Which lichen ointment to choose for treating children

Dear readers, there are cases where children develop lichen, especially with frequent contact with street animals. In this article we will look at pityriasis rosea in a child and the treatment of this type of disease. And don’t think that you can completely protect your child from the risk of infection, so it’s better to know how to behave in such a situation.

Features in infants

1. In children under one year of age, it can develop as a result of a reaction to eating certain foods.
2. The first spots accompany the introduction of complementary foods and a change in the type of feeding.
3. It must be remembered that at the beginning of his life, a child is often vaccinated, which reduces immunity.
4. If children under one year of age experience the first symptoms of this disease, they should immediately go to see a doctor.
5. Treatment and care may include:

• mandatory ventilation of the room;
• wet cleaning using disinfectants;
• treating toys with antiseptics;
• diapers are excluded;
• frequent air baths;
• wearing cotton clothes;
• treatment of rashes with Fukortsin, also possible with iodine;
• nursing mothers must adhere to a strict diet;
• may prescribe the following medications: Viferon, Ascorutin, calcium gluconate, Elidel cream, Fenistil.

Ointments for children up to one year old

Children under one year old get sick with various types of lichen very rarely. This is due to the strong immunity passed on from the mother. When treating ringworm in infants, it is forbidden to bathe the child or smear the affected areas with iodine and brilliant green. Ointments based on sulfur and tar are successfully used for treatment. Features of the use of ointments: 1. Sulfuric - the product is often prescribed to children under 2 months. It is also used to treat children who have contraindications to stronger drugs. The ointment is absolutely safe. In rare cases, it can cause mild dry skin. When using the product, it is worth remembering that the smell of the ointment left on clothes practically does not wash off.

Sulfuric ointment

2. Salicylic. Is a powerful antiseptic. Available in concentrations from 2 to 60%. Both salicylic acid ointment and an alcohol solution are sold.

Salicylic ointment

Local remedies that relieve itching are also used. These include zinc ointment.

Zinc ointment

Important! In most children, the disease manifests itself due to reduced immunity, poor nutrition, unsanitary conditions, stress, and contact with stray animals.

Possible reasons

To date, it is not known for certain what provokes the development of lichen Zhibera. It is believed that possible factors influencing its occurrence are:

• weakened immune system;
• recent illnesses;
• state of stress;
• serious pathologies of the gastrointestinal tract;
• presence of viruses;
• severe hypothermia of the body;
• serious allergies to medications;
• metabolic disorder;
• allergic reaction to insect bites.

Contagious or not

Many parents believe that the baby can become infected from another child if that child is diagnosed with the so-called Zhiber's lichen. However, this type of disease is not contagious. This is due to the fact that the main reasons that provoke it are: decreased immunity, increased tendency to allergies and the presence of the herpes virus in the body.

That is why such a baby does not need to comply with the quarantine regime. The main thing you need is to adhere to the rules of hygiene and, if necessary, follow drug therapy.

Pityriasis rosea: characteristics

This skin disease is called “pityriasis pink” or Gibert’s disease. Currently, it is difficult for medical science to name the cause that causes the appearance of characteristic plaques on the skin.

Pityriasis is usually classified as a disease of infectious-allergic nature. This means that there is no specific pathogen, but under circumstances accompanied by a decrease in immunity, the disease makes itself felt. It is also believed, not unreasonably, that the cause of the spots is a type of herpes virus.

The main differences between Zhiber's disease and other types of lichen:

• as a rule, it occurs extremely rarely in children under two years of age and the elderly;
• may resolve without treatment;
• depending on the characteristics of the skin, symptoms vary;
• not necessarily accompanied by itching;
• almost always has a favorable prognosis for recovery;
• visually poorly distinguished from other skin defects: eczema, trichophytosis, irritation, allergic reactions;
• more often affects women than men;
• the main peak of the disease occurs in adolescence;
• may act as an indicator of dysfunction of the immune system;
• like any damage to the skin, there is a threat of secondary infection by pathogens;
• conditionally considered non-infectious.

Signs of illness

It should be taken into account that at different stages this disease is often confused with eczema, psoriasis or other types of lichen. That’s why it’s so important for a specialist to make the correct diagnosis.

