violinist neck dermatitis
Introduction
Introduction to violinist neck dermatitis The dermatitisoftheneckofviolinists, also known as the Fiddler neck, are acne-like skin lesions that occur in the hands and necks of violinists. basic knowledge The proportion of illness: 0.15% Susceptible people: common in violinists Mode of infection: non-infectious Complications: Acne
Cause
Violinist neck dermatitis cause
Occupational factors (65%):
This disease is usually seen in violinists, because the local skin is repeatedly rubbed and pressed by the violin is the main factor of dermatitis. Due to long-term friction, local skin ulceration can also occur.
Body factor (25%):
Secondly, mental stress and local skin fever, sweating, mood and poor hygiene are the contributing factors to dermatitis.
Other factors (5%):
Some patients have a history of acne.
Prevention
Violinist neck dermatitis prevention
Because the disease is caused by playing the violin for a long time, the clinical prevention should also strengthen the violin playing protection, strengthen the protection, insert a sweat-absorbent, breathable, soft pad at the chin rest; or sew (back) the back of the outer garment A small thin pad to avoid direct friction with the violin, can reduce the friction on the skin and reduce the incidence of the disease. And pay attention to local hygiene, to avoid infection caused by skin lesions.
Complication
Violinist neck dermatitis complications Complications
The disease is mainly caused by skin damage, usually accompanied by skin acne. Because the skin integrity is destroyed, it may cause skin bacterial infection or fungal infection due to scratching, usually secondary to low body constitution, or long-term use of immunosuppressive agents and fungal infections such as nail fungus, such as concurrent bacterial infection may have fever , skin swelling, ulceration and purulent secretion and other performance. Severe cases can lead to sepsis, which should be brought to the attention of clinicians.
Symptom
Violinist neck dermatitis symptoms Common symptoms Papular depression scar cyst erythema (border clear...
More common in professional violinists, from the initial violin to dermatitis occurred an average interval of 3 years, and some patients have a history of hemorrhoids, skin lesions occur in the left neck and left lower jaw angle, and occasionally involve the left chest lock area, Skin lesions begin with clear-cut erythema, inflammatory follicular papules, small papules on the top, occasional cyst formation, repeated authors, gradual emergence of lichenification, accompanied by hyperpigmentation, and finally developed into acne-like Scar, the course of the disease is slow.
Examine
Violinist neck dermatitis examination
Physical examination: This disease usually occurs in professional violinists. The average interval between the initial violin and dermatitis was 3 years. And some patients have a history of acne. Skin lesions occur in the left neck and left lower jaw angle, and may even involve the left chest lock area. Skin lesions begin with a clear-cut erythema with inflammatory follicular papules, with small pus on the top and occasional cyst formation.
Pathological examination: Excessive keratinization of the epidermis extends into the hypertrophic hair follicle, which may be present in the follicular cyst or blocked by the giant horn plug. Macrophage granulomatous reaction may also be seen.
Diagnosis
Violinist neck dermatitis diagnosis and identification
This disease usually occurs in professional violinists. The average interval between the initial violin and dermatitis was 3 years. And some patients have a history of acne. Therefore, according to the clinical manifestations and the history of using the violin, the disease is very clear and does not need to be differentiated from other diseases. For those with laceration of the skin and winter, it should be differentiated from winter dermatitis, which is caused by dry air in winter.
