Toxic erythema of the newborn: symptoms, causes and features of treatment
After the baby is born, the baby needs some time to adapt to the environment. At this time, babies may experience a disease such as erythema of the newborn. It manifests itself as redness, which occurs as a result of the expansion of the capillaries.
Parents do not have to worry about such manifestations, as they are in 65% of children. And then quickly disappear, leaving no complications. Moreover, erythema in newborns is not even a disease, but rather a specific reaction of the body to external factors. But you always need to know more about such a phenomenon in order to avoid long-term manifestation of it, as well as to help a child easily survive it.
At the moment, these types of manifestations of erythema of newborns: physiological and toxic.
The causes of this erythema are, again, the ability to adapt the body to new conditions of existence. In the period from the first two days after birth and during the next week, the baby’s skin may turn red. Often - in certain areas, less often - throughout the body. This is a common reaction of the newborn organism to external stimuli, caused by a sharp rush of blood to the skin of the child.
Usually after 10 days of adaptation (usually this is the maximum period), the redness goes away and the skin looks normal. Intervention in this process is not necessary, but sometimes it is possible to arrange air baths for the baby in order to “air the body”. If something is worried or the condition is inhibited, then you can consult with your doctor for the appointment of special children's creams, to remove the possible itching in the area of redness in the baby.
Toxic erythema: how to find out and what to do
Toxic erythema of the newborn is characterized by a more serious condition than the physiological one. It appears less frequently and is like a continuation of the first physiological stage. In fact, it is an allergy (the wrong reaction of the newborn organism) mainly to mother’s milk.
What could be the reasons:
- Uncontrolled intake of drugs by a pregnant woman.
- Diseases of the mother associated with high blood sugar levels, disorders in the thyroid gland, ovaries.
- The work of the mother before or during pregnancy in hazardous industries.
- If the child is not the first mother.
- In the case when the child was subjected to prolonged hypoxia in the womb.
- If the first time the baby began to breastfeed after 10 hours after birth.
However, even the presence of such factors in the life of the mother and the newborn is not an obligatory cause of the appearance of toxic erythema of the newborn. In order to make sure that the infant is indeed toxic erythema, a comparative diagnosis is needed, which relies on the main symptoms of the disease.
Symptoms of toxic erythema in a newborn:
- General anxiety in the baby.
- Covering the child's skin with reddish spots.
- In the center of the redness visible bubbles.
- An unpleasant itching is felt in the affected parts of the body.
- Such erythema is most often located on the scalp, on the folds of the arms and legs.
In the case of toxic erythema of the newborn, certain measures are needed, such a kind of treatment aimed at alleviating the condition of the baby at the new stage of his life. In most cases, this type of disease disappears without a trace, leaving no traces on the skin.
Treatment of toxic erythema
- All the time to ensure that the skin of the baby was clean.
- The linen in which the baby is dressed during sleep and bedding should be soft, made of natural fabric, and fresh all the time.
- It is worth carrying out air baths.
- Do not rub the skin after bathing, but on the contrary, gently blot it with a soft towel.
- You can bathe the child in the decoction of herbs. For example, daisies.
- If the child is breastfed, from the mother's diet is to remove all possible products that can cause allergies (citrus, red berries and fruits, chocolate, honey, nuts, spices, coffee).
Erythema is not dangerous in most cases. After a period of adaptation to the environment, all her symptoms disappear and the child feels good. There are rare exceptions, when toxic erythema is delayed or complicated by suppuration and wounding, then the doctor will prescribe the appropriate treatment.
Most often the doctor prescribes antihistamines containing lacto-, bifidobacterin, rutin, and vitamin E, B groups.6, WITH.
If wounds are formed, a rash occurs, the skin in this place is treated with a solution of brilliant green or potassium permanganate. The affected skin is powdered with powder, in which zinc oxide is added.
All events are held only in the case of appointment of a specialist. Only he will prescribe the correct dosage of drugs and determine the frequency of treatment of the affected areas.
Treatment by folk methods
Before using folk remedies, be sure to consult with a specialist. The pediatrician will advise, perhaps, will combine the traditional and nontraditional treatment, which will bring the maximum benefit to the baby.
Recommendations of folk healers for the treatment of toxic erythema in newborns:
- Properly adjusted diet in the baby.
- A certain diet from the mother of the child. Eating lean meat, cereals, vegetables, exclusively stewed, dairy products. Drink decoctions of chamomile, wild rose.