If we consider pityriasis rosea in children, the symptoms of this disease are as follows:

• the appearance of a spot with a pink tint;
• the size of the formation is from two cm, called the “maternal plaque”.
• further appearance of yellow plaque in the central part of the spot;
• the appearance of new spots around the central, primary spot;
• new formations have a smaller diameter, their shape is oval, most often observed in places with skin folds;
• the formation of scales and detachments in the central area of ​​the spot, the development of small subcutaneous nodules, which contain fluid;
• presence of severe itching;
• general intoxication;
• in the absence of secondary bacterial infection and other types of complications, the disease ends with the disappearance of scales, leveling of the skin surface is observed, and the affected area gradually heals.
• with severely reduced immunity, after complete recovery, relapses may occur for up to six months.

For a visual understanding, I present to your attention pityriasis rosea, photo of children:

Pink lichen of Zhiber

Pityriasis rosea

Diagnostics

1. During a personal examination of the child, the doctor will immediately draw attention to the presence of so-called “maternal plaques”. Pityriasis rosea is characterized by the presence of oval or round spots with a scaly center.
2. Laboratory tests may be ordered to confirm the accuracy of the diagnosis, but often taking a history and identifying the location of the spots is sufficient.
3. Self-diagnosis is not acceptable. In particular, due to the fact that parents often confuse the disease, for example, with pityriasis versicolor and begin the wrong treatment.

Treatment

If you have a question about how to treat pityriasis rosea in a child, then therapy may include both the use of tablets and the use of ointments.

The child may be prescribed a course of medications.

1. Antiviral. They are especially effective for herpes infections. Acyclovir is often prescribed.
2. Antibiotics may be prescribed if a secondary infection occurs. The course of treatment is at least five days. Azithromycin or Erythromycin are most often prescribed.
3. Antihistamines are prescribed to relieve the body’s allergic reaction and to alleviate the child’s general condition. Tavegil or Loratadine may be prescribed.
4. Corticosteroids - prescribed to relieve swelling, also neutralize the occurrence of allergies. Prescribe with caution if secondary infection is present. So they can prescribe Hydrocortisone, Prednisolone or Dexamethasone.
5. A drying agent containing zinc, for example, Tsindol.
6. Ultraviolet therapy is effective at the onset of the disease.
7. Various ointments with hydrocortisone are also often prescribed, which have an anti-inflammatory effect and also help relieve swelling. The drugs are applied to the damaged areas three times a day. Children may be prescribed the following creams and ointments to treat pityriasis rosea:

• Sinalar;
• Lorinden A;
• Elokom;
• Flucinar;
• Lassara paste (salicylic-zinc).

You may also want to know how to treat ringworm in children.

Hygiene features

1. Avoid taking a bath; it is better to use a shower. Wash the child with care, avoiding areas of lichen. The skin should be gently blotted with a paper towel, do not rub.
2. Open reservoirs, swimming pools and saunas are contraindicated during illness.
3. Direct sunlight should be avoided.
4. It is necessary to take care of the daily change of underwear.
5. It is important to ensure that clothing does not press or rub, especially the area where the lichen is localized.
6. Follow a diet that excludes strong allergens, as well as smoked foods, marinades and food additives.
7. You can’t wrap your child up too much, we won’t allow overheating.
8. Physical activity should be moderate.

Traditional methods

Pityriasis rosea in a child can be treated using traditional medicine.

1. If the baby is small enough, then he may be prescribed folk remedies that are less aggressive than medications.
2. It is recommended to introduce fermented milk products, oatmeal or rice porridge into the diet of such a child.
3. Wear clothes exclusively from natural materials, in particular cotton.
4. Use products based on:

• celandine;
• birch buds;
• elderberries;
• apple cider vinegar;
• lavender;
• sea ​​buckthorn oil.

For example, the following folk remedies can be used:

1. Tincture of celandine. Fresh leaves and inflorescences of the plant must be filled with vodka, pour the resulting product into a glass vessel and seal tightly for two weeks. Must be diluted with water before use. used for both external and internal use.
2. Elderberry decoction. Take a glass of boiling water for one tablespoon of the plant (dried). Leave to infuse for 30 minutes. Use orally before meals for 40 days.
3. Apple vinegar. Apply externally without dilution. The affected area is treated every day up to four times. Complete disappearance of lichen can be achieved after two months.

Rating of remedies for lichen

Depending on the type of infectious agent, 7 types of the disease are distinguished. The most dangerous are viral ones, which are characterized by a severe course, a long period of treatment and a high risk of complications. Therapy in each case is aimed at relieving symptoms, identifying and eliminating causes (virus, bacteria), and increasing immunity. The rating of drugs for the treatment of lichen in adults and children is compiled taking into account the following indicators:

• group of drugs;
• release form/volume;
• indications for use;
• side effects and contraindications;
• price;
• active substance;
• influence on reaction, psychomotor functions;
• reception features;
• interaction with other drugs;
• term of use.

