The rash, pustules and blisters on the mucous membranes in the mouth( on the palate, cheeks) and around the mouth( on the lips and again on the cheeks) are a sign of the presence of one or another pathological process in the body.
The rash is of various kinds and even specialists can not always determine its root cause without additional research.
Therefore, to engage in self-treatment is not necessary, you need, as soon as possible, to see a doctor.
Contents
- Complex causes and nature of the rashes
- Adult causes
- "Childhood causes"
- Concomitant symptoms will help diagnose
- Diagnosis
- General treatment approach depending on the cause
- Prevention of rashes
Complex causes and nature of rashes
To causes of rashin the mouth and acne around it are completely different diseases, of the most common:
- inflammatory dental diseases( stomatitis, candidiasis, etc.);
- infection( scarlet fever, measles, herpes, sore throat, syphilis, HIV, fungal);
- autoimmune lesions( systemic lupus erythematosus);
- neoplasm( benign / malignant);
- allergic reactions.
Stomatitis is one of the main reasons that causes a rash in the mouth and sores around the child's mouth:
Eruptions can be of a different nature. They can occur both on the altered skin( the so-called primary elements) and as a result of the evolution of the primary rash( secondary elements).The primary elements include: vesicles, pustules, blisters, spots, nodules in the mouth, and secondary refers to: ulcers, scales, cracks.
Depending on the nature of the rash on the oral mucosa, its causes also differ:
- Bubbles .Located in the epidermis or under it, the cavity is filled with serous( light) contents. Often found in herpes, chickenpox, pemphigus.
- Pustules are deep and superficial, in envy of the location in the skin. The cavity of the abscess is filled with cloudy contents. They occur with folliculitis( superficial pustules), boils, carbuncles( deep).
- Blisters do not have a cavity. There are for a short period of time( minutes, hours).More often observed in allergic reactions: insect bites, urticaria. Blisters accompany subjective sensations of itching.
- Spots - discoloration of the skin. Depending on the cause, vascular( inflammatory and non-inflammatory), pigmented.
- nodules do not have a cavity, they are located under the epidermis. Disappear, as a rule, without a trace. With some diseases, the nodules grow and merge with the formation of plaques( candidiasis).
- Ulcers of are formed during the evolution of vesicles and pustules. Can be observed in severe chickenpox, purulent skin infections, systemic lupus erythematosus.
- Scales are a keratinized layer that is torn away. Clinically manifested by ecdysis.
Rashes in children and adults are usually caused by various causes.
"Adult" causes
In particular, pimples in the mouth( tongue, palate, cheeks) and around the mouth on the lips can be a symptom of leukoplakia( a precancerous disease).
As a rule, leukoplakia does not cause any sensations, it is discovered by chance. For example, at a dentist's appointment. The causes of this precancerous condition are smoking, frequent mechanical injuries of the oral mucosa, adverse environmental factors and the production environment.
Also the causes of rashes on mucous membranes may be:
- fungal infections( candidiasis);
- SLE( systemic lupus erythematosus) is more common in young women 15-35 years of age;
- Immunodeficiency( HIV infection) - on the background of severe failure of the immune system, there are various pustular lesions that are extremely difficult to treat by standard methods;
- specific infectious diseases( syphilis);
- allergic reactions( urticaria) - arise in a large number of blisters;
- Malignant neoplasms usually have the appearance of a long non-healing ulcer.
"Baby Causes"
The child has pimples in his mouth and around it can arise for various reasons:
- Infant infections ( measles - white pustules on the cheeks and tongue, scarlet fever - a profuse rash of small-pointed nature,diphtheria - in the tonsil zone, films are formed which, after removal, leave ulcers after it).
- Allergies ( food, drug, etc.).Children under one year suffer from allergies more often when introducing a new kind of complementary food, incorrectly selected by artificial feeding.
- Inflammatory process ( violation of hygiene rules).This reason is very common, especially if the child is attending a kindergarten. Stomatitis( inflammation of the mouth) causes noticeable changes in the behavior of the child. He becomes inattentive, whiny, irritable, and can completely give up eating.
