Hoʻolaha Granuloma

ʻO Granuloma annulare (GA) kahi maʻi ʻili lōʻihi (mau) o ka ʻili me ka hū me nā puʻupuʻu ʻulaʻula i hoʻonohonoho ʻia i kahi pōʻai a i ʻole ke apo.

Hoʻopili pinepine ʻo GA i nā keiki a me nā ʻōpio ʻōpio. ʻOi aku ka maʻamau o nā wahine.

ʻIke pinepine ʻia ke ʻano i nā kānaka olakino ʻole. I kekahi manawa, pili paha ia i ka maʻi diabetes a i ʻole ka maʻi thyroid. ʻAʻole ʻike ʻia ke kumu kūpono o GA.

ʻAʻole hana maʻa mau ʻo GA i nā ʻōuli ʻē aʻe, akā ʻāwī iki paha ka hū.

ʻIke pinepine ka poʻe i ke apo o nā puʻupuʻu liʻiliʻi, paʻa (papule) ma luna o nā kua o nā pūlima, nā lima, a me nā wāwae. I kekahi manawa, loaʻa paha iā lākou kahi mau apo.

I nā hihia maʻamau, ʻike ʻia ʻo GA ma ke ʻano he nodule paʻa ma lalo o ka ʻili o nā lima a me nā wāwae. I kekahi mau hihia, hoʻolaha ka ʻōhū ma ke kino holoʻokoʻa.

Manaʻo paha kāu mea mālama ola he maʻi fungal kāu ke nānā aku i kou ʻili e like me ke ʻano o ke apo me he ringworm lā. Hiki ke hoʻohana ʻia kahi ʻili ʻili a me kahi hoʻāʻo KOH e hōʻike ai i ka ʻokoʻa ma waena o GA a me kahi maʻi fungal.

Pono paha ʻoe i kahi biopsy kuʻi ʻili e hōʻoia i ke kuhi o GA.

Hiki iā GA ke hoʻonā iā ia iho. ʻAʻole paha ʻoe e pono e mālama iā GA, koe wale no nā kumu cosmetic. Hoʻohana ʻia nā kalima steroid ikaika loa a i ʻole i nā hamo i kekahi manawa e hoʻomaʻemaʻe koke i ka hū.Hoʻokomo ʻia paha nā kuʻikuʻi o nā steroid i loko o nā apo. Koho paha kekahi mau mea hoʻolako e hoʻopaʻa i nā puʻupuʻu me ka nitrogen wai.

Pono nā kānaka me nā hihia koʻikoʻi a ākea paha i nā lāʻau e kāohi i ka ʻōnaehana pale. Hiki i ke Laser a me ka ultraviolet light therapy (phototherapy) ke kōkua pū kekahi.

I ka hapanui o nā hihia, nalo ʻo GA me ka ʻole o ka mālama ʻana i loko o 2 mau makahiki. Hiki i nā apo ke noho no nā makahiki he nui. ʻO ka helehelena o nā apo hou he mau makahiki ma hope ʻaʻole maʻa.

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i nā puʻupuʻu e like me ke apo i kou ʻili i hele ʻole i loko o kekahi mau pule.

Pseudorheumatoid nodule - subcutaneous granuloma annulare; ʻO GA

• Hoʻolaha ʻo Granuloma ma ka maka maka
• Hoʻolaha ʻo Granuloma ma ka kuʻe lima
• Hoʻolahalaha ʻo Granuloma ma nā wāwae

ʻO Dinulos JGH. Nā hōʻike Cutaneile o ka maʻi kūloko. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 26.

Patterson JW. Ke kumu hoʻohālikelike granulomatous. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 8.