The price/lifetime after opening the package/volume ratio was taken into account. Because these are the indicators that people most often pay attention to when purchasing.

For convenience, all positions are divided into 3 groups (according to release form). Each section presents the advantages and disadvantages of the drug, based on reviews from patients and doctors.

The best creams and ointments for ringworm

Products for external use for lichen relieve itching, pain, and remove redness on the skin. High-quality drugs not only eliminate the manifestations of the disease, but effectively affect the cause of its growth. Ointments are prescribed for monotherapy or for systemic therapy in combination with tablets.

The advantages of medicinal creams include a small list of restrictions. Associated reactions are extremely rare; the drug can be used for disorders of the gastrointestinal tract, when oral medications are prohibited. Only 7 out of 10 products for external use have passed medical tests and are recognized as the best creams and ointments for lichen.

Advantan

The drug belongs to the steroid hormones from the subclass of corticosteroids. When used externally, methylprednisolone aceponate reduces symptoms, reduces inflammation and skin allergies. Organic substances do not accumulate in the body. If complications occur, antifungal drugs are added. Advantan is prescribed for dermatitis and various forms of eczema. Packaging – 15 g tube. The ointment is applied to the affected area once a day. The course for children is no more than 1 month, for adults – 12 weeks.

The hormonal product is prescribed by a doctor. You can use it no more often than indicated in the annotation. The effectiveness of the drug is high, but as practice shows, it rarely helps in advanced cases.

Advantan

Advantages:

• easily tolerated, no withdrawal syndrome;
• does not react with other drugs;
• does not affect the ability to drive transport;
• no odor;
• quick therapeutic effect.

Flaws:

• there are contraindications for use;
• high price.

Gistan

The medicine is available in a 30 g tube in the form of a cream. Prescribed for the treatment of pityriasis rosea. After just a few uses, the itching and redness disappear. The cream contains a biocomponent that produces unusual bacteria. The medicine has an antiallergic, soothing, anti-inflammatory effect. The active ingredients are string and birch bud extract, lavender essential oil, D-panthenol, vitamin B6. The listed components neutralize infectious agents and accelerate cell recovery.

8 out of 10 patients positively characterize Gistan therapy. Low effectiveness of treatment is observed in those who use cosmetic cream as a monotherapy, while doctors prescribe it in combination. The disadvantages include the ratio of packaging volume to its cost.

Gistan

Advantages:

• approved for use in children over 2 years of age;
• the safe composition allows for daily use of the cream;
• quick results;
• the protective functions of the skin are launched;
• low price.

Flaws:

• short-term effect;
• must be applied frequently to the affected area.

Clotrimazole

Antimycotic ointment, the active ingredient of which is clotrimazole. The antifungal effect is achieved by disrupting the association of pathogenic microbes in the cell membrane with ergosterol. Slows down growth or destroys lichen. It all depends on the dosage. The medicine is prescribed for the treatment of mycosis, pityriasis versicolor, candidiasis. "Clotrimazole" is practically not absorbed through the epidermis and mucous membranes, and therefore does not enter the bloodstream. Available at the pharmacy without a prescription. Dermatologists do not recommend using the product for ringworm in the area around the eyes.

Apply to clean, dry skin with massaging movements 2-3 times a day. The course of application ranges from 7 to 20 days. Patients highly value the product for its effectiveness, high quality and harmlessness. More than 90% of patients recommend using the medicine to treat lichen.

Clotrimazole

Advantages:

• low consumption of funds;
• low cost;
• a narrow list of side effects;
• quickly relieves symptoms;
• minimum list of contraindications;
• the cream is convenient to use;
• suitable for treating children.

Flaws:

• marks remain on clothes;
• the product has an unpleasant aroma.

Nizoral

The dosage form is a white homogeneous cream. The active substance is ketoconazole, has a fungicidal effect. Affects yeast fungus and dermatophytes. Prescribed for the treatment of pityriasis versicolor, skin candidiasis, ringworm, seborrheic dermatitis. Daily use of the product is recommended. Nizoral is applied to the affected area and the area around it once a day. Course – 3-4 weeks.

Dermatovenerologists recommend purchasing the medicine only in its original packaging. Copies of branded drugs do not have the listed properties. The use of the cream during pregnancy is allowed only if the benefit of use outweighs the risk to the mother and child, since no research has been conducted in this area.

