Hypersensitivity vasculitis

ʻO ka hypersensitivity vasculitis kahi hopena loa i ka lāʻau, maʻi, a i ʻole nā ​​mea haole. ʻO ia ke alakaʻi i ka mumū a me ka hōʻino ʻana i nā kīʻaha koko, ka hapanui i ka ʻili. ʻAʻole hoʻohana ʻia ka huaʻōlelo i kēia manawa no ka mea ʻoi aku ka pololei o nā inoa kikoʻī.

ʻO ka vasculitis hypersensitivity, a i ʻole ka vasculitis moku liʻiliʻi, ua hoʻokumu ʻia e:

• ʻO kahi hopena āpau i kahi lāʻau a i ʻole nā ​​mea haole ʻē aʻe
• ʻO kahi hopena i kahi maʻi

Hoʻololi pinepine ia i ka poʻe ma mua o 16 mau makahiki.

ʻO ka manawa pinepine, ʻaʻole hiki ke loaʻa ke kumu o ka pilikia a me ka nānā pono ʻana i ka mōʻaukala olakino.

Hiki ke nānā aku i ka vasculitis hypersensitivity e like me ka ʻōnaehana, vasculitis necrotizing, hiki ke hoʻopili i nā kīʻaha koko ma loko o ke kino a ʻaʻole wale i ka ʻili. I nā keiki, hiki ke nānā iā Henoch-Schonlein purpura.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO ka wīwī hou me nā wahi palupalu, poni a ʻulaʻula paha ma nā wahi nui
• Aia nā ʻeha ma ka wāwae i ka hapanui o ka wāwae, ka ʻūhā, a me ke kumu paha
• Pahū ma ka ʻili
• Hives (urticaria), lōʻihi paha ka lōʻihi ma mua o 24 mau hola
• Wehe i nā ʻeha me nā mea make (ulcer nekrotic)

E hoʻokumu ka mea mālama ola i ka hōʻailona ma nā ʻōuli. E nānā ka mea hāʻawi i nā lāʻau a lāʻau paha āu i lawe ai a me nā maʻi hou. E nīnau ʻia ʻoe e pili ana i ka ʻeha, ka fiva, a me ka ʻeha o ka umauma.

E hoʻopau ʻia kahi hōʻike kino holoʻokoʻa.

Hiki ke hana ʻia nā hoʻokolohua koko a me ka mimi e nānā i nā maʻi ʻōnaehana e like me ka lupus erythematosus systemic, dermatomyositis, a i ʻole hepatitis C.

• Helu piha ke koko me ka ʻokoʻa
• ʻO ke ana sedimentation ʻErythrocyte
• ʻO ka panela kemika me nā enzymes ate a me ka creatinine
• Antinuclear antibody (ANA)
• ʻLelo Rheumatoid
• Antineutrophil cytoplasmic antibodies (ANCA)
• Nā pae hoʻokō
• ʻO Cryoglobulins
• Nā hoʻāʻo Hepatitis B a me C
• Hōʻike HIV
• Urinalysis

Hōʻike ka biopsy ʻili i ka mumū o nā kīʻaha koko liʻiliʻi.

ʻO ka pahuhopu o ka mālama ʻana e hōʻemi i ka lī.

Kākau paha kāu mea hāʻawi i ka aspirin, nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), a i ʻole nā ​​corticosteroids e hōʻemi i ka mumū o nā kīʻaha koko. (MAI hāʻawi i ka aspirin i nā keiki koe wale nō me ka ʻōlelo aʻoaʻo a kāu mea hāʻawi).

E haʻi aku kāu mea lawelawe iā ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i hiki ke kumu i kēia ʻano.

Hele pinepine ʻo hypersensitivity vasculitis ma kahi o ka manawa. E hoʻi paha ke ʻano i kekahi poʻe.

Pono e nānā ka poʻe me ka vasculitis mau no ka vasculitis ʻōnaehana.

Komo pū nā pilikia:

• ʻO ka pōʻino mau loa i nā kīʻaha koko a i ʻole ka ʻili me ka ʻili o ka ʻili
• Hoʻā ʻia nā kīʻaha koko e hoʻopili ana i nā mea kūloko

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o hypersensitivity vasculitis.

Mai lawe i nā lāʻau i hana i kahi hopena maʻi i loko o ka wā i hala.

Cutaneus moku liʻiliʻi vasculitis; ʻO ka vasculitis Allergic; Leukocytoclastic vasculitis

• ʻO Vