December 29th, 2010 Anal skin
anal skin
anal anal skin that occurred in and around parts of the skin, we describe anal pruritus, anal neurodermatitis, anal eczema, contact dermatitis, anal warts, anal folliculitis, anal verrucous cutaneous tuberculosis, ringworm anus, anal skin candidiasis, in addition there are some relatively rare in the anus skin, not to repeat them.
(1) were the anus skin candidiasis is a deep mycosis.
one cause of pathology
pathogenic Candida, mainly Candida albicans. Candida in the human body and recent generally not pathogenic, when the poor body condition, or have diabetes, cancer and the extensive use of broad-spectrum antibiotics, hormones and immunosuppressive agents, make the body flora balance, the Candida can take advantage of caused by deep infection, but also violations of internal disease of the system.
Second, the symptoms and diagnosis
perianal, perineal, buttock skin with a grain of rice or red beans the size of the circular flat spotted or erosion, the line was, surrounded by scattered papules overlying white scales or impregnated ring, cracks, itching, water . Microscopic examination of debris by scraping, showing mycelium and Hyperostosis spores, this point can be differentiated with eczema.
three treatment
(a) within the rule of law: diet should be rich in nutrients and vitamins, digestible. If a large number of antibiotics and hormones have been used, and to consider the disabled. To have diabetes and other systemic diseases, and they should make the appropriate treatment. May be oral nystatin 1 million units 3 times a day, and serving of vitamin Bl or oral clotrimazole, Qu grams of neomycin, or Lithospermum, Rhubarb, Guanzhong, garlic, yellow and other fine, Jianshui orally.
(b) External: 2% gentian violet solution, nystatin ointment, liniment, etc. Compound Waicha Xin Lei lock. Locally to avoid bathing with soap and hot water to keep dry. Can also use goldenrod 30 grams, Impatiens 15 grams, fried Washed affected area.
(2) anal jock itch and ringworm are common tinea versicolor (sweat stain), the infectious skin superficial fungal diseases.
one cause of pathology
tinea pedis infection is caused by ringworm, also known as Yin. Tinea versicolor tinea versicolor by the bacteria due to a special. Primary damage to the skin rash for the size of soybean, no inflammation, overlying very fine, slightly shiny scales, the color was brown skin color, or with, or even black, or purple or white, shaped if spotted, it is also known purple vitiligo.
Second, the symptoms and Diabetes treatment Diagnostic
tinea skin lesions manifested as circular, multi-ring, concentric circles of erythema, clear edge, slightly out of leather, often self-healing lesion center, and a tendency to expand outwards. Visible around the edge and tip the size of the papules, blisters, crusting, scaling and so on. Consciously itching, a few were kind of secondary eczema or lichen-like changes. General self-healing in winter and summer recurrence. Tinea versicolor skin damage to soybeans or more large round patches, large and small, clear edge, and sometimes confluent. Was gray brown, pale brown or dark brown, or mild hypopigmentation, skin samples with a micro-light chaff small scales. Mainly in summer, winter self-healing. Microscopic examination of scales can be found in fungal spores and hyphae.
three treatment
(a) within the rule of law: Where there are wet itching pain, dry stools, scanty dark urine, yellow tongue fur, pulse a few strings and other symptoms of anal ringworm, are hot and humid evidence, Expelling heat dehumidification. Election party used Long Dan Xie Gan, plus Cork, Ebon, Coix Seed, Shuijianbi one dose a day. With repeated attacks, larger jock itch, can be served griseofulvin 0.25-0.5 grams, 2 times a day, continuously for 2-4 weeks. Infection, could give antibiotics.
(b) External: treatment of jock itch, can use 10-20% acetic acid solution, such as compound liniment Waicha Xin Lei lock. Treatment spotted scales, 5-10% acetic acid solution can be Waicha, 5% salicylic acid 40% ethanol, 20-sodium thiosulfate, or 3 copies of litharge, sulfur, 2 parts, go-dip coated sponge City week can be a medicine rotation. Underwear should be washed frequently, disinfected. Can also be used flavescens, pseudolaric, Treats, one hundred, the same amount of Scutellaria barbata, Jianshui Bath.
