Scrofula disease - is considered exudative diathesis or skin tuberculosis. It appears differently because pathological process can be localized on the surface of the skin, mucous membranes, bones, lymph nodes, joints and sensory organs.

Why does scrofula occur?

The infection that enters the body is similar to Koch's tubercle bacillus, which is why the disease is compared with consumption or tubercles. But unlike tuberculosis, scrofula is slow and easy to cure.

The resulting tubercles long time disturb the patient, causing local symptoms, which is how they differ from real tubercles. Why the same causative agent of these diseases behaves differently has not been fully studied. Infection of a child can occur both inside the womb and after birth. The infection can enter the circulatory system and be localized in the lymph node. Patients ask the doctor what kind of disease it is, why it has such a strange name. The name arose because of the yellow color that covers the crusts on the body and head of the patient.

Most often, scrofula manifests itself in childhood(from 2 to 15 years), but it can also be found in an adult. Exudative diathesis can affect people living in different corners planet, and this suggests that the disease is not related to the soil, climate or lifestyle of a person. It is only noticed that in warm climates it occurs more often than in cold regions.

If one of the parents was sick with tubercles or syphilis, then the child will most likely show symptoms of the disease. Conception while intoxicated can also affect the child's body, poor nutrition diseases transferred during pregnancy.

Acquired causes of the disease can be:

1. Wrong nutrition. A diet consisting only of carbohydrates and a lack of protein can contribute to the development of scrofula.
2. Early introduction of complementary foods consisting of starchy foods (cereals, White bread etc.).
3. Poor hygiene conditions - failure to keep the skin clean, constant stay in rooms with damp and stale air.
4. Infectious diseases - rubella, measles, diphtheria, whooping cough, scarlet fever.

Symptoms of the disease

Many people ask the doctor what scrofula looks like, how signs of scrofula appear. There are two types of patients - they are lethargic (torpid) and irritable (eretic). In the first case, patients have muscle weakness and thick adipose tissue. The face is pale and swollen, the nose is pear-shaped, and the lips are swollen and fiery red. Lethargic children have disturbed sleep, they are apathetic, they eat little. They have bloating and diarrhea all the time. A rash constantly appears on the skin, and the eyes, ears or bronchi become inflamed.

Irritable children are distinguished by thin and translucent skin through which blue veins. They are too thin, mobile and sensitive to pain.

On the skin during the manifestation of the disease, a rash, lichen, eczema and other changes may appear. characteristic feature scrofula is the slow healing of various abrasions or wounds.

With scrofula, the patient may begin catarrh: an endless runny nose, copious secretion of purulent mucus, the development of rhinoliths (stones), ulcers, with a yellow coating.

Eyes may be affected Airways. Girls may develop purulent curdled secretions from the vagina.

Very often with scrofula, the ears become inflamed. Usually the middle ear is affected tympanic membrane, as a result of which pus is constantly released from the ear.

There may be other damage to the ears. Very often, the disease manifests itself behind the ear, infecting The lymph nodes in this area. At first, the glands do not hurt, but simply swell. The pain appears after the formation of pus. The skin in this area begins to itch, crack, forming abscesses that open outward.

After treatment for scrofula, scars may remain behind the ears that interfere with the movement of the neck. Since the infection spreads through the bloodstream, it is important to start treatment on time, then there will be less scarring. Scrofula behind the ears in adults is characterized by the appearance of wounds that are covered with yellow crusts.

The disease can strike skeletal system. Moreover, the hip bones can suffer, knee joints and spinal column, resulting in a curvature of the spine, hunchback and inflammation of the membranes of the spinal cord.

Scrofula in adults may appear due to dermatitis or another disease, such as allergic reaction organism to a specific stimulus. When confirming the diagnosis in adults, treatment should be carried out regardless of the cause of the disease.

How to treat the disease?

If a patient has been diagnosed with scrofula, treatment should begin immediately. For the course of the disease great importance provides timely application for medical care. It is very important to stop the progression of tubercles in order to prevent spread throughout the body. To prevent the development of scrofula, prescribe local treatment, less often - surgical intervention.

Consider how to treat scrofula. Given the complexity and danger of the disease, only a doctor can tell how to treat a rash. An ointment or cream for scrofula is usually prescribed to lubricate the skin boils, and antibiotics are taken by mouth.

