How to treat lichen rosacea in children. Treatment of pink lichen of gibert in children, how to recognize and prevent the disease What does pink lichen look like in children

Date: 19.10.2019

Any rash on the child's skin raises concerns among parents. Allergic reactions are often the cause of their occurrence. Common types of infectious and allergic rashes include pink lichen in a child... The disease is often associated with a seasonal weakening of immunity, since it is in the spring-autumn period that the peak incidence is recorded.

The disease affects people of all ages. more often observed in children over 2 years old, adolescents, but when exposed to adverse factors, the disease occurs in infants.

Causes of the appearance of pink lichen in children

The appearance of pink, also called " deprive of Zhiber», « pityriasis" or " peeling roseola"Are associated with a weakening of the immune defense of a child or an adult. The disease is not spread from one person to another. What virus provokes the development of Gibert's lichen is not known for certain. There are suggestions that the cause of pink lichen is the development of herpesvirus 6 (HHV - 6) or 7 (HHV - 7) type. The spread of the virus occurs by airborne droplets, it is transmitted from the mother to the child. About 96% of people in the world have antibodies to these types of viruses, since it enters the body in childhood.

There are several factors that affect the development of the disease in the child's body:

the presence of a focus of a chronic infectious disease;
postponed acute respiratory infection;
the introduction of any vaccine;
insect bites;
metabolic disorders or the work of internal organs in a child;
taking vitamin medicines or antibiotics;
intake of an allergen into the child's body.

The largest number of manifestations of pink lichen is associated with an allergic reaction of the body to an external stimulus, which occurs against a background of weakened immunity.

It is not difficult to recognize the disease, knowing the characteristic features of its manifestation on the child's skin.

Signs and symptoms of pink lichen in a child

The visual manifestation of pink lichen on the skin is often preceded by an increase in body temperature to a subfebrile value, weakness, and an increase in lymph nodes is observed. Then, in stages, more characteristic signs of the disease:

A maternal plaque is formed. It is a spot with a diameter of 3 cm to 4 cm, the color of which ranges from light pink to red. Then the stain begins to peel off slightly, becoming lighter along the contour and remaining bright around the periphery.
After 7 to 10 days, in addition to the maternal plaque, smaller spots appear on the skin. They have a rounded or oval shape, clear borders and are colored pink. The spots do not exceed 0.5 - 2 cm in diameter.
Peeling spots are accompanied by severe itching.

Pink lichen in a child most often localized on the back, abdomen, shoulders, scalp, limbs.

If you do not deal with the treatment of lichen and do not carry out disinfection measures, complications of the disease in the form of pyoderma (suppuration) of the skin or the appearance of areas with lesions of the dermis that resemble eczema are possible.

Treatment of Zhibera's lichen in a child

Since the onset of the disease is associated with the development of a viral infection, antiviral ointments and creams are used to treat it.

Important! do not lubricate with iodine and products containing salicylic acid. Excessive dryness of the skin will aggravate the disease.

Medicines

For treatment of pink lichen in a child use:

Acyclovir is an antiviral agent. Under the influence of the drug, the division of the DNA of the virus is blocked, as a result of which new elements of the rash cease to arise, and the course of the disease accelerates. Also, the drug helps to activate the body's defenses in the fight against viruses. The drug is produced in the form of an ointment, tablets, ampoules for injection. Tablets can be taken by children after 2 years up to 5 times a day and up to 2 years half the dose. The drug can be administered intravenously to children from 3 months. External use of the ointment has no age restrictions. The course of treatment usually takes 5 to 10 days.
Flucinar is a drug belonging to the group of glucocorticosteroids; contains the hormone fluocinolone acetonide, which has anti-inflammatory, anti-allergic action. Flucinar is produced in the form of a cream, ointment. The affected areas are lubricated once a day, avoiding contact with the skin of the face. The product is not used for children under 2 years of age.
Sinalar K - contains 2 main active ingredients of fluocinolone acetonide - a glucocorticoid aimed at eliminating the inflammatory process and allergic reactions, and clioquinol - an antibacterial component. Ointment or cream is applied up to 3 times a day for children over 2 years old; under the close supervision of a doctor, it is allowed to use the ointment from 1 year.
Beloderm - contains betamethasone dipropionate and belongs to the group of hormonal drugs. The tool has pronounced antiallergic, anti-inflammatory and immunosuppressive (suppressing immunity) properties. The drug is applied to the skin up to 2 times a day. The use of Beloderm is possible at any age, but it is important to consider that the cream should not be applied under diapers. Given that the absorption of the drug in children is higher than in adults, the agent should not be applied to large areas of the body.
Zinc ointment - contains zinc oxide, has astringent, adsorbent, antiseptic properties. The ointment can be applied to pink lichen in babies.
Hydrocortisone is a hormonal drug that has the ability to relieve inflammation, itching, swelling, and allergic reactions of the body. Hydrocortisone ointment can be applied to the affected areas of the body for children over 1 year old up to 3 times a day for no more than 2 weeks. The drug in the form of injections is administered to children of any age, and the dose is calculated taking into account the child's body weight.

