Page 177 - fourth year book

SKIN DISEASES

Morphology:

The eruption is formed of group of vesicles. The vesicles at first contain
clear fluid and then become purulent. The vesicles rupture leading to
crust formation .Usually, herpes runs within a week. But it tends to have
recurrent attacks.

Management:

 In recurrent herpes simplex (R.H.S), the cause or predisposing
factor should be treated.

 Gentian violet 1% or broad spectrum antibiotic to avoid secondary
infection with antiviral ointment is applied topically.

 Gingvostomatitis: Mouth wash with sodium bicarbonate solution.

 Valvuvaginitis: warm compresses or sitz bath with sodium
bicarbonate or potassium permanganate.

III- Common fungus infection in Egypt

1. Tinea capitis (ring worm of the scalp)

Methods of infection:

Direct: Head to head, or from domestic animals.

In direct: By contaminated barber's instruments, head caps, theater or
cinema seats.

NB: Males are more affected than females; children up to age of 11 years are
more susceptible.

Types of ring worm of the scalp:

1- Non inflammatory types

 Grey patch

 Black dot.

2- Inflammatory type: Localized e.g.; Kerion celsi, diffuse lesions.

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