Hyde's knotty pruritus is a dermatological disease known in clinical practice as prurigo. The occurrence of pathology leads to the formation of a network of numerous inflamed papules on the skin. As a result, the patient has to experience unbearable discomfort daily. Manifestations of the disease can be seen in the photo. The symptoms and treatment of nodular pruritus will be discussed later in the article.
Clinical picture
Let's look at what pattern is observed during the development of knotty pruritus. Photos of symptoms (rash) show that in this case the epidermis of the inner regions of the forearms suffers. Inflamed papules also appear on the legs, buttocks, back and stomach. There is an abundance of nodular neoplasms of a rounded shape. Papules have a dense structure. Individual nodules are capable of reaching 1 centimeter in size.
At the initial stages of the development of Hydea pruritus, the color of the epidermis remains normal. Over time, the epidermis in the disease foci acquires a bright red hue. A prolonged lack of adequate therapy leads to severe peeling of tissues on the surface of the papules. Hard crusts form. In the most advanced cases, a rash with nodular pruritus is transformed into something resembling warts.
The formation of a network of inflamed papules is accompanied by intense itching, which intensifies as the nodules increase, the thickness of the keratinized layer of the epidermis increases. Scratching the skin causes the appearance of multiple open wounds covered with bleeding crusts. Touching papules with dirty hands leads to complications of knotty pruritus. Against the background of infection of damaged skin, folliculitis and furunculosis often develops.
The consequence of combing papules is the formation of scar tissue and areas of the epidermis with hyperpigmentation. Constant itching causes severe stress in the patient. Over time, scratching the skin becomes a habit, which is quite difficult to eliminate even after the final cure of the disease.
Causes
Most doctors are inclined to believe that Hyde's nodular pruritus develops against the background of an increase in the body's susceptibility to the effects of specific irritants. Most often, the manifestations of the disease occur in response to a food allergy. Among children, unpleasantness makes itself felt in acute reactions to protein in the composition of mother's or cow's milk. At an older age, intolerance to pruritus pruritus is caused by intolerance to flour products, citrus fruits, eggs, chocolate, smoked meats, spices, honey, alcohol, meat of some fish species.
Factors that provoke the onset of symptoms of the disease are often the following:
- malfunctioning of certain digestive tract enzymes;
- hereditary tendency to develop allergic reactions to food;
- destruction of healthy intestinal microflora;
- damage to body tissues by an abundance of toxins as a result of infection with parasites;
- inhibition of the functions of the bile duct;
- nervous disorders, sleep disturbance and wakefulness.
Dermatologists note cases of the development of the disease against the background of bites of blood-sucking insects. According to statistics, this is most often observed among residents of rural areas.
Diagnostics
To confirm the assumption of the presence of nodular pruritus, the doctor performs a visual examination of the pathogenic foci on the skin. Scraping of pathological tissues is carried out, which are examined under a microscope.
The patient is sent for examination to a gastroenterologist. The solution makes it possible to identify malfunctions of the gastrointestinal tract, which can provoke the development of nodular pruritus in adults and children. An analysis of dysbiosis is performed. Additionally, the diagnostician examines stool samples for the presence of helminth eggs.
During the examination, the doctor seeks to exclude the presence of diseases, the development of which is characterized by a similar picture. Typically, the specificity of the location and appearance of the papules allows you to visually distinguish the pruritus from toxicoderma, atopic dermatitis, scabies.
Diet
Since the development of pruritus is most often observed as a result of specific reactions of the body to the consumption of certain foods, it is important for the patient to follow a special diet during the entire course of therapy. The following foods are excluded from the daily diet:
- sources of abundant amounts of protein - whole milk, eggs, legumes, fish, nuts, mushrooms;
- food containing spices, dyes, preservatives, flavors;
- fried foods;
- alcoholic and carbonated drinks;
- products that enhance the production of histamines - cocoa, fermented cheeses, pickles, spinach, tomatoes, strawberries.
It is important for the patient to avoid absorption of food that previously caused allergic reactions. An undesirable effect is a decrease in salt intake.
The category of allowed dishes for pruritus include lean cereals, lean meat. Cooking is allowed using refined oil. Safe is considered the use of black bread, boiled potatoes, pumpkins, zucchini, young peas and beans. The introduction of green varieties of apples, gooseberries, pears, cherries into the diet is allowed. Drink non-carbonated water and tea, which does not contain synthetic additives.
Physiotherapy
In order to treat knotty pruritus, doctors prescribe the passage of such physiotherapeutic procedures:
- Inductothermy - the effect on the foci of the disease with an alternating magnetic field. The result of treatment is the speedy removal of inflammation, the elimination of pain and irritating itching.
- Electrophoresis - affected areas of the epidermis are stimulated by weak discharges of current. In parallel, drugs are introduced into the tissues. Under the influence of electrophoresis, the components of medicines penetrate better into the deeper layers of the skin.
- Ultraviolet irradiation - the procedure activates a number of photochemical and biological processes in the body. The use of the technique contributes to the accelerated healing of wounds and the removal of inflammation.
