Высыпания в области нижних конечностей красного цвета – симптом, сопровождающий огромное количество недугов. К тому же, нередко такая сыпь на ногах доставляет пациенту немалый дискомфорт. На поверхности зудящих пятен со временем могут появляться язвочки, корки или чешуйки. В зависимости от природы основного недуга, подобные проявления могут регрессировать самостоятельно или трансформироваться в более сложные формы с присоединением инфекционных агентов. В любом случае, людям, у которых высыпания на ногах зудят или шелушатся, нужна грамотная консультация врача и лечение, направленное на устранение главного этиологического фактора.
Причины красной сыпи на ногах у взрослого, не связанные с патологиями
Механические воздействия, связанные с одеждой или обувью
Красная сыпь на коже нижних конечностей – не всегда признак заболевания. Случается, что причиной её возникновения может стать механическое повреждение эпидермиса, полученное в результате натирания кожных покровов неудобной одеждой или обувью, если диагностируется сыпь на ступнях ног. При механических травмах кожи её рекомендуется смазывать увлажняющим кремом или мазями на основе ментола, что позволит устранить признаки повреждения. Но все-таки специалисты не рекомендуют заниматься подобного рода диагностикой и при появлении геморрагических высыпаний обращаться в медицинские учреждения.
Депиляция
Многие женщины знают, что часто причиной красной сыпи на ногах является такая процедура по удалению нежелательных волос. После депиляции может возникать раздражение эпидермиса, которое, как правило, самостоятельно и бесследно проходит спустя несколько дней.
Укусы насекомых
Ещё одна причина покраснения кожи и появления высыпаний – укусы насекомых. Реакции могут возникать в ответ на укусы клещей, ос, некоторых жуков, муравьёв. В таких случаях врачи рекомендуют пациентам антигистаминные препараты, которые устраняют зуд, отёчность и визуальные проявления высыпаний.
Заболевания с сыпью в виде красных точек
Красная сыпь и зуд на ногах – признаки многих заболеваний, при которых поражаются кожные покровы или внутренние органы. Эти недуги нередко представляют собой сложные инфекционные патологии, а также системные изменения, ведущие к нарушению свойств крови. Если красная сыпь на ногах чешется, скорее всего, заболевание носит воспалительный характер, поэтому нуждается в соответствующей терапии.
Высыпания могут появиться на нижних конечностях у пациентов любого возраста. Такая сыпь может зудеть, шелушиться, отекать или «расползаться» на здоровые участки кожи. При этом красными пятнами покрываются разные части ног: голени, бёдра, подошвы. Все симптомы недуга являются ценной информацией, которую лечащий врач использует в ходе определения основного диагноза. Поэтому при появлении высыпаний красного цвета в зоне ног необходимо всё в деталях рассказывать специалистам.
Аллергический контактный дерматит
Это аллергическое заболевание развивается на здоровой коже ног в результате её соприкосновения с раздражителем. При этом на первый план выступают такие симптомы, как появление на покрасневшей и припухлой коже нижних конечностей зудящей сыпи в виде пузырьков с прозрачной жидкостью (экссудатом) разного размера. Со временем на их месте формируются болезненные эрозии, которые по стиханию воспалительного процесса покрываются жёлтыми корочками и регрессируют. Заболевание имеет персистирующий (хронический) характер и способно обостряться при повторном контакте кожных покровов с аллергенами.
Чесотка
Если сыпь на ногах в виде красных точек у взрослого чешется, следует подумать об инфицировании кожных покровов чесоточным клещом. Главным симптомом недуга являются высыпания, которые имеют вид полосок длиной до 20 мм. На одном из концов такого образования видны небольшие пузырьки. Чесоточная сыпь чаще локализируется в естественных складках тела, а на ногах может появляться в области бедер, голени. У ребёнка нередко диагностируется сыпь под коленками. Высыпания сопровождаются интенсивным зудом, усиливающимся после принятия душа и в ночное время. Поэтому если сыпь на ногах в виде красных точек у ребенка чешется, необходимо немедленно показать его врачу.
