Clinical features and tactics of therapy of comorbid dermatoses

Abstract

Case of possible comorbidity in dermatological practice is presented in the article. Skin infections are known to be common in patients with chronic eczema and may be bacterial, fungal or viral in nature. The surface layer of the epidermis is damaged with eczema. This moment is usually hereditary and leads to a violation of the protective and barrier functions of the skin. There are violations of the lipid mantle of the skin, transepidermal loss of water, a shift in the pH of the skin to the alkaline side. These changes increase the probability of developing not only a skin infection, but also increased sensitization to an infectious agent. In clinical practice, infectious dermatitis is rarely combined with other allergic skin diseases, more often developing against the background of metabolic and vascular disorders, however, such clinical combinations are possible. The article describes a case of chronic eczema and infectious dermatitis. This comorbid pathology is of particular practical interest to clinicians, as it requires a more detailed approach to diagnostics and treatment. Along with systemic therapy in external treatment, combined topical glucocorticosteroids are the drugs of choice.