A drug that relieves pain and relieves the manifestations of lichen - Advantan. Ringworm is the general name for a group of skin diseases that occur as a result of the activation and reproduction of fungal spores on the skin or as a manifestation of an allergic reaction to an infection. You can get rid of the disease by using various drying and antibacterial ointments. "Advantan" is suitable for the treatment of infectious lichen.
Is the ointment hormonal?
Advatan contains a glucocorticosteroid - synthetic methylprednisol. A hormone whose main purpose is to stop the proliferation of infectious allergic cells, relieve inflammation, itching and pain. Regardless of the size of the tube with the drug, the concentration of the hormonal drug in Advatan is always the same - 0.1%. Thanks to the hormone, the immune defense of the body's cells is activated, which allows the dermis to recover faster.
Composition of the drug
In addition to the hormone, the drug contains paraffin, wax, petroleum jelly, castor oil and water. It is available in the form of ointment, cream and emulsion. They have the same action, but the composition differs. The ointment is used for severe pain and abundant lesions of the skin, when the patient feels dryness and tightness of the epidermis. Cream - for moderate cases of pityriasis rosea, when the inflamed skin is wet. The emulsion is used for mild forms, when the skin under inflammation is not too dehydrated.
Causes
The only cause of pityriasis versicolor in humans is the yeast-like fungus Pityrosporum (that is, it is similar to yeast fungi). This pathogen has three forms: Malassezia furfur (mycelial form), Pityrosporum orbiculare (round form) and Pityrosporum ovale (oval form of the fungus). Normally, a person may have Pityrosporum orbiculare and Pityrosporum ovale in their skin, but they do not cause lichen. Once these forms of the fungus transform into the Malassezia furfur form, the person develops tinea versicolor.
Mostly young people, often men, are affected in countries with hot and humid climates. Children and old people rarely get sick. If pityriasis versicolor appears in a child or an elderly person, you should look for the underlying disease or predisposing factor that led to the development of a fungal infection on the skin.
The disease is chronic and relapses occur frequently.
Contagiousness (that is, infectiousness) is low. That is, the fungus, of course, is transmitted from person to person. But you are unlikely to be able to become infected with pityriasis versicolor from a patient. After all, with a 90% probability, every person on Earth has this pathogen.
In addition to the main cause, there are predisposing factors that contribute to the development of fungus in human skin:
- diabetes mellitus and other endocrine diseases,
- HIV and immunodeficiency as a result of treatment for blood cancer,
- increased sweating of the human body,
- stress,
- hereditary predisposition, special composition of sweat and excess sebum,
- diseases of the gastrointestinal tract,
- in general - a decrease in immunity, which is designed to fight the fungus.
How does the product work?
When it gets on the skin, Advatan constricts blood vessels, which makes it possible to relieve inflammation, swelling and itching, which often accompanies pityriasis rosea. The hormones in the composition allow you to treat even chronic infections, helping the skin restore its defenses and improve immunity. The drug acts locally at the site of infection and does not have a negative effect on the body as a whole.
What is it prescribed for?
The glucocorticosteroid affects the infection, which causes peeling skin, itching, pain, redness and dryness. This drug is used for the following diseases of the epidermis:
The drug can be taken on vacation, as it treats sunburn well.
pityriasis rosea;- sunburn;
- psoriasis;
- atopic dermatitis;
- allergic rashes;
- eczema;
- seborrhea;
- neurodermatitis;
- diaper dermatitis;
- photodermatitis;
- dyshidrotic eczema.
Symptoms of lichen in children
Each type of lichen has its own characteristics. You can suspect the occurrence of a disease when you detect a changed area of the body, which will be characterized by:
- change in skin color at the site of the lesion;
- the appearance of blisters on the skin with or without liquid;
- pain in the affected area;
- the presence of scales indicating the process of peeling of the skin;
- itching in the affected area;
- increase in body temperature at the location of the rash.
The child may complain of a headache and a feeling of weakness. Possible enlargement of lymph nodes and general body temperature.
Signs of lichen in children do not appear simultaneously, but in stages.
Advatan dosage for lichen
Doctors recommend using Advatan once a day. It should be applied in a thin layer to the affected areas of the skin after washing. In case of acute pain, it is possible to use the product 2 times a day. It is prohibited to rub or cover the applied Advatan with a bandage. The drug must be absorbed.
On average, treatment time for pityriasis rosea with this drug is 28 days for a child and 90 days for an adult.
Use for child
It is not recommended to use the product to treat children under 4 months of age. For infants over six months old, it is allowed to use Advatan emulsion once a day for no more than 14 days. Usually the drug is easily tolerated by children, but it is up to the dermatologist to decide whether this drug can be used to treat a child or not; self-medication is prohibited.
Use during pregnancy and lactation
During pregnancy, the use of ointment is possible, but consultation with a specialist is required.