To eliminate the symptoms of the disease in the form of fever and severe itching, antipyretic and antihistamines can be used.

Important! The use of brilliant green solution against lichen pink is not prohibited. In order to prevent infection of scratching sites, it is recommended to apply the solution to the child's skin no more than 3 times a week.

If diagnosed pink lichen in a baby infancy, there is no need to use potent drugs for treatment. The remedies that help to cope with the disease are fortifying vitamins; Fenistil, Suprastin, Erius will help relieve itching. Treatment of stains with solutions of Chlorophyllipt and Sanguirithrin of antibacterial, antimicrobial action will help to avoid infection of the lesion focus.

As a means of helping to eliminate itching, you can use pharmacy talkers containing menthol.

Children who are deprived of Zhibert do not need antibiotic therapy unless a bacterial infection enters the affected area of the skin.

Treatment with traditional medicine

In the reference books of traditional medicine, there are many recommendations about how to treat lichen at home... For the delicate skin of a child, the following remedies are most suitable:

a mixture of rosehip and St. John's wort, sea buckthorn and peach oils;
an emulsion of butter with birch tar, taken in a 1: 1 ratio;
a mixture of petroleum jelly and dried calendula flowers, taken in an amount of 50 g and 10 g, respectively;
decoction of birch buds (1 glass per 200 ml of water), which is recommended to lubricate lichen twice a day;
juice of a leaf of a golden mustache;
cabbage leaf with a thin layer of sour cream applied to it.

Important! Although bathing with pink lichen is not recommended, short-term water procedures can soothe the skin and promote recovery. To do this, add a decoction of chamomile and lavender herb or an infusion of 300 g of oatmeal with oils: lavender, grape seeds, vitamin E.

Treatment of pink lichen in children at home

The use of medicines at home will give a positive result only if certain rules are followed during treatment.

Refuse to take a long bath; hygiene procedures should be carried out using a shower, since water promotes the spread of lichen throughout the body. It is also necessary to carefully consider the choice of a detergent cosmetic for a child: it must be hypoallergenic and not cause dry skin. After bathing, the baby's skin should be lightly patted with a towel.
When choosing linen, give preference to things made from natural fabrics that are breathable and do not cause diaper rash. In places where tissue fibers contribute to chafing, irritation, new foci of pink lichen may appear.
During illness, the child should not engage in active sports that lead to excessive sweating. Getting on the lichen spots, sweat causes discomfort in the form of itching.
Areas of the skin affected by lichen should not be lubricated with baby creams, lotions.
When outdoors, it is necessary to put on clothes that protect the skin from direct sunlight.

According to the well-known doctor in the field of pediatrics E. Komarovsky, treatment of pink lichen in children will be effective only in the case of regular careful care, provided that the baby lives in a room with normal air temperature and humidity.

Diet for pink lichen and disease prevention

Pink lichen in a child requires adherence to a diet. In addition, a balanced diet not only affects the acceleration of recovery, but also contributes to the prevention of disease. Daily consumption of seasonal vegetables rich in vitamins and minerals will strengthen the immune system, and the inclusion of fermented milk products and whole grain cereals in the diet normalizes the intestines, which directly affects the state of the immune system.

With pink lichen it is important avoid all kinds of food allergens. These include: citrus fruits, cocoa-containing foods, nuts, tea, red fruits, fresh milk. The consumption of currants, bananas, legumes, watermelons, peaches, cheese, potatoes, buckwheat is subject to restrictions. You should not season your child's food with spices, aromatic substances. It is recommended to increase the consumption of products based on pasteurized milk, food of plant origin. It is important not to restrict the child in drinking, more often give water, compotes, but exclude sugary carbonated drinks.

The use of lean meat or fish is acceptable; rice, oatmeal, semolina porridge; green vegetables; in the absence of allergies - honey.

If the child has a well-developed immunity, even without the use of medications, the duration of the course of the disease does not exceed 2 months. Therefore, it is important to strengthen the immune system with a balanced diet, hardening, exercise, adherence to the sleep and wakefulness of the baby.

It is customary to call deprived flaky spots of inflammatory origin on the skin. As a rule, the disease is caused by pathogenic fungi: waste products irritate the basal layer of the skin, which causes excessive proliferation of epithelial cells and the formation of scales. However, there is one type of lichen that stands apart from fungal infections - pink or Gibert.