(3) anal anal verrucous cutaneous tuberculosis skin damage, infection of Mycobacterium tuberculosis and hypertrophic verrucous lesions occur as a localized cutaneous tuberculosis.
one cause of pathology
pathogens as Mycobacterium tuberculosis, often because of skin abrasions or damage, direct contact with M. tuberculosis or contact with tuberculosis feces, urine, the infection occurred. In addition, when the patient internal organs or deep tissues (eg lung, intestine, lymph nodes, bone, etc.) have tuberculosis, the TB by the blood circulation, lymphatic system, or direct contact with the anal skin occurs.
Second, the symptoms and diagnosis
beginning of the dark red when hard nodules, the number of uncertain, slow development; and then gradually grew thicker angular, scales or crusts cover, and fusion with each other to form papillary or verrucous lesions. Between VH may have fissures, pus discharge, inflammatory lesions surrounded by a halo, there is itching, generally not painful, can be self-limiting damage to the central, left smooth, atrophic scars. Prolonged course, countable/diseases, often accompanied by inguinal lymph node core.
three treatment
(a) of the Therapeutic:
1. Yin Sanjie: Liu Wei Di Huang Wan is available, plus Scrophulariaceae, mother of pearl, turtle shell, Prunella and so on.
2. with the application of anti-TB drugs, streptomycin and isoniazid combination therapy can be used to good effect.
(b) External: small size, such as disease damage can be under local or spinal anesthesia shu, electricity, or the removal of suture branded the treatment method.
(4) anal folliculitis is caused by bacterial invasion of hair follicles in the sub-acute suppurative folliculitis and inflammation around the hair follicles, can be primary or other skin complications.
one cause of pathology
pathogens as Staphylococcus aureus or Streptococcus
to Staphylococcus aureus; when the body resistance weakened, dirty skin, scratching damaged skin, the disease can be.
Second, the symptoms and diagnosis
beginning, in the hair follicle mouth, there’s a red tip to the bean size, 1-2 days after follicular papules, papules top of the rapid formation of a yellow white pus head, surrounded by Yan Xing Hongyun, the center often runs through the hair follicles , papules appeared more scattered layout, and do not fusion, mild pain, itching significantly, generally no symptoms. After several days of pus head ulceration, discharge a small amount of pus and gradually more, after the scab off, temporarily leaving pigmentation. Such as recurrent, persistent for several weeks, it will become chronic folliculitis. In diagnosis, should be differentiated from anal furunculosis: folliculitis shallow and small; anal deep folliculitis and furunculosis, Department of inflammation around the hair follicles, a center of pus bolt.
three treatment
(a) removing heat Qufengchushi: election party used cork 9 grams, 30 grams of honeysuckle, violet 30 grams, Forsythia 12 grams, 9 grams of rhubarb, licorice 4 grams, 9 grams castor seed solution , green beans 30 grams, 5 grams of cicada, Shuijianbi one dose a day.
(b) If necessary, oral tetracycline, sulfa drugs, or injection of broad-spectrum antibiotics, while providing sufficient quantities of vitamin B class. Repeatedly made, can be injected or tissue fluid, placenta placental pulp, 2-3 times per week.
(c) topical drugs: use of 2.5% iodine, 10% ichthyol ointment, Coptis extract, such as neomycin ointment Waicha.
(5) anal warts is a common clinical skin disease, according to the etiology and clinical manifestations can be divided into acute anal wet sink, molluscum contagiosum and verruca plana.
one cause of pathology
anal warts, flat warts caused by the virus, Department of Pupil milk; molluscum contagiosum was caused by smallpox virus. Virus in the spinous layer cells, cell proliferation can acanthosis. Able to spread their own vaccination, the incubation period of about six/to one year.
Second, the symptoms and diagnosis
warts as pink or dirty gray cauliflower-like protuberances, as small as a needle, as big as a fist, a pedicle Qunsheng, grow faster, hard and brittle, easy-to-surface erosion, exudation more, for the turbid serous with odor, itching, every scratch and because of secondary infection, molluscum contagiosum, mostly large or larger hemispherical protrusions soy papules, after the first hard-soft, smooth surface such as wax, the center has lacunae, with squeezing the hand may be out of a white cheese-like substance; or several cluster, or a few scattered and not integrated. Incidence of bradycardia, often itching, also known as rat milk. Flat wart is flat papules, because scratching their vaccination was beaded, line out
significantly, the surface smooth. Usually no symptoms or have micro-itch, after chronic, can be self-healing, may relapse.
three treatment
(a) of the Therapeutic:
1. Qingrejiedu dampness: for heat poisoning caused by damp wind off the table in the muscle of patients. Lithospermum commonly