- Also, traditional medicine insists on making air baths for a child (at room temperature for at least 20 minutes, and in the hot season outside at a comfortable temperature in the shade of trees, or in cloudy weather).
- When washing baby clothes and clothes, it is worth using special products that have been tested for safe contact with babies.
At the moment, specific prevention of any type of erythema in a newborn does not exist. What is important is proper care for the baby, monitoring the health of the baby in the first month of life.
When erythema occurs, carry out the necessary measures and treatment if necessary.
Most importantly, remember that erythema (even toxic), subject to certain conditions and instructions of a doctor, is not a dangerous disease that passes without leaving a trace behind. You just need not to panic, but to experience this sometimes difficult adaptation period with the baby.
How dangerous is toxic erythema in newborns?
These skin rashes begin in the hospital almost in 50% of all newborns. Erythema is the result of the adaptation of a child’s body to a new environment. In most cases, after a few days the rash disappears on its own. But if toxic erythema in newborns does not go away for a long time, medical therapy may be needed (mostly with antihistamines).
Why does toxic erythema occur? Its forms and types
Neonatal toxic erythema of the newborn (in children under the age of 28 days) may occur either immediately after birth, or 3-4 days. In rare cases, it occurs after the 10th day. Erythema is manifested in the form of a rash - erythematous spots. It may be accompanied by the formation of small pustules and papules, which, after disappearance, do not leave any scars or pigmentation on the body.
Toxic erythema in a child can easily be confused with other diseases accompanied by a rash. Externally, it is similar to such skin lesions of newborns as prickly heat, pustular melanosis, herpes simplex, impetigo of newborns, milium.
To confirm the diagnosis can be carried out staining fluid pustules according to the method of Wright. If, as a result, eosinophil clusters are detected in it, this is toxic erythema (eosinophils confirm the allergic nature of its appearance).
Toxic erythema in newborns, the causes of which can be varied, most often occurs in the following cases:
- the result is the manifestation of various skin diseases,
- overheating baby
- adaptation of the newborn to the new environment,
- mechanical irritation of the skin (diapers, diapers, towels),
- wiping from the skin of the original lubricant,
- fetal hypoxia and various complications during childbirth,
- hereditary factor
- the presence of intrauterine infection,
- mother's toxemia during pregnancy,
- taking mother drugs.
Quite often, the cause of toxic erythema is an allergic reaction of the child’s body to an alien protein found in breast milk. For children who are bottle-fed, such problems almost never arise.
For this reason, it is very important for nursing mothers to adhere to the recommended diet. Their milk must be hypoallergenic. To eliminate the risk of toxic erythema in a newborn, a nursing mother should completely stop eating chocolate, red berries, nuts, honey, and other potential allergens.
How is the disease manifested
Toxic erythema in newborns has its own specific symptoms:
- it never appears on the mucous membranes, palms and feet of the newborn,
- appears as red spots of various sizes for several days after the birth of a child,
- most often specks appear on the buttocks, on the arms and legs in places of the elbow and knee folds, near the joints, on the face and head,
- after a rash in the center of the spots, small bubbles with yellowish or gray liquid appear,
- there may be an itch at the eruption site
- the skin under the red spot can be sealed.
As a rule, the rash goes away after a few days, but its return is not excluded. And in the case of relapse, toxic erythema of the newborn may be accompanied by more serious symptoms, such as:
- enlarged spleen
- slight swelling of the lymph nodes.
Forms of erythema, types and stages of development
Toxic erythema in newborns (the causes and treatment of which are discussed in the article) can be of two types: acquired (appears as a result of influence on the child after birth of various external factors) and congenital (which is still developing in utero).
Depending on the causes, it is divided into:
- endogenous - appears as a result of changes in the child’s body,
- exogenous - appears as a result of the influence of the external environment.
Toxic erythema, depending on its clinical manifestations, can be divided into two forms:
- generalized - manifested by multiple rashes, which can merge among themselves. Often accompanied by a deterioration in the general condition of the child, his increased anxiety or lethargy,
- limited - it is shown by small local rashes (most often appears on buttocks and in places of bends of hands and legs). Does not appear on the general condition of the newborn.
Toxic erythema in newborns (the causes and effects are described in our article) has two stages of development:
- chemical - during it there is a process of formation of substances that provoke allergic reactions,
- physiological - characterized by the development of immunological changes that are provoked by the violation of the children's intestines.