Gibert's pink lichen (peeling roseola) is an acute inflammatory skin disease of a suspected infectious nature. Most often, it affects children over 2 years old, adolescents and young people. It is extremely rare in infants and people over 40 years of age. The incidence of lichen rosacea is low and amounts to less than 1% of the world's population per year. The main danger of the disease is irritation and the addition of an allergic component with inadequate therapy or improper skin care. What causes the disease and how to treat pink lichen, read on.

What causes the disease?

The nature of pink lichen has not been identified to this day, since the causative agent of the disease has not been isolated. Most likely, it is of a viral nature, researchers suspect the involvement of herpes viruses of the 6th and 7th types in the development of dermatosis. The following symptoms can be attributed to lichen rosacea as an infectious disease:

cyclical flow - the development of elements on the skin is of a staged nature;
seasonality of morbidity - the largest number of cases of dermatosis are recorded in the autumn-winter period;
close relationship of the disease with immunodeficiency - as a rule, peeling roseola occurs against the background of infectious diseases, treatment with glucocorticoids, cytostatics, general hypothermia. Often, pink lichen develops during pregnancy, since hormonal changes in a woman's body significantly weaken the activity of the immune system;
the presence of the prodrome stage - a few days before the rash, signs of general intoxication appear (aches in the joints, malaise, increased fatigue).

Since the exact causes of the disease are unknown, there is no way to investigate the mechanism of its transmission from person to person. As a rule, sick people are usually concerned about the question of whether lichen rosacea is contagious or not, especially if there are small children at home. To date, there is no data on the outbreak of dermatosis, therefore, it is either not transmitted from person to person, or is slightly infectious.

How does pink lichen manifest?

Since the causative agent of the disease and the mechanism of transmission are unknown, it is impossible to track the incubation period and its duration. Lichen planus pink begins with the appearance on the skin of an oval red spot with a diameter of 2-5 cm, slightly rising above its surface. By analogy with, it is called "maternal plaque". It flakes off in the center with small scaly white scales and does not cause subjective sensations (itching, pain, local temperature increase). The plaque appears 1 to 2 weeks before the main symptoms of lichen rosacea develop. In 20% of patients, it does not form at all, in some of them two are small.

It is easy to imagine what pink lichen looks like at the height of it. On the skin of the trunk and upper limbs (while the face and lower limbs are usually not involved), pale pink spots appear with a diameter of 2-3 cm with a flaky edging along the edge. The scales are small, white, dry. The central part of the spots is thin, yellowish, slightly wrinkled. The reverse development of the elements begins from the center: the skin acquires a normal color, smoothes, the hyperemic flaky corolla becomes thinner. The rash does not appear at once, so spots of varying degrees of maturity can be seen on the skin.

The foci have an oval shape, and their length is parallel to Langer's lines. This is the name of the lines along which the collagen fibers of the epidermis are located. Human skin is most extensible in these areas, and what is the reason for this nature of the rash is unknown to this day. The elements of the rash have clear boundaries and do not merge with each other, but they can be located quite close to each other. As a rule, the rash is not profuse.

The resulting rash in some cases is combined with an increase in lymph nodes, occasionally the body temperature rises, the state of health worsens, and moderate joint pain occurs. A rash with pink lichen, as a rule, does not itch, but if an allergic component or irritation is attached, a mild itching occurs. In children, the inflammatory process on the skin proceeds more violently, up to the formation of bubbles with a thin lid and transparent yellowish contents inside. The foci of inflammation itch, burn and can capture the face, scalp.

Symptoms of intoxication persist for as many days as Gibert's lichen lasts. Usually, the duration of the disease does not exceed 6 weeks, the average duration is 4-5 weeks. How to understand that lichen is going away? The rash elements begin to fade from the center, pigmentation disappears, new rashes are absent.

How is it diagnosed?

The diagnosis of Zhibert's lichen is established by a dermatologist after taking an anamnesis, studying complaints and symptoms, and an external examination. The connection of the rash with a previous infection, hypothermia, treatment with cytostatics or systemic glucocorticoids speaks in favor of the disease. The doctor can detect slightly enlarged lymph nodes throughout the body, they are painless, of a densely elastic consistency and are not adhered to the underlying tissues. In some patients, when examining the oropharynx, hyperemia of the pharynx and slight hypertrophy of the tonsils are revealed. The most important sign of lichen pink is the characteristic arrangement of the elements of the rash along Langer's lines.

With an atypical clinical picture, the doctor prescribes to clarify the diagnosis:

a general blood test - it allows you to identify a bacterial or viral infection in a person, to suspect systemic diseases of the connective tissue;
general urine analysis - with its help, renal function is assessed, the intensity of the inflammatory process is judged;
microprecipitation reaction (RMP) - it detects the presence of specific anti-syphilitic antibodies in the blood;
microscopy of scraping from skin elements - the method reveals a fungal infection of the skin.

