MINOR ILLNESS

Assessment and Management of Minor Illness In Primary Care Setting

Assessment and Management of Minor Illness In Primary Care Setting

Eczema is by definition, a dermal inflammatory reaction, which is not contagious and itchy. The disease has an immune pathogenesis character-irritant. Eczema - an acute or chronic inflammation of the superficial layers of the skin neuro-allergic nature, arising in response to external or internal stimuli. There is a variety of skin disorders, such as areas of dry flaky skin, redness, swelling, cracking, weeping, or dryness of the skin damage. This is easily affected skin is exposed to infection. Therefore, eczema, acne, or may be accompanied by ulcers (Simpson, Newton, et al, 2009, p. 108-117).

Eczema is not a traditionally recognized cause. This may be a variety of external (mechanical, chemical, thermal, etc.) and internal (liver, kidney, gastrointestinal, endocrine and nervous systems, etc.) factors. It was also established polygenic multifactorial inheritance of eczema with severe expressive and penetrance genes. Because the disease is contagious is not considered. Currently, 40 percent of all skin diseases fall on eczema, an increasing number of people suffering from this disease. Children are no exception. Despite the general belief that the eczema - it is always a long-term or chronic illness, it may have acute, rapidly appearing and disappearing just as quickly. However, only the right treatment at the first signs of the disease can prevent the transition to a chronic form of the disease, and last a lifetime. The following basic forms of eczema: true, microbe, seborrheic, professional, and atopic children (Simpson, Newton, et al, 2009, p. 108-117).

Microbial eczema most often occurs due to secondary lesions eczematization pyoderma, fungal infections (mycotic eczema), infected injuries, burns, fistulas (paratravmaticheskaya eczema), against the background of trophic disorders of the lower limbs with symptoms of venous ulcers, lymphostasis (varicose eczema). Lesions are often located in this asymmetrical, have sharp edges, rounded or scalloped outlines, which are often on the periphery of the collar is visible peeling of the stratum corneum. The center is represented with a plate of juicy erythema, crusts, after the removal of which revealed intense moist surface, against which are clearly visible bright red small spot erosion with drops of serous fluid. Around the main hearth microvesicles, small pustules, seropapuly are visible. Allergic rashes (allergid) may occur away from the main chamber (Ring, Przybilla, et al, 2006, p. 4).

Baby eczema manifests clinical signs of a true, seborrheic eczema and microbial, and these symptoms can be combined in various combinations, on the same sites may dominate the signs of true, on the other microbial or seborrheic eczema. Symptoms of eczema in children (usually located on the artificial feeding) occur at the age of 3-6 months. Lesions are symmetric, their fuzzy boundaries. The skin lesions in the hyperemic, edematous, against this background are microvesicles and soak sections in the form of wells, as well as yellow-brown crusts, scales, rarely papules. Initially affects the cheeks and forehead (nasolabial triangle remains intact), then the process is applied to the scalp, ears, neck, extensor ...