beard sores
Introduction
Introduction to sores Sycosis is a purulent folliculitis caused by bacteria and inflammation around the hair follicle, usually confined to the beard area. basic knowledge Sickness ratio: 0.5% Susceptible people: male Mode of infection: non-infectious Complications: folliculitis
Cause
Cause of sore
Causes
The pathogen of this disease is mainly Staphylococcus aureus, and occasionally other bacteria. Impetigo, rickets, and other pustules of folliculitis can also cause sores. Poor hair removal habits and contaminated razor shaving shaving can also cause this disease. The cause of sores may not be due to the infection of pyogenic bacteria, and the physical factors of the individual also have important significance. Patients often have special sensitivity to staphylococci. Staphylococcus can't pass through the hair follicle mouth to enter the deep part of the hair follicle. Normally, patients with sores can pass through the hair follicle to reach the deep part of the hair follicle. Injecting a staphylococcal vaccine into a cured patient with a sore can cause a follicular erythema reaction.
Pathogenesis
Skin damage caused by shaving and shaving, sebum overflow, and gastrointestinal dysfunction can be the cause of this disease. Indoor workers are more susceptible to this disease than outdoor workers. Fatigue and mood swings often cause the disease to recur.
Prevention
Sore prevention
The disease is chronic and prone to recurrence. On weekdays, you should pay attention to the cleaning of the shaving knives, eat less sweets, eat more vegetables, prevent constipation, and strengthen the body's resistance. Treatment of teeth, tonsils and paranasal sinus infections. Those with severe disease may choose antibiotics, such as tetracycline or erythromycin orally, 4 times a day, 0.5 grams each time, and even served for 10 to 14 days. The topical application can be wet applied with 0.1% riflfol or 0.5% neomycin solution, and the external sputum 1% neomycin ointment or Baidubang ointment.
Chinese medicine said that the disease is sheep sore. "Surgical Treatment of the Whole Book" said: "born in the lower jaw, the first as the millet like beans, the color red hot and slightly itchy, broken Jinshui, quite like yellow water sores."
The etiology and pathogenesis is weak in the spleen and stomach, water-wet endogenous, stagnation and heat, exogenous poisonous evil, soaking skin. Expelling spleen and dehumidification, clearing away heat and detoxifying, use Huanglian Jiedu Decoction and Pingwei Powder (Huangqi, Huanglian, Phellodendron, Chinese wolfberry, Atractylodes, Magnolia, Tangerine, Licorice, Ginger, Jujube).
Complication
Sore complication Complications
Folliculitis can be repeated to form chronic folliculitis, which can cause permanent alopecia in the scalp; in the case of the item, the skin lesions are papillary hyperplasia or scar, which is difficult to cure; folliculitis develops deep, which can cause inflammation around the hair follicle. Known as sputum, multiple and recurrent episodes of sputum called rickets, severe cases may have lymphadenopathy, fever, headache, and even cause sepsis or sepsis; if squeezed in the nose, lips and edema, can make Pathogens enter the skull through the blood, causing suppurative thrombophlebitis or brain abscess, which can lead to death.
Symptom
Sore symptoms common symptoms contracture scars hair loss pimples pustules
The disease occurs mostly in men between the ages of 30 and 40. Although adolescents can also develop the disease, it is rare. At the beginning of the disease, the skin is flushed and mildly swollen at the growth of the beard, with burning and itching. An inflammatory rash and pustule consistent with the hair follicle appears on the erythema. The pustules are surrounded by a blush, and the center of the pustule penetrates a hair, which is loose and easy to pull out. After the pustule is broken, it is dry and crusted. After more than 10 days, the sputum falls off, but a new rash continues to occur. This damage can exist in the place where the raw material is needed, or it can appear in groups. If the lesion is shallow, the hair that has fallen off can be regenerated. If the invading part is deep, the hair follicle has been destroyed to form a scar, which is called lupus-like sore. Lupus-like sore is also a follicular inflammation of the papules and small pustules at the beginning. After the local skin flushes and swells, exudates, and scars fall off, a dark red atrophic scar is formed at the center. There are still active hair follicles consistent with the edges of small pustules and granulomatous inflammatory lesions. It usually starts from the front cheek or the whisker of the ear and can expand to the surroundings. The scalp can also be violated, destroying the hair follicles and forming scarring alopecia. The sores usually occur in the upper lip, the front cheeks, the lower lip and the ankles. But sometimes eyebrows, rims, ankles, pubic hair and scalp can also occur. The course of the disease is chronic, repeated attacks, and difficult to cure. In lupus-like sores, sebaceous glands and hair follicles can be destroyed to form scar tissue.
Examine
Examination of sores
Pseudo-smear Gram staining can be used to detect pathogenic microorganisms, and stubborn cases require bacterial culture and drug sensitivity experiments. Histopathology is acute pustular inflammation in the hair follicle area, and lymphocytes, plasma cells and histiocytes can be infiltrated in chronic cases.
Diagnosis
Diagnosis of sore
diagnosis
1. According to clinical manifestations, diagnosis is generally not difficult, but attention should be paid to the identification of the following diseases:
(1) Sputum: caused by fungal infection, the skin lesions are shallow scaly plaques, there are breaks, and fungi can be found by microscopy.
(2) Seborrheic dermatitis: scaly greasy, no purulent skin lesions, except for beards, can be found in other fatty areas such as scalp, face, etc., often accompanied by eczema-like changes in the presence of sores.
2. Chinese medicine pathogenesis and syndrome differentiation
Pathogenesis: Chinese medicine believes that this disease is due to the dampness and heat of the lungs and stomach, and it is also a poisonous evil. It is steamed on the surface around the lips and belongs to the spleen and stomach.
Differential diagnosis
The disease occurs in adult male beards, mainly manifested as follicular inflammatory papules and small pustules, chronic disease, easy to relapse. The disease needs to be identified with the following diseases.
Seborrheic dermatitis: mainly characterized by erythema and fatty scaly, no pustules with consistent hair follicles. In addition to the beard, it is easier to get on the scalp, eyebrows, etc.
Spontaneous folliculitis: This disease is a reactive inflammation of the foreign body around the beard caused by the inward growth of the beard, without hair follicle pustules.
Sputum: A scaly patch with clear edges on the edge of the beard. The fungus is positive.
