
Differential diagnosis
It should be distinguished from children's nasal eczema, which is associated with allergies and has a severe itchy sensation. In the acute case, the skin is red and swollen in the nasal vestibule and at the junction with the upper lip, or there are cleft palate and superficial erosion. Patients often feel pain and discomfort in the nostrils. Chronic nasal hair often falls off, the local skin is slightly thickened, the surface is dry and peeling, and the cleft palate can be seen. The patient has itching and fever in the nostrils.
