Perianal Eczema

Perianal Eczema
Body Parts: Buttocks
Medical Subjects: Skin

What Is Perianal Eczema

What is perianal eczema to point to?

Perianal eczema is an inflammatory skin disease of the anus and/or perianal skin, and belongs to eczema of specific parts.

What are the characteristics of perianal eczema?

It is mainly characterized by long-term rash, obvious itching and easy recurrence.

How is crissum eczema treated?

In the treatment, suspicious factors should be avoided, and attention should be paid to skin care and rational drug use under the guidance of doctors.

Is perianal eczema common? Perianal eczema often happens in which crowd?

Perianal eczema is common and occurs mainly in the adult population.

What is the relationship between perianal eczema and eczema?

Eczema and perianal eczema are inclusive relations, and perianal eczema is a type of eczema.

Perianal eczema has a lot in common with other types of eczema in the causes, manifestations, disease characteristics and treatment options.

However, perianal eczema has its own characteristics due to its special parts.


What Is The Etiology Of Perianal Eczema

What are the causes of perianal eczema?

At the group level, there are many possible causes of perianal eczema, but on an individual basis, it is sometimes impossible to determine the specific cause.

Possible causes, triggers, or aggravating factors are irritation, allergies, and other conditions.

For example, some diseases of the anus (hemorrhoids, etc.) may cause alkaline mucus discharge, continuous erosion and destroy the alkaline buffer capacity of the crissum, and finally lead to eczema.

Topical exposure to methyl chloroisothiazolinone and methyl isothiazolinone may also cause sensitization. In addition, individuals may develop perianal eczema and anal pruritus by ingesting foods containing nickel.

Perianal eczema is allergy caused?

Some perianal eczema is caused by allergies, and allergic substances may come from the skin, the gastrointestinal tract or the outside world. However, the causes of eczema are complex, and some are not caused by allergies.

Can perianal eczema infect? Is it venereal?

Perianal eczema is not infection, does not belong to infectious diseases or sexually transmitted diseases, not infectious.

Perianal eczema can heredity?

Perianal eczema is not hereditary.


What Symptom Does Crissum Eczema Have

Perianal eczema grows commonly in which part?

Perianal eczema usually grows around the anus and anus.

What symptom can perianal eczema cause?

The common manifestations are rash and pruritus. There are many types of rash. The common one is that the skin is red and the boundary is relatively vague. In addition, there may be peeling, particles, blisters or scabbing. If long-term friction occurs, the skin will become rough, hard, and the pigment will become pale or deepened.

If infected, pustules, pus, or persistent oozing may form.

What serious consequences can perianal eczema cause?

Perianal eczema usually has no serious consequences. Sometimes there are certain negative effects on the body or mind.

For example, local bacterial infection or fungal infection may be caused by scratching, breakage, etc. If the local lesion is severe, it may be accompanied by pain in the anus and pain during defecation, thereby affecting defecation.

Occasionally, eczema may spread to nearby areas, such as the hip and other perineal areas.

Psychologically, frequent pruritus may cause irritability, affect sleep and daily life, and easily reduce the quality of life.


How To Check For Perianal Eczema

What check does crissum eczema need to do?

When perianal eczema is suspected, a physical examination needs to be performed, that is, the doctor diagnoses the rash mainly by observing the details such as the type, shape, number, size, and distribution of the rash with the naked eye, in combination with the illness situation and the doctor's own clinical experience.

Other tests such as blood tests are usually not required unless the diagnosis is uncertain or the rash appearance suggests another disease.

If infection is suspected, microscopic smear examination and microbial culture and identification may be required, and if other diseases are suspected, examinations such as dermoscopy and skin biopsy may be performed.

How is perianal eczema diagnosed?

Diagnosis was made primarily on the basis of history, physical examination, and/or laboratory tests.

  • Medical history was characterized by marked pruritus and recurrent and long-lasting rash.
  • Physical examination is characterized by erythema of the rash, which may be blistering, oozing, or scabbing, and chronic skin rash which may have pigment changes and rough, thickened skin.
  • Laboratory examinations are mainly pathological examinations after skin biopsy and are mainly characterized by epidermal keratosis with spongy edema or intraepidermal blisters, and inflammatory infiltration mainly of lymphocytes in the dermis.

Perianal eczema is easy to mix with what disease? How?

Perianal eczema is easily confused with contact dermatitis, psoriasis, neurodermatitis, pruritus ani, and lichen sclerosus.