What to do when the first symptoms of erythema appear?
When a rash appears on the body, if the discharge from the maternity hospital has already occurred, the child must be shown to a doctor (pediatrician or pediatric dermatologist). If the doctor, having examined the rash, deems it appropriate, the following diagnosis may be prescribed:
- allergy tests
- general blood analysis,
- microscopic analysis of the stratum corneum,
- study of breast milk for the presence of allergens.
Toxic erythema of the newborn: treatment
When manifestations of erythema, rash, as a rule, passes without a trace in 3-4 days. When it reappears, it will be necessary to take a set of measures to facilitate its disappearance.
Answering the question of how to treat toxic erythema in newborns, it is worth remembering that these rashes are not considered as separate diseases, respectively, and there is no specific treatment for erythema.
If the child has erythema in a generalized form, the doctor prescribes antihistamines to reduce the allergic reaction. Also, anti-allergic ointments are applied locally, at the sites of lesions, to reduce itching. All the time until the erythema passes, the child is recommended to drink plenty of fluids.
Treatment of prolonged rashes
If the toxic erythema does not pass for a long time, it recurs and is difficult for the child to carry, and in addition to antihistamines, vitamins C, B6, E may be prescribed. lactobacillus. Glucose solution may also be administered.
In those cases when a severe pustular rash is found around the navel, it is recommended to be powdered with ordinary talcum powder or zinc oxide powder. Rashes can also be dried by treating them with ordinary brilliant green.
Recommendations and Prevention
In addition to the use of drugs, to accelerate the reduction of rashes in toxic erythema can air baths. The child as often as possible should be kept in a completely undressed form. It is necessary to minimize the possibility of mechanical irritation of the skin at the site of rashes. After bathing, do not rub it with a towel, so as not to injure the rash-bubbles. If possible, you should minimize the time the newborn is in a diaper. During the washing of children's clothes it is necessary to give preference to the use of special powders that have passed certain tests and were considered safe for young children.
Mothers feeding a child with toxic erythema, it is extremely important to stick to a diet. She was also recommended to drink broth hips and chamomile tea.
There is an erroneous opinion that, for any rash in an infant, it should be bathed with a decoction of a variety of medicinal herbs. Indeed, such procedures can help in cases where the child has symptoms of physiological erythema. It is manifested by red spots, which are caused by the expansion of capillaries under the skin. After a few days, light peeling may develop in these places. With such an erythema, short baths with a decoction of chamomile, a string, thyme, and other medicinal herbs can really help. They reduce inflammation and soothe skin irritation, which may contribute to a more rapid disappearance of the rash.
But with toxic erythema, rashes of a different nature are observed - they have a pustular character, and there is liquid in the middle of the bubble. Such rashes should not be wet once more, they, on the contrary, should be dried. In addition, most medicinal herbs themselves may be allergens. Bathing a child in them can only aggravate the situation even more.
What is erythema and what are its causes in newborns?
The skin of newborns is tender and sensitive. Any external effect can cause a reaction, which can manifest itself in the form of allergies or skin redness. This pathology is not particularly dangerous. The only threat is the risk of suppuration if the damaged areas of the dermis are improperly treated.
The main causes of erythema include effects on the skin:
- temperature fluctuations
- bright light (sometimes a sufficiently weak sunlight),
- strong odors
The reaction causes contact with cosmetic preparations. These include powders, creams and detergents.
It is noteworthy that reactions never occur in the mother's womb - the baby's body is covered with natural fatty grease. This layer protects the skin from external influences, but after birth, this lubricant is washed off, and the dermis becomes open to all external stimuli.
Interestingly, in the old days with erythema, it was said that the child was "cleansed." It is not correct. It is more correct to say “adapts” or “adapts”.
Forms and symptoms of the disease
Symptoms of erythema vary by type of disease. There are also differences and causes of different forms of pathology. If some children get the disease due to natural factors, in other patients the impact becomes a strong allergen or chemical. Manifestations of the disease will have differences only for the doctor, parents will not be able to distinguish between them.
The initial diagnosis of the disease consists in an external examination of the child and a conversation with parents to identify additional signs, such as itching and burning (they occur quite rarely). After this, the baby begins to be monitored for a long time.