In childhood, it is important to properly feed the child. Breastfeeding is better mother's milk. But if the mother is also sick with scrofula, then breastfeeding the baby is dangerous.

It is good to spend more time outdoors. Do not allow the body to sweat, do not wrap children. Rest by the sea, swimming in sea water is especially useful.

Excessive mental activities should be limited. For get well soon important plentiful drink water. Useful fish fat, iron iodide, etc. It is better to refuse sweets or limit their consumption.

Since the itching during the illness is unbearable, the child constantly itches and breaks the formed crusts on the wounds. But in order to quickly overcome inflammation, the crusts cannot be torn off. You need to talk to your doctor about prescribing a soothing drug that relieves itching.

Many are concerned about the transition of scrofula to tuberculosis. Since the disease is caused by another (similar) mycobacterium, tuberculosis cannot develop. But because of high danger this infection should be treated qualitatively.

Modern medicine has all possible means for treatment this disease. Therefore, if suspicious symptoms appear, you should immediately consult a doctor. The sooner the diagnosis is made and treatment started, the lower the risk of complications.

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Two perfect different diseases, one of which is scrofula, the second exudative diathesis, meanwhile, is often referred to as a long-obsolete term - scrofula. In this case, scrofulosis is the development of tuberculosis on the skin and mucous surfaces or damage to the lymph nodes. In people who have previously had tuberculosis, scrofula may develop as a result of reduced immunity.

Allergic hypersensitivity manifests itself against the background of mycobacteria in the body during the formation of primary non-progressive tuberculosis. Exudative diathesis is a consequence of the body's predisposition to the development of allergies. Let's take a closer look at scrofula - what kind of disease it is, how it manifests itself, how to treat the pathology.

Why does pathology develop

If we talk about exudative diathesis, then the disease is an innate predisposition to manifestations of an allergic nature as a response to exposure to certain stimuli. It can be food products, pharmaceuticals, bacteria and other elements. At the same time, there are characteristic lesions mucous and skin layers, lymph nodes.

Scrofulosis can develop in children as a continuation of exudative diathesis, scrofula in adults in this case is the result of the spread of harmful agents from other foci - for example, from the lung area.

Both diathesis and scrofulosis give skin reaction, but if during diathesis it is provoked by an ordinary allergy to certain substances, then in the second case it's all about mycobacteria of various subspecies of tuberculosis. However, most often the pathology in the younger generation develops precisely because of diathesis, and scrofula behind the ears is accompanied by the appearance of golden crusts. At the same time, physicians find it difficult to give precise definition in terms of what specifically provokes the development of pathology in childhood, but presumably the impetus can give:

There is only one positive moment in this case - if scrofula is diagnosed, the disease cannot be transmitted from a sick person to a healthy one. This pathology is not easily transmitted lichen, and therefore even with noticeable skin lesions there is no reason to worry about infecting others.

Symptoms of the disease

The development of the disease begins with the onset of painful itching of the skin and its peeling. At the same time, initially the sizes of the foci are small, but scrofulous crusts, primarily affecting the ear, eventually pass to the main part of the head. The areas under the hair are mainly affected, without affecting them. You may also experience:

• The appearance of a rash, lichen, lupus.
• There is an increase in lymph nodes in the neck.
• Mucus or pus is secreted from the ear and nasal passages.
• violated digestive process and there is bloating.
• Hearing loss occurs.
• The eyes become red and watery.
• The patient complains of discomfort in the muscles and joints.
• Seizures may occur.

With scrofula in adults, the symptoms are not much different from the signs observed in children - crusts also appear, and if the form of the disease is tuberculous, then weakness appears and worsens general state health, the temperature rises, sometimes otitis media develops, a runny nose with purulent secretions the lymph nodes are inflamed. There is pain in the back, aches that occur in the limbs.

Treatment of the disease

Consider how you can treat scrofula. Commonly used drug therapy in conjunction with traditional medicine recipes. There are also a number of rules that should be followed when symptoms of the disease appear:

Special treatment regimens for scrofula have not been developed; pharmaceutical preparations are used to eliminate symptoms and strengthen immunity. If necessary, drugs are prescribed to get rid of harmful microorganisms. Can be used antimicrobials a wide range exposure, enterosorbents help to remove toxins. With dysbiosis, prebiotics and probiotics are prescribed to restore normal microflora.

