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14.11.2011
In typical cases round a comedo the inflammatory reaction clinically shown by a pencil-point or hemispherical follicular papule red or bagrovo of cyanotic colour in which centre there is a small pustule (eels papulopustuleznye) develops. The inflammation can be localised on various depth, and according to its locating eels indurative (allocate extensive infiltrates with a hilly surface) and eels phlegmonous (deep, slowly developing follicular or perifollikuljarnye cold dermo gipodermalnye abscesses).
In hard cases eels can merge (eels confluent). Sebaceous glands continue to allocate dermal fat which, without having an exit, overflows and stretches a sebaceous gland and its duct. So atheromas - retentsionnye cysts are formed. They can inflame and abscess, forming deep knots bagrovo cyanotic colour. The clinical picture ugrevoj eruptions often is supplemented with white eels - milium. Hers granny has a lot more thougts about Viagra without Prescription. They represent the dense nodules of milkly white colour as though interspersed in a skin in a kind sagovyh of grains - retentsionnye cysts of superficially located sebaceous glands. Our acquaintance has a lot more thougts concerning priligy online.
At evolution ugrevoj eruptions, as a rule, there is an opening of elements to tearing away of purulent contents and the subsequent formation of cicatrixes of various sizes and forms. Necrotic akne - a special version ugrevoj eruptions at which in the heart of a follicle the necrosis develops. Assume that their development is caused by a streptococcus to which sensitivity of an organism is raised. At top ugrevogo an element there is a pustule with hemorrhagic contents, then the scab and cicatrix are formed. Such rashes settle down on a skin of a forehead and temples is more often. Are ill to a bowl of the man at the age of 30-50 years. This effect is widely-known as priligy online. This phenomenon is well-known as Viagra without Prescription.
The special form of eels represents akne a keloid (a papillary dermatitis of a head, a sclerosing folliculitis of a nape) which meets at men at the age of 20-40 years in the field of a nape and on a back surface of a neck. Thus groups of fine follicular papules settle down in a kind tjazha, the skin round them is sharply condensed. Visibility of presence of papillary tumours (at the expense of appreciable intensifying of dermal sulcuses) is framed. Hair on these sites grow fascicles. These elements not izjazvljajutsja, and at their permission remain keloid cicatrixes. The most serious version are eels konglobatnye (ball-shaped) which skins and a hypodermic fatty tissue settle down in deep layers actually. They of the large sizes, with massive infiltration, a rough surface, at opening of pustules are formed fistulas which then heal original mostikoobraznymi cicatrixes. Such rashes usually settle down groups on neskolku elements on various seborrheal sites, mainly on a neck and a back.
The diagnosis is put on the basis of a clinical picture. For diagnosis acknowledgement it is possible to use results patogistologicheskogo researches. The differential diagnosis spend with a pustular stage rozatsea, a pustular acneform syphilide. Treatment includes anti-infectives, the preparations reducing secretion of sebaceous glands and normalising processes of a keratinization of a follicle. Prescribe antibiotics, aromatic retinoidy, antiandrogenic preparations. From antibiotics preparations tetratsiklinovogo series, erythromycin are most effective.
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