Among all types of lesions and inflammations of the skin, linear lichen or lichenoid dermatosis is especially prominent. The disease is distinguished by an unexplained primary cause and the nature of manifestation. Experts actively study possible viruses or fungi, which can lead to damage to the upper layer of the epidermis. A rare disease is characterized by a peculiar course and has certain features of treatment.
- The main causes of depriving
- Linear lichen in children
- Features of treatment of the disease
The main causes of depriving
A new type of linear lichen was first described in detail in 1941, but until now the main cause of rash remains unclear.
Many experts are inclined to different theories of appearance, each of which is supported by certain facts:
- Virus-infectious: the presence of a virus or fungus can provoke an increased division of epidermal cells. Immunity reacts to such a violation by producing special antibodies that destroy not only harmful, but also useful cells in the subcutaneous or upper layer.
- Neurogenic: it is associated with a patient suffering from stress, depression or a strong nervous shock. Often during treatment, specialists identify disorders and lesions of the nervous system. In this case, lichen formations on the skin are located precisely in the region of large nerve endings.
- Intoxicating: theory suggests that linear lichen can form when poisoned by hazardous substances when in contact with them. This includes strong drugs, household chemicals, special production conditions associated with dyes or oxidants. Indirectly, the cause of poisoning can be even living in an ecologically polluted area.
- Allergic leap: some experts associate the appearance of lichen lines with a hormonal failure in the body against a background of a spike in allergies to foods or natural stimuli.
- Autointoxication of the body: lichen can be associated with other serious diseases of a chronic or infectious nature.
Analyzing all the theories, many dermatologists identify a risk group whose patients, more often than others, can face linear deprivation:
- cirrhosis of the liver;
- oncological diseases in the late stages;
- taking antibiotics;
- constant use of anti-tuberculosis or hormonal drugs;
- Wilson's disease;
- inflammation of the stomach and intestinal tract.
For linear deprivation characteristic appearance on the skin of numerous small papules. They are changes in the papillae of the upper layer of the epidermis. They increase in size up to 4 millimeters, become pink shade and rough to the touch. Changes on the skin are minor, but the surface can actively peel off, highlighting the smallest white scales.
Papules or nodules have a slightly rounded shape and are located close to each other. At the initial stage, the formation resembles pink lichen, but differs in some characteristic features:
- absence of itching or unpleasant burning;
- patients do not complain of soreness or discomfort;
- all nodules are arranged in the form of a long strip or ribbon;
- the size of such rashes is small, the spots do not merge into one.
Most often, strips of inflamed nodules are formed on the limbs, trunk or buttocks, can cover the face or neck. Usually, linear lichen is located on one side and always along the nerve line.
In rare cases, when the limbs occur and on the extremities, the patients are diagnosed with nail infections on the hands or feet. This form of lichen leads to a serious stratification and splitting of the plate, deforms it and can cause complete loss.
In neglected or severe form, patients are diagnosed with neuritis at the sites of linear lichen. This manifests itself in the following symptoms:
- In the affected area there is a sensation of "goose bumps a slight tingling or a decrease in sensitivity.
- The skin may lose elasticity, become dehydrated or pigmentation occurs.
- There may be puffiness, a slight infiltration of fluid in the papules, damage to the hair follicles.
Linear lichen in children
The disease most often manifests itself in children of different age groups. The most vulnerable specialists consider the period from two to five years. Most of the sick are girls. In rare cases, the disease is diagnosed in adult women. Experts associate this susceptibility with the presence of certain hormones, bursts or malfunctions in the endocrine system.
Given the incompletely revealed causes of the appearance of linear lichen, dermatologists suggest that the child the body does not have definite antibodies or enzymes, which begin to be produced only after the sexual maturation. In addition, more and more often children have congenital and acquired allergies, are hard at reacting to stressful situations in the family or collective, have serious autoimmune diseases.
Features of treatment of the disease
For most dermatologists, it is not difficult to visually diagnose linear deprivation in patients. The treatment plan depends entirely on the severity of the symptoms and the degree of skin damage. The basis is the use of local drugs:
- Anti-inflammatory hormonal compounds such as Unna cream or naphthalan ointment.
- Antifungal drugs when skin fungus is detected (Lamizila, ketoconazole or clotrinazole).
- Moisturizing creams from medical cosmetic series.
When nail lesions, it is necessary to use broad-spectrum antimycotics that destroy the fungus: Terbinafine, Loceril or Itraconazole. To restore the healthy plate as soon as possible, you can massage finger phalanx, use trays with herbal decoctions, lotions with natural tea tree oil, fir or sea-buckthorn.
A course of injections of B, A and E vitamins is mandatory, which help improve the skin condition, increase immunity. An important factor is the elimination of all causes of linear deprivation: sedative sedatives are applied, the blood is purified from toxins and chemical compounds.
In most cases, the prognosis for the treatment of linear depriving is favorable. With systemic therapy, rashes and inflammations go away in a few months without relapse, and the skin surface becomes clean and smooth.
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