How to distinguish from other diseases?

A pale pink rash on the skin of the trunk and extremities occurs in various conditions, so there is a possibility that more serious diseases are mistaken for lichen pink. Differential diagnosis of lichen pink is based on the morphological features of the loose elements and the results of laboratory tests.

It differs from Zhibera's lichen in the nature of peeling: seborrheic scales of a dirty yellow color, fatty, large. Dry seborrhea, although it proceeds with a similar pityriasis peeling, but its elements are not located along Langer's lines. They are localized on the most oily areas of the skin: face, upper back and chest, scalp.

It differs from psoriasis in the absence of a maternal plaque: it disappears in 1-2 weeks at the same time as the dissemination of the rash. In addition, psoriatic rash is localized mainly on the head, face, hands and feet, in the area of the joints. Its elements are not associated with Langer's lines.

Secondary syphilis, like lichen, manifests itself as a painless, non-itchy, pale pink rash on the skin of the trunk. But syphilitic elements do not peel off, do not correspond to the skin lines and are combined with a positive result of the microprecipitation reaction. Also, patients may indicate a dense formation in the genital area, the mucous membrane of the mouth several weeks before the rash.

Guttate parapsoriasis outwardly resembles lichen pink in the color of the elements and their shape. The differences lie in the nature of peeling: it may not be there, but when scraping on the surface of the spots, it appears, often the scale is one, thin and removed in the form of a film. If you scrape with force, dotted dark spots appear on the surface of the rash element - hemorrhages from damaged capillaries.

It can be distinguished from lichen rosacea by microscopic examination. Fungi form filaments of mycelium in the epidermis, which are found when examined under a microscope by scraping from skin elements.

How to treat zhibert's lichen?

Pink lichen, as a rule, is benign and goes away on its own after 1-1.5 months from the appearance of the maternal plaque. Therefore, the treatment of pink lichen in most cases is not carried out. The patient is given advice on nutrition, personal hygiene and lifestyle and is monitored throughout the illness.

The diet for pink lichen is hypoallergenic, all products that can sensitize the body are excluded: citrus fruits, chocolate, coffee, whole milk, exotic fruits, red fish, seafood, smoked meats, pickles, semi-finished products, foods with bright colors, preservatives. You should refuse to take alcohol, observe the regime of work and rest.

It is impossible to injure the skin, especially during water procedures. The washcloth should be replaced with a soft sponge, which should be thoroughly dried after each bath. Shower or bath can be taken 1-2 times a week to minimize the risk of bacterial infection and skin irritation. Do not use perfumed and dyed products for washing; baby hypoallergenic bathing gels are best suited. You can lather your skin with baby soap.

Medicines are prescribed for severe pink lichen: the appearance of weeping areas, the addition of bacterial microflora, suppuration of elements. In these cases, complex therapy is carried out, which includes:

Antihistamines - they block the biological effects of histamine: increased vascular permeability, the release of the liquid part of the blood into the tissue with the formation of edema, itching. They are taken orally in the form of tablets for 7-10 days (Chloropyramine, Mebhydrolin, Clemastin).
Desensitizing agents - they stabilize the membranes of immune cells and prevent the release of pro-inflammatory substances (histamine, interleukin) into the tissue. Adults are injected intravenously with calcium chloride 10%, 5-15 ml every 8-12 hours for 7-10 days.
Glucocorticosteroids - they have a powerful anti-inflammatory effect, as they block various pathways of the inflammatory response. Pink lichen ointment contains a low concentration of hydrocortisone / betamethasone / methylprednisolone. It is applied with a thin layer on the elements of the rash 1-2 times a day for 5-7 days. Longer use, especially if applied in a thick layer over large areas of the skin, can lead to the attachment of fungal, bacterial microflora and thinning of the skin.
Most often, for the treatment of pink lichen, Akriderm ointment, Lokoid, Hydrocortiozone ointment are prescribed. Severe allergic pink lichen in some cases requires the systemic use of glucocorticoids in the form of Prednisolone tablets.
Astringents and drying agents are a talker containing zinc (Zindol). Zinc forms an insoluble colloid with inflammatory proteins, which protects the elements of the rash from infection and dries their surface.

Antibiotics for pink lichen are prescribed if bacterial complications have occurred. It is preferable to use the medicine locally in the form of ointments - Levomekoleva, Syntomycin.

Clotrimazole is an antifungal drug, respectively, it is prescribed when fungal microflora is attached. It is also prescribed in the form of an ointment - Exifin, Lociril, Batrafen. Despite the alleged viral nature of lichen pink, Acyclovir is not used for its treatment. The drug has a detrimental effect only on herpes viruses, and their participation in the formation of dermatosis has not been proven to date.

