Streptoderma – what is it, symptoms inadults, types and treatment

Streptoderma is an extensive group of skin infections.
processes caused by different variants of streptococcus.
There is a predominant lesion of the skin itself,
without involvement in the process of the sebaceous glands and hair follicles (in
difference from staph infection).

Next, we take a closer look: what is it for
disease, what causes and symptoms in adults
people, what is prescribed as a diagnosis and what kind of treatment
most efficiently.

What is streptoderma?


Streptoderma is a type of pyoderma, purulent lesion
skin that is caused by streptococci and
characterized by rashes in the form of bubbles and bubbles of size from
several millimeters to several tens of centimeters.

Streptococcus is a kind of anaerobic elective
bacteria that are able to live both in the presence and in
the absence of oxygen. By classification, streptococci are divided into five
major serogroups (A, B, C, D, G), among which the main
the causative agent of streptoderma is β-hemolytic streptococcus
group A.

Streptoderma is more susceptible to young children (more
tender skin, insufficient level of immunological reactivity);
women (especially during the period of hormonal changes), elderly and
old age (weakened by chronic diseases, with
insufficient trophism of the skin).

The reasons

ATиновником развития стрептодермии является бета-гемолитический
streptococcus. However, its skin contact does not mean that
there will be a disease. The skin of a healthy person is well protected.
from penetration of disease agents. Therefore, streptococcus can
live on the body for a while, without causing your “master” any
harm. Streptoderma develops only when the skin
ceases to perform its barrier function.

The reasons появления стрептодермии, связанные с состоянием
human body:

  • scratching the skin with itchy dermatosis (for example, with neurodermatitis
    or scabies);
  • skin epithelial damage caused by nasal discharge (with
    rhinitis), ear (with otitis);
  • decrease in body resistance during exhaustion, chronic
    alcoholism, immunodeficiency, severe diseases of the digestive system with
    violation of nutrient absorption;
  • seborrhea;
  • poor care for young children.

Factors provoking streptoderma:

  • reduced immunity;
  • sunburn;
  • frostbite;
  • stressful situations;
  • skin microtrauma;
  • chronic diseases;
  • hormonal imbalance in the body;
  • overwork;
  • lack of vitamins;
  • varicose veins;
  • worn out;
  • obesity;
  • inadequate skin care;
  • use of common dishes, towels, toothbrushes.

Is the disease contagious?

Yes, streptoderma is contagious, but you can only become infected when
weakened immunity.

Streptoderma is transmitted from person to person with the following

  • with close and regular interaction with the patient;
  • when using any items you recently took
    infected person;
  • the infection can be transmitted through dust and insects.

The greatest peak of the disease occurs in the summer. Exactly at
this time people sweating. AT результате на коже
prickly heat appears, which provokes the appearance of dry


There are many varieties of streptoderma. We list
most common types of infection affecting an adult

  • Strep impetigo
  • Bullosa impetigo
  • Dry streptoderma (easy lichen)
  • Surface felon
  • Tourniol (impetigo nail rollers)
  • Zayed or slit impetigo
  • Streptococcal diaper rash.

Strep impetigo

With this form, thin skin of the face is more often affected.
(nose, mouth), as well as other open areas of the body (feet, hands,
shins). The disease is characterized by a sharp onset. Originally on
a reddened skin background causes a blister, no more than a pea with
yellowish content. The bubble is able to grow rapidly, reaching
1-2 cm. Then it is opened, thus exposing the erosive
surface. Then he instantly dries, forming
медово-желтые crusts.

Bullosa impetigo

When bullosa impetigo multiple bubbles are formed
up to 3 cm, located mainly on the rear of brushes, less often on
the dorsum of the foot and the skin of the legs. After вскрытия булл
(bubbles) remains eroded surface, which gradually
increases. Chronic is often formed in this way.

Streptococcal zade (angular stomatitis, slit

Often affects the corners of the mouth, as a rule, this is due to
недостатком витаминов группы AT. ATследствие сухости кожных покровов
microcracks are formed there, where streptococci penetrate.

