Diabetes. Eczema in diabetes mellitus: photo of the disease on the skin of a diabetic and treatment. Can eczema be caused by high sugar?

Diabetes mellitus is a disease that occurs with many complications, affecting all systems of the body. One of the first signs of diabetes is various skin ailments, which not only worsen the appearance of the patient, but also cause him enormous suffering.

The most common skin disease associated with diabetes is eczema, which can affect large areas of the skin.

To cope with diabetic eczema, comprehensive treatment is necessary, aimed not only at eliminating skin lesions, but also lowering blood sugar levels and improving the general condition of the patient.

Causes

Eczema in diabetes mellitus can occur for the following reasons. Circulatory disorders. It develops as a result of increased blood sugar levels, which destroys the walls of blood vessels, which interferes with normal blood circulation in the body.

Sugar has a particularly destructive effect on capillaries, completely destroying their structure and disrupting the supply of oxygen and essential nutrients to the tissues. This leads to gradual death of skin cells and the formation of eczema.

Dry skin. One of the main symptoms of diabetes is excessive urination, which leads to severe loss of water in the body and the development of chronic dehydration. The skin reacts especially strongly to a lack of moisture, becoming very dry and beginning to peel.

In combination with a violation of the blood supply to the tissues, this causes severe itching that cannot be tolerated. By scratching the itchy areas of the skin, the patient injures them, leaving severe scratches and scratches. Such damage is one of the main reasons for the development of eczema.

Allergic reactions. Regular insulin injections and taking medications to lower blood sugar often provoke the development of various allergic reactions, such as urticaria and dermatitis. In the most severe cases, skin allergies manifest as eczema. The complexity of this situation lies in the fact that a diabetic cannot refuse to use medications, which worsens the course of the allergy and leads to more severe stages of eczema.

Reduced immunity. Poor functioning of the immune system often provokes the development of eczema even in healthy people. And since diabetes causes a serious blow to the immune system, all patients suffering from this disease are the most susceptible to the formation of eczema.

Sudden sugar spikes are an additional factor contributing to the development of eczema. So quite often a patient may notice the first signs of eczema on his skin after attacks of hyperglycemia.

Symptoms

Sugar level

Eczema is an inflammatory skin disease characterized by the following symptoms:

Inflammation of the affected areas of the skin, on which bright scarlet spots appear that do not have clearly defined boundaries;
The formation of a papular rash, which looks like small blisters. They can be of different diameters from 5 mm to 2 cm. As the disease develops, the bubbles burst and erosions appear in their place;
Development of serous wells, as erosion is also called. They appear in the form of ulcers from which serous fluid oozes. For this reason, eczema is often called pityriasis versicolor;
Severe itching, which can become a real torment for the patient. By scratching the already inflamed skin, a diabetic aggravates the course of the disease and increases the risk of infection of the ulcers;
Over time, the ulcers become crusty, and the affected skin begins to peel off and develop deep cracks.

In diabetes mellitus, eczema often becomes chronic, which occurs with frequent relapses. Getting rid of chronic eczema is extremely difficult, as it is difficult to treat.

Eczema in diabetes mellitus does not develop in the same way in all patients. Thus, in patients with type 1 and type 2 diabetes, this disease often progresses differently, which should be taken into account when treating eczema caused by high blood sugar.

Eczema in type 1 and type 2 diabetes is manifested by the following symptoms:

Type 1 diabetes develops as a result of a significant decrease or complete cessation of the production of the hormone insulin, which is necessary for the absorption of glucose. This disease usually affects the patient in childhood or adolescence. Type 1 diabetes is characterized by very rapid progression, which leads to the rapid appearance of complications in the patient, including skin diseases. Therefore, the first signs of eczema can be observed in a patient already in the second year of the disease. It usually appears suddenly and very quickly reaches its most severe stages.
Type 2 diabetes most often affects people in adulthood, when the patient's internal tissues lose sensitivity to insulin. With this disease, blood sugar levels rise slowly, which is why the first signs of diabetes may begin to appear only after a long time. As a result, eczema can become sluggish and chronic with periodic relapses. With this type of diabetes, eczema lasts for a long time in a mild form.

Thus, the type of diabetes is key in the development of eczema. It is he who determines the severity of the lesion and the rate of deterioration of the disease.

Treatment

Treatment of eczema in diabetes mellitus is a long process that requires the use of potent drugs.