The question of how to quickly cure lichen rosacea worries most patients, since the unaesthetic appearance of the rash and various restrictions cause them significant discomfort. You cannot prescribe yourself ointments with serious active ingredients for home treatment on your own. Their irrational use can lead to skin irritation, complications, the appearance of wet areas on its surface. How to smear a rash in this or that case is best told by a dermatologist.

The chronic form with pink lichen develops extremely rarely, most often it is acute. Immunity after illness is not formed, or it is unstable and repeated cases of the disease are quite possible. Lichen Zhiber is a benign disease with a tendency to self-healing and the only thing that makes it dangerous is the addition of pathogenic microflora or an allergic component. Specific prophylaxis has not been developed; measures for the general improvement of the body and strengthening of immune defense can be attributed to non-specific ones.

The disease often occurs against the background of weakened immunity in the autumn-spring period, when the child is exposed to colds and allergic reactions. Infection occurs by contact, i.e. from a sick person through personal hygiene items, bed linen, towels, etc.

In order to recognize the infection in time, it is necessary to carefully examine the skin and monitor the baby's health. The first signs of the disease are:
- increased body temperature;
- headache;
- redness of the throat;
- the appearance of flaky pink spots.

As a rule, single spots appear first, which later lead to profuse rashes. After 1-2 months, the rash stops flaking, forming a narrow border and temporary depigmentation of the skin. Unpleasant itching often occurs on contact with chemicals. In the chronic form of lichen pink, spots can have a fairly large diameter and a rich color.

Effective treatment for pink lichen

To establish an accurate diagnosis, an examination and consultation with a doctor in the field of dermatology will be required, since similar rashes are characteristic of various skin infections. With the correct implementation of all the instructions, the disease completely disappears in 1-2 months.

To relieve irritation, it is advisable to abandon the use of ordinary soap and washcloths, since the skin is subject to injury and further spread of infection. Better to rinse your baby in the shower, then let the skin breathe. Use cotton clothing during this period.

During the period of treatment, monitor the nutrition of the child. A prerequisite is the exclusion of allergenic foods from the diet: citrus crops, chocolate, eggs, nuts and others. In the presence of itching, the dermatologist prescribes antihistamines in a certain dosage, taking into account the child's age and the severity of the disease. The most popular is the drug "Fenistil", which is prescribed by a doctor.

Good immunity is an important component of effective treatment, therefore it is necessary to walk more often with the child in the fresh air, regularly give the Ascorutin vitamin complex, immunomodulators, and teach children to harden. At home, to strengthen the immune defense, prepare a decoction of rose hips: pour a small handful of fruits with boiling water and let it brew in a thermos overnight. Add a little sugar before drinking to enhance the taste of the drink.

The acute form of lichen pink involves the use of calcium preparations, salicylates, and in case of complications in the form of the formation of pustules, the use of antibiotics is required. At any stage, ultraviolet irradiation of the skin gives good results.

Pink lichen in children is not a frequent phenomenon, but if you are faced with this ailment, you should better know about it. Usually, this disease will heal itself, but you can help your child cope with unpleasant symptoms with the right information and advice.

What kind of animal is it and what is it with? First of all, it must be said that the nature of lichen pink has not been fully studied. Pink lichen of Zhiber, as it is also called, has the character of an acute dermatological disease.

Causes of occurrence:

severe hypothermia;
overheating of the body;
weakening of immunity after vaccination, colds;
decreased immunity due to vitamin deficiency in the autumn and spring;
as a result of an allergic reaction to certain foods;
during the period of artificial feeding, during the replacement of the mixture;

Symptoms and course of the disease

Among the first symptoms, oval, rounded and well-defined plaques can be seen. Such maternal plaques appear on the chest, tummy and thighs. In the center of the lesion, there is a slight peeling, painted over in pink or reddish color.

In parallel, the child has a slight fever, lethargy, malaise, and lymph nodes may enlarge. Such symptoms do not always appear, because of this, in the first days of the onset of the disease, often parents do not pay attention to them.

On the tenth day, the body is covered with a pink or red rash, with yellowness. The rash takes on an oval shape with puffiness along the edges, affecting the lateral surfaces of the trunk, back, hips, shoulders, and sometimes the neck and face. For children, a rash on the head is characteristic, a pale pink and highly flaky spot appears between the hairs.

It itches unpleasantly, may be numb or tingling. If the child is given the wrong treatment, the disease is complicated as eczematization or pyoderma.

How to diagnose

Before treating lichen rosacea in a child at home, it is necessary to make the correct diagnosis. You will immediately notice the appearance of pink spots, which the child will scratch. Also, notice the flaking in the center of the spot. A more qualified diagnosis can be provided by a dermatologist.