Герпетическое поражение
Как правило, герпетическая сыпь на ногах является частью комплексного поражения вирусом герпеса кожи с вовлечением в патологический процесс нервных волокон. При развитии недуга на покрывном эпителии сначала появляются волдыри, которые сопровождаются сильным зудом. Потом образования лопаются, а раневая поверхность затягивается тёмного цвета корками, порой геморрагическими.
Геморрагический васкулит (болезнь Шенлейн-Геноха, аллергическая пурпура, капилляротоксикоз)
Заболевание представляет собой сложный комплекс симптомов, связанных с поражением сосудистой стенки. Среди причин недуга выделяют инфекционные болезни, вирусные заболевания, аллергические реакции, общее переохлаждение, стресс, а также наследственность. Геморрагический васкулит протекает на фоне повышения температуры тела. Сначала появляется геморрагическая сыпь на щиколотках ноги, икрах, которая потом распространяется по всему телу. Каждое такое пятно сопровождается отёчностью, со временем пациент начинает жаловаться на боли в животе и суставах, связанные с кровоизлияниями в данных зонах.
Тромбоцитопеническая пурпура
Еще один недуг, при котором появляются элементы красной сыпи, локализацией которой являются бёдра и голень, называется тромбоцитопеническая пурпура. Заболевание относится к числу редких патологических состояний и может быть диагностировано, как у ребенка, так и у взрослого. Болезнь связана с преждевременным разрушением тромбоцитов, которое влечет за собой реологические изменения крови. В начале развития патологического состояния у пациентов возникают жалобы на мелкие красные точки на ногах ниже колен, которые со временем превращаются в экхимозы значительных размеров (крупные кровоизлияния в кожу или слизистую оболочку).
Крапивница
Патологическое состояние является проявлением аллергической реакции. О её возникновении говорят, если у пациента на коже появились и начали чесаться высыпания в виде волдырей бледно-розового цвета, напоминающих внешне ожоги от крапивы. Чешущаяся крапивница быстро развивается и так же внезапно, бесследно проходит без шелушащихся корочек после устранения действия аллергена.
Менингококцемия
Тяжёлая форма течения менингококковой инфекции, которая случается преимущественно у детей. Менингококцемия проявляется симптомами общей интоксикации, нарушением функционирования ЦНС и высыпаниями, которые поражают нижние конечности, а именно стопы, голени, бёдра. Высыпания имеют звёздчатую, неправильную форму и размеры до сантиметра. Если у ребенка на фоне высокой температуры появилась сыпь, похожая на менингококковую, следует немедленно обращаться за специализированной помощью.
Когда нужна помощь врача при появлении сыпи?
Своевременное обращение к специалистам – важный этап в лечении любого заболевания. И красная сыпь на ногах, независимо от причин её появления, не исключение. Серьёзным поводом для экстренного вызова бригады медиков при развитии подобных высыпаний в области нижних конечностей являются следующие тревожные симптомы:
- резкое повышение общей температуры тела с быстрым нарастанием признаков интоксикации;
- развитие чувства покалывания и жжения на травмированных участках кожи, которые сопровождаются появлением пузырчатых высыпаний с секретом или кровоточивостью;
- наличие пятен тёмного, пурпурного цвета в сочетании с горячкой, интенсивными головными болями и спутанностью сознания;
- появление характерной сыпи с зудомна ногах после приема медикаментов;
- возникновение чешущихся высыпаний красного цвета вокруг поверхности раны, образованной после укуса насекомого, а особенно клеща.
Грамотная диагностика состояния, которое сопровождается появлением сыпи на ногах красного цвета с зудом и шелушением, позволяет вовремя обнаружить причины развития патологического процесса и корректно повлиять на них с помощью этиотропных лекарственных средств.
