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В большинстве случаев болезнь вторичная, развивается на фоне других серьёзных нарушений [1](https://OpenClinics.ru/bolezni/dermatit/eksfoliativnyy-dermatit/). \n\n**У новорождённых** эксфолиативный дерматит может быть вызван **инфекционными причинами** — внутриутробным заражением золотистым стафилококком [3](https://dermatology-md.ru/eksfoliativnyy-dermatit)[4](https://old.dnmu.ru/wp-content/uploads/2025/01/%D0%9F%D1%80%D0%BE%D0%B2%D0%B8%D0%B7%D0%B8%D0%BE%D0%BD%D0%A2%D1%80%D0%BE%D1%85%D0%B8%D0%BC%D1%87%D1%83%D0%BA%D0%AD%D0%BA%D1%81%D1%84%D0%BE%D0%BB%D1%8F%D1%82%D0%B8%D0%B2%D0%BD%D1%8B%D0%B9_%D0%B4%D0%B5%D1%80%D0%BC%D0%B0%D1%82%D0%B8%D1%82_%D0%A0%D0%B8%D1%82%D1%82%D0%B5%D1%80%D0%B0_11_01_2025.pdf). Источником заражения может стать мать или медперсонал [5](https://www.katrenstyle.ru/pharmacy/eksfoliativnyy_dermatit_i_drugie_porazheniya_kozhi_u_novorozhdyennykh). В этом случае заболевание называется **эксфолиативным дерматитом Риттера** [3](https://dermatology-md.ru/eksfoliativnyy-dermatit)[4](https://old.dnmu.ru/wp-content/uploads/2025/01/%D0%9F%D1%80%D0%BE%D0%B2%D0%B8%D0%B7%D0%B8%D0%BE%D0%BD%D0%A2%D1%80%D0%BE%D1%85%D0%B8%D0%BC%D1%87%D1%83%D0%BA%D0%AD%D0%BA%D1%81%D1%84%D0%BE%D0%BB%D1%8F%D1%82%D0%B8%D0%B2%D0%BD%D1%8B%D0%B9_%D0%B4%D0%B5%D1%80%D0%BC%D0%B0%D1%82%D0%B8%D1%82_%D0%A0%D0%B8%D1%82%D1%82%D0%B5%D1%80%D0%B0_11_01_2025.pdf). \n\n**У взрослых** эксфолиативный дерматит может быть вызван **запущенностью или неправильным лечением обычного дерматита** [3](https://dermatology-md.ru/eksfoliativnyy-dermatit). При расчёсывании кожи в поражённых местах в ранки попадает инфекция, и болезнь прогрессирует [3](https://dermatology-md.ru/eksfoliativnyy-dermatit).\n\n## Причины\nНекоторые причины эксфолиативного дерматита: \n* **Дерматологические состояния** — псориаз, красный волосяной лишай, себорея, атопический и контактный дерматиты [8](https://meduniver.com/Medical/Dermat/eritrodermia.html). \n* **Инфекционные заболевания** — ВИЧ-инфекция, туберкулёз, норвежская чесотка, гепатит, сыпной тиф [8](https://meduniver.com/Medical/Dermat/eritrodermia.html). \n* **Системные заболевания** — саркоидоз, тиреотоксикоз, реакция «трансплантат против хозяина» [8](https://meduniver.com/Medical/Dermat/eritrodermia.html). \n* **Реакции на лекарственные препараты** (токсидермия) — системные и местные препараты [8](https://meduniver.com/Medical/Dermat/eritrodermia.html). \n* **Идиопатический эксфолиативный дерматит** — причину установить не удаётся [13](https://www.lvrach.ru/2019/11/15437424).\n\n## Симптомы\nСтепень выраженности признаков дерматита зависит от стадии заболевания [1](https://OpenClinics.ru/bolezni/dermatit/eksfoliativnyy-dermatit/). Некоторые симптомы: \n* покраснение кожи [1](https://OpenClinics.ru/bolezni/dermatit/eksfoliativnyy-dermatit/); \n* сухость, стянутость, зуд, жжение [1](https://OpenClinics.ru/bolezni/dermatit/eksfoliativnyy-dermatit/); \n* образование пузырьков с прозрачным или гнойным содержимым [1](https://OpenClinics.ru/bolezni/dermatit/eksfoliativnyy-dermatit/); \n* появление после их вскрытия корочек и отшелушивающихся слоёв кожи [1](https://OpenClinics.ru/bolezni/dermatit/eksfoliativnyy-dermatit/); \n* повышение температуры тела [1](https://OpenClinics.ru/bolezni/dermatit/eksfoliativnyy-dermatit/); \n* ухудшение состояния волос и ногтей [1](https://OpenClinics.ru/bolezni/dermatit/eksfoliativnyy-dermatit/). \n\n**Важно!** Эксфолиативный дерматит может быть опасным для жизни, поэтому при появлении симптомов необходимо немедленно обратиться к врачу [10](https://tr-page.yandex.ru/translate?lang=en-ru&url=https%3A%2F%2Fwww.webmd.com%2Fskin-problems-and-treatments%2Fwhat-is-exfoliative-dermatitis).\n\n## Диагностика\nТочный диагноз может поставить только врач на основе осмотра и обследования [11](https://re-klinika.ru/articles/dermatit-raznovidnosti-simptomy-prichiny-i-sovremennye-podhody-k-lecheniyu/). Врач может собрать информацию о других заболеваниях и принимаемых лекарствах [10](https://tr-page.yandex.ru/translate?lang=en-ru&url=https%3A%2F%2Fwww.webmd.com%2Fskin-problems-and-treatments%2Fwhat-is-exfoliative-dermatitis). В некоторых случаях проводят **биопсию образца кожи** [10](https://tr-page.yandex.ru/translate?lang=en-ru&url=https%3A%2F%2Fwww.webmd.com%2Fskin-problems-and-treatments%2Fwhat-is-exfoliative-dermatitis).\n\n## Лечение\nЛечение эксфолиативного дерматита зависит от причины заболевания [1](https://OpenClinics.ru/bolezni/dermatit/eksfoliativnyy-dermatit/)[11](https://re-klinika.ru/articles/dermatit-raznovidnosti-simptomy-prichiny-i-sovremennye-podhody-k-lecheniyu/). Например: \n* **У новорождённых** — антибиотикотерапия, местная обработка антисептиками поражённых участков кожи, укрепление иммунитета путём введения антистафилококковой плазмы и гамма-глобулина [5](https://www.katrenstyle.ru/pharmacy/eksfoliativnyy_dermatit_i_drugie_porazheniya_kozhi_u_novorozhdyennykh). \n* **У взрослых** — применение гормональных препаратов, успокаивающих средств, сложносоставных мазей, накладывание компрессов [3](https://dermatology-md.ru/eksfoliativnyy-dermatit). 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