Gynecological disorders and eruptions on the skin of face in ascariasis

摘要

Skin pathologies are known to reflect various disorders of the gastro-intestinal tract. Problem of interrelations between bacterial vaginitis, disbacteriosis of the digestive organs and skin status has still remained a lot to elucidate. In our research, 50 female patients with eruptions on the skin of the face and the chin, who sought for medical advice at the gynecologist's because of discharges from vagina, were investigated for helminthism. On examination, eggs of ascarids were detected in 46 patients, cysts of lamblia – in 13 cases, and various disorders of the gastro-intestinal tract – in all of the assessed. Obtained findings permit to conclude on the relevance of characteristic acne rash on the skin of the face to ascariasis; ascariasis is a cause of vaginal disbactecteriosis; in bacterial vaginitis not only vaginal microscopy is necessary to conduct, but analysis of feaces for eggs of ascarids and other helminths as well; patients with gynecological pathologies and eruptions on the skin of the face, should be recommended undergo gastroenterological examination for disbacteriosis of the digestive organs. Introduction Interrelation of bacterial vaginitis, dysbiosis of the digestive organs and skin status belong to those medical problems which have so far remained much to elucidate. Condition of integumentum, in particular skin, is known to reflect functional status of the internal organs and their pathologies. In research works of the past years it was established the interrelationship of chronic constipations, pathologies of liver and bile ducts with the condition of skin [2,4,10]. Thus, chronic disorders of liver and bile ducts are associated with the appearance of spots, teleangiectases and petechiae on the skin, which in persisting lambliasis infestation become more pronounced. Different eruptions, especially, on the skin of face are initial signs of gastrointestinal disorders [6,11,15,17]. Rash on the skin, primarily acne, is a most common complaint of female patients of the reproductive age who seek advice of cosmetologist, dermatovenerologist and gynecologist. Acne is not a purely dermatological problem but evidence of a chronic persisting infection with the dissemination risk over other organs – kidneys, tonsils, heart etc. [7,8,9]. Among symptoms of a rather high incidence in young women which make them seek for gynecological aid are specific smell and discharges from the vagina. On medical examination, most often detected in these cases are candidal colpitis and bacterial vaginitis caused by Gardnerella, Mobiluncus and cocci. Dysbacteriosis of vagina or bacterial vaginitis is not a separate pathology but a manifestation of dysbiosis, first of all, of the organs of gastro-intestinal system [6]. In patients with vaginal dysbiosis were detected chronic pathologies of the gastro-intestinal tract – chronic gastritis, ulcerative disease of the stomach and duodenum, chronic cholecystitis or pancreatitis, and chronic colitis with the clinical picture of constipation [1,3,11,16]. Specific rash on the chin and lower parts of the cheeks with periodical eruptions before menses, after nervous overstrain or overeating may suggest presence of helminthic infestation. These signs are not always paid due attention to by family physicians, general practitioners, and gynecologists. Women often seek for the aid of cosmetologists and become their patients for the rest of life. Objective of the research was to determine dependence of the rash on the skin of face upon presence of helminthic invasion in female patients. Material and methods. Fifty women, aged 18-47, with the rash localized on the skin of face and cheeks, who sought gynecological aid for discharges from vagina, were examined and assessed. All of them suffered from various diseases of the gastro-intestinal tract: chronic gastriris, dyskinesia of biliferous ducts, unlcerative disease of the stomach and duodenum, chronic constipations, hemorrhoids. Control group were 20 fe