For a doctor, it will be enough to conduct a visual examination or do a dermatoscopy. Dermatoscopy is a simple and painless procedure using a special device that will increase the neoplasm tenfold.

Sometimes a skin biopsy is required for histological examination to exclude parapsoriasis. In advanced cases, when the child was not provided with timely assistance, an infectious complication occurs. Then, it is required to take a scraping from the focus of the affected spot, and conduct a bacteriological culture.

In the case when, pink lichen in children, has an uncharacteristic color, it can resemble other dermatological diseases. Sometimes lichen is similar to the symptoms of secondary syphilis. Then doctors do an RPR test for syphilis. But this happens in extremely rare cases.

Is the disease contagious

If there is more than one child in the family, it is important to know whether pink lichen is contagious in children. Since this is an infectious-allergic disease, it has a viral pathogen. And viruses, as you know, are easily transmitted by airborne droplets, as well as become infected by close contact with the carrier. For the purpose of prevention, it is better to protect a sick child from other children.

If it is difficult, take care of the disinfection of the room, take the following preventive measures:

Treat all toys with a disinfectant; antibacterial soap will do. For soft toys, you can arrange a wash with baby powder.
If your home has carpets on the floor, this is a great habitat for bacteria. It is imperative that they be cleaned by disinfecting with a special tool.
Ironing and washing the sick child's belongings should be separate from other things.
Ventilate the apartment frequently by regularly wet cleaning and using disinfectants.

How to cure lichen Gibert

Treatment for pink lichen in children involves proper care of the affected areas. The ailment can heal on its own, but if it is easier for an adult to endure the symptoms, then for young children it is difficult to endure the itching and discomfort in the body. The disease lasts for eight weeks, leaving traces in the form of age spots.

Regarding the spots, do not worry, a month after the illness, they will disappear by themselves. You can help your child by speeding up the healing process a little by eliminating itchy skin with medications and strengthening the immune system.

During treatment, you also need to adhere to the following recommendations:

It is better to put your child on a hypoallergenic diet. At the same time, exclude salty, spicy, sweet, sour, highly fatty foods, as well as canned food.
If possible, reduce the number of water procedures.
When bathing a baby, you cannot use a hard washcloth, it is better without it.
Choose your detergent carefully, it can also irritate your allergies.
Choose clothes made from cotton fabrics, at least for underwear.

Drug treatment

If itching is very severe, your doctor may prescribe an antihistamine. May also prescribe a corticosteroid and antipruritic ointment to relieve symptoms. So, let's consider further what drugs will help cure pink lichen in a child:

Ethacridine lactate, gelatin capsules, take 0.005 g or 0.03 g, depending on the age of the child, no more than 2 times a day, for ten days.
The drug Ascorutin is prescribed to improve the resistance of the immune system to the disease. The composition includes a group of vitamins that help strengthen the vascular walls. The dosage is prescribed according to the age of the child, usually one tablet twice a day.
Finistil in drops and tablets will eliminate unpleasant itching. It is better to calculate the dosage with a doctor.
Antipruritic antihistamines such as Zodak, Surastin, Cetrin, Claritin, Zyrtec.
In case of complications, the doctor may prescribe broad-spectrum antibiotics.

Sick children, in order to increase the effectiveness of treatment, are protected from the sun's rays to avoid overheating. Dress your child in a panama hat, cotton clothes, provide the child with plenty of drink. For preventive purposes, the skin is treated with antiseptics.

Pink lichen in children can be cured with the help of pharmaceutical ointments. Topical ointments eliminate inflammation, reduce itching and speed up the healing process.

Consider how to smear pink lichen, and which ointments are more effective:

Effective folk remedies

Before treating lichen rosacea with folk remedies, make sure the diagnosis is correct. Traditional methods are an effective alternative to drug treatment, in addition, they are easy to carry out at home.

For self-treatment of pink lichen, we offer the following list of folk remedies:

Any folk remedy is only additional help, but not a complete treatment. Use these methods if you cannot visit a dermatologist. But when lichen rosacea affects your baby's skin, it's best to see a doctor and get qualified help.

Gibert's pink lichen is a disease of unknown cause, manifested by pink, rounded rashes on the skin of the trunk, arms and legs.
The disease is not contagious, that is, it is not transmitted from person to person. There is no specific treatment. Passes by itself. Examination - by a dermatologist.

ICD 10 code: L42 - Pityriasis rosea. According to the classification, Zhibert's lichen belongs to.

It looks like pink lichen in humans

Causes

The etiology (cause) of pink lichen in humans is still unknown!

There are hypotheses for the occurrence of this skin pathology in humans:

viral nature (herpes virus, ARVI),
infectious and allergic nature (allergic processes started after infectious diseases).

