acropustulosis in infants
Introduction
Introduction to infantile acne pity Inftile acne pustulosis (infantileacropustulosis) This disease was reported in 1979 as a rare pruritic vesicle pustular disease, mainly in the palmar area, black newborns and babies are more common, the damage is mainly located in the dorsal side of the hands and feet. basic knowledge The proportion of illness: the incidence rate of infants and young children is about 0.001%-0.003% Susceptible people: children Mode of infection: non-infectious Complications: acute lymphangitis glomerulonephritis
Cause
Causes of infantile acne pity
Bacterial infections:
Do not pay attention to personal hygiene and public health, direct contact with bacteria-borne items failed to clean and disinfect in time, causing bacterial infection. Infant acne pustulosis is a rare pruritic vesicular pustular disease that is caused by bacterial infection of the skin.
Prevention
Prevention of infantile acne pity
Popularize health education, especially for nurseries in kindergartens and kindergartens, and regularly carry out publicity and education on the prevention and treatment of this disease.
For the damage of small skin, it should be protected and treated in time to prevent infection and actively treat the primary pruritic skin disease.
In the delivery room, baby room, nursery school or kindergarten, if the disease occurs, it should be isolated and treated in time. Clothes, bedding, towels, utensils, toys, dressing utensils and dressings should be disinfected in time. If the staff of the above-mentioned institutions suffer from this disease, they should leave the work temporarily. Patients with pyoderma should not enter public baths and swimming pools.
Complication
Complications of infantile acne pity Complications acute lymphangitis glomerulonephritis
Lead to local pustular rash, some children due to repeated scratching, not paying attention to hygiene, leading to secondary bacterial infection, causing local skin and soft tissue infection, palm and foot interstitial infection, such infection may be associated with lymphangitis, lymphadenitis , causing inflammatory systemic inflammation such as chills and fever. Caused by streptococcus can cause glomerulonephritis.
Symptom
Symptoms of infantile acne pustulosis Common symptoms Itching pustules or bullous lesions
The primary lesion is an pruritic blister with a diameter of 1 to 2 mm. The blister begins to become a pustule, and the damage is located in the palmar or the back of the hand and foot. A small number of lesions can be seen on the wrist, ankle and buttocks. 1 to 2 weeks, then 2 to 4 weeks of recurrence, the disease is mainly seen in black infants and young children, the age of recurrence from birth to 2 years old, prolonged with the increase of age, the condition can be automatically relieved after the onset of 2-3 years old, pustules Aseptic, the rash intensifies in summer and disappears in winter.
Examine
Examination of infantile acne pity
Histopathology: pustular or intraepithelial pustules, vesicles containing neutrophils and coagulated syrup, blister denervation compression atrophy, dermal papillary edema, lymphocytes around the blood vessels and a few neutrophils and eosinophils Granulocyte infiltration.
Diagnosis
Diagnosis and identification of infantile acne pustulosis
According to the age of onset, the characteristics of the rash are not difficult to diagnose.
Should be associated with neonatal transient pustular melanosis, palmoplantar pustulosis, etc., hemorrhoids, sweat herpes, impetigo, etc. should be excluded.
