Removal of dermatology in flood season

After devastating floods, some skin diseases develop due to soaking, especially feet in dirty water with poor sanitation.

In addition to boiling and drinking to prevent diseases such as cholera, dysentery, typhoid, dengue fever will increase, we also need to have knowledge to prevent some skin diseases such as fungi, scabies, dermatitis and infection skin on the skin. Here are some common skin diseases during the flood season and the treatments to know.

Foot water

In fact, it is infected with Candida and Blastomycet. Because the limbs are soaked in water for a long time, the keratinocytes die and the moist environment makes the fungus invade and develop. Lesions are common in the interstitial toes 4, 5 fingers 3, 4. At first, there are white, itchy dead skin, scratching off the dead skin, leaving the skin reddish and wet, painful, Itching continues to scratch and hurt the patient. If left untreated, the ulcer is deep and spread, swollen and painful, difficult to travel.

The disease is also common in cleaning workers, sanitation workers, housewives, helpers due to frequent contact with water, people with diabetes are also often infected with the fungus. When you need to limit wading, wipe your feet dry before you wear shoes, and it is important to take antifungal drugs such as castellani, calcream., Nizoral, dezor, wash your hands with soap to kill SAStid fungus or fruit juice. lemon to avoid reinfection.

Skin infections

- Latex dermatitis:

Dermatitis

Due to poor sanitation conditions, lack of quality food and drink, laborers clean up the environment after flooding, they are vulnerable to skin damage, creating conditions for bacteria to attack. Lesions are blisters, pustules on the skin, concentrated in open areas, hands and feet. When crumbling to create shallow sores, on a dirty yellow or brown scales, there are red scales or halo around. When you need to clean with antiseptic alcohol or betadin. Apply antiseptic, green-meth-wool, castellani. When lesions are dry, switch to antibiotic ointment such as tetraxyclin, foban, bocidate, fucidin. Take antibiotics to get better quickly and avoid dangerous complications like glomerulonephritis.

- Folliculitis:

Due to the lack of clean water for bathing, bacteria grow in hair follicles such as head, armpit hair, genital hair, beard, eyebrows forming small pustules in very itchy hair follicles, scratching a lot of bleeding, fluid, wet Hair called eczema is difficult to cure. When diseased, it must be disinfected with 70% alcohol, betadin, topical antibiotic grease and oral antibiotic-resistant antibiotics such as oxaxylin, bristopen, cloxylan; limit scratching, brush your head gently, do not hurt the scalp.

- Bacterial interstitial inflammation (Erythrasma):

Common in obese people, the common location is two groin, armpit, neck and breast folds in women. Also due to lack of clean and hygienic water, stagnant sweat, creating conditions for bacteria to grow. Lesions are reddish, well-defined patches of skin, thin, almost itchy, unless the groin feels uncomfortable. The cause is the type of bacteria called Corynebacterium minutissimum. The differential diagnosis with fungal skin by fluorescent light shows coral red color, distinguished from the fluorescent yellow color of the mushroom. Treatment with eryfluid solution and oral erythromycin 250mg 4 times / day.

- Pitted keratolysis (pitted keratolysis):

Also known as pitting feet, bare feet. Lesions are dimples 1 - 3mm in diameter that are concentrated in the soles of the soles or seen in the front and painless heels after itching. The cause of bacteria is called Micrococcus Sedentarius. Diagnosis is not difficult, just rely on the paw image. Soaked saline treatment then applied erythromycin or clindamycin and whitfeld grease antibiotic. The disease will go away completely.

Skin diseases caused by parasites

- Disease caused by larvae entering the skin:

Children with skin lesions from scabies Also called migratory larvae on the skin, the disease is rarely seen in Vietnam but it does not mean that it is not available but due to the limited ability to detect the disease. Due to worms' eggs, flukes exist in sandy soil that hatch into larvae and penetrate into human skin, migrate to the skin at a rate of several centimeters a day. They move just below the horny layer to form a slightly floating, high-winding line about 2-3mm wide. The number of injuries depends on the number of invading larvae. Common location: legs, buttocks, perianal, hands. The expression is very itchy. Larvae survive on the skin for an average of 2-8 weeks. Rarely over 2 years. Prevention: avoid direct contact with sandy soil. Topical treatment: apply fat-resistant parasite albendazol. Take thiabendazol 50mg / 1kg weight in the day, from 2-5 days.

- Scabies:

Under poor sanitation, scabies also proliferate and spread very quickly. Due to direct contact between people with scabies and healthy people. The cause of parasites called Sarcoptes Scabies penetrates into the skin. Lesions are blisters, scabies. Common position: interstitial fingers, wrists, wrist bands, abdomen, thighs, buttocks, groin, genitals, creases, and armpits. Rarely, scabies in the 1/3 of the back and face. Symptoms: very itchy. If not detected and cured promptly, scabies will complicate infection into pustular eczema which is very difficult to treat and spread to the community very quickly. Treatment: personal hygiene and topical treatment of scabies, apply one of the following medicines: DEP, eurax, ascabiol. Treatment for the whole family, those with signs of itchy scabies. Disinfect clothes and pillows by boiling or drying 3-4 sun.