Рекомендации
Рекомендации врачей часто позволяют простым людям избежать ряда проблем, связанных с появлением сыпи в области нижних конечностей. Её легко предупредить, соблюдая простые правила предосторожности, среди которых:
- надевание закрытой одежды и высокой обуви при выезде на природу, что позволит человеку обезопасить себя от укусов клещей и других насекомых;
- исключение контакта с инфекционными больными;
- осторожное посещение мест общественного пользования;
- соблюдение правил личной гигиены;
- своевременная вакцинация, как метод профилактики инфекционных заболеваний, среди симптомов которых зудящие высыпания на ногах у ребенка и взрослых;
- немедленное обращение к врачам и адекватное лечение первых признаков недуга.
Перед тем, как лечить сыпь на ногах в виде красных точек у пациента, врач должен в обязательном порядке установить природу её происхождения. Именно от такой диагностики будет зависеть результативность проводимой терапии и шансы человека на полное выздоровление.
Сыпь на ногах может выглядеть по-разному. Иногда она чешется и болит, но порой не доставляет никакого дискомфорта. Именно высыпания, не причиняющие физического неудобства, представляют наибольшую опасность. Существует несколько причин возникновения проблемы.
Раздражение
Проявляется в виде зудящей красной сыпи, чуть приподнятой над кожей. Появляется при бритье и отрастании волос. Также может возникнуть реакция на моющие и косметические средства, стиральный порошок, одежду из синтетических тканей. Чтобы снять раздражение, используют мази и гели с успокаивающим или охлаждающим эффектом. Для профилактики следует увлажнять, смягчать и дезинфицировать кожу после бритья. Удалять волосы нужно острым инструментом или выбрать другой способ депиляции. И не стоит пользоваться средствами, вызывающими аллергию.
Псевдофолликулит
Проще говоря, вросшие волосы. Они появляются из-за огрубения кожи, через которую не могут пробиться стержни. Также причиной могут послужить очень тонкие или кудрявые волоски. Проблеме чаще подвергаются девушки, предпочитающие удаление растительности с корнем. В результате у них появляется мелкая сыпь на ногах. Прыщики болезненные, внутри них просматривается кончик волоса или небольшая петелька. Стержни извлекают наружу вручную с помощью пинцета или иголки. Обязательна антисептическая обработка инструментов и кожи.
Фолликулит
Воспаление волосяной луковицы под воздействием болезнетворных микроорганизмов. Также причиной может послужить повреждение кожи и повышенная потливость. Сначала на ногах появляются красные пятна, которые со временем уплотняются. Затем внутри нароста образуется гной. Лечение заключается в антисептической обработке пораженных участков. Можно аккуратно выдавить гнойное содержимое, не забывая про дезинфекцию рук и прыщиков. С крупными фурункулами необходимо обращаться к хирургу.
Грибковое поражение
Из-за воздействия грибков чаще всего страдают стопы. Некоторые виды микроорганизмов предпочитают селиться в паховой области. У людей с избыточным весом из-за трения и повышенной потливости может появляться сыпь на ногах выше колена. Очаги обычно локализуются с внутренней стороны бедер. Пораженные участки представляют собой красные или розовые пятна с пузырьками и бугорками по внешнему краю. Кожа чешется и болит. В качестве терапии используют противогрибковые мази и антимикотики для приема внутрь.
Высыпания на ногах фото
Акродерматит
Воспаление кожи, локализующееся на нижней части ноги. Возникает под воздействием патогенных бактерий, попавших в организм после укуса клеща. Также заболевание может быть спровоцировано нарушением обмена веществ или ослаблением нервных импульсов. Специфические симптомы зависят от разновидности заболевания. Обычно в первую очередь появляются гнойные или водянистые высыпания на пальцах ног, которые затем распространяют до щиколотки . В редких случаях очаги поражения поднимаются выше по конечности. Кожа опухает, ощущается боль, зуд и жжение. Каждая разновидность патологии нуждается в особом лечении под контролем врача.