It is strictly forbidden to self-medicate with this disease - both the drugs and the duration of therapy are determined exclusively by the attending physician.

Judging by nutrition, you absolutely do not care about immunity and your body. You are very susceptible to diseases of the lungs and other organs! It's time to love yourself and start getting better. It is urgent to adjust your diet, to minimize fatty, floury, sweet and alcohol. Eat more vegetables and fruits, dairy products. Nourish the body by taking vitamins, drink more water(precisely purified, mineral). Harden the body and reduce the amount of stress in life.

You are prone to lung diseases at an average level.

So far, it’s good, but if you don’t start taking care of it more carefully, then diseases of the lungs and other organs will not keep you waiting (if there were no prerequisites yet). And frequent colds, problems with the intestines and other "charms" of life and accompany weak immunity. You should think about your diet, minimize fatty, starchy foods, sweets and alcohol. Eat more vegetables and fruits, dairy products. To nourish the body by taking vitamins, do not forget that you need to drink plenty of water (purified, mineral). Harden your body, reduce the amount of stress in life, think more positively and your the immune system will be strong for many years to come.

Congratulations! Keep it up!

You care about your nutrition, health and immune system. Keep up the good work and problems with the lungs and health in general long years will not disturb you. Do not forget that this is mainly due to the fact that you eat right and lead healthy lifestyle life. Eat healthy and nutritious foods (fruits, vegetables, dairy products), do not forget to use a large amount of purified water, harden your body, think positively. Just love yourself and your body, take care of it and it will definitely reciprocate.

Our grandparents called scrofula exudative diathesis, which at the beginning of its development manifests itself in the form of dermatitis on the head, cheeks, behind the ears. Most often they affect children aged 1.5 to 10 years. The disease is crusted, scaly areas of the body that cause severe itching. When a child combs them, pink moist skin is found under the crusts. If scrofula is started, it can spread to the face, arms, legs, neck, head, and eventually turn into painful bleeding cracks on the body. Sometimes children's eyes become inflamed and appear copious discharge from the nose and ears. What causes this pathology and how to treat it?

Why does scrofula appear in children behind the ears, on the head?

Scrofula has been affecting children for centuries, but experts still cannot say exactly what is its true cause. It is only known that the disease is caused by tubercle bacillus contributing to the development of the disease under certain conditions.

Causes of scrofula in children:

• Metabolic disease .
• unsanitary conditions.
• conception in the state alcohol intoxication or under the influence of drugs .
• Heredity . In most cases, scrofula occurs in children whose parents suffered from similar diseases, or in those who were born to a mother at an elderly age.
• The risk group includes babies whose father or mother had tuberculosis, oncological pathologies, venereal diseases. .
• The likelihood of scrofula is increased if the child eats poorly or unbalanced, eats a lot of allergenic food .
• Big the risk of getting scrofula exists in premature babies and in infants growing on artificial feeding .

How to recognize scrofula in children: symptoms

Signs of scrofula in children:

• At the very beginning of the disease, the child develops itching and flaking on the skin .
• In many cases on the baby's head, small foci resembling , and then the area behind the ears is covered with crusts .
• Lymph nodes in the neck are visibly enlarged .
• There is a pronounced bloating, broken stool.
• Hearing loss may be severe .
• Sometimes there is stiffness in muscles, joints, convulsive syndrome . If at least part of these phenomena appear, you should immediately consult a doctor who will select a method of treatment.

Diagnosis of scrofula in children

to install true reason the appearance of scrofula, eliminate the factor provoking it and choose suitable type therapy, you need to see a doctor and undergo an examination. It should be noted that doctors do not consider scrofula independent disease and are convinced that it is a manifestation of more severe pathologies present in the child's body. Therefore, there is no specific treatment regimen for scrofula, although there are quite a few ways to get rid of the disease. To find them best option, the doctor will prescribe an examination.

Diagnosis of scrofula in children includes:

• immunological examination;
• stool analysis;
• in some cases, babies may need an ultrasound of a particular organ.

