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Проявляется в виде поверхностных гнойничковых высыпаний, чаще всего на лице и конечностях [4](https://www.smclinic.ru/diseases/streptodermiya-u-vzroslykh/). \n\nВыделяют поверхностные и глубокие стрептодермии [1](https://pmedica.ru/handbook/dermatovenerologiya/streptodermiya). К первым относятся стрептококковое импетиго, сухая стрептодермия, рожа и панариций, к глубоким — целлюлит, вульгарная эктима и хроническая язвенно-вегетирующая пиодермия [1](https://pmedica.ru/handbook/dermatovenerologiya/streptodermiya).\n\n\n\n## Причины\nСтрептококки передаются от человека к человеку через прямой контакт с инфицированной кожей или через одежду, полотенца, постельное бельё, а также воздушно-капельным путём [1](https://pmedica.ru/handbook/dermatovenerologiya/streptodermiya)[2](https://semeynaya.ru/directions/dermatologiya/streptodermiya/). \n\nНекоторые факторы, способствующие развитию стрептодермии: \n* **Повреждения кожи** — микротравмы, порезы, ожоги, расчёсы при зудящих дерматозах (экзема, дерматит) [4](https://www.smclinic.ru/diseases/streptodermiya-u-vzroslykh/). \n* **Хронические заболевания** — сахарный диабет, варикозная болезнь, ожирение снижают иммунитет и ухудшают кровоснабжение кожи [4](https://www.smclinic.ru/diseases/streptodermiya-u-vzroslykh/). \n* **Иммунодефицитные состояния** — ВИЧ-инфекция, онкологические заболевания, приём иммуносупрессивных препаратов [4](https://www.smclinic.ru/diseases/streptodermiya-u-vzroslykh/).\n\n## Симптомы\nПроявления стрептодермии зависят от формы болезни [3](https://stolichki.ru/clubs/mother/health/streptodermiya-u-detej-prichiny-simptomy-i-lechenie). Например: \n* **Стрептококковое импетиго** — небольшие пузырьки с прозрачной жидкостью, которая затем мутнеет и трансформируется в гной [11](https://www.medicina.ru/patsientam/zabolevanija/streptodermiya/). Спустя несколько дней на их месте появляются желтовато-рыжие корочки [11](https://www.medicina.ru/patsientam/zabolevanija/streptodermiya/). \n* **Заеда** — щелевидная эрозия кожи, образующаяся в уголках рта [11](https://www.medicina.ru/patsientam/zabolevanija/streptodermiya/). Выглядит как трещина, окружённая отслаивающимися частичками кожи и жёлтыми корочками [11](https://www.medicina.ru/patsientam/zabolevanija/streptodermiya/). \n* **Панариций** — подковообразное воспаление вокруг ногтевой пластины на пальце руки [11](https://www.medicina.ru/patsientam/zabolevanija/streptodermiya/). Кожа приобретает розово-синюшный оттенок, отекает, по краю кутикулы отслаивается, а из-под ногтевого валика при нажатии выделяется гной [11](https://www.medicina.ru/patsientam/zabolevanija/streptodermiya/). \n\nПри выраженном воспалительном процессе может возникать общее недомогание, зуд и болезненность кожи, повышение температуры, увеличение лимфоузлов [3](https://stolichki.ru/clubs/mother/health/streptodermiya-u-detej-prichiny-simptomy-i-lechenie).\n\n## Диагностика\nПри подозрении на стрептодермию необходимо обратиться к дерматологу [1](https://pmedica.ru/handbook/dermatovenerologiya/streptodermiya)[13](https://ProBolezny.ru/streptodermiya/). Диагностика основывается на визуальном осмотре поражённой кожи и проведении лабораторных тестов [1](https://pmedica.ru/handbook/dermatovenerologiya/streptodermiya). Врач может взять мазок с поражённой области для лабораторного анализа для идентификации бактерий [1](https://pmedica.ru/handbook/dermatovenerologiya/streptodermiya).\n\n## Лечение\nЛечение стрептодермии направлено на устранение возбудителя и восстановление кожного барьера [15](https://uteka.ru/articles/bolezni/streptodermiya/). Некоторые методы: \n* **При лёгких поверхностных формах** — местное лечение: наружно применяются антисептики (растворы фурацилина, хлоргексидина или мирамистина) [15](https://uteka.ru/articles/bolezni/streptodermiya/). \n* **После стихания острого воспаления и мокнутия** или при наличии корок — антибактериальные мази [15](https://uteka.ru/articles/bolezni/streptodermiya/). \n* **Если стрептодермия на теле распространяется** или протекает с температурой, прописываются системные антибиотики — внутрь, в виде таблеток или суспензий [15](https://uteka.ru/articles/bolezni/streptodermiya/). Длительность курса антибиотикотерапии обычно составляет 7–10 дней [15](https://uteka.ru/articles/bolezni/streptodermiya/). \n\n**Нельзя мочить водой воспалённый участок**, чтобы не способствовать распространению инфекции [15](https://uteka.ru/articles/bolezni/streptodermiya/). 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