It often happens that pathology passes before the doctor has time to make a final diagnosis. In this case, the problem is removed by itself.
If symptoms persist for more than a week, then tests are required. They reveal:
- the sensitivity of the child to allergens,
- the presence of toxins in the blood, parasites.
A sample of breast milk is taken for the detection of toxic substances. If none of these methods have yielded results, then detailed and complex procedures should be carried out. These include the study of the characteristics of the materials of which made diapers and diapers.
Features of the treatment of infants
Physiological erythema does not need therapy. Toxic erythema of the newborn requires treatment. It is aimed at getting rid of allergies and cleansing the body of toxic substances. Such activities are intended to quickly rid the child of the problem. To do this:
- change synthetic diapers and clothes to products made of natural fabric,
- bathe your baby in chamomile or streamers (this is more a preventive measure, but it does well with peeling the skin),
- conduct air baths, gradually increasing their duration from one minute to half an hour.
Places in which the peeling was shown, it is necessary to lubricate with softening children's creams and oils. Beforehand consult with the pediatrician, whether it will not cause additional allergic reaction.
In the treatment of toxic forms of erythema, you will need to receive:
- vitamin complexes,
Affected areas of the skin must be treated with a 1% solution of "Zelenka". In this case, you should use powder with zinc oxide. If these measures were ineffective, the doctor prescribes injections of drugs with potassium and glucose.
When does the disease go away?
If there are no complications, then erythema recedes very quickly. Starting on the second or third day of life, the physiological form passes without consequences in a week. The toxic pathology without complicating factors goes even faster - after 4-5 days. If the baby has especially sensitive skin, then this period may be doubled, but there will not be any negative consequences for the body.
If we are talking about difficult cases with poisoning or severe allergies, then under the regime full recovery occurs within 14-30 days. Longer illness is delayed in cases where:
- continued constant contact with the stimulus,
- wrong therapeutic tactics chosen
- The baby has too weak immunity.
There is nothing terrible about this, but with toxic erythema of the newborn, treatment is delayed. Sometimes therapy takes several months.
Erythema in most cases is a natural process that is difficult to prevent. As such, preventive measures do not exist. The only thing that can be advised to reduce the risk of complications is:
- adding to the diet of a nursing mother porridge, stewed vegetables, lean meat and kefir,
- use for washing children's clothes only proven products approved by pediatricians for infants,
- treatment of the child’s skin with oils and special creams after each bath;
- reception "air baths".
These methods will help accelerate self-healing, as well as significantly reduce the risk of complications. The main remedy for this disease is the care of parents!
Where does toxic erythema come from?
In fact, this is just a natural reaction of the body, so the child is trying to protect itself from the environment, which he has not yet met. Toxic erythema can occur in infants in the form of reddening of the skin or other external factors similar to a rash. Most children (about 50%, that is, about every second baby on Earth) survive it at the age of 2-4 days from birth, and without any loss to their health and further development.
It is considered the most severe, as the spots are much larger and are accompanied by small abscesses. The temperature of the child rises more strongly, irritability due to itching is clearly pronounced.
Any of these forms differs only in symptoms, does not carry any consequences and complications, and must end no later than the first week of life, otherwise this erythema is called protracted. The maximum term is 20 days from the moment of birth of the child.
If irritation, rash, and in particular the temperature and general sluggish condition of the infant lasts longer, then a more serious infection with the same symptoms may quietly develop alongside the natural toxic erythema. Refer to the pediatrician and dermatologist, check the general state of immunity of the baby - for infants there are minimum standards that must be met in order to avoid illnesses.
Doctors have repeatedly found the relationship between prolonged and severe toxemia of a pregnant woman and how often the child was susceptible to skin irritation in such mothers. Harmful habits also influence (in general, any toxins, if the woman worked or works in “harmful” work), and taking large quantities of drugs.
Late onset of breastfeeding
If for some reason a woman cannot start feeding the baby right away, this may affect the likelihood of the development of such a problem in his body - perhaps this is due to a lack of nutrients.
The toxic erythema of the newborn really does not represent any threat to the infant’s life, like any neonatal adaptive response of the organism to the surrounding world.
Before you panic, try to understand how alien this world is for a child - the newborn simply does not have the necessary resources in the body to adequately perceive everything around, right down to the atmosphere and the processes inside of you. All the necessary substances he receives from food and auxiliary drugs, if such a need arises.
