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Eczema of the vestibule: symptoms, diagnosis and treatment

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If a person has a history of chronic otorhinolaryngological diseases( eg, rhinitis, adenoiditis or sinusitis), then he is likely to suffer from eczema of the vestibule of the nose.Often, the disease under consideration appears against the background of an allergic rhinitis - the skin in the designated area becomes inflamed and damaged with a constant touch, friction due to the cause of the released serous-purulent contents from the nasal passages.

It's interesting that even 2 decades ago, nose eczema was often diagnosed in children and almost never observed in adults.But in the past few years, the "age" of the disease has become older, and doctors associate it with the increased incidence of chronic diseases of the nose.

Table of contents:

Symptoms of nose eczema

The first sign of the disease under consideration is swelling and redness of the skin under the nasal passages.As a rule, similar pathological changes in the skin are noted at the corners of the nostrils from one or both sides.Redness and swelling of the skin at the entrance to the nose are accompanied by uncomfortable sensations - patients complain of burning, tingling and itching in these places.

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_4_20120621_1582884783 As the eczema of the vestibule of the nose progresses, a liquid detachable serous character begins to appear in the lesions - this provokes the inflammatory process of the skin.Fast healing ensues, which is accompanied by the formation of crusts on the affected areas of the skin - this gives the patient additional inconveniences( a feeling of tightness, pain syndrome).

Please note : often the areas of erosive skin lesions of the nasal vestibule are infected and in this case the liquid detachment becomes purulent, the skin damage becomes deep and wider - the described symptoms extend to the zone of the upper lip.The patient not only experiences discomfort due to his unattractive appearance, but also complains of pain, itching, burning in the lesions.

If the eczema of the vestibule of the nose proceeds in an independent mode and no treatment is performed, then it develops into a chronic form of the flow.And this can lead to the development of complications such as erysipelas, furunculosis or impetigo.With the progression of eczema and the absence of treatment, patients complain not only of external changes, but also of itching, burning, irritation, sleep disorders, nervousness.

Doctors say that eczema can spread around the face in case of weakened organism.And more often this phenomenon occurs in childhood, or in adults with beriberi, metabolic disorders.

Relapses of the disease under consideration occur frequently, reduce their number and generally cure the patient only if the provocation factor is removed - for example, the course of treatment of chronic sinusitis, removed increased adenoids, and so on.

How to diagnose nose eczema

To clarify the diagnosis, the doctor otolaryngologist enough to listen to the patient's complaints, find out the medical history( against which the characteristic symptoms appeared) and conduct an examination.

In some cases, the doctor may prescribe additional examinations to the patient:

  • 146 sowing scales from the site of skin lesions - thus revealing pathogenic colonies of fungi;
  • fence and study of the contents of boils( if any) is necessary to determine the sensitivity of the pathogen to antibacterial drugs.

How to treat an eczema of a vestibule of a nose

The considered disease is treated in outpatient conditions and does not assume the patient's placement in a medical institution. There is a specific therapy scheme that can be put into the following points:

  • combating the cause of the appearance of eczema of the vestibule of the nose;
  • treatment of localized lesions with local medicinal products;
  • a course of drugs aimed at strengthening the entire body;
  • power correction.

Please note: any medications for the treatment of the disease in question should be appointed by the attending physician - it is important to take into account the patient's age, general health, the possibility of developing an allergic reaction and several other factors.

Elimination of the cause of eczema

In order to effectively eliminate the cause of eczema of the vestibule of the nose, the doctor must first find out this very reason.And only after this will be selected treatment schemes. General recommendations for combating the cause of the disease in question include:

  1. With diagnosed chronic sinusitis or rhinitis of the viral etiology - seawater sprays, irrigation of the nasal passages with anti-inflammatory drugs, antiviral drugs, ointments / creams for local exposure to lesions, Vasoconstrictor.With sinusitis and rhinitis of bacterial origin, a course of therapy with anti-inflammatory and antibacterial agents, topical agents for the treatment of lesions, sea water sprays, anti-inflammatory solutions for irrigation of nasal passages, preparations of homeopathic origin to prevent complications.
  2. In rhinitis of the vasomotor type - drops of vasoconstrictive action, homeopathic remedies and course of therapy against pathologies that led to rhinitis.
  3. With pathology( the habit of combing the skin at the nose, picking at the nostrils, constantly blowing oneself) - the patient needs to visit the therapist, he will prescribe sedatives.
  4. With adenoiditis - drops with antibacterial and astringent action, sprays based on sea water, surgical removal of adenoids.
  5. In rhinitis of allergic etiology - antihistamine, vasoconstrictor drops in the nose, drugs to enhance immunity.

Local skin care products

To stop the skin from drying the front of the nose, doctors can prescribe the following:

  • Herpes-on-nose-5 rivanol;
  • silver nitrate solution 0.25%;
  • liquid of Burov;
  • new immanin;
  • resorcinol;
  • zinc nitrate solution 0.25%;
  • tannin.

The listed products are solutions that are used as lotions or applications.As soon as the crusts disappear in the lesions, the doctor recommends in the nasal passages to put turundas with olive or sea-buckthorn oil, retinol acetate or carotolitin.

To protect the skin near the nasal passages from the repeated appearance of eczema, it is necessary to apply special ointments:

  • boron-naphthalanic;
  • hydrocortisone;
  • zinc;
  • Lassara;
  • Baneocin;
  • heliomycin and others.

Note : more specifically about the use of this or that ointment will tell the attending physician.It is not recommended to select medicines of this type independently.

If the eczema of the vestibule of the nose is accompanied by a fungal or infectious complication, specific drugs may be prescribed for use - for example, sintomycin ointment, Levomikol Mikoseptin and others.

Recently, doctors use the inhibitors of calcioneurin to treat erosive lesions of the skin - these are non-hormonal drugs that can be prescribed to patients of different ages( including children), since they practically do not give side effects.These drugs include Pimerolimus and Protopic.

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Note: the physician can prescribe and physiotherapy procedures - for example, ultraviolet irradiation of the lesion focus or helium-neon laser.

For the treatment to be effective, the patient must comply with certain rules for hygienic procedures:

  1. You can not wash with normal tap water - it can become a provoking factor of dryness of the skin and introduce additional infection.
  2. Any treatment of the skin of the vestibule of the nose should be carried out with a cotton swab.
  3. When using vegetable oil( olive or sunflower), it must be boiled and cooled beforehand.
  4. When wiping your nose, blowing nose, you need to use disposable handkerchiefs without any flavoring.

Therapy for strengthening the body

If the eczema of the vestibule of the nose is severe, the doctor will certainly identify signs of weakness of the body - it can be avitaminosis, metabolic disorders, decreased immunity.And in this case, the specialist will prescribe vitamin complexes, immunostimulants, calcium preparations.

Correction of food

The patient should adhere to certain restrictions in nutrition during the whole course of eczema of the vestibule of the nose.For example, a nutritionist can give recommendations to refuse smoked products, fatty and spicy foods, marinades, alcoholic beverages, spices and seasonings.

It is recommended during this period to consume more plant and dairy foods, fruits and berries, vegetables and fish.

Eczema of the nasal vestibule - the disease is unpleasant and quite dangerous in terms of development of complications.But doctors argue that a full treatment of the disease( and, with the assistance of specialists) leads to a full recovery without any consequences.

Tsygankova Yana Aleksandrovna, medical reviewer, therapist of the highest qualification category


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