Based on the results of all these studies, a treatment method is selected. Sometimes, in order to determine it, participation is necessary. endocrinologist, neuropathologist, otolaryngologist, immunologist.

Treatment of scrofula in children: folk and medicinal methods

The drugs that are prescribed for scrofula are mainly aimed at eliminating it. unpleasant symptoms and strengthening the body of the baby. If the case is difficult, the baby is hospitalized or forced to be on bed rest.

Treatment of scrofula includes a number of activities:

• If necessary, children are prescribed antibacterial and antimicrobial medicines .
• Helps reduce itching and flaking zinc ointment , the course and method of treatment of which is determined by the doctor.
• It is recommended to lubricate the areas of the body affected by crusts regularly. natural oil or baby cream .
• If scrofula occurs with infection with staphylococcus, Pseudomonas aeruginosa, the child is prescribed enterosorbents and antibiotics .
• In that case, when a dysbacteriosis is detected in a baby, they are added to the course of therapyprobiotics and prebiotics.
• Additionally, the pediatrician may prescribe multivitamins , which replenish the lack of trace elements in the child's body.
• Be sure to observe the personal hygiene of the child and the daily routine . He should visit as often as possible fresh air and be in good mood. Let the baby play with other children - this is not a contagious disease.
• Children should be dressed only in things made from natural fabrics. . In some cases, even such measures contribute to the fact that the disease passes or its symptoms weaken. Synthetic clothing is highly undesirable - it provokes itching and the formation of suppuration on the skin.

From the patient's diet zo lotuha the child should be excluded:

• sweets and other foods that can cause allergies;
• fatty, smoked, salty, fried foods;
• in no case should be given to children with scrofula, semi-finished products, fast food.

The diet of a child with scrofula must include:

• vegetables;
• fruit;
• lean meats;
• child suffering from scrofula need to drink a lot- fluid helps to eliminate toxins from the body.

Previously, scrofula was a fairly common disease, and our grandparents learned how to successfully treat it folk remedies. They can quickly remove discomfort in a child, accelerate recovery, are safe for the body, do not cause side effects. V traditional medicine There are many proven and effective recipes scrofula treatment.

Treatment of scrofula folk methods: proven recipes

Salt water baths

Good help to get rid of itching and crusts daily baths with salted water, which is made at the rate of two hundred grams of ordinary salt per bucket of water. Salt can be replaced with finely chopped blackcurrant or nettle leaves.

Bath with pine needles

The treatment of the disease is facilitated by a bath with pine needles, which must first be steamed. In this case, about 2 kilograms of needles will be required for 150 liters of water.

Peppermint infusion

Suitable for the treatment of scrofula and familiar to many peppermint. It needs to be finely chopped, then pour a tablespoon of mint with boiling water and leave for an hour and a half. The infusion should be given to the child four times a day, one tablespoon for a week. If no improvement is observed, the infusion should be stopped and the patient should be rubbed on the diseased areas on the child's body.

Cabbage

Cabbage, which is always on hand, is also great medicine from scrofula. It is finely cut, then two tablespoons of cabbage are poured with milk in an amount of 200 ml, put on a slow fire and boiled for five minutes. Bran is added to the decoction so that it turns into gruel, which is applied to the affected areas for half an hour. Procedures are carried out twice a day.

Infusion of calamus, chamomile and oak bark

You can treat the affected areas with an infusion of calamus, chamomile, oak bark. To do this, you need to mix them, then pour a tablespoon of the resulting mixture with a liter of boiling water and leave for about one and a half to two hours. Marlechki, moistened with infusion, are applied to the affected areas for twenty minutes, five times a day.

calendula tea

Useful for treating scrofula calendula tea. But you can give it if the child does not have intestinal or renal pathologies. To brew such tea, pour half a teaspoon of dry calendula with one glass of boiling water, leave for half an hour and add a little honey. Tea is given to children in the mornings and evenings.

Ointment from scrofula

You can cook at home ointment for scrofula. To do this, 400 grams of lamb fat in a melted state is mixed with crushed charcoal and linseed oil, the amount of which is 100 grams, and add 50 grams of crushed red brick. The ointment is applied to gauze and applied to the lesions.