Only hormonal medications, namely glucocorticosteroids, can help a patient cope with an advanced form of eczema.

Typically, the following medications are used to treat this disease:

Corticotropin;
Prednisolone;
Triamcinolone;
Dexamethasone for diabetes.

It is important to emphasize that patients with diabetes must take them with great caution and only under the supervision of a doctor, since one of the side effects of these drugs is an increase in blood sugar levels.

In addition, to improve the condition of the skin and increase immunity, it is very useful for diabetic patients to take vitamin preparations. The following remedies are considered the most useful for diabetes:

Vitamin E oil solution;
Ascorbic and nicotinic acid in tablets;
Injections of B vitamins;
Folic acid in capsules or tablets.

This vitamin therapy is useful both for mild forms of eczema and for severe forms of the disease.

For topical use against eczema, you can use special ointments that help relieve itching and speed up skin healing. The most popular ointments in the fight against eczema are:

Eplan;
Bepanten (or its analogues Panthenol, D-Panthenol, Pantoderm);
Skin Cap;
Radevit;
Gistan (not to be confused with Gistan N);
Elidel;
Losterol;
Thymogen;
Naftaderm;
We see.

Some of these drugs will be effective in the initial stages of eczema, others cope well with chronic skin lesions, and still others can cure eczema, even complicated by a bacterial infection. Therefore, before choosing the most suitable remedy, you should familiarize yourself with their composition, pharmacological action and method of application. The video in this article will tell you what to do for itching and eczema.

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Eczema and diabetes- This is a fairly common combination of diseases. According to statistics, every sixth modern resident is dependent on insulin injections. As soon as the pancreas stops producing the necessary hormones, the general condition of the body deteriorates significantly. In addition, about 30% of patients with diabetes suffer from other pathologies caused by high blood sugar.

Diabetes mellitus and dermatosis: the relationship between pathologies

One of these diseases are skin diseases, which most often become chronic. Treatment of dermatosis is carried out in combination with therapy aimed at diabetes mellitus. Eczema occurs due to improper functioning of the thyroid gland. With the first symptoms of the disease, the patient must consult a doctor and undergo treatment only under his supervision. In case of diabetes mellitus, it is important to monitor the course of the disease and the body’s reaction to certain drugs that are prescribed on an individual basis.

The mechanism of development of skin pathology is due to disturbances in the regulation of carbohydrate metabolism, which ultimately leads to an increase in glucose. At first, such a change in the body does not cause any discomfort, proceeds unnoticed and the patient is not even aware of it. But as the disease progresses, irreversible damage to small blood vessels occurs. The arteries suffer, which in turn causes disruptions in the functioning of the nutritional and respiratory systems of all internal organs and tissues. That is why, in diabetes mellitus, the parts of the body that are penetrated by small vessels are primarily affected, which, in particular, includes the skin.

The main symptoms of eczema in diabetes mellitus

Increased blood sugar levels and impaired blood supply to certain areas lead to the appearance of pathological symptoms:

redness and swelling;
small papular rashes;
burning and pain when touched;
severe unbearable itching.

In cases where the patient does not yet know about his diagnosis of diabetes mellitus, eczema cannot be perceived as direct evidence of it. In this case, dermatosis is, rather, not a specific sign of the disease, but an indicator of the need to undergo a comprehensive examination due to suspicion of it.

How does skin disease develop with high blood sugar?

It is worth noting that the degree of damage to the epidermis and the intensity of manifestations are often directly dependent on the stage of diabetes mellitus. When eczema appears against the background of this disease, it is easy to note the heterogeneity of the rashes on the skin. Individual characteristics of the body and the rate of progression of pathology are often the determining factors in the disruption of metabolic processes in epithelial tissues.

Regardless of the localization of eczematous manifestations, skin rashes occur due to an active mechanism of impaired blood supply:

The body automatically seeks to redirect excess sugar from the blood serum into the subcutaneous fat. At first, he succeeds so far, the glucose level is kept at the limit values.
As soon as diabetes begins to progress and the process of removing sugar from the blood becomes uncontrolled, the excess passes into the arterial membranes and neighboring cells, and its gradual accumulation occurs.
As soon as the accumulated sugar is oxidized due to destruction, the body produces toxic metabolic products that damage blood vessels. The blood supply to the affected areas is reduced, the epithelium, in other words, begins to die.
Slowing down regeneration processes and damage to skin areas contribute to the development of complications. Microbes enter the wound surface, provoking an extensive inflammatory process with the release of pus.