Nizoral

Advantages:

• a small list of contraindications;
• the cream is effective, quickly eliminates itching;
• can be applied to the scalp.

Flaws:

• high price;
• small volume.

Mycoseptin

Antifungal ointment for the treatment of fungal diseases. Its active components weaken the barrier walls of the lichen pathogen. Active substances act on dermatophytes. Zinc forms a protective film on the surface of the skin, which accelerates the restoration of damaged tissue. The product is used to treat ringworm in adults and children over 2 years of age. The medicine is applied twice a day. Experts advise applying a bandage on top. The course lasts from 4 to 6 weeks. To avoid recurrence of the disease, use the ointment for another 1 month. If signs of hypersensitivity to the components appear, discontinue use.

9 out of 10 patients who underwent treatment with Mycoseptin recommend the product. They state that the drug is effective and really quickly relieves symptoms. Disadvantages include an unpleasant odor and the need for long-term treatment.

Mycoseptin

Advantages:

• bacteriostatic effect;
• can be used as a prophylactic agent;
• the list of contraindications is small;
• affordable price;
• can be used during pregnancy;
• improvements are noticeable from the first day of use.

Flaws:

• absorbs for a long time;
• bad smell.

Exoderil

The medicine has antimycotic and antibacterial effects. The ointment promotes rapid localization of inflammation, neutralizes pain and itching in the affected area. The product goes on sale in tubes of 15 and 30 mg.

The active component naftifine acts on the lesion, similar to clotrimazole: it destroys the cell walls of fungi. The organic alcohols included in the product help it quickly penetrate the affected tissues; oily compounds form a protective film on the body that protects against infection.

The course of treatment is a month, but if complications arise, the dermatologist can extend it for another 30 days. Patients effectively deal with pathogenic bacteria and prevent the spread of the disease.

Exoderil

Advantages:

• the therapeutic effect lasts throughout the day;
• approved for use during breastfeeding;
• long shelf life;
• accelerates tissue regeneration, improves blood circulation;
• reduction of symptoms from the first days of use;
• a small list of contraindications.

Flaws:

• the likelihood of side effects;
• high price.

Sulfur-tar ointment

A remedy for the treatment of fungal skin infections, lichen, eczema, scabies. The combined drug, which includes sulfur and birch tar, is available in the form of an ointment. It stops lesions, blocks the proliferation of bacteria, and accelerates the recovery of inflamed areas. The composition is applied to the affected area 1-2 times a day on clean skin with light massaging movements. A bandage should be placed on top. After 5 hours, the product is washed off. The course is no more than 3 weeks.

The composition of sulfur-tar ointment depends on the manufacturer. People who have previously experienced allergic reactions to one of the components included in the composition should carefully study the instructions before purchasing.

This remedy is prohibited to treat lichen on the head.

After stopping therapy, things and bedding must be washed, dried well, and ironed. The ointment is recommended for use by 100% of respondents.

Sulfur-tar ointment

Advantages:

• availability;
• efficiency;
• good tolerance;
• low price.

Flaws:

• specific smell;
• there are contraindications for use.

The most effective pills for lichen

Such forms are used to treat severe diseases, since in products for external use the active substances do not always have sufficient concentration to have a powerful effect on pathogens. The type of pathology determines the prescription of drugs - antibacterial, antifungal, antihistamine or antiviral. Based on the reviews left by patients, a rating was formed.

Acyclovir

Inexpensive drug with antiviral effect. Contains the active component of the same name. The release form is biconvex white tablets with a center division, each of which contains 400 mg of acyclovir. It acts by blocking viral DNA synthesis by inhibiting polymerase. It is highly effective in the treatment of herpetic infections, therefore it is often prescribed for herpes zoster.

In case of a mild form of the disease, take 2 tablets 5 times a day every 4 hours for 7-10 days. The dosage for children is calculated at 20 mg per 1 kg of weight, taken 4 times a day for 5 days.

Acyclovir

Advantages:

• low price;
• has good tolerance;
• can be taken by children from 3 years of age;
• few contraindications;
• available.

Flaws:

• taking in combination with other drugs can significantly reduce effectiveness;
• contains sugar.

Mycozoral

Belongs to the same group with Nizoral. The active component acts on yeast fungi and dermatophytes as a fungicide. Also used to treat streptococcal or staphylococcal infections. Showed itself well in the treatment of versicolor.

The composition includes lactose, so Mycozoral is not prescribed for deficiency or intolerance to milk sugar. Adults need to take 1 tablet once a day. For children over 3 years old and weighing up to 15 kg, use half the dosage. On average, the therapeutic course is 10 days.