Folk remedies are used for 2 weeks, after which you need to take a break. If scrofula continues to progress, the course of treatment with such methods can be repeated, but before that it is advisable to consult a doctor.

How to prevent scrofula in children: prevention methods

Scrofula brings a lot of trouble and trouble to both parents and the child himself. Unfortunately, no one is immune from it, but it is possible to significantly reduce the risk of the disease. The main thing is to initially provide the baby with the maximum favorable environment for its development.

1. In the dwelling where he is located, it is necessary keep clean and as often as possible to be with the child in the fresh air.
2. It is undesirable for children under 3 years old to give a lot of sweets. . If the baby is naughty and asks for sweets, marshmallows or marshmallows will completely replace them.
3. Highly allergenic and high-calorie foods should be introduced into the diet of the child gradually, in small portions. Nutrition should contain all useful trace elements necessary for children at any given age.
4. In the case when the risk of scrofula is due to heredity, the baby’s diet should include more soups made from nettles, sorrel, chicory coffee or cooked on the basis of acorns, oatmeal, strawberry compotes or fresh berries .
5. Not prevent from time to time give the child to drink decoctions and infusions from blackcurrant leaves and other plants used in folk recipes.
6. It is not recommended to constantly feed white bread to young children. .
7. Preferably as much as possible keep babies breastfed longer .
8. At the first sign of scrofula, you should immediately consult a doctor.

Zolotuha is familiar to everyone according to a well-known proverb - when failures are haunted, they say: "Then diarrhea, then scrofula." However, few parents present the symptoms of scrofula in children and know how to deal with it. Although many babies have yellowish crusts on their heads after birth, peeling and weeping, which are scrofula. Such symptoms are often attributed to diathesis.

At first glance, it seems that the disease is not serious and will go away on its own, but this is not at all the case. Scrofula needs to be treated, and the sooner the better.

Scrofula is most common in children infancy

What is scrofula, and why does it occur?

Scrofula is a skin disease caused by tubercle bacillus. It most often affects children under 10 years of age. It is very rare in adults.

Symptoms of scrofula are similar to allergies and diathesis, so it is important to differential diagnosis. The danger of scrofula is that the pathogen is associated with Koch's bacillus, which causes tuberculosis. Some experts believe that the advanced stage of the disease can develop into this dangerous disease. At the same time, scrofula is not contagious, and sick children are not isolated. They can safely play with their peers and attend kindergarten.

Why does this disease occur? Experts have conflicting opinions on this. Some believe that scrofula is associated with work disorders circulatory system, others - with metabolic disorders.

Sometimes it is only a symptom of another disease, so it is important not to start treatment on your own, but to see a doctor.

Possible causes of scrofula:

• unhealthy lifestyle of the mother during pregnancy;
• intrauterine infection in combination with poor hygiene of the baby;
• late pregnancy;
• lack of vitamin D;
• excessive sweating;
• decreased immunity;
• violation of sanitary standards, lack of bathing;
• eating a large number sweet;
• feeding the baby with unadapted mixtures;
• malnutrition, deficiency of vitamins, minerals and trace elements;
• disease of syphilis or tuberculosis of close relatives.

Skin disease symptoms

• the appearance of red diaper rash behind the ears and under the hair, after some time they become yellow, the hair does not fall out and does not break (we recommend reading:);
• with the development of the disease, the area of ​​​​the lesion increases, it spreads to the neck, face, arms and legs;
• the skin becomes cracked, gets wet and peels off (we recommend reading:);

• severe itching;
• peeling of the earlobes;
• bloating, disorders of the digestive system;
• inflammation cervical lymph nodes(we recommend reading:);
• pain in the joints, their swelling;
• redness of the eyes.

In an adult, the state of health worsens significantly, the temperature rises, sometimes to critical levels. In this case, a diagnosis of skin tuberculosis can be made.

The disease is also severe in newborns. The fact is that the baby's immune system is still completely immature, it is not able to resist other diseases with scrofula. In addition to the symptoms described above, frequent colic, convulsions, increased tone muscles, discharge from the nose and ears. What scrofula looks like in a child can be seen in the photo above (for example, weeping wounds).

