It should be differentiated with microsporia (see the full body of knowledge), favus (see the full body of knowledge), seborrheic eczema (see the full body of knowledge) and psoriasis of the scalp (see the full body of knowledge Psoriasis).

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Cialis tadalafil - 3-5% salicylic-sulfur-tar, 2% sulfur-salicylic ointment, inside multivitamins, aevit, B 6, B 12. The prognosis for recovery is favorable. Prevention: hygiene of the scalp. The patient has been suffering from atopic dermatitis since childhood. The last month drew attention to unusual manifestations on the scalp.

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On examination: in the parietal region there are massive layers of grayish-white scales resembling psoriatic plaques. The foci are rounded, up to 8 by 12 cm in size, they are permeated with hair. When scraping, layers of scales and hairs glued together with a yellowish tint rise. The surface of the skin of a pinkish color is also revealed, through the delicate surface of which the characteristic phenomena of angiopathy shine through in the form of strip-like dilated vessels, which can be seen during dermatoscopy.

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In addition, I observe typical manifestations of atopic dermatitis in the area of ​​the elbows, on the lateral surfaces of the neck and in the popliteal fossae. Asbestos lichen and atopic dermatitis. Asbestos lichen is considered as a bacterial complication of seborrhea of ​​the scalp, a kind of impetigo.
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As a synonym for this condition, the diagnosis of psoriasiform seborrhea of ​​​​cialis pills is often mentioned. A photo of our patient after two weeks of treatment is presented for review. Non-invasive fungal sinusitis has a chronic course and occurs in patients with normal immunity. There are two forms of it - aspergilloma and allergic fungal sinusitis.

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Non-invasive pulmonary aspergillosis also exists in two forms - aspergilloma and allergic bronchopulmonary aspergillosis.

Tadalafil - a spherical formation from a dense plexus of mycelium - causes obstruction of the opening of the paranasal sinus without fungal infection of the mucosa. Usually she isIt occurs in only one sinus (usually the maxillary sinus), causing symptoms of unilateral sinusitis and CT obscuration in the affected sinus. If penetration into the mucosa is not detected (using a biopsy and special staining), then surgical treatment is limited.

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Tuberculoma radiographically sometimes resembles a fungal lung disease - aspergilloma. The reason for the erroneous diagnosis in these cases is the relatively frequent development of this type of visceral mycosis against the background of tuberculous changes in the lungs. As you know, mold fungi most often belong to the Aspergillus family. Usually they settle and develop in sanitized caverns, bronchiectasis, in the area of ​​pneumosclerosis, often formed after prolonged antibiotic therapy.

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Radiologically, aspergilloma really resembles tuberculoma, since it looks like a mostly solitary spherical or oval formation with a diameter of 1.5 to 5-9 cm, located mainly in the apical-posterior segments of cialis pills. Differential diagnosis is especially difficult when there is a combination of aspergilloma and active pulmonary tuberculosis. In such cases, pathological processes can be localized in the same lung, but in its different lobes, but they can be detected in different lungs.

 

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When studying the anamnesis of 72 patients with aspergillosis observed in our clinic and other medical institutions, it turned out that in almost 2/3 of them this process occurred in residual post-tuberculosis caverns in the lungs, and in other cases it was preceded by nonspecific inflammatory changes, cancer and other diseases. respiratory organs.

  • However, a number of features distinguish aspergilloma from tuberculoma. These include, first of all, some clinical symptoms, rather observed in aspergilloma: chronic, sometimes undulating course, cough with mucopurulent or purulent sputum, sometimes mixed with crumbly or fluffy lumps of brown or dark green color with a moldy smell, subfebrile or febrile temperature. A very characteristic feature is, in addition, persistent hemoptysis, and sometimes pulmonary hemorrhages, which in our material occurred in more than 60% of cases. Meanwhile, with tuberculoma, they are observed much less frequently.

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  • The radiographic picture of aspergilloma is also very characteristic, which appears on the radiograph, and even more clearly on the tomogram in the form of a spherical or oval inhomogeneous formation of a porous or spongy structure, sometimes with elements of calcification. Between the aspergilloma, which is a more or less compact tangle of branched fibers consisting of cialis online of the mycelium of the fungus, i.e., the byssus and the wall of the cavity in which it is located, a strip of air of various widths and lengths is determined in the form of a halo, corolla, sickle, crescent and etc.

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  • Such a complication in aspergilloma, due to the formation of fibrinolytic kinase by mold fungi and increased vascular permeability in Aspergillus granuloma, is not accompanied, unlike tuberculoma, by bacilli excretion, the appearance of a zone of perifocal inflammation and new foci in the lungs.

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  • Often such a fungal ball is surrounded by air on all sides and then it moves when the position of the patient's body changes (rattle symptom). With free patency of the bronchus draining aspergilloma, during bronchography, it is possible to fill it with a contrast agent, which at the same time envelops the fungal ball, and if it is small, it is located in the lower part of the cavity, pushing the fungal masses up (float symptom).

  • Re-detection of cialis for sale in sputum, in bronchial swabs or in aspirate obtained directly from the lesion acquires a very important diagnostic value. At the same time, fungi can be detected in native and Gram-stained or methylene blue preparations, as well as when inoculated on Sabouraud and Czapek media. The resulting culture of fungi allows you to determine their belonging to one or another of their species (Aspergillus fumigatus, niger, etc.).

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Re-detection of aspergillus in sputum, in bronchial swabs or in aspirate obtained directly from the lesion acquires a very important diagnostic value. At the same time, fungi can be detected in native and Gram-stained or methylene blue preparations, as well as when inoculated on Sabouraud and Czapek media. The resulting culture of fungi allows you to determine their belonging to one or another of their species (Aspergillus fumigatus, niger, etc.).