- Phonophoresis - ultrasound stimulation of the epidermis, during which the affected areas are treated with anti-inflammatory hydrocortisone ointment.
- Microwave therapy - doctors perform electromagnetic radiation from the adrenal gland. The procedure helps to normalize the metabolism in the body and generate additional energy, which makes it easier to deal with the manifestations of the disease.
Ointment "Hydrocortisone"
The use of Hydrocortisone allows relieving itching with knotty pruritus, eliminating inflammation and swelling. After applying the drug to the skin at the sites of formation of the rash foci, an inhibition of an allergic reaction is observed. The active substance hydrocortisone acetate is concentrated in local tissues, which avoids the progressive development of dermatitis.
Mezim
In order to combat the pruritus, the photo of the manifestations of which can be seen in the publication, medications are prescribed that improve digestion and pancreas. One of the most effective means of this category is Mezim. The composition of the drug contains enzymes that are involved in the digestion of proteins and fats. Therapy with the medication eliminates violations of the breakdown of polysaccharides.
Linex
To remove intestinal dysbiosis with pruritus, doctors prescribe Linex. The combined probiotic acts as a source of lactic acid bacteria, which contribute to the restoration of healthy intestinal microflora. The action of the drug provides the creation of an environment that is not suitable for the active reproduction of pathogenic organisms. The result of therapy is the active production of food enzymes, the synthesis of essential vitamins, and the restoration of the metabolism of bile secretions. Taking the medication ensures the normalization of the hormonal background and the strengthening of local immunity in the intestine.
Zodak
The drug "Zodak" acts as an effective blocker of histamine production. The use of a medication facilitates the course of skin allergic reactions. According to the results of clinical studies of the action of the drug, the absorption of one tablet of the drug per day ensures the removal of redness and inflammation of the epidermis. The medicine begins to act within half an hour after consumption. The sensation of itching ceases to bother a person with a pruritus, throughout the day.
Propolis Ointment
According to the observations of traditional healers, getting rid of the manifestations of pruritus is made possible by treating the foci of the disease with an ointment prepared using propolis. Prepare the product according to this recipe:
- take 100 grams of butter;
- 15 grams of propolis are heated in a water bath;
- the ingredients are mixed and kept on low heat until a substance of uniform consistency is obtained;
- the ointment is cooled, and then poured into a vial of dark glass.
The product treats areas of skin affected by a rash 3 times a day. Due to the anti-inflammatory properties of propolis, regeneration of damaged skin is observed. Oxidative reactions in local tissues are eliminated. The patient ceases to pester the sensation of itching. There is a general improvement in well-being. Under the influence of butter, the epidermis is hydrated and becomes elastic.
Healing broth from walnut, woodruff and lime
To disinfect the skin, relieve inflammation and eliminate the sensation of pruritus with pruritus, the healers recommend using the following remedy. Connect a tablespoon of walnut leaves, woodruff grass and linden blossom. The mixture is poured with boiling water in a volume of 0.5 liters. The resulting composition is placed on a stove and boiled for 10 minutes. The medicine is allowed to cool to room temperature. The fluid is expressed through gauze or a fine strainer. The broth is drunk in 3 tablespoons in the morning and in the evening, which significantly facilitates the course of the disease.
Yarrow lotions
Yarrow decoction will help relieve irritating pruritus with pruritus. A handful of fresh leaves of a medicinal plant rinse under running water. Raw materials are brewed with two glasses of boiling water. The product is put on a small fire and boiled for 5-10 minutes. A strained, cooled liquid is impregnated with a piece of natural fabric. The material is applied to the foci of skin rash. The procedure is performed after waking up and shortly before going to bed.
Burdock root ointment
Burdock contains an abundance of biologically active substances that ensure the elimination of allergic and inflammatory reactions in the structure of epidermal tissues. In order to prepare a medicinal product, take the dried root of the plant. The raw materials are carefully crushed and ground in a mortar to a powder state. The resulting substance is combined in equal proportions with medical vaseline. The ointment is sent to a dark glass container. The product is allowed to infuse in a place where sunlight does not penetrate for several days. The medicine treats areas of the epidermis affected by a rash after taking a warm bath.
Birch bud infusion baths
In order to combat the manifestations of pruritus, healers recommend taking the following baths. A handful of birch buds is poured with a liter of boiling water. The composition is placed in a thermos and kept for 2-3 hours. The fluid is decanted and poured into the bath. A water procedure using the product is carried out daily for 15 minutes.
Finally
So we examined the features of therapy for Hyde's nodular pruritus. The photos that you can see at the beginning of the article make it clear that this ailment is unpleasant. Treatment involves exclusion from life of factors that provoke the development of pathology. It is important to direct efforts to eliminate the underlying ailment, be it an allergy, a violation of the intestinal microflora, disruptions in the production of digestive tract enzymes, or problems of a neurological nature. Of particular importance is the observance of a specific diet.
The use of complex therapy contributes to a favorable outcome of treatment. However, the patient should not forget about the chronic nature of the pathology. With repeated exposure to provoking factors, nodular pruritus may recur.