The extent of epidermal damage often depends on the stage of diabetes mellitus.

Characteristic features of eczematous symptoms in diabetes

Hence we can say that eczema in diabetes mellitus goes through several stages of its development. At the site of damage to small vessels, some of the epithelial cells die, which causes its own characteristics of the course of dermatosis:

With a decrease in blood flow, the first signs of eczema appear, which most often go unaddressed. Lack of skin regeneration leads to thinning of the skin.
Erythema primarily appears on the fingers, moving up the limbs.
Even small wounds and cracks on the skin that have lost its protective functions heal slowly.
In the case of a bacterial infection, the inflammatory process intensifies. In the absence of timely and high-quality treatment, the patient may even be at risk of amputation of limbs.
Any skin damage caused by the diabetic process is difficult to heal. The weeping lesions may not be covered with a crustous crust for several months. As it heals, a thin scar forms.

Treatment of dermatosis due to diabetes mellitus

Eczema and diabetes threaten not only the deterioration of the general condition of the body, but also the life of the patient. Treatment of skin diseases requires a thorough, qualified approach. External application of medications to the affected areas will, at best, bring a short-term effect, and at worst, it will be completely useless. Therefore, when starting to treat dermatosis, the main emphasis should be on reducing blood sugar levels.

Since it is possible to reduce glucose in the body only with the help of insulin, it is the main method of drug treatment for diabetes mellitus. However, folk methods of lowering excess blood sugar are no less popular. For example:

Black currant leaf tea. Preparing this remedy is simple: pour 1 pinch of dried or fresh leaves with a glass of boiling water and leave to steep for 10-15 minutes. Before drinking, strain the finished drink and drink 2 times a day.
Herbal mixture of centaury, licorice, calamus root. All dried components are taken in equal proportions. It is advisable to dry the plants before preparing the collection. Give the patient half a teaspoon of ground herbal powder an hour before meals. It is advisable to drink it with water or green tea.
Infusion of Galega officinalis. To prepare the product you will need the tops and seeds of the plant. For 1 cup of boiling water use 1 tsp. Take a few sips of the medicine throughout the day, half an hour before meals. To stabilize sugar levels, it is recommended to drink the infusion for at least six months.
Collection of walnuts, bean leaves, St. John's wort, peppermint and chicory. For 1 tbsp. l. take two glasses of water for the medicinal mixture. Next, place the container with the collection on the fire, bring to a boil and cook for at least 5 minutes, then cool and filter. Take 60 ml three times a day for three weeks.

Tea made from blackcurrant leaves is an excellent treatment for dermatosis associated with diabetes.

Medications for the treatment of eczema

For external treatment of eczema, you should use agents whose action is aimed at relieving the inflammatory process, acute symptoms and accelerating healing. The drug course consists of drugs from various groups:

Hormonal ointments and creams. External medications are used to relieve painful manifestations. Such drugs are selected only by the attending physician and are prescribed with extreme caution, since corticosteroids have a number of contraindications, among which diabetes mellitus is often found. Eczema is usually treated with their help for no more than 10 days, then hormonal ointments will be replaced by safer drugs.
Non-hormonal anti-inflammatory drugs for topical use. These medications are prescribed after corticosteroids with positive dynamics of recovery. The duration of treatment can be about a month; such drugs have no side effects. Among the effective drugs it is worth noting Skin-Cap, La-Cri, Desitin, Panthenol, zinc and boron ointments.
Antiseptic and antimicrobial solutions for treating wound surfaces. Fukortsin, brilliant green solution 1%, Resorcinol, Tannin are used before applying anti-inflammatory drugs. They have a drying and astringent effect.
Antibacterial and antifungal drugs. Necessary for eczema complicated by infection. The most commonly used are tetracycline ointment, Indomethacin, Levomekol, Exoderil, Lamisil.

Diet for diabetes and prevention of eczema

Since the course of eczema is largely determined by the degree of control over diabetes, it is important to do everything to reduce the critical glucose levels as much as possible. In addition to the medicinal effect on the external manifestations of the disease, it is worth noting the need to reconsider lifestyle and follow preventive rules.

