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The spots on the body are similar to lichen, but do not itch - what is it and how to treat? (a photo)

What could it be?

Usually manifestations of dermatophytosis (microsporia), or so-called lichen, include the appearance of itching in the area of ​​the nidus. If there are spots on the body, similar to lichen, that do not itch, you need to compare them with the manifestations of other skin diseases of non-fungal nature.

Spots on the body

Spots on the smooth skin of the trunk and extremities occur in the following diseases:

  1. Pink lichen giber;
  2. Seborrheic dermatitis;
  3. Ring-shaped erythema;
  4. Chronic erythema in Lyme disease.

Let's look at the symptoms and photos of these diseases and look for matches.

Pink versicolor

Body spots are similar to lichen, but do not itch

lichen giber photo

The cause of the disease is unknown, it is assumed viral infection. In this pathological process, in most cases, first appears the so-called maternal plaque, which has a size of 2-5 cm, a bright pink color and an oval shape. The plaque slightly rises above the surface of the skin, and in the center of it there is a small peeling.

After 7-14 days, there are many secondary plaques that are 2-3 cm in size, also bright, oval, with a softly folded center, erythemato-squamous, which means the presence of redness with large peeling in the center. Also characterized by the appearance of peeling in the form of a "collar" inside the plaque.

Foci of pink lichen are not randomly located, but along elastic skin lines (Langer's line). The plaques appear sequentially, so one patient may have a variety of foci in appearance.

How to treat?

Usually, treatment for deprived giber is not required; recovery occurs on its own after 4-6 weeks. It is recommended to refrain from contact of the affected skin with water, to exclude mechanical impact on the lesions (rubbing with a washcloth or hard towel).

In a pronounced process, apply:

  • Antihistamine drugs: chloropyramine, clemastin, etc.
  • Calcium chloride, calcium pantothenate inside to increase nonspecific immunity.
  • Creams, ointments with glucocorticosteroids (hormonal), have anti-inflammatory effect.
  • Water-zinc mash, naphthalan paste outwardly.
  • Ultraviolet irradiation.

Read more about pink lichen, symptoms and treatment in humans.

Seborrheic dermatitis
Seborrheic dermatitis

Seborrheic dermatitis photo

The cause of seborrheic dermatitis is the active development of microflora with increased sebum secretion. In this disease, yellowish-pink spots appear on the skin of the trunk, arms, and legs, as well as plaques of various shapes: round, oval, irregular in shape, with clear boundaries and flaking.

When the location of pathological lesions in the folds of the skin, there is swelling, redness, cracks, weeping, crusts may appear. Perhaps the accession of other microorganisms and the development of purulent inflammatory process. His signs will be:

  • Severe redness of the skin, swelling;
  • Pain on touch;
  • Discharge of pus;
  • Local increase in skin temperature in the field of pathological lesions.

How to treat?

Treatment of seborrheic dermatitis is long and regular. It is aimed at combating inflammation, preventing the spread and re-development of the pathological process. Therefore, a number of pharmacological agents are prescribed that have a complex effect:

  • Antihistamines for pruritus, sleep disorders: hlopyramine, clemastine, loratadine;
  • Calcium gluconate, calcium pantothenate with soaking moist foci;
  • Hormonal drugs with a significant spread of the inflammatory reaction: betamethasone dipropionate injections, oral prednisone;
  • Tranquilizers for long-lasting insomnia and intense itching: nitrazepam, oxazepam;
  • Soothing preparations: herbal complexes, guaifenesin;
  • Enzymes: pankeratin, cholic acid, pepsin, bovine bile extract (their use is shown, since it was found that a violation of the enzymatic activity of the digestive tract is almost always present in seborrheic dermatitis).

Locally used:

  • Knitting lotions with tannin, silver, boric acid, which are well dried weeping foci;
  • Disinfecting lubricants with green paint, fucorcin;
  • In severe inflammation, apply ointment with hormones - glucocorticosteroids: betamethasone, dexamethasone, hydrocortisone and others;
  • An effective alternative to hormones is 1% pimecrolimus;
  • Paste with birch tar, naphthalan;
  • When joining the infection, prescribe ointments and aerosols with antibiotics;
  • With treatment failure, systemic antifungal drugs are used: intraconazole, fluconazole;
  • Physiotherapy: SMT - sinusoidal-modeled currents.

Read more about the treatment of seborrheic dermatitis of the head and face.

Ring-shaped erythema, or erythema to Daria
Erythema Daria photos

Erythema Daria photos

The reason is not established. It is a chronic skin disease in young men, which is believed to be a toxic reaction to an allergy or infection. Developed in predisposed individuals with a specific set of HLA complexes.

At the beginning of the disease, small patches on the body appear on the skin, similar to lichen, which do not itch, with slight peeling.

Gradually, they increase and take the form of a ring, with a pronounced bright pink cushion at the edges and a retraction in the center. The center of the ring is of normal color or slightly pink, no peeling.

The size of spots is from 2 to 8 cm. The form can be deformed into semiring, garlands, which was the name of the disease. Weak itching is present in rare cases.

How to treat?

