Subacute disseminated microbial eczema in an adolescent

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Abstract

Microbial eczema among the various clinical forms of eczema in the structure of incidence ranks is on the second position after the true one. Adults get sick more often than children. The pathogenesis of microbial eczema is based on misfunctions in the immune status and microbial sensitization of the body Due to bacterial background, as well as dysbiosis in the microbiome.

The clinical picture of the disease is characterized by asymmetric localization of rashes on the limbs in the form of single plaques. The affected skin is reddish, squamous, slightly infiltrated. Outside the main foci, papulovesicular and pustular lesions, crusts are observed. Rash is not not always accompanied by itching. Microbial eczema was of a limited nature, manifested by coin-shaped foci, dot weeping, crusts.

We observed a patient of 15 years before admission to the hospital was ill for 8 months. At the same time, during the last three months, the pathological process on her skin existed acutely without any dynamics. The occurrence of a rash is not associated with anything. Multiple efflorescence were located throughout the skin, on the scalp, ears, in the ear region, on the face, neck, torso, upper and lower limbs, buttocks, accompanied by severe itching. The inflammatory pathological process was represented by excoriations, wet spots, erosions, crusts and erythematous-squamous foci of various shapes and sizes. Dermographism pink.

Repeated outpatient treatment brought temporary improvement. Due to the lack of therapeutic effect in the last 3 months, the patient was hospitalized in the branch “Kolomensky”. A comprehensive clinical and laboratory examination diagnosed disseminated subacute microbial eczema. Against the background of adequate therapy, the anti-inflammatory pathological process was completely resolved. Recommendations are given to maintain the achieved therapeutic effect.

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About the authors

Vladislav N. Grebenyuk

Moscow Research and Practical Center of Dermatovenerology and Cosmetology, Department of Healthcare

Author for correspondence.
Email: oranta28@mail.ru
ORCID iD: 0000-0001-5488-1497
SPIN-code: 9741-1983

MD, Dr. Sci. (Med.), Leading Research Associate

Russian Federation, 16 buil 2, Sel’skohozjajstvennaja street, 129226, Moscow

Igor V. Popov

Moscow Research and Practical Center of Dermatovenerology and Cosmetology, Department of Healthcare

Email: doctorpopov@doctorpopov.com
ORCID iD: 0000-0002-0459-4075
SPIN-code: 5191-4876
Russian Federation, 16 buil 2, Sel’skohozjajstvennaja street, 129226, Moscow

Vera L. Isaeva

Moscow Research and Practical Center of Dermatovenerology and Cosmetology, Department of Healthcare

Email: oranta28@mail.ru
ORCID iD: 0000-0002-5189-8354
Russian Federation, 16 buil 2, Sel’skohozjajstvennaja street, 129226, Moscow

Natalya F. Zatorskaya

Moscow Research and Practical Center of Dermatovenerology and Cosmetology, Department of Healthcare

Email: oranta28@mail.ru
ORCID iD: 0000-0002-3876-6517

MD, Cand. Sci. (Med.)

Russian Federation, 16 buil 2, Sel’skohozjajstvennaja street, 129226, Moscow

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Supplementary files

Supplementary Files
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1. Fig. 1. Affect of the red border of the lips and chin.

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2. Fig. 2. Rash on the palms and forearms.

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3. Fig. 3. Eczematous foci on the dorsum of the hand.

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4. Fig. 4. Eczematous process on the trunk, thigh and upper inferiority.

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5. Fig. 5. Multiple rashes on the skin of the shoulder.

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6. Fig. 6. Lesion of the plantar surface of the feet.

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