Patients suffering from eczema and diabetes, in general, are no different from ordinary people. Their lifestyle is what every healthy person should adhere to, where the main principles are dieting, a mobile and active lifestyle, and giving up bad habits.

In particular, eczema in diabetes mellitus implies quite strict restrictions in the diet:

Avoid consuming sugar in any form.
You need to eat in fractions, i.e. at least 5 times a day in small portions.
Minimize carbohydrate intake. You can only eat wholemeal or bran bread. Potatoes can be eaten occasionally, preferably baked or in “jackets”.
Consume only lean varieties of meat and boiled fish.
Give priority to fresh vegetables, and choose fruits enriched with vitamin C.
The most suitable cereals for diabetes are buckwheat, pearl barley, rice, and oatmeal. You need to limit your consumption of legumes and class “A” pasta (made from durum wheat).
It is undesirable to drink whole milk, but leave low-fat fermented milk products in the daily menu in the amount of 1-2 glasses per day.
Avoid strong drinks with high caffeine content.

During the diet for diabetes and the prevention of eczema, you must avoid any drinks containing caffeine.

As for physical activity, patients with eczema and diabetes are allowed moderate exercise. It is advisable to discuss the type of training, its duration and frequency of sports activities with your doctor in advance.

Questions and answers

Lyudmila, 45 years old:

How can you tell if eczema is caused by diabetes?

Expert's answer:

Dermatosis is not a specific sign of thyroid dysfunction. An examination for eczema necessarily includes a blood and urine test to determine sugar levels. If the results of the study confirm the presence of a pathological process, it can be assumed that diabetes mellitus in this case is one of the most likely causes of the development of the skin disease.

Svetlana, 56 years old:

Are folk remedies effective for eczema and diabetes?

Expert's answer:

Alternative medicine offers many recipes that can both act externally on the skin and have a systemic effect on blood sugar levels. Their effectiveness largely depends on the severity of the patient’s condition, the stage of dermatosis and the type of diabetes mellitus. However, you should always consult your doctor before using any of them.

Stanislav, 38 years old:

Are erysipelas and eczema in diabetes the same thing?

Expert's answer:

No, these are completely different diseases. Unlike eczema, erysipelas is not accompanied by pain; in addition, it is often characterized by an acute onset of the disease and pronounced clinical signs of intoxication; in some cases, symptoms of regional lymphadenitis also appear.

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With metabolic disorders, many pathologies occur in the body, including eczema in diabetes mellitus. This inflammatory process of the skin occurs during prolonged and advanced hyperglycemia, and is also manifested by a rash, itching and burning sensation. This disease is not transmitted through contact with a sick person. If symptoms of diabetic eczema appear, you should consult an endocrinologist, since in advanced cases the pathology is difficult to treat and leads to dangerous consequences.

Causes of Diabetic Eczema

The main cause of this pathology is constant hyperglycemia. There are other reasons:

lack of insulin in the body;
taking an insufficient dose of insulin;
decreased sensitivity of receptors to insulin;
poor blood sugar control;
impaired blood flow to the extremities;
failures in dietary nutrition;
broken syringe pen.

Associated factors are identified:

stress factor;
decreased immunity;
pathologies of the stomach and intestines;
hereditary factor;
allergic manifestations;
pathologies of the endocrine system.

Update: October 2018

Eczema belongs to a group of widespread skin diseases and is a chronic inflammation of the superficial layers of the skin of a neuro-allergic nature. Eczema is characterized by polymorphism of rashes, a tendency to weep and a very persistent course, therefore, for eczema on the hands, treatment should be comprehensive, individual,

The disease brings significant psychological discomfort to its owner, since the rashes are most often localized on open areas of the body (feet, arms and face). The disease occurs cyclically, with periods of remission and exacerbation. The question of how to treat eczema on the hands is relevant, since many therapeutic areas are insufficiently effective, and the disease reminds itself again and again.

Why does eczema occur on the hands?

Some doctors still classify eczema as a group of idiopathic diseases, i.e. with unknown etiology. Indeed, the true causes of the development of eczema have not yet been fully studied, but there are a number of factors that have been proven to play an important role in the occurrence of one or another type of eczema:

Idiopathic eczema This is precisely the type of eczema, the exact cause of which has not yet been established. There is an opinion that various internal and external factors play a certain role in its occurrence, such as:

emotional and mental stress
traumatic situations
vegetative-vascular dystonia
thyroid diseases
diabetes
digestive diseases
hereditary factor

Atopic eczema occurs in people with a significant tendency to allergic reactions (allergy to pollen, food, animal dander). Also at risk for this type of eczema are people with a hereditary predisposition to atopic diseases (for example, with bronchial asthma, asthmatic bronchitis, see).