Заболевания суставов
Ревматизм и артрит поражают преимущественно суставы, но у них есть особенность влиять на кожные покровы. Эти заболевания нередко провоцируют появление сыпи на ногах ниже колена. Ревматоидные узелки представляют собой плотные круглые наросты размером с горошину. Они не чешутся и не болят. Могут оставаться на теле годами или периодически бесследно исчезать. От высыпаний невозможно избавиться без лечения первичной патологии.
Варикозное расширение вен
Растяжение и деформация венозных стенок. К причинам патологии относят нарушение свертываемости крови и повреждение сосудов. Заболевание может быть обусловлено генетически. На начальных этапах больные отмечают отечность и тяжесть в ногах. Возникает боль, дискомфорт и жжение. Ноги покрываются красными пятнами из-за расширенных капилляров. Постепенно формируются сосудистые звездочки. В тяжелых случаях выпирают венозные бугорки, а вся кожа покрывается синюшными пятнами. Для лечения используют венотоники. Полезно ношение компрессионных чулок и проведение лимфодренажа. В запущенных случаях показана операция.
Варикозный дерматит
Осложнение варикозного расширения вен. Начинается патология с покраснения и зуда чуть выше щиколотки. Кожа становится гладкой и блестящей. Затем на ней появляются пузырьки с жидкостью , которые самостоятельно бесследно исчезают. Постепенно эпидермис темнеет, зуд распространяется по всей ноге. Водянистые прыщики не проходят. После вскрытия на их месте остаются эрозии, которые со временем перерождаются в язвы. Лечение подразумевает восстановление вен и наружную обработку пораженных участков мазями с кортикостероидами. При присоединении инфекции необходимы антибиотики или противогрибковые средства.
Геморрагический васкулит
Если сыпь на ногах не чешется, возможно, дело в воспалении подкожных сосудов. Возникает патология из-за заражения болезнетворными микроорганизмами. Клиническая картина заключается в появлении темно-красных пятен на ягодицах и нижних конечностях. При надавливании пигментация не меняет оттенок и не исчезает. Для лечения используют мази с антикоагулянтами. Также необходимо устранение очага инфекции с помощью антибиотиков и противовирусных средств. В некоторых случаях назначают цитостатики.
Сыпь на ногах портит внешний вид и порой доставляет серьезный физический дискомфорт. Она может являться признаком не только кожных заболеваний, но также патологий кровеносной системы и опорно-двигательного аппарата. С некоторыми проблемами несложно справиться самостоятельно. В ряде случаев требуется медицинская помощь. К счастью, наиболее опасные высыпания выглядят специфически, и их сложно упустить из виду.
Когда появляется сыпь на ногах в виде красных точек у взрослого, следует проанализировать характер высыпаний.
Именно изучение свойств папул, пузырей, гнойничков и других образований на кожных покровах позволяет специалистам в большинстве случаев правильно установить причину, и диагностировать возможное заболевание.
У взрослых самыми частыми проявлениями сыпи являются:
- Макулы или попросту пятна – это элементы высыпаний, которые находятся на одном уровне с кожным покровом и не возвышаются над поверхностью.
- Волдыри выступают над уровнем кожи. Имеют шершавую поверхность и плотное внутреннее жидкостное содержимое.
- Папулы по своему внешнему виду походят на узелки, они находятся в толще кожного покрова – это цельное новообразование, не имеющее внутренней полости, размер которого колеблется от головки булавки до зерна чечевицы.
- Пузыри представляют собой полости с прозрачным внутренним содержимым. Когда внутри пузыря образуется гной, то его называют пустулой, то есть гнойным пузырем.
- Эритема – это часть кожи, возвышающаяся над остальной. Она характеризуется резко очерченными краями. Такие косметические кожные дефекты, как правило, красного цвета и проявляется у тех людей, кто склонен к аллергии различного происхождения, например, пищевой на красные ягоды, фрукты и яйца, или медикаментозной
- Эрозии и язвочки – элементы, которые отличаются между собой по размерам. Они появляются на месте поврежденных кожных покровов, которые подвергаются воспалительным или травматическим изменениям.
