menstrual rash
Introduction
Introduction to menstrual rash Menstrual rash is a kind of rash that is related to the menstrual cycle. It takes 1-3 days before menstrual cramps, and there are erythema, papules, wheal, blisters, bullae, erosion, exudate in the limbs and torso. Consciously itching, with the end of menstruation, the rash naturally declines and disappears. It is generally believed that it is related to the allergic reaction caused by the sudden increase of progesterone secretion in the ovary before menstruation. basic knowledge The proportion of illness: 0.001% Susceptible people: women Mode of infection: non-infectious Complications: purpura dysmenorrhea
Cause
Cause of menstrual rash
(1) Causes of the disease
The cause is unclear. When menstrual cramps occur, the level of estrogen is low, which may be related to the onset. Some people think that it may be an allergic reaction of the patient to progesterone or its metabolites in the body. This allergic reaction is before menstruation. When the skin is sensitive, it causes rash.
(two) pathogenesis
It is not completely clear. Some people think that it is related to the manual use of progesterone history. The menstrual platelet count and fibrinolysis test are positive, so purpura may occur, or some substances acting on endometrial blood vessels may act on the skin outside the uterus through blood flow. Vascular dysfunction caused by mucosal blood vessels.
1. Menstrual period thrombocytopenia, easily lead to symptoms such as purpura.
2. Chinese medicine interprets it as cending and not adjusting.
Prevention
Menstrual rash prevention
1. Stabilize your mood, keep your mood comfortable, pay attention to rest, and moderately participate in sports calcination.
2. Increase dietary nutrition, eat more foods rich in vitamins (A, B, C, D, E), avoid a variety of spicy, irritating diet.
3. Keep your skin clean and avoid using a variety of drugs that are prone to skin irritation.
Complication
Menstrual rash complications Complications
Concurrent dysmenorrhea, purpura and other infections.
Symptom
Menstrual rash symptoms Common symptoms Menstrual flow less skin itching dream insomnia polymorphic erythematous rash dysmenorrhea appetite reduced nodular herpes
Usually rashes 2 to 3 days before menstruation, continue to 1 to 2 days after menstruation subsided, repeated with the menstrual cramps, there are intermittent rashes, dysmenorrhea are more common, rash is polymorphic, There are erythema, polymorphous erythematous rash, nodular erythematous rash, herpes simplex, blisters, urticaria, purpura, periorbital pigmentation, etc., oral and vulvar mucosa may also appear ulcers, skin lesions are generally symmetrically distributed, occur in Face, trunk and limbs, some only menstrual skin itching, often with the end of menstruation gradually decline or disappear, so repeated before each menstruation, but there are also a few intermittent rashes, when the rash occurs, the whole body can be accompanied Mental fatigue, irritability, insomnia, dreams, loss of appetite, etc.
Examine
Menstrual rash check
Blood routine examination, out, clotting time check, hormone level check.
Cervical cytology examines hormone levels.
Diagnosis
Diagnosis of menstrual rash
diagnosis
According to the skin lesions and the menstrual cycle, it is generally not difficult to identify skin diseases similar to other skin lesions.
1. Female rashes occur 2 to 3 days before menstruation, and last for 1 to 2 days after menstruation.
2. Repeatedly with the menstrual cramps, there are also intermittent rashes, dysmenorrhea are more common.
3. The rash is pleomorphic, and may have erythema, polymorphous erythematous rash, nodular erythematous rash, herpes simplex, blisters, urticaria, purpura, periorbital pigmentation, etc., and ulcers may also appear in the oral and vulvar mucosa. Skin lesions are generally symmetrically distributed, occurring in the face, torso and limbs.
Differential diagnosis
1. Drug dermatitis: There is a history of taking the drug before the onset of the disease. After stopping the drug, it can be resolved after proper treatment, regardless of the menstrual cycle.
2. Eczema: The rash can be characterized by erythema, papules, blisters, erosion and other pleomorphic lesions, which are easily converted to chronic, often unhealed or recurrent, and have nothing to do with the menstrual cycle.
3. Contact dermatitis: There is a clear history of exposure before the onset of the disease. The rash is confined to the exposed and exposed parts. The rash has a single shape and can heal itself after removing the sensitizing substance.