Physiological erythema can interfere with both the child and the parents, prompting the latter to begin treatment as soon as possible. No matter how many doctors (including the famous doctor Komarovsky) did not repeat, this is an absolutely natural process for a baby who goes by itself, the parents' anxiety is quite understandable. The manifestations on the skin look frightening and look like a variety of skin pathologies.
Symptoms of toxic erythema
- Redness of the baby’s skin, which may appear as spots of various sizes.
- Slightly dense skin in place of spots, feels like inflammation.
- Particularly frightening parents are yellowish-gray blisters that often cause unnecessary treatment.
- Anxiety of the baby, possibly due to itchy spots.
Pay attention to the localization of spots. Normally, toxic erythema appears on the chest, buttocks, around the joints of the hands and feet. Excluded rash of this kind on the face, the inner parts of the hands and feet, as well as on the mucous membranes of the body. If in the appearance of a child during rashes, you are worried about eyes or other parts of the body that are not on the list, then treatment is most likely really necessary.
If the infant experiences redness that cannot be explained by natural adaptation, complications of a variety of skin infections may be suspected. These infections can lead to a fragile body to a serious illness, and the consequences can remain with the child for life. Immediately consult a pediatric dermatologist to make an accurate diagnosis and dispel doubts.
How to quickly get rid of unpleasant symptoms?
Despite the fact that this treatment is not required for toxic erythema - during the first week of life all unpleasant manifestations disappear on their own (of course, subject to all the hygiene and nutritional standards that are important for normal development for the infant), many people want to get rid of the symptoms as soon as possible. . The only exceptions are premature babies whose rashes can last 2-3 weeks after birth.
Treat erythema toxic as a normal allergy. Let your baby drink more (in his case there is) - so the body will be updated faster and replenish the nutrient reserves necessary for the "construction" of immunity. Antiallergic preparations for babies will be very useful - they are designed for the children's body and have a general effect, as gentle and gentle as possible.
To reduce the discomfort of the child, you can use regenerating ointments for the skin with anti-inflammatory effect - there are children with supersensitive skin, for which this itch is very unpleasant.
So that toxic erythema does not develop and does not expand in the area, do not swaddle the baby too tightly and do not allow diaper rash. High temperatures have a bad effect on the skin of a child, whose perspiration does not work so well. Excessive swaddling generally affects both infants and older children, so this habit should be eliminated in advance.
Watch your baby's hygiene - bathing in warm water should be regular and with washing all critical areas. Any pediatrician will tell you why this is so important. Gentle skin is not yet able to resist external infections, so just limiting their number is the best thing you can do. The right water temperature, quality bathing facilities and light massages are the maximum that a baby needs.
Do not be afraid of complications - they can not be, because toxic erythema does not leave any traces in the body, and therefore will not lead to bad consequences. As soon as the baby gets used to life outside the womb, the microflora balance inside will be adjusted, immunity will get stronger, and the skin will gain its natural protection, the problem will disappear by itself. All subsequent rashes after the first 7-10 days of the child’s life should be checked - they can be indicators of allergies or viruses.
Do not hesitate to contact your pediatrician for recommendations on even the most minor reasons, if the condition of the baby is worrying you greatly, or if he himself is too irritated, often crying for no apparent reason. It is better to remove all suspicions and immediately rid yourself of nerves than to self-medicate.
Manifestations of erythema in newborns
There is both a physiological and toxic erythema of the newborn. The first is the reaction of the skin on the environment. Natural protective lubricant is washed off, the body learns to contact with air, clothing. Redness usually goes away after a week and does not require any special therapeutic measures. This condition is observed in the majority of newborns (up to 80%). Toxic erythema is a reaction of a small organism to a foreign allergen protein. Also, many are interested in the question of when the toxic erythema of the newborn begins to develop, until what age it passes. This condition develops in the first days of a baby’s life (approximately on the second - the fourth) and passes after a few weeks or days.
Signs of Toxic Erythema
As a rule, toxic erythema manifests itself in the form of reddened areas of skin that may have different sizes. Perhaps a small seal cover, rash, blisters and bumps (gray, yellowish). It is worth noting that the child is behaving restlessly, since all these rashes are scaly, itchy. In some cases, body temperature may rise. Rarely observed changes in the internal organs (for example, an enlarged spleen). On examination, a specialist may notice slightly enlarged lymph nodes.