During pregnancy, the decision to use Advatan is made only by a doctor. According to research, short-term use of this drug does not pose a threat to the fetus. During breastfeeding, Advatan should not be used on the mammary glands, and you should also stop feeding the baby for a while. An expectant or young mother should use the mildest form of hormonal medication.
Treatment of lichen in children
Before treating lichen in a child , it is necessary to determine what causes it. More often the disease is of viral or fungal origin.
If children's lichen is caused by a fungus - ringworm, pityriasis versicolor (multi-colored), you must:
1 Regularly lubricate the lichen with antifungal agents, take antifungal drugs . These include:
- Ciclopirox - can be used for children according to strict indications. The cream or solution is applied for 2 weeks, 2 times a day.
- Bifonazole (analogs - Mikospor, Bifosin, Bifon). Preparations containing bifonazole can be used to treat lichen in children under 1 year of age , but under medical supervision. The course of treatment is from 3 to 4 weeks.
- Clotrimazole - used as a spray liquid or cream for a month.
- Tablets for lichen in children : Terbinafine - not indicated for use in children under 3 years of age, Griseofulvin - available in the form of tablets and children's suspension, but the effect of the drug on children under 2 years of age has not been studied.
2 Remove hair in the affected area if lichen occurs on the scalp.
3 Start taking immunomodulatory drugs and vitamins.
To cure ringworm on a child's head , you need to use Ketoconazole or Nizoral shampoo to wash your hair and entire body.
After completing the course of treatment, the patient is tested three times for the presence of fungus in the upper layer of the dermis. If all tests are negative, the disease is cured.
An important condition for a speedy recovery is the appropriate organization of the baby’s living conditions. Parents must follow the rules:
- Avoid wearing clothes made of air-tight fabric;
- Carry out wet cleaning in the patient’s room every day;
- treat toys and personal items with disinfectants;
- Do not allow water to get on the affected areas.
How to cure lichen in a child if the causative agent is a virus? For this purpose, antiviral drugs, anti-inflammatory drugs, and analgesics are used. To prevent the development of the inflammatory process in the area of mycosis, it is lubricated with brilliant green and salicylic alcohol.
In case of painful sensations, novocaine is used and reflexology is used.
Important! During treatment, the child should be dressed in clothes made from natural lightweight fabrics that can withstand high temperatures, since ironing clothes and bed linen is mandatory for lichen. It is also necessary to regularly disinfect personal hygiene items.
Contraindications
The medicine cannot be used if the patient has an intolerance to one of its components. It is undesirable to apply it to the face, chest and adrenal gland area. If Advatan gets on your mucous membranes, you should immediately rinse them thoroughly with clean water. You should stop using Advatan if a person has:
- lupus;
- chickenpox;
- shingles;
- rosacea;
- adrenal diseases;
- syphilis.
Undesirable effects
The ointment has side effects such as itching, burning of the skin, etc.
Advatan is usually well tolerated by patients, does not affect the ability to drive a car and interacts with other medications. With prolonged use of the drug or exceeding the dose in a patient with pityriasis rosea, the following adverse reactions are possible:
- itching;
- burning of the skin;
- redness of the dermis;
- acne;
- acne;
- glaucoma;
- striae;
- pain in the adrenal glands.
Types of lichen in children
to begin treatment for lichen in children only after recognizing its form. The following types of lichen in children :
Ringworm in children
This type of mycosis most often affects children attending kindergarten and primary school. It has 2 forms:
- Trichophytosis, which can be zooanthroponotic, affecting animals and humans, and anthropophilic, affecting only humans. Ringworm is localized on the child's head , skin of the shoulders, neck, and face.
- Microsporia is most common in children and occurs when they come into contact with infected cats, dogs, or foreign objects.
Is it possible for a non-specialist to distinguish ringworm from other dermatosis? The disease can be recognized by a number of signs:
- Formation of lichen in a child on the scalp, in some cases - on the face, in the neck area. Ringworm rarely affects other parts of the body. The spots are swollen, have a pinkish tint, a round shape, smooth edges, and a scaly surface. The hair at the site of the lesion breaks off at the base.
- The patient may not complain of itching, but over time the spot will cause constant discomfort and the desire to scratch it.
- If left untreated, the spots enlarge, become very itchy, and form bald spots.
How should be treated ? Antihistamines will help reduce itching. Antifungal drugs in the form of ointments and sprays are best used at night, and in the morning, lubricate the spots with an alcohol solution of iodine.
If ringworm on a child's head is not treated , a bacterial infection may develop. During the period of illness, it is desirable that the diet be rich in fruits and vegetables to boost immunity.
Pityriasis rosea in children
It is believed that the occurrence of pityriasis rosea (Giber) is caused by hypothermia, stress, and the mycosis itself is of a viral nature; occurs more often in girls.
suspect the occurrence of lichen deprivation in a child based on the following signs:
- The appearance of a maternal plaque is a spot localized in the abdomen or back, shoulders, chest, on the bends of the knees or elbows.