  • Contact dermatitis is generally a well-circumscribed redness of the area exposed to irritants or allergic substances, and in severe cases blisters or water seepage with pruritus.
  • Psoriasis is generally uniform redness, no blisters, water seepage. Similar redness is easily found on skin other than the perianal region, where there may be a degree of dandruff.
  • Neurodermatitis is mainly characterized by rough, thickened skin with pruritus, without recurrent dandruff, blisters, water seepage and scabbing. Similar rash can easily be found on skin other than the perianal region.
  • Pruritus ani begins with pruritus, which is not preceded by a rash. If there is a rash after itching, it is also caused by scratching, such as scratches, pigment changes, rough or thickened skin.

How To Prevent Perianal Eczema

How can perianal eczema be prevented?

Some preventive measures may be useful, such as:

  • Pay attention to local cleaning, local try to avoid contact with some suspicious allergic factors;
  • If there is any related disease (such as anal fistula and hemorrhoids), we suggest seeking medical evaluation and treatment.

How to prevent recurrence in patients with perianal eczema.

We should try our best to find and avoid the suspicious etiology, and control the disease with regular medical treatment and medication with the help of the doctor.


How To Treat Perianal Eczema

What branch should perianal eczema see?

Dermatology, anorectal surgery or general surgery.

Can perianal eczema oneself good?

It is usually not easy to get better by oneself, but easy to happen repeatedly and become chronic. Sometimes, if we can find and avoid a clear cause, we can recover.

How is crissum eczema treated?

Treatment involves three main aspects: avoidance of doubt, skin care, and medication.

  • Avoid suspicious factors: avoid allergens and irritants. Vigilance is needed against suspicious personal care products, including soap, toilet paper, privy wipes, lanolin and topical medications (such as those containing neomycin and propylene glycol).
  • Skin care: The basic skin care essentials are mild and thorough local cleaning followed by the use of moisturizing products an unlimited number of times. During cleaning; excessive mechanical friction shall be avoided as much as possible; and frequent friction may damage skin. Sometimes try to use zinc oxide ointment, can convergence and protect the skin, forming a protective film, reduce the outside mucus and other substances in contact with the skin.
  • Medication:
  • The main drugs used are weak-or medium-acting glucocorticoid ointment for external use, and the use of strong-and super-acting glucocorticoids is avoided as far as possible. The effect of glucocorticoid ointment is to reduce inflammation and itching and control the disease. In addition, there are certain efficacy of external drugs is tacrolimus ointment and pimecrolimus cream.
  • If the pruritus is obvious, topical local anesthetics, capsaicin cream, doxepin, menthol, camphor and/or phenol can sometimes be considered, but these drugs are mainly to relieve symptoms and cannot fundamentally treat eczema.
  • If there is a high degree of suspicion that perianal eczema is related to perianal diseases such as hemorrhoids, anal fissure, and anal fistula, consideration may be given to treating these perianal diseases simultaneously. If infection is suspected, disinfectants, antibiotics, or antifungal agents may be used externally.

How long can perianal eczema be improved after medication?

Perianal eczema can basically improve about 1 week after the correct medication, and then we can evaluate whether the treatment is reasonable and effective.

What circumstance should perianal eczema appear seek medical treatment in time?

Need timely medical treatment in case of the following conditions:

  • Ineffective after care and medication;
  • Rash and pruritus continue to aggravate or area increases;
  • Other obvious skin lesions, such as suppuration and ulceration;
  • Rash repeatedly, worried about long-term side effects.

Is perianal eczema good treatment? Can perianal eczema be cured completely? Is perianal eczema easy to relapse?

Perianal eczema is hopefully under control, but radical treatment is uncertain. In general, relapse is likely if the cause is not found or if the cause is revisited.


What Should Perianal Eczema Patient Notice In Life

Perianal eczema patient, what precautions are there on diet?

It is recommended to have a normal diet without blind taboos, as perianal eczema has little to do with diet. Avoiding food blindly may reduce the quality of life and increase the psychological burden.

However, a normal allergy to metals/alloys may result from the presence of metallic elements (mainly nickel) in the diet, including water. Medical evaluation is required at this time, but this is unlikely.

Perianal eczema patient, what precautions does life have?

The main need to pay attention to in life are as follows:

  • Avoid disorderly treatment, especially try to avoid the abuse of antibiotics, the use of folk prescription, the use of unreliable brand name products (rather than real drugs), long-term use of strong or super effect glucocorticoids.
  • If the treatment effect is unsatisfactory, or the condition shows new changes, it is recommended to timely seek medical treatment and evaluation, and the treatment plan is adjusted according to the actual situation.
  • Try to avoid frequent and hard scratching, which is not conducive to the recovery of eczema, and will increase the risk of infection.

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