Mycozoral

Advantages:

• affordable price;
• quickly relieves itching;
• has no unpleasant odor or taste;
• fast action;
• One package is enough for a full course of treatment.

Flaws:

• obvious side effects.

People over 50 years of age, as well as those with liver disease, should limit their intake. There are some patients who are dissatisfied with the results. Most complaints draw attention to poor health at the beginning of treatment, severe heart pain, and severe headaches. Because of this, many people have to change their medication.

Griseofulvin

A product with a fungistatic effect. The active component of griseofulvin destroys the connection with fungal messenger RNA and blocks the synthesis of cell tissue. It tends to accumulate in hair and skin and initiates the separation of infected keratin. During treatment, the morphological composition of the blood must be monitored once every 10-15 days. Used to destroy various types of mycoses that cause lichen. Usually prescribed for the treatment of pityriasis versicolor, ringworm, and herpes zoster.

Reviews indicate good effectiveness in treating ringworm. It can be used in children, but since the drug has high toxicity, treatment is carried out under the strict supervision of a doctor. It is necessary to take the drug after meals along with 1 tsp. vegetable oil to prevent irritation of the gastrointestinal mucosa.

Griseofulvin

Advantages:

• pleasant to the taste;
• affordable price;
• quick achievement of results;
• high quality.

Flaws:

• there are many contraindications and side effects.

The best sprays for the treatment of lichen

This form is used for various forms of diseases. The advantage of sprays is good absorption; they can be used on the scalp. There is no need to wash out such preparations, and they will not spoil the hair color. But sprays often have contraindications during pregnancy. Based on testing, the 2 best drugs out of 5 nominated were selected.

Thermikon

Available in the form of a clear or slightly yellowish liquid, 1 ml of which contains 10 mg of terbinafine hydrochloride. This is a chemically synthesized antifungal agent. It kills some types of fungi, as well as dermatophytes, by disrupting biosynthesis in the cell membrane. The medicine does not enter the bloodstream because less than 5% of the dose is absorbed. Children can be prescribed from the age of 12. It is used to treat lichen versicolor, as well as fungal infections.

The dosage depends on the severity of the disease. The spray is applied directly to the lesion and to the healthy skin around it, which is first thoroughly cleaned and dried. 95% of respondents confirm the high effectiveness of the drug.

Thermikon

Advantages:

• does not affect the ability to drive a vehicle.
• convenient to use.
• affordable price.
• short duration of treatment.
• gives a good effect.
• safe.

Flaws:

• many contraindications;
• has an alcohol smell.

Terbinafine

It is believed that the Thermikon was created on its basis. They have an almost identical composition, except for a few excipients. Release form: a glass bottle with a volume of 10 or 20 g, with a dosing pump. There is no information on the safety of treatment in children, so the drug is prescribed to children extremely rarely. The course of treatment is 14 days.

The spray has won recognition and only positive reviews from users, as it very easily and quickly gets rid of ringworm. The volume is enough for the course, the price is reasonable. Without exception, all patients recommend this drug.

Terbinafine spray

Advantages:

• on the first day of use there is a decrease in severe symptoms;
• is inexpensive;
• course duration 14 days;
• convenient to use.

Flaws:

• an allergic reaction may occur.

Prevention

1. For this type of disease, the main method is to increase immunity. Physical activity and hardening procedures have a good effect.
2. It is important that the baby receives all vital vitamins and microelements in equal shares.
3. The child's diet should contain protein foods.
4. The toddler should not be allowed to overheat or become severely hypothermic.
5. Eliminate any stressful situations, never swear in the presence of your baby.

Now you know what pityriasis rosea looks like in a child, photos, signs of this disease. Remember the need for timely assistance, as well as the observance of precautions that may not completely protect the baby from infection, but will definitely reduce these risks significantly.

How to treat lichen in a child

The fungus parasitizes in the epidermis, where the causative agent of the disease feeds on keratin. First, a small area of ​​skin changes, then the size of the lesion increases. A fungal infection affects children with weakened immune systems.

Ringworm is easily recognized in a child by symptoms such as round pink-red spots, itching, flaking, and hair loss. Lesions occur on the head, limbs, and torso.

The appearance of flaky spots is considered the main symptom of lichen of fungal origin. At home, ointments for lichen for children from the pharmacy and folk remedies are used. After applying the antifungal agent for 5–6 days, the itching and size of the lesion decrease. The total duration of the course of therapy is 1–2 months.