Treatment of erythema annular is carried out in the following areas:

  • Elimination of chronic inflammatory foci: tonsillitis, sinusitis, etc .;
  • Normalization of the gastrointestinal tract;
  • Antihistamines;
  • Calcium supplements inside;
  • Sodium thiosulfate in injections, with a detoxifying effect;
  • Diet with the exception of possible food allergens;
  • Locally - ointment with hormones.

Lyme disease in the stage of chronic migrating erythema
Lyme Disease Photo

Lyme Disease Photo

Lyme disease is an infectious disease. The second name is borreliosis, by the type of pathogen (Borrelia burgdorferi spirochete), which enters the human body after being bitten by an Ixodes tick, its carrier.

The stage of chronic erythema is the beginning of the disease, its early detection can help diagnose borreliosis and start treatment in time.

At the site of suction of the tick, a spot with a border in the form of a wide red ring is formed and gradually increases in size. The total spot size is from 3 to 15-60 cm. The center of the spot is pale, the edges are swollen and painful to the touch.

After a few days, the spot begins to spread to neighboring areas of the skin, new foci may appear. The shapes of the rings are varied, the edges are scalloped. Most often, erythema is located on the scalp, neck, or upper chest and back.

At the same time, there are: general weakness, intoxication, fever, headache, lymph node enlargement, pain in the joints and the area of ​​the liver.

How to treat?

If you suspect that the spots are a manifestation of borreliosis, if there is a connection with the tick bite, it is necessary to immediately consult an infectious diseases specialist. The treatment is complex and is carried out in the hospital. As the infection process subsides, spots are also reversed.

Stains on the head

If the spots on the body, similar to lichen, do not itch and are located on the head, then they may be due to the following diseases:

  1. Seborrheic dermatitis;
  2. Focal alopecia;
  3. Pseudopelada.

Seborrheic dermatitis of the scalp

Seborrheic dermatitis of the scalp

The causes are similar to seborrheic dermatitis of smooth skin. The earliest symptom is dandruff. Then, reddening and increased peeling of the skin appears, specific plaques with clear edges are formed, which merge and can cover a large area of ​​the head, going to the forehead.

In some cases, yellow-dirty crusts are formed, when removed, they reveal a wet surface. If the process has become chronic, then hair loss begins, which decreases as the inflammation subsides during the treatment.

The plaques on the head are often accompanied by the appearance of a rash on the face in the form of spots and plaques.

How to treat?

General treatment as seborrheic dermatitis smooth skin. Topically applied antiseborrheic shampoo with tar, ketoconazole, zinc. Thus, therapy is aimed at drying and fighting fungi that live on the scalp of the scalp.

Read more about seborrheic dermatitis of the scalp

Alopecia areata, or alopecia baldness
Alopecia areata photo

Alopecia areata photo

The reasons are currently not fully understood, suggest autoimmune destruction of hair follicles. A disease with an unpredictable course - foci can both appear and disappear on their own within 2-6 months.

Sometimes stratification of processes occurs - old foci are not overgrown, and new ones have already appeared. The provoking factors include stress, genetic predisposition, acute and chronic intoxication of the body.

Manifestations of focal baldness are in the only complaint - the formation of areas completely devoid of hair, which can grow and spread throughout the head. Hair loss can also be recorded on other places in the body.

There are several forms of the disease:

  • Limited form - 1-2 round areas of baldness with clear contours. Hair on the edge of the lesions easily pulled out;
  • Subtotal - characterized by the absence of about 40% of hair;
  • Ophiasis - loss is observed along the edge of hair growth, either only at the back of the head or in the fronto-temporal zone;
  • Total - complete loss of hair on the head;
  • Universal - hair falls out both on the head and on the face (eyebrows, eyelashes), as well as in the groin, in the axillary areas. In severe form there is a lack of downy hair.

How to treat?

Treatment is always complex and long:

  • In severe form of oral prednisone, 1.5 months, with a gradual decrease in dose;
  • External: beclamethasone ointment for 2 months or minoxidil before hair regrowth;
  • The introduction of hormones into the hearth;
  • Zinc oxide or zinc sulfate inside, 3 months;
  • Pentoxifylline by mouth, 1 month;
  • Nicotinic acid 20 days intramuscularly;
  • PHT - ultraviolet irradiation with oral pills or topical photosensitizer treatment (xanthotoxin, isopimpinellin).

Psevdopelada photo

Psevdopelada photo

It belongs to the group of atrophic alopecia. A rare disease of the scalp, which most often affects men 20 to 45 years old. The reasons are unknown. They suggest the microbial nature or malnutrition of the hair follicles, due to disorders of the nervous regulation of the follicles (trophoneurosis).

Manifested by the presence of a large number of areas devoid of hair. They are of different size and shape, which increase and merge. As a result, a semblance of a “geographic archipelago” can form.

The skin of the lesion is thin, atrophic, and there is no inflammatory process. Complaints, as a rule, patients do not make a long time, and the disease is detected by chance.

How to treat?

  • Preliminary epilation of the remaining hair;
  • Locally rub ointment with sulfur, tar, mercury;
  • Wash your head twice a day with hot water and Arndt soap.

We have listed the main pathological causes of the appearance of spots on the body, similar to Lesha, but not itching - in other cases, itching is a characteristic symptom, including in herpes and herpes.


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