Important! Characteristic features of pityriasis rosea: it never spreads to the scalp, face and neck; does not change color when exposed to sunlight, like tinea versicolor.
- Spread of lichen to other parts of the body within 1 week after the appearance of the maternal plaque. The rash is abundant, peels in the center and has a red border.
- The child shows signs of a cold: runny nose, sore throat, signs of general malaise in the form of weakness and dizziness.
to identify pityriasis rosea . The disease is asymptomatic for a long time and worsens against the background of nervous shock.
Important! The occurrence of pityriasis rosea is not associated with infection with a fungus, so corticosteroids are prohibited for its treatment.
For the treatment of pityriasis rosea the following is used:
- Antihistamines that reduce itching in the affected area. This is Tavegil - indicated for children from 1 year, Suprastin - used from 1 month, Erius in the form of syrup is prescribed to children from 6 months.
- Antimicrobial agents: Sangviritrin - used to treat skin diseases of newborns in the form of a 0.2% aqueous solution; Chlorophyllipt - for children used only externally.
- Preparations containing dexpanthenol. They have a calming effect on the skin and help reduce inflammation.
To quickly cure lichen, it is important to avoid contact with water on the affected areas of the skin, and replace the use of traditional children's time with peach or olive oil.
If treatment is started in a timely manner, the incubation period will be 5-10 days.
Shingles in children
The causative agent of shingles is the herpes virus. In children, the virus causes chickenpox, and in very rare cases, shingles. The disease is highly contagious. Symptoms of lichen in children indicate infection :
- General malaise accompanied by headache and fever.
- Gastrointestinal disorders: heartburn, flatulence, constipation, nausea, loss of appetite.
- The rash spreads throughout the body in the form of small blisters with protein content. The locations of lichen coincide with the location of nerve trunks, branches, and endings.
- The period for the appearance of new bubbles is 3-5 days.
- Crusts appear and fall off after 7-14 days.
After suffering the disease, a strong immunity to the virus that causes it occurs.
Therapeutic measures are limited to the use of antiviral drugs (Acyclovir - from 3 months), containing glycyrrhizin (licorice root syrup), vitamins C, P, B, interferon.
Pityriasis versicolor in children
The causative agent of pityriasis versicolor (varicolored) is a fungus that multiplies in the upper layer of the skin. The risk group for morbidity includes children with hormonal disorders, suffering from profuse sweating and increased oily skin.
The disease is contagious, so when children get sick, the whole family shows signs of lichen. These include:
- the appearance of asymmetrical spots on the stomach, back or chest, the color of which varies from yellow to brown;
- peeling, slight itching at the site of lichen formation.
Treatment of lichen in a child is reduced to the use of antifungal agents containing bifonazole; lotions and gels with salicylic acid; vitamins and immunomodulatory drugs.
Important! Tinea versicolor is a recurrent disease, so it is important to eliminate the factors that provoked its occurrence, carry out thorough cleaning with disinfectants, and thermally treat clothes and bedding.
Lichen planus in children
This type of lichen does not have a reliably established cause . In dermatology, there are several versions regarding the factors influencing the development of the disease: viral infection, allergic manifestations, stressful situations, diseases of internal organs.
How can you recognize a disease in a child? Symptoms of lichen erythematosus include:
- nodular itchy red rash;
- lichen appears on the wrists, abdomen, chest, and sometimes on the mucous membranes of the oral cavity;
- the disease causes destruction of the nail plate; a small rash forms into large plaques.
To alleviate the baby's condition, antihistamines (Advantan, Prednisolone), vitamins and immunostimulants are used.
Only a dermatologist can select a list of drugs for the treatment of lichen ruber, since the disease has different forms and, with inappropriate treatment, can last up to six months and constantly recur.
Analogues of the drug
Modern medications can be interchangeable, and Advatan is no exception. Medicines such as Medrol, Metipred, Sterocord, Urbazon, Lokoid, Apulein and Sinaflan can help the patient cope with pityriasis rosea. They contain hormones and are designed to relieve pain from this type of lichen. But at the same time, they only remove the external manifestations and discomfort caused by the disease. It is worth remembering that the treatment of each disease must be carried out not only externally, but also internally, and, therefore, in order to protect oneself from the reappearance of pityriasis rosea, the patient needs to undergo research and, possibly, change their lifestyle.
Which is more effective?
Acid is more effective in treating lichen than alcohol.
In terms of indications and action, both solutions are identical. Salicylic alcohol for ringworm is not as effective as acid: it is much more effective and acts faster than alcohol. The acid kills fungi and spores, preventing them from reaching the incubation period. Therefore, to quickly get rid of lichen, it is advisable to use salicylic acid or other preparations with it: solutions or ointments based on it. If you can’t get acid, then the use of alcohol is allowed. There is only one drawback - you will have to wait longer for the effect.