Redness occurs first, then purulent rollers, which
subsequently covered with honey-colored crusts. Patient complains
on soreness when opening the mouth, intense itching and

Surface felon

Surface felon, или турниоль – форма стрептодермии,
meeting in mostly in adults. With burrs, injuries
fingers, careless manicure around the nail plate appear
conflicts with light, and then with purulent contents. Nail phalanx
swells, reddens, becomes painful. After opening the bubble
remains erosion, covering the nail in the form of a horseshoe.

Simple lichen

Distinguished by the fact that dry elements are formed rather than wet ones.
conflict Papular lesions that occur on the face, trunk, less often –
on the limbs, sufficiently dense, covered with scales. After
the reverse development of the elements of the rash is marked lighter color
skin in these areas, which gave the name to this species
streptococcal infection.


Ecthyma представляет собой глубокое поражение тканей.
The resulting bubble reaches a considerable size. Him
the contents, in addition to serous effusion, can be filled with blood
due to damage to the skin vessels and capillaries. After эктимы
ulcers and extensive wounds remain.

Streptococcal diaper rash

In most cases, it is diagnosed in patients suffering from
overweight. Lesions are localized in the armpits, groin
or buttocks, with obesity diaper rash appear also on the abdomen. AT
skin folds form a lot of small bubbles, after opening
which remain wet surfaces. With no treatment or
low immunity, the disease becomes chronic,
which is difficult to treat.

Симптомы стрептодерми + фото

From infection to the first symptoms of the disease usually
7-10 days pass. However, in adults it is not always possible to tie
manifestation of streptoderma with contact with a sick person,
since, as mentioned above, streptococcus may some
it’s time for the “master” to live on the skin and wait for “suitable
moment “to attack.

AT большинстве случаев первые признаки заболевания проявляются в

  • scaly redness rounded shape;
  • flichen (bubbles), the sizes of which vary from three
    millimeters to one – two centimeters;
  • dry skin;
  • swollen lymph nodes;
  • pain and swelling of the affected skin area;
  • кожного зуда и повышения локальной температуры.

The favorite sites of streptoderma are as follows:

  • face;
  • neck;
  • wrists;
  • lower leg;
  • inguinal folds;
  • axillary hollows.

The initial form of streptoderma on the face

Streptoderma in adults often passes without painful
sensations and at the acute stage a slight itch is presumed.
slight burning sensation. AT редчайших случаях при попадании на
open infection ulcers an inflammatory reaction occurs, 
accompanied by an increase in temperature, as well as an increase
regional lymph nodes. If streptoderma formed on the background
diabetes mellitus, with lesions of the limbs, the healing lasts

If the disease is started, then streptococci will penetrate into more
deep layers of skin, ulcers will be covered with greenish crusts, then
in their place ulcers form. In the photo illustrating this stage
diseases, one can clearly see the jagged edges of the wounds and oozing from
них гной. This form of streptoderma is called
streptococcal ecthyma.

With a deep form of streptoderma are formed:

  • large ulcers with a dense crust, after healing
    which on the skin remain well visible scars. More often affected
    lower limbs, although the process can spread throughout
    to the body.
  • If the infectious process takes a diffuse character, then
    streptoderma foci rapidly spread through the body, merging each
    with a friend.


Symptoms of streptoderma with adequate treatment disappear through
week, but in some cases (with a weakened immunity or
the presence of chronic diseases) possible complications:

  • transition to the chronic form;
  • guttate psoriasis;
  • microbial eczema;
  • scarlet fever;
  • septicemia is a blood poisoning in which huge
    the number of streptococci;
  • glomerulonephritis;
  • rheumatism;
  • myocarditis;
  • boils and phlegmon.


If a person has found signs characteristic of
streptoderma – spots or bubbles, the only correct solution
in this situation, go to the doctor, who tells in detail how
treat streptoderma, prescribe the necessary drugs. To be sure
diagnosis, he will most likely schedule the seeding of the contents
abscesses or scraping from the skin for examination.

Can also be assigned to:

  • general blood analysis;
  • analysis to assess the level of thyroid hormones
  • stool analysis, etc.

Streptoderma needs to be differentiated from:

  • urticaria,
  • pityriasis versicolor,
  • pyoderma,
  • atopic dermatitis and eczema.

For this, a detailed patient survey is necessary to exclude
contact with allergens. Should be excluded or confirmed
fungi in the study of scrapings on mushrooms and spend more
diagnosis to exclude eczema.