Occupational eczema develops with prolonged negative effects on the skin of certain chemicals - chromium, nickel, formaldehyde, dyes, detergents. Occupational eczema initially manifests itself in the typical place of skin contact with a chemical irritant - on the hands, and then can spread to other areas of the skin.

Microbial eczema affects areas of the skin with a long-standing inflammatory process of microbial or fungal etiology.

There are also types of eczema such as seborrheic, which develops against the background of the fungus Malassezia furfur persisting on the scalp, and varicose eczema, which is localized on the skin of the lower extremities and develops due to poor blood supply against the background of varicose veins. As well as childhood eczema, which is most often localized on the skin of the forehead, cheeks, and chin. But these types of diseases very rarely occur on the hands.

Common causes of eczema on the hands are the influence of internal and external irritants, coupled with a specific predisposition of the skin of a congenital or acquired nature, as well as features of the epidermis, expressed in the tendency to develop microbubble epidermitis, which is characterized by increased susceptibility of the body to a number of irritants.

Some researchers have identified the following provoking factors that influence the occurrence and progression of eczema:

micronutrient deficiency
vitamin B6 deficiency
infestations by worms (see,)
deficiency of unsaturated fatty acids;
metabolic disorders of the kidneys
intestinal dysbiosis, inflammation of the gallbladder (see,)
immunodeficiency, both congenital and acquired

Symptoms of eczema on hands

Idiopathic eczema

characterized by very tangible. The rashes are most often localized on exposed parts of the body, including the hands - they can be erythematous, papular, vesicular and characterized by symmetry. The acute process begins with small vesicular eruptions, which, as the process becomes chronic, merge and open, forming point erosions. The chronic course of the disease leads to lichenification of the skin.

Atopic eczema

For occupational eczema

open areas of the body are affected at the site of contact with the irritant (neck, face, forearms, hands). The progression of eczema leads to the spread of lesions to other areas of the skin. Manifestations of the disease are typical and very similar to idiopathic eczema.

Microbial eczema

most often acts as a complication of pustular skin disease and is localized around wounds, in places of burns, ulcers and fistulas. Initially, the process is limited in nature - a one-sided lesion occurs with detachment of the horny part of the skin along the periphery and or exudate in the center, which then shrinks into crusts. Screenings of pustular elements appear near the main focus. With a long course of microbial eczema, symmetrical areas of the skin are typically affected. The itching is mild.

Treatment

How to treat eczema on hands? Chronic eczema of the hands and other parts of the body is characterized by a prolonged course. Treatment is prescribed individually for each patient and takes into account the type of eczema, the severity of the inflammatory process and the individual characteristics of the patient (age, general condition, treatment results, etc.). The question of how to treat eczema on the hands can be answered in one word - comprehensively.

General drug therapy

Pathogenetic therapy is the main type of treatment, without which it is impossible to cure eczema on the hands. This type of therapy is aimed at leveling or weakening the negative influence of the external environment or altered functions of internal organs.

When eczema on the fingers is diagnosed, treatment often includes nonspecific desensitizing therapy: autohemotherapy, blood transfusions, hirudotherapy, lactotherapy.

In case of severe eczema, hemosorption, enterosorption and plasmapheresis are performed.

Biostimulants are prescribed: course injections of extract or placenta, 1.0–1.5 ml.

For severe neurotic disorders, the following is prescribed:

the doctor may prescribe sodium bromide orally, 5-15 ml 3 times a day
Bromocamphor also three times a day for 2 weeks
only as prescribed by a doctor, tranquilizers in small doses - Nozepam, Phenozepam, Chlozepid for no more than 10 days
sedative herbal remedies - Novopassit, Persen, Valerian, Peony tincture, Sedasen

Enterosorbents and drugs to reduce intoxication:

Among the energy sorbents we can highlight Polyphepan, Multisorb, Enterosgel, Atoxil,) also for a short course of no more than 10 days
Intravenous injections of sodium thiosulfate 10-20 infusions of 10 ml. or calcium chloride
For mycotic eczema, hexamethylenetetramine solution
Calcium gluconate intramuscularly 10-20 injections

Hormone therapy

Persistent eczema of the fingers and between the fingers is treated with hormonal drugs, which are used only as prescribed by a doctor, for a short course, with gradual withdrawal of the drug and only in cases of extreme necessity. Taking corticosteroids has serious side effects and a number of contraindications; it can contribute to the development of infectious processes and exacerbation of chronic diseases, since it reduces immunity (see).