Features of the treatment of children of different ages

As a rule, the therapy of this disease does not depend on the age of the patient. If there is a suspicion of scrofula or diathesis, the skin is dry, cracking, wet wounds appear behind the ears, you should contact your pediatrician as soon as possible (see also:). He will refer you for a consultation pediatric dermatologist and an allergist.

Specialists will determine the reason for the sores and cracks. A special diet will be developed.

The next stage is the appointment of drugs to relieve itching and remove crusts. If left untreated, it is possible to attach a secondary infection due to constant trauma to the skin when combing, the wound behind the ears rots and increases. With timely therapy, scrofula can be cured in a short time.

It is important to strengthen the immunity of the child. Defense Forces organism healthy baby able to deal with scrofula on their own.

Medical therapy

• Ointments. Sudocrem, Zindol, zinc ointment, Topikrem, Drapolen are used to treat scrofula. They dry well weeping crusts, which then easily come off. Usually these funds are applied 2-4 times a day on clean skin without rinsing for several hours.

• Bepanten is used to moisturize the skin with cracks and dryness.
• Cauterization with Fukortsin. This is a raspberry-colored preparation that effectively disinfects and cauterizes the skin affected by the disease. The child may complain of a burning sensation at the sites of treatment with Fukortsin. It is used if after 3-4 days of treatment with ointments there is no improvement.
• Enterosgel and other sorbents are used to remove toxins and cleanse the body. They also remove allergens.

Hygiene procedures

When scrofula does not provoke other symptoms, except for the appearance of crusts on the scalp, and does not progress, it can not be treated. In this case, they manage by simply combing out the scab, that is, the crusts. Before this, the skin is abundantly lubricated with a nourishing baby cream or vaseline oil, and they are combed out with a regular comb. When removing crusts from a child under one year old, you need to be careful not to damage the fontanel.

When is the therapy medicines, before using ointments, it is important to thoroughly cleanse the skin, carry out other hygiene procedures. It is useful to take antiseptic baths with decoctions of herbs.

special diet

From the diet of a child or a nursing mother must be excluded strong allergens: sweets, chocolate, citrus fruits, nuts, milk, etc. With scrofula, a food diary is kept, where parents write down everything that their child has eaten. This will allow you to track which products the reaction occurs to. It is allowed to eat low-fat broths and meat, hypoallergenic vegetables and fruits, cereals on the water. Subsequently, other products are gradually and carefully introduced.

Newborns and formula-fed infants should be given only adapted formulas. It is unacceptable to feed a child goat or cow's milk because it causes a very strong allergy.

Folk remedies

Traditional medicine offers an extensive list of prescriptions against scrofula. Before using them, you should consult with your doctor.

Due to its effectiveness in great demand in the treatment of scrofula, baths with a decoction of chamomile are used

With scrofula in a child, baths are used with:

• decoction of chamomile;
• oak bark;
• walnut leaves;
• decoction of currant leaves;
• tea tree essential oil.

Inside and outwardly, an infusion of a string is used. It perfectly dries the skin, has an antiseptic effect.

Disease prevention

For the prevention of scrofula, it is necessary:

• observe the rules of hygiene - bathe the child on time;
• keep the home and children's room clean, do wet cleaning;
• spend more time outdoors sunbathing by season;
• get enough sleep, kids must have a quiet hour during the day;
• eat right and balanced, take vitamin complexes(VitaMishki, Pikovit);
• up to 3 years, completely limit the consumption of sweets - sweets, chocolate, marshmallows, etc .;
• maintain immunity (harden, play sports, walk in the fresh air).

The most important preventive measure to prevent the development of the disease - monitor the hygiene of the child

The opinion of Dr. Komarovsky

Experienced and respected pediatrician Yevgeny Komarovsky believes that the appearance of any skin rashes happens in three ways:

• due to non-compliance with the diet;
• through infection from a sick person through touch;
• by airborne droplets.

In order to avoid the development of the disease, you need to follow simple rules:

• observe hygiene;
• do not introduce complementary foods very early;
• do not give to children Exotic fruits and products so as not to cause allergies;
• do not feed the baby excessively;
• do not bathe the child in water that has been chlorinated;
• wash children's clothes with special hypoallergenic products;
• bathe the baby using soap, detergent no more than 2 times a week;
• exclude contact of the baby with strong household allergens: pets, sprayers, aggressive household chemicals.