Concomitant symptoms will help diagnose
Depending on the pathological process that caused the rash, other signs of a provoking disease may appear.
The presence of accompanying signs facilitates the search for the nature of the disease and, therefore, allows the appointment of adequate treatment.
The most significant of them:
- The increase in body temperature indicates the presence of an infectious process in the body. Infection is indicated by the appearance of weakness, irritability, headache, frustration, decreased efficiency. All of the above listed signs are evidence of intoxication.
- Itching, burning is accompanied by allergic reactions. They usually go through with taking antihistamines.
- Pain, swelling, redness of the oral mucosa direct signs of inflammation.
- The presence of unexplained weight loss, enlarged lymph nodes on the neck may indicate the presence of malignant growth. Usually the rash itself does not cause any subjective sensations, there is a long time.
- Increased lymph nodes and fever indicate infection. Some infections cause a typical rash, for which the doctor has already looked at it, can presume an accurate diagnosis.
- Rashes in other areas of the mucosa and skin .
Diagnosis
Diagnosis is made based on the following data:
- clinical picture - how does the rash in the mouth, the presence of attendant signs;
- laboratory tests - changes in the general analysis of the blood can suggest the infectious nature of the rash( increase in the number of leukocytes, increased ESR), allergies( increased eosinophils), in the biochemical analysis of blood in the inflammatory process, the CRP index increases;
- laboratory study of the elements of the rash - in fungal lesions, the presence of micelles of various fungi is detected, and the presence of atypical cells speaks for malignant neoplasms;
- other additional studies at the discretion of the doctor , this can be dermatoscopy, a blood test for syphilis, HIV, etc.
General approach to treatment depending on the cause
Self-treatment of rashes and other rashes in the mouth can lead to very unpleasant consequences. In no case should you yourself open pustules, blisters, etc. It is best to not touch them at all.
It can threaten with various complications - from the residual phenomena of rashes up to a serious threat to health and even life. Do not try to treat the rash yourself. You can contact the therapist, dentist, dermatologist.
The doctor will choose the treatment depending on the causes of the rash:
- Fungal lesions( candidiasis, stomatitis) are treated through the use of antifungal drugs( Fluconazole, etc.).Medications can be used topically( applying ointments), or inside as tablets. It requires a restorative treatment, as the fungus often occurs when there is a malfunction in the immune system.
- If the cause is , the allergic reaction of , the first thing to do is complete elimination of the allergen. For example, the rejection of a product, a drug. If the allergy is caused by other causes( pollen, household and library dust), then you need a maximum limit of contact with them. Antiallergic agents are prescribed, most often antihistamines( Diphenhydramine, Suprastin, Tavegil, etc.).
- Infection caused by the bacterium is treated with antibiotics depending on the pathogen.
- In the presence of immunodeficiency , general restorative treatment is performed( balanced nutrition, vitamins, hardening), sanation of the lesion, specific therapy( HIV).
- Autoimmune lesions of are treated by suppressing the immune system. Treated glucocorticosteroids, cytostatics.
- Malignant and benign formations are indications for surgery, chemotherapy. The treatment is provided by an oncologist, a surgeon.
Prevention of rashes
Preventive measures include the following:
- compliance with personal hygiene( regular washing of hands before eating);
- prevention of mechanical damage to the oral cavity, food should be optimal temperature, not rough;
- smoking cessation;
- timely diagnosis of precancerous conditions( regular visits to the dentist, therapist);
- prevention of the development of infectious diseases, immunodeficiency( limiting contact with infectious patients, use of protective equipment for sexual intercourse);
- optimization of professional and environmental conditions, limiting workers' contact with harmful factors of production, establishing the maximum permissible concentration of substances, using personal protective equipment when working with hazardous substances and objects;
If you follow all of the above preventive advice, the likelihood of formation of incomprehensible formations in the mouth will decrease to zero.