Pink lichen of Gibert
Pink lichen of Gibera (or roseola flaking) is a dermatological disease characterized by the appearance of pink spots localized on the limbs and trunk. They are usually located along the Langer lines and over time become similar in appearance to medallions.
The content of the article:
Causes of pink lichen of the Gibber
Symptoms of pink lichen Gibera
Diagnosis of pink lichen of Giber
Treatment of pink lichen of Gibert
Pink lichen of Gibert
The disease begins with the appearance on the skin of only one plaque (maternal plaque), which is located on the trunk. The initial stage is completed within one month. It is possible to diagnose the pink lichen of Gibert with the help of dermatoscopy, as well as by scraping for the presence of pathogenic fungi. Luminescent diagnostics, a blood test for syphilis, and a biopsy also help in detecting the disease. Treatment consists in the exclusion of irritants that have a negative effect on the skin, in the use of antihistamine drugs, as well as corticosteroid ointments and, as they are popularly called, “chatterboxes”.
It is known that Zhiber’s pink lichen belongs to a group of polyethological skin ailments, which are united under the well-known name “lichen”. This group includes red lichen of a flat type, shingles, pityriasis and ringworm.
Characteristic manifestations of the disease are spots with an inherent pronounced itching. They may differ in their shape, location, flow pattern and morphological features.
Usually pink lichen of Gibert is observed in people who are between 20 and 40 years old. Elderly people and children very rarely suffer from this disease. The peak incidence occurs in the autumn and spring periods. Such seasonality is inherent in various colds, against their background, pink lichen of the Gibber can also occur.
Causes of pink lichen of the Gibber
To date, the exact causes of pink lichen of Gibert have not yet been determined. It is assumed that the disease has an infectious-allergic nature, which is why in modern dermatology it is often classified as infectious erythema. The infectious theory seems to be the most probable also because patients with pink lichen of Gibert have a positive reaction to the administration of streptococcal vaccine (intradermal administration). A large number of scientists are of the opinion regarding the viral origin of this disease, as it very often occurs in those who have had SARS. Other scientists are inclined to think that the pink lichen of Gibert may be caused by a herpevirus of the seventh type.
Symptoms of pink lichen Gibera
According to statistics, about 60% of patients with pink lichen of the Gibber begin to suffer from the appearance of maternal plaques on the skin among 2-3 pieces. Such plaques are characterized by a bright pink color, a flaky surface and a significant size, which is 5 cm in diameter. A week after the onset of the disease, abundant rashes appear on the dermis, having the appearance of small pink spots, as well as oval and rounded shape. As a rule, they are located in the hips, abdomen, groin, arms and legs, shoulders and neck.
The main distinguishing feature of pink lichen of Gibert is considered to be the presence of a rash along the Langer lines, that is, the lines along which the skin can stretch as much as possible. Within a few days, there is an increase in the size of the spots by more than 2 cm, but they do not merge with each other. The central part of such spots eventually turns yellow, and its stratum corneum gradually begins to peel off, forming small scales. At the edges of the spots, the pink color is still preserved, giving the pink lichen of the Gibert the appearance of peculiar medallions.
New rashes occur in the next 2-3 weeks, after that they gradually fade, and then disappear altogether. Depigmented areas, which are also called hyperpigmentation, may remain in this place. After some time, the skin becomes normal color.
In half of the cases, the pink lichen of Gibert is characterized by a slight itching, and a quarter of the patients do not observe any abnormalities at all. Another quarter of patients feel a strong burning and itching, which confirms an additional irritating effect on the skin. The latter may also be the cause of an excessively elevated nervous and emotional state of a person.
In the case of progression of the disease in humans, an increase in temperature is noted (however, it is insignificant), general weakness, an increase in lymph nodes and submandibular nodes.
The main feature of the flow of pink lichen of the Gibber is its clear duration. In the case of effective treatment, a person recovers after 6 weeks. Relapses usually don’t happen. Interestingly, the pink lichen of Gibert can be not only spotted-urticar, but also spotted-papular. Such forms take much longer.
Sometimes there are complications. Infection of the foci of the disease occurs with the further development of hydradenitis, pyoderma, streptococcal impetigo, ostiofolliculitis, eczema with subsequent transition to eczema. Usually, the main cause of complications is considered to be frequent washing and improper local therapy, as well as increased sweating and a tendency to allergies.
Diagnosis of pink lichen of Giber
To determine the pink lichen of Gibert, it is usually enough to be examined by a dermatologist, as well as to perform a dermatoscopy. If the rash of pink lichen of Gibert is present for longer than six weeks, then a biopsy is performed with further histological examination in order to exclude parapsoriasis. In case of development of infectious complications, scraping is done from the lesion itself and back-sowing is carried out.
For the purpose of differential diagnosis, in order to distinguish the pink lichen of the Gibber from the bran-like type, luminescent diagnostics are carried out, and skin scraping is also examined for the presence of pathogenic fungi. Interestingly, the primary signs of pink lichen Giber are similar to the signs of secondary syphilis. In this case, to exclude syphilis, a special analysis is carried out — an RPR test.
Treatment of pink lichen of Gibert
Usually, the pink lichen of Gibert passes by itself and does not need any treatment. However, in order to prevent all kinds of complications, patients need to adhere to a special diet of a hypoallergenic nature, as well as limit water procedures, leave procedures using a hard washcloth, do not use body cosmetics, do not wear synthetic underwear (only cotton).
If the patient is suffering from severe itching, then the question of how to treat pink lichen is more than appropriate, antihistamines are usually prescribed, which are taken orally, corticosteroids and, if necessary, antipruritic ointments are also prescribed. Water-shaken external use products (for example, tsindol) are very popular.
It has been established by experience that such drugs as acyclovir and erythromycin help to achieve the most effective result in treatment. Such means not only help to cope with the disease faster, but also prevent the possibility of complications being transferred by the body.