- Корочки – появляются на месте пузырей, язв, пустул и эрозий. Формирование корочек – это знак наступления процесса выздоровления.
Формирование мелкой красной сыпи на нижних конечностях может свидетельствовать о какой-либо патологии кожного покрова или являться признаком развития патологии в организме.
Причины красной сыпи на ногах у взрослого
Практически все нарушения, происходящие в организме, могут проявляться высыпаниями, в том числе красной мелкой сыпью на ногах.
Ниже – только самые распространенные причины:
- Чаще всего сыпь на ногах и руках бывает признаком аллергического контактного дерматита.
- Воздействие внешних механических факторов (использование тесной или неудобной обуви, что приводит к появлению покраснения и натертости ног, проведение депиляции).
- Вызывать сыпь на ногах в виде красных точек может чесотка.
- При инфекционном эндокардите появляется геморрагическая сыпь.
- Реакция на укус, какого-либо насекомого.
- Аутоиммунные заболевания (склеродермия, красная волчанка);
- Вирусная инфекция (краснуха, ветряная оспа, скарлатина, корь).
- Если сыпь появилась в области стопы и сильно зудит, то, скорее всего это грибковое заболевание.
- Крапивница, нейродерматит, экзема, мягкая фиброма.
Менее распространенные причины:
- сифилис;
- геморрагическая лихорадка;
- болезнь Крона;
- декомпрессионная болезнь;
- ВИЧ, СПИД;
- миокардит;
- синдром токсического шока;
- острый лимфобластный лейкоз;
- аутоиммунный гепатит;
- бактериальный эндокардит;
- менингококковая инфекция;
- сахарный диабет;
- калифорнийский энцефалит;
- первичные расстройства иттунодефицита;
- токсемия;
- диабет 2-го типа.
Часто высыпания появляются, как на руках, так и на ногах из-за физического воздействия, например, после небольших царапин, укуса насекомых или же из-за неправильно подобранного материала и фасона одежды.
Аллергический контактный дерматит
Он характеризуется такими симптомами:
- припухлость и покраснение определенного участка кожи;
- выраженные зудящие ощущения;
- образование прозрачных пузырьков с жидким экссудатом;
- появление болезненных эрозий на месте лопнувшего пузыря;
- возникновение желтых корочек после стихания воспаления.
Развитие заболевания начинается с того участка, который соприкоснулся с раздражающим веществом.
Чесотка
Основным из всех симптомов чесотки стоит считать зуд, который всегда имеет тенденцию к резкому усилению в ночное время. Кроме того, зуд может усиливаться после приема душа, особенно горячего.
Вторым характерным проявлением чесотки, среди всех симптомов является появление на коже достаточно специфической сыпи, которая напоминает полоски длиной до 15 мм, с небольшим пузырьком на конце. Это и есть чесоточные ходы.
Грибок стопы
Несмотря на то, что грибков, вызывающих поражение кожи на стопах, существует великое множество, симптомы грибка стопы, в большинстве случаев, однотипны:
- появление кожных чешуек на стопе;
- симптом повышенного потоотделения ног;
- сильный зуд в месте поражения грибком;
- появление болезненных трещин;
- сильное шелушение;
- вовлечение ногтей в патологический процесс;
- появление неприятного запаха.
С течением времени, грибок распространяется по стопе, прежде всего, поражая участки, на которые приходится максимальная нагрузка
Лечение сыпи на ногах в виде красных точек
После выявления причины сыпи врач назначит лечение, соответствующее обнаруженному заболеванию. Разумеется, общих рецептов тут быть не может, ведь различные патологии, приводящие к появлению сыпи, требуют совершенно разной терапии. Кроме того, для устранения зуда, облегчения состояния пациента могут назначаться местные средства в виде мазей, кремов, гелей.
Если мелкая красная сыпь на ногах у взрослого возникла вследствие аллергической реакции, то в первую очередь необходимо устранить аллерген, при необходимости принять антигистаминные препараты.
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