Localization of acne on the toes is not typical for acne. Acne on the legs of a child is more likely to indicate the presence of atopic dermatitis or other disease, which will help determine the doctor.
Atopic dermatitis is allergic in nature and usually begins in childhood. Children of younger age often have an eczematous form. On the background of reddening of the skin there are bubble rashes on the face (in the area of cheeks and forehead), then they spread to the skin of the neck, head, trunk and extremities. Bubble rashes often break apart, and there is a wet, sometimes with a suture. Since eczema is accompanied by a severe itching, the children combine the hearths, thus creating conditions for the infection. In older children and adults, the process often occurs in the form of neurodermatitis, in which inflammatory focuses are mainly located on the limbs. The cause of acne on the toes can be bites of insects or one of the forms of scabies.
If pimples went themselves, without treatment, then it is possible to assume their allergic origin, because the allergic manifestations cease when eliminating contact with the allergen. On the other hand, if the contact with the allergen continues - the treatment of skin reactions does not give the desired result, in this case does not heal the acne. For anti-anxiety effects, prescribe antihistamines, in particular, ketotifen. Externally, hormonal ointments (lorinden, flucinarum, fluorocort) are used, then zinc-salicylic ointment or paste is used. Antibiotics for dermatitis use is not feasible, as it can lead to additional allergies, but when stratified by bacterial infection, prescribed or injected appropriate antibiotics: erythromycin, azithromycin, etc.
In moderate cases of inflammation metronidazole is used from pimples: inside 2 pills 2 times a day, a course of 10 days, and externally - metrogyl gel 2 times a day. This is a simple treatment scheme. There is the most effective way to treat acne on the legs: benzoyl peroxide 5% and 10% gel (Benzakne). The drug has an antibacterial effect, enriches tissues with oxygen, accelerates the process of granulation of ulcers and other damages of the lower extremities. 5% gel is applied once a day. In more severe cases, after two to three weeks of application pass to 10% gel. It is important to remember that acne is not squeezed out, because it is inflammatory nodules.
Of great importance for the patient is clothing. Only cotton fabrics can be contacted with lesions. It is necessary to fight with sweating, since the allocation of sweat sharply increases the itching, to avoid too frequent washing with hot water and soap of the affected skin. To wash skin with dermatitis should be no more than 1-2 times a week, warm water with baby's soap. Bites of insects are treated with special means: psy-balm, phenistil gel, they quickly relieve itching and burning, reduce the inflammatory reaction.
Scabies are treated by various means, depending on the degree of manifestation. Primary agent - benzylbenzoate (ointment 10 and 20%, gel and emulsion), effective against scabies mites. The drug is rubbed into the skin twice for 10 minutes with a 10 minute break for two consecutive days. After processing, change the napolnaya and bed linen. On the third day, the patient is washed and changed clothes again. Before the start of treatment, it is advisable to take a hot shower or bath with a washcloth and soap for mechanical removal of the skin of the skin, as well as the rupture of the surface layer of the skin, which will facilitate the penetration of the drug.
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