Their prolonged or frequent uncontrolled use is especially dangerous. If eczema is localized only on the hands and fingers, you can limit yourself to using only local hormonal agents, but in the case of generalization of the inflammatory process, oral hormonal therapy can also be prescribed; it lasts no more than 10–15 days in moderate, controlled doses:

corticotropin 40 units daily (800–1000 units per course)
prednisolone 20-40 mg daily
triamcinolone 10 mg daily
dexamethasone 2.5 tablets daily

Vitamin therapy

Vitamin therapy is indicated for the treatment of any type of eczema on the hands. However, given the latest research by scientists, preparations containing synthetic vitamins should be treated very carefully (see):

Vitamin E (oil solution)
Ascorbic and nicotinic acid
B vitamins in injections
Folic acid

Antihistamines are indicated for any type of eczema on the hands:

In acute cases, parenteral administration of diphenhydramine, chloropyramine, promethazine is indicated.
For moderate severity, 1 tablet orally for 2 weeks 3 times a day
Then you can use 2nd and 3rd generation drugs, such as ebastine (Kestin 300 rub. 10 pcs.), cetirizine (Cetrin 150 rub. Zirtec, Zodak, Parlazin), Loratadine (Clarisens, Claritin, Lomilan, Loragexal, Loratin), fexofenadine (Telfast , Fexadine) desloratadine (Erius, Lordestin, Dezal) see full.
It is also possible to use Ketotifen - stabilizers of mast cell membranes

Immunomodulators

Stimulators of phagocytosis, these include Polyoxidonium, Lykopid, Prodigiosan
Timomimetics are Thymogen, Timalin, Immunofan
According to indications, it is possible to use - Vitreous body, humisol solution, Plazmol, placenta extract; they can be used to treat eczema on the hands and body only in case of a chronic process.

For dysbacteriosis, indigestion

When eczema is combined with pancreatitis, other gastrointestinal diseases, gastroduodenitis, bile salts, enzyme preparations, pepsin are prescribed - these are Pancreatin, Ermital, Creon, Festal, Solizim, Enzistal, Panzinorm forte, Micrazim, Pangrol, Gastenorm, Pepfiz, Biozym. If eczema on the hands is accompanied by a violation of the intestinal microflora (see), courses of probiotics are used, such as Lactobacterin (see).

For microbial eczema

In the presence of a purulent process in microbial eczema, antibacterial agents are used. To maximize the effectiveness of the treatment, it is better to pre-seed the flora and determine the resistance and sensitivity of the eczema pathogen to specific antibiotics. Macrolides, 2nd generation cephalosporins, fluoroquinolones and aminoglycosides are usually used. When a fungal infection occurs, local treatment with antimycotics - ointments, creams - is indicated.

Local drug therapy

Various aqueous solutions, powders, suspensions, pastes and ointments are shown. The choice of a specific dosage form and method of local treatment of eczema on the hands is determined by the type of eczema and is based on the prevalence, location and severity of inflammatory elements.

Microbial eczema- with this type of skin lesion, the following solutions are applied to the cortical formations and pustules:

Dyes - brilliant green, gentian violet solution, methyl violet
It is possible to use aerosols and creams of polcortolone, panthenol, levovinizol (see list)
In extreme cases, a short course of treatment in the form of lotions with solutions of ethacridine lactate, resorcinol

For limited forms of eczema, for example, on the hands, weak astringents and itching compounds with an anti-inflammatory effect in the form of bandages or lotions are indicated:

Burov's liquid
lead water
resorcinol solution 1–2%
zinc or copper sulfate solution 0.1%
silver nitrate solution 0.25%
2–5% phenol solution
0.5–1.0% menthol solution
citric acid solution 1%
podophylline ointment for eczema on hands 0.1%
diphenhydramine paste 2–5%

In the case of an acute process, powders made from white clay, zinc oxide, and wheat starch have a good effect. After the acute phase subsides, indifferent pastes and ointments and zinc oil are prescribed.