Predisposing factors:

decreased immunity is the main factor in the development of the disease,
infectious diseases,
avitaminosis,
starvation, malnutrition,
stress,
hypothermia
frequent use of scrubs, hard body washcloths.

The incidence of lichen pink is observed mainly in the cold season.

Symptoms and clinic

1) Maternal plaque (see photo) is an important sign of the initial stage of the disease.

A rounded redness appears on the skin in the form of a 3-5 cm spot. Usually, a few days before the appearance of the maternal spot, patients notice an increase in temperature, malaise, joint pain, enlarged cervical lymph nodes - all symptoms, as in ARVI.
The maternal plaque is slightly raised above the skin.
After a few days, the maternal stain begins to peel off over its entire surface.

2) Daughter spots are the main symptom of pink lichen in humans.

After 7-10 days from the appearance of the maternal spot, multiple pink spots, ranging in size from 5 mm to 2 cm, appear on the skin of the chest, abdomen, back, arms and legs.
Spots are round or oval, do not merge into conglomerates, raised above the surrounding skin. After a few days, the skin in the center of such a spot becomes pale yellow and begins to peel off. After a few more days, the central part of the stain peels off and the skin becomes like "tissue paper".
On the periphery, the spot does not peel off, remains pink.
A rim of peeling remains between the central and peripheral part of the spot (a symptom of "collar" or "medallion").
On the torso, spots are located along folds and lines of tension of the skin (Langer's lines). This symptom is considered diagnostic - it helps to establish a diagnosis.
During this period, the maternal plaque begins to fade and gradually disappears.
The rash almost never appears on the palms and soles of the feet. Very rarely - on the face, on the lips, on the neck, and also in the groin.
Rashes on human skin can appear in waves, with a frequency of 7-10 days. Therefore, you can observe a polymorphic picture: some spots have just appeared, pink, small, without peeling. Other spots are old, ring-shaped, with "collar" peeling and a red border around.
Usually, before new rashes, a person notes a deterioration in well-being - weakness, malaise, low-grade body temperature (up to 37.2 degrees).

3) Itchy skin.

The spots are accompanied by mild itching. This is not the main symptom of the disease, it occurs in only half of the patients. Most often, the skin itches in children and young people with an emotional psyche, as well as with skin irritation.

Usually, pink lichen spots do not bleed. But with severe itching of the skin, patients, especially children, can scratch the stains until they bleed.

4) The course of the disease

After 3-6 weeks, the spots of pink lichen begin to fade in the center. The spots become annular. Then the peripheral part of the spot also disappears.
For some time after the disappearance of the spot, an area of increased (or vice versa - reduced) skin pigmentation remains. These age spots will go away on their own within another 1-2 weeks. There are no consequences in the form of scars or scars in the uncomplicated form of the disease.
With a favorable course, recovery does not take a long time, and relapses do not occur.
The disease reoccurs in people with immunodeficiency. These are HIV patients and patients with low immunity with blood cancer on the background of severe chemotherapy.
Pink lichen can be complicated by inflammation of the skin: pustules, acne, the addition of fungal flora (mycosis). In rare cases, children may experience eczematization with weeping. To avoid this, follow these guidelines.

What should not be done to the patient

Do not injure or comb the spots (so that the spots do not increase in size).
Do not rub the skin with a washcloth or even a sponge when washing in a bath, in a bathroom.
You can't take antibiotics yourself.
You can not sunbathe, visit the solarium.
Do not lubricate the skin with alcohol and iodine, brilliant green, ointments containing sulfur and tar, tar soap, salicylic ointment, vinegar, sea buckthorn oil, dough, flour, newspaper ash, apply cosmetics to the affected skin - in order to avoid the spread of spots on the skin.
Synthetic and woolen items are not allowed (only cotton!).
You can not wear things that injure the skin (a hard bra provokes the growth of spots under the breast).

Diet with pink lichen

1) Eliminate allergenic and irritating foods from the diet:

sweet, honey, chips, soda,
chocolate, coffee and strong tea,
citrus,
artificial food additives and flavors,
alcohol,
smoked meats,
pepper and other spices,
fatty foods
pickles and marinades,
eggs.

2) You can and should include in the diet:

Porridge made from natural cereals: oatmeal, buckwheat, millet, 5 cereals, 7 cereals, etc.
Bread Borodinsky, Suvorovsky, Urozhainy, from coarse flour.
Boiled meat.
Potatoes, carrots and other vegetables.

Can I wash myself?

Yes, you can, but not every day and only in the shower. You cannot wash under hot water - only under warm water. Do not use a washcloth. Do not use soap. Pat dry the skin with a towel (do not rub!).

How long will it take for lichen rosacea?