Toxic erythema of the newborn: causes
After birth, the child is in the new conditions of life. Accordingly, his skin reacts first, which is in direct contact with air, clothing, hygiene products, and water. However, experts identify a number of factors that can cause the appearance of toxic erythema. This is mom's toxicosis during pregnancy, the use of drugs during this period. The presence of diseases of the endocrine system, work in harmful conditions - all this can also provoke the development of erythema. In addition, the hereditary factor is important. If the parents have a tendency to allergic reactions, then the child in most cases will be diagnosed with toxic erythema of the newborn. Among the possible causes of isolated and intrauterine infection, the state of hypoxia. Doctors also note that the development of erythema may be caused by late attachment to the chest - usually later than 6 hours after delivery.
Toxic erythema of the newborn: diagnosis and treatment methods
Basically, to confirm this diagnosis, doctors conduct a visual inspection. Additionally, some tests can be assigned. If the symptoms do not disappear for a long time, an analysis of the mother’s milk will be required. Treatment as such is not required, one has only to look after the baby’s skin more carefully. Clothing should be made exclusively from natural materials, free in its cut. Also, do not tightly swaddle your baby. Water treatments should be daily. Do not overheat the baby, as diaper rash will only aggravate the situation. If the toxic erythema of the newborn (the photo is located below) has a rather large scale, the affected areas are smeared with special ointments. In most cases, the generalized form requires the use of anti-allergic drugs. In addition, air baths have proven themselves very well. It is worth starting to keep the child naked for several minutes, gradually increasing the interval. This will help improve skin condition, relieve itching from rubbing clothes.
What you should pay attention to
Since the erythema of the newborn is a physiological state, there are no specific preventive measures. Symptoms disappear after several days (or weeks). If toxic erythema of the newborn is diagnosed, the treatment consists in proper and careful care of the baby’s skin. The danger in this condition can be hidden in the accession of a secondary infection, which only worsens the situation. In this case, you will need and specialist advice, and special skin care products. However, the main danger lies elsewhere. Toxic erythema of the newborn is a signal that the baby is prone to allergic reactions and atopic dermatitis. Therefore, it is necessary with extreme caution to introduce new foods into the diet. It is also necessary to carefully choose the means for washing children's clothes, various skins, creams that will directly contact with the skin. And expectant mothers are advised to avoid potential allergens, harmful chemical fumes, and unnecessary drugs. Such measures will help reduce the likelihood of developing a condition such as toxic erythema of the newborn. Health to you and your children!
In accordance with the form, the disease can have different variants of erythematous rash:
- Spots of red color, having a different size, occur when the spotted form.
- Papular variant involves the formation of nodules or plaques that protrude above the skin.
- Small pimples may appear, which are then converted into crusts. This process is characteristic of vesicular erythema.
- When the nodular form occurs, the formation of hyperemic nodes that have fuzzy boundaries.
Causes of toxic erythema
The onset of the disease is associated with the expansion of the capillaries in the skin. This process occurs when an allergen enters the human body. Inborn predisposition to allergies and contact with several aggressive substances at the same time can aggravate the reaction. Causes of toxic erythema may be as follows:
- In an autotoxic type, damaging allergens are formed directly in the human body. The reason is a malfunction in the metabolism.
- Taking certain medications may trigger a medical type of illness.
- Alimentary erythema occurs when eating certain foods.
- The contact form appears when skin and mucous membranes interact with substances causing an allergic reaction.
Forms of toxic erythema
Professionals know several reasons for classifying a disease. Forms of toxic erythema:
- Physiological erythema (transient, qatar of the skin) is defined as an allergic reaction of uncertain etiology. It is formed spontaneously, expressed in the appearance of lesions on the entire area of the skin, excluding the feet and palms. The duration of the disease is about 3 days. The probable cause of such a reaction by a doctor is the loss of an intrauterine film, which protects from harmful effects when the fetus is in the mother's body.
- The pathological form is regarded by doctors as a reaction of the baby’s adaptation to the environment, due to the complete loss of the lubricant that forms during childbirth.
For the causes of erythema of toxic origin is divided into the following forms:
- Endogenous - it is the result of adverse changes occurring inside the body.
- Exogenous - the disease is formed under the influence of the environment.
According to clinical manifestations, erythema is classified in two forms:
- Ограниченная (невыраженная) – образуется сыпь, которая не влияет на общее физическое состояние человека.