If there is swelling, weeping, erythematous lesions, the presence of erosions, in addition to resorcinol, use lotions from solutions of galascorbine, boric acid, tannin, and from medicinal herbs - decoctions of St. John's wort, chamomile.

When the acute inflammatory process begins to subside, mixtures are used - Lassar paste, zinc paste, it is possible to add additional antipruritic and antiseptic agents to them, such as naphthalan paste, ichthyol paste, boron-zinc paste. In the case of chronic eczema on the hands, the following ointments can be added to the zinc ointment: boron-naphthalan, methyluracil, dermatol, which enhance the anti-inflammatory effect.

Also, according to indications, corticosteroid ointments are used for eczema on the hands, among which are Elokom, Skin-cap (it contains a powerful corticosteroid drug, which is not indicated in the instructions), Celestoderm, Advantan, Flucinar (see the complete list of all hormonal ointments with their side effects in the article). For microbial eczema, it is better to use not pure hormonal ointments, but with the addition of antimycotics, antibiotics or antiseptics - Lorinden S, Celestoderm with Garamycin, Trimistin, Travocort, Kremgen.

Physiotherapeutic procedures

Physiotherapeutic techniques help resolve inflammatory elements and are an important component of treatment. Applicable:

2-4 chamber baths
, mineral water baths
aerotherapy, electrosleep
diphenhydramine inhalations
general galvanization
diadynamic therapy
segmental ultrasound exposure
ultraviolet irradiation
ultraphonophoresis of external medicinal products
, ozokerite therapy
, ozone therapy
low frequency magnetic field
acupuncture
paraffin applications

Diet therapy

It is recommended to avoid spicy and salty foods, strong meat broths, egg whites, fried meat, game, smoked meats, preserves, cheeses, sausages, spices, coffee, chocolate, and alcoholic beverages. The preparation of protein products (meat, fish) should be carried out in a dietary manner. In general, a light dairy-vegetable diet is indicated.

Folk remedies for eczema

When there is eczema on the hands, folk remedies are very effective and are used as an addition to the main treatment or act as an alternative to it if it is ineffective.

Salt baths

Dry hand eczema can be treated well with salt water. Salt (preferably sea salt) is added to hot water, approximately 2 tablespoons per 1 liter of water. Such baths for eczema on the hands are made in a basin with a solution and are kept there until the water cools down. You can do this procedure daily until noticeable improvement occurs.

Homemade emulsion

Homemade emulsion helps with weeping eczema. Drive one chicken egg into a small jar, add 50 ml of vinegar (table vinegar) and water. This mixture is then thoroughly mixed to form an emulsion. Apply this mixture to the affected areas of the skin overnight and cover with a cloth. The dried film cannot be washed off in the morning, and the procedure must be repeated in the evening. Within about a week, the weeping resolves and the dry skin peels off.

Kalanchoe juice

The juice of Kalanchoe officinalis has a good healing effect, which should be regularly lubricated on the affected skin.

Coltsfoot

Coltsfoot helps to relieve unpleasant symptoms in the form of itching and treat eczema, which must be passed through a meat grinder and fresh milk added to it. The affected areas are smeared with the resulting composition overnight and covered with cellophane. Relief occurs after 2-3 procedures.

Anti-relapse treatment and prevention of exacerbations

During the period of remission, a course of treatment with histoglobulin is carried out. Impeccable adherence to personal hygiene rules and timely treatment of intercurrent diseases are important. Following a diet helps to significantly prolong the period of remission. Affected areas of the skin must be protected from any negative impact, both during household chores and in production.

The most common skin disease associated with diabetes is eczema, which can affect large areas of the skin.

Causes

Sudden sugar spikes are an additional factor contributing to the development of eczema. So quite often a patient may notice the first signs of eczema on his skin after attacks of hyperglycemia.

Symptoms

Sugar level

Eczema is an inflammatory skin disease characterized by the following symptoms:

Inflammation of the affected areas of the skin, on which bright scarlet spots appear that do not have clearly defined boundaries;
The formation of a papular rash, which looks like small blisters. They can be of different diameters from 5 mm to 2 cm. As the disease develops, the bubbles burst and erosions appear in their place;
Development of serous wells, as erosion is also called. They appear in the form of ulcers from which serous fluid oozes. For this reason, eczema is often called pityriasis versicolor;
Severe itching, which can become a real torment for the patient. By scratching the already inflamed skin, a diabetic aggravates the course of the disease and increases the risk of infection of the ulcers;
Over time, the ulcers become crusty, and the affected skin begins to peel off and develop deep cracks.