The standard course of the disease is 10-15 days.

What if the rash persists for more than 2 months?

You should consult a dermatologist for an additional examination for the presence of another skin disease masquerading as Zhibert's lichen. Most often, it is necessary to exclude - this will require a skin biopsy.

Diagnostics

The diagnosis is made on the basis of anamnesis (medical history), clinical symptoms and by excluding other diseases.
Laboratory diagnostics does not give characteristic signs of pink lichen (remember that the cause of the disease has not been established).

Zhyber pink lichen should be differentiated from a number of skin diseases:

Pityriasis versicolor versicolor. The main difference is that with pityriasis versicolor, the mycelium of fungi is found during microscopic examination.
Secondary syphilis. All patients with suspected lichen rosacea should be screened for syphilis!
Eczema.
Psoriasis. Unlike psoriasis, there is no psoriatic triad in psoriasis.
Measles and rubella
Trichophytosis
Urticaria - in the initial stage with the urticarial form of the disease.

Treatment and prevention

In 90% of cases, no treatment is required. The patient is not contagious.
Pink lichen heals on its own 4-6-8 weeks after the first spot appears.

Remember: if you want to quickly get rid of Gibert's lichen, you will not succeed. It takes time for a person's immunity to start fighting the disease on its own. And for this it is necessary to remove all provoking factors so that the immune system can quickly cope with the disease.

Drug treatment is prescribed for severe itching and complications.

Antihistamines in tablets: loratadine, suprastin, claritin, etc. Take according to the instructions (1-2 tablets per day). These drugs help to reduce allergic reactions in the body as a whole, which relieves itchy skin. Patients stop itching.
Calcium gluconate tablets: also for anti-allergic purposes (1 tablet 2 times a day).
Ointments and creams with hydrocortisone: Flucinar ointment, Lorinden ointment, Akriderm ointment, Beloderm cream, Locoid cream, Celestoderm ointment.
Lubricate the affected skin area 2 times a day. The mechanism of action is to reduce allergic reactions in the skin, edema, reduce itching, anti-inflammatory effect.
Ointments and creams with Naftalan oil:. The mechanism of action is the same: reducing skin itching and inflammation in the skin. Compared to hormonal ointments, there are no such side effects.
Antibiotics They are prescribed only for complications in the form of pustular inflammation of the skin. In case of a relapse of the disease, antibiotics of the Erythromycin group in tablets are also connected (in severe cases, injectable forms in injections and treatment in a hospital). Previously, antibiotics were used at the onset of the disease, but this is now not recommended.
Suspension Zindol (zinc oxide) - dries the skin and reduces inflammation. For many patients, it helps relieve itching and skin irritation. Apply Tsindol to the affected skin with a cotton swab 2-3 times a day. Do not rub!

Prevention is needed to prevent the spread of the rash to other parts of the body, to prevent complications (see what can not be done to the patient).

Attention: Acyclovir does not help with pink lichen. Acyclovir is a medicine used to treat shingles (caused by the herpes virus).

Pink lichen during pregnancy and breastfeeding

Pink lichen of Zhibert does not affect the fetus and the woman's labor activity in any way. Therefore, in pregnant women, this disease can not be treated with medication, but only follow a diet and a gentle regimen for the skin.

When breastfeeding, your baby will not catch lichen rosacea.

How and with what to treat?

Treatment of pink lichen in pregnant women is carried out only with severe itching and with severe inflammation of the skin.
From local preparations, only Tsindol or talker (zinc + talc + glycerin) is used. Corticosteroid ointments - only under strict indications in extremely rare cases. When prescribing such ointments, breastfeeding should be discontinued.
Preparations for oral administration and injections are used extremely rarely and should be prescribed by a doctor for strict indications when the mother's life is threatened.

Pink lichen in a child

Children are ill from about 4 years of age, but most often - adolescents (hormonal changes in the body, decreased immunity). The child is not contagious to others.
In children, pink lichen spots should be carefully differentiated from infectious diseases - measles, rubella.

How and with what to treat?

Treatment is not required in 90% of cases. The most important thing in treating children is adhering to a low-allergenic diet and preventing the spread of stains on the child's skin, since children often comb and injure the affected areas.
With severe itching, Tsindol and antihistamines (Claritin in syrup) are prescribed. If the symptoms are accompanied by eczematous phenomena, in rare cases, corticosteroid ointments and creams are prescribed in a short course (Beloderm cream, etc.).

Do you give a sick leave?

With an uncomplicated form - do not give. In the presence of symptoms of intoxication after the end of ARVI, with a generalized form, with a complicated form of the disease, a sick leave is issued for the entire period of treatment.

Do they take into the army?

For the period of treatment - a deferral. After the end of the treatment, they call.

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