Treatment of Streptoderma in Adults

AT настоящее время благодаря многочисленности антибактериальных
means increased the effectiveness of treatment of streptoderma.

But at the same time, the rate of recovery may depend on
following factors:

  • the age of the patient (in a previously healthy young man, the rate
    recovery significantly faster than the elderly));
  • severity of the disease;
  • characteristics of the organism (degree of immunity,
    the presence of contraindications, etc.);
  • the presence of concomitant diseases.

The technique of therapy involves local treatment: external
treatment and application of antibiotic ointments. Processing is required
to prevent the spread of infection to healthy
skin patches. Antibiotics can destroy streptococcus.
The treatment procedure is as follows:

  1. Lubrication of the lesion with hydrogen peroxide solution
  2. Drying the wound with a cotton swab.
  3. Drawing around a wound of iodine, green, alcohol, or
    salicylic solution (optional).
  4. Lubrication antibiotic ointment (erythromycin
  5. Imposing a sterile dressing with deep lesions.
Antiseptic drugs used in streptoderma:
Alcohol solutions:
  • Zelenka (Brilliant green);
  • Fucorcin (Castellani paint);
  • Boric acid;
  • Раствор йода;
  • Salicylic acid;
  • Methylene blue (blue), alcohol solution.
ATодные растворы:
  • Hydrogen peroxide;
  • Chlorhexidine;
  • Potassium permanganate;
  • Methylene blue water solution;
  • Мирамистина раствор.

At the same time, local antibacterial agents are prescribed.
(tetracycline, chloramphenicol ointment, ficidin). With intense
antihistamine pills are prescribed to the patient
(Tsetrin, Zodak, Claritin, Tavegil).

The reason for taking antibiotics in adults is only
advanced stage of streptoderma or a wide range of lesions
skin, in all other cases, the doctor will prescribe
superficial treatment. Among a wide range of antibiotics
Streptococcal dermatitis is well treated with penicillin remedies.
rows, for example:

  • Augmentin;
  • Amoxiclav;
  • Doxybene;
  • Minocycline;
  • Ampicillin;
  • Solutab;
  • Amoxicillin.

However, even penicillin antibiotics with streptoderma can
not always applied. If as a result of laboratory samples
have been identified allergies or any other contraindications then
Cephalosporins are used for treatment:

  • Ciprofloxacin;
  • Cephalexin;
  • Cefuroxime;
  • Suprax.

If the doctor prescribed you an antibiotic, then along with this medicine in
the pharmacy will be useful to buy probiotics that will help keep
natural intestinal microflora:

  • Linex;
  • Narine;
  • Relala life;
  • Normoflorin.
Strengthening immune defenses can be achieved by
plant adaptogens
  • aloe,
  • Echinacea,
  • Eleutherococcus
thymus based preparations
  • timogen,
  • thymalin,
  • timohexin
cytokine preparations substances normalizing the process of inflammation:

  • lakecomax,
  • leukinterferon,
  • roncoleukin

Treatment of streptoderma on average takes from 7 to 14 days, with
timely treatment and adequate therapy recovery
comes fast. But if the disease starts, undesirable

AT каком случае необходимо срочно обратиться к врачу?

  • Despite the treatment, the number of rashes
  • ATыраженная интоксикация (повышение температуры тела до высоких
    цифр, головная боль, выраженная слабость);
  • Deterioration of the general condition;
  • Children’s age up to 1 year;
  • Наличие сахарного диабета, ATИЧ и других заболеваний,
    aggravating streptoderma;
  • The presence of concomitant skin diseases (eczema, atopic or
    allergic dermatitis);
  • ATозникновение аллергической реакции на любое из используемых
    for the treatment of remedies.


Precautions are very simple:

  • Wash your hands regularly.
  • Care for your skin.
  • Increase immunity.
  • Treat wounds, cuts, and scratches in a timely manner.
  • Follow the endocrine system.
  • Eat right.
  • Teach children the rules of personal hygiene.
  • Do not use someone else’s dishes and towels.

Because streptoderma is a contagious disease, then with
appearance of the first signs need to urgently turn to
dermatologist and start treatment.

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