In diabetes mellitus, eczema often becomes chronic, which occurs with frequent relapses. Getting rid of chronic eczema is extremely difficult, as it is difficult to treat.

Eczema in type 1 and type 2 diabetes is manifested by the following symptoms:

develops as a result of a significant decrease or complete cessation of the production of the hormone insulin, necessary for the absorption of glucose. This disease usually affects the patient in childhood or adolescence. Type 1 diabetes is characterized by very rapid progression, which leads to the rapid appearance of complications in the patient, including skin diseases. Therefore, the first signs of eczema can be observed in a patient already in the second year of the disease. It usually appears suddenly and very quickly reaches its most severe stages.
Type 2 diabetes most often affects people in adulthood, when the patient's internal tissues lose sensitivity to insulin. With this disease, blood sugar levels rise slowly, which is why the first signs of diabetes may begin to appear only after a long time. As a result, eczema can become sluggish and chronic with periodic relapses. With this type of diabetes, eczema lasts for a long time in a mild form.

Thus, the type of diabetes is key in the development of eczema. It is he who determines the severity of the lesion and the rate of deterioration of the disease.

Treatment

Treatment of eczema in diabetes mellitus is a long process that requires the use of potent drugs.

Only hormonal medications, namely glucocorticosteroids, can help a patient cope with an advanced form of eczema.

Typically, the following medications are used to treat this disease:

Corticotropin;
Prednisolone;
Triamcinolone;

Vitamin E oil solution;
Ascorbic and nicotinic acid in tablets;
Injections of B vitamins;
Folic acid in capsules or tablets.

This vitamin therapy is useful both for mild forms of eczema and for severe forms of the disease.

For topical use against eczema, you can use special ointments that help relieve itching and speed up skin healing. The most popular ointments in the fight against eczema are:

Eplan;
Bepanten (or its analogues Panthenol, D-Panthenol, Pantoderm);
Skin Cap;
Radevit;
Gistan (not to be confused with Gistan N);
Elidel;
Losterol;
Thymogen;
Naftaderm;
We see.

Almost thirty percent of people who suffer from diabetes also have a number of other diseases that were caused by diabetes. One of these diseases includes eczema, the development of which in this case was facilitated by dysfunction of the endocrine glands.

In this case, eczema must be treated only under the strict supervision of a specialist who will monitor the progress of the disease and will give exactly the treatment that is necessary in each specific case.

In addition to treatment in hospitals, there are also traditional medicine methods that are aimed specifically at treating eczema, which was caused and occurs in the body simultaneously with diabetes.

Here are a few recipes that will help people with diabetes cope with eczema or at least make its manifestations less obvious and interfering with a normal lifestyle.

The first method is to apply a mixture of 50 g of sea buckthorn oil and 100 g of birch tar to the affected areas of the skin, or a mixture of 25 g of sea buckthorn oil, 40 g of sulfuric ointment, and 30 drops of hydrogen peroxide. These compounds can be used to treat areas where there is severe itching and where there are wounds caused by eczema.

The affected areas of the skin can be treated, including healthy areas with a solution consisting of 100 g of birch tar, 25 g of sulfuric ointment and from twenty to thirty drops, depending on the consistency of the resulting mass, of propolis tincture with alcohol. This mixture must be mixed very well until a homogeneous composition is obtained.

You can treat the affected area of the skin only with natural oils, taking them in the amount of 100 g of unrefined sunflower oil and adding a little sea buckthorn oil to it.

If patients with diabetes and eczema have ulcers on their hands or feet, which also hurt a lot, then the following recipe will help cope with them.

To do this, you need to take a jar with a capacity of half a liter and place Kalanchoe leaves, aloe leaves and golden mustache leaves in it in equal quantities. All these leaves are poured with ordinary unrefined sunflower oil and left to infuse for fifteen to twenty days, in a dark place at a temperature no higher than 25 degrees, while the jar with the mixture must be shaken periodically, thereby mixing the composition. After the composition is infused with the resulting oil, you can treat your arms and legs simply as a preventive measure 2 times a week, and if there are already pustules, then you need to apply bandages to the affected areas for the whole night.