- Генерализованная (выраженная) – высыпания при такой форме имеют тенденцию к слиянию, приносят беспокойство и вялое состояние.
Лечение узловатой эритемы у взрослых
If you go to the hospital, the doctor will prescribe an erythema nodosum treatment in adults as follows:
- It will be necessary to determine, by analysis, which substance caused the unfavorable state to occur, it is prohibited to contact the identified allergen.
- Antihistamine medication is prescribed to relieve allergy symptoms (Cetirizine, Loratadine, Fenistil).
- For the early removal of toxins, diuretics and laxative drugs are used.
- If a generalized erythema of a toxic nature with a severe course is diagnosed, the treatment is carried out in a hospital under medical supervision.
What is erythema?
2-3 days after the birth of a newborn, a rash is visible on the skin, which is more often localized on the hands and feet. Rash associated with the expansion of the subcutaneous capillaries. Along with the rash, the parents of the child mark scaly patches on the reddened skin. In this case, pediatricians usually diagnose the physiological erythema of the newborn, which passes by itself.
Accelerate the disappearance of the rash:
- keeping your baby's body clean
- regular changing of diapers
- use only linen from natural fabrics.
But if the redness of the skin spreads through the body and does not pass, then the physiological erythema has grown into a toxic form.
Difference of a physiological form from toxic
Classify several types of erythema in babies:
- Localized is determined by the groups of red spots that have protruded in a certain part of the body: on the buttocks, chest.
- Symptoms of common erythema differ in the number of spots, their size. A large rash covers the entire body of the baby, bringing anxiety.
- Severe forms of erythema include generalized. Redness, skin rashes will act along with pustules. The child becomes irritable due to constant itching, his body temperature rises.
But all these forms relate to the physiological state of the newborn. They pass without treatment in 3-5 days. Sometimes skin manifestations last longer, but not more than three weeks.
If the redness on the skin does not pass, then this suggests that the pathological process in the child’s body has begun. To avoid complications, parents consult a pediatrician.
Why does a pathological condition develop?
The neonatal period of a child’s life, up to four weeks of life, is marked by an unstable balance of body functions. Even minor changes in environmental conditions lead to disruptions in the condition of the newborn.
In addition, the impetus for the appearance of toxic erythema gives:
- the inheritance of a child’s body to allergies, inherited,
- the presence in the mother during gestation of the fetus severe toxicosis,
- inflammation of the genital organs of the mother as a result of infection,
- taking a pregnant woman medicines.
The cause of redness of the skin lies in the late start of breastfeeding.
Provokes the development of the pathological state of complications during childbirth, accompanied by hypoxia of the fetus.
Simple erythema occurs due to exposure to the delicate skin of a child's cold air, sunlight. There are rashes of red from the bite of insects. A rash appears as a reaction to child care products: powders, creams.
Accurately indicate the cause of redness of the skin of the baby can pediatrician. He will advise what to change in the daily routine of the baby, the diet of the nursing mother.
If a simple erythema does not need to be treated, it passes on its own, then toxic without taking therapeutic measures will lead to severe disorders in the child’s body.
First of all, pay attention to the mode of the day of the newborn, including in it air procedures. Changing diapers, leave the baby naked for several minutes. The temperature of the air in the room should not be below twenty degrees, but excessive heat is also useless. While the child is lying, his mother gives him a massage, stroking the body. Begin by holding two minute air baths. Every week, increase the time spent on the air, bringing to 40 minutes a day. The time interval is divided into two sessions.
Taking the air bath, the baby will feel good, calm down. His skin will breathe freely, when stroking normal blood flow.
The symptoms of reddening of the skin are cured by the fact that:
- bathe daily, adding to the bath infusions of chamomile, succession,
- carry out frequent change of linen from natural materials
- control that clothes do not rub baby’s skin,
- do not allow overheating of the newborn,
- scaly skin smeared with baby cream
- regularly give the child clean water.
Of the drugs in the event of allergic reactions give antihistamines, vitamins. Of the drugs suitable infants Bifidumbakterin, Ascorbic acid, Rutin.
If inside the rash are watery papules, they are smeared with brilliant green, a solution of potassium permanganate.
To reduce skin rash, young mothers need to reconsider the diet, eliminating products that can cause an allergic reaction.
It is easy to eliminate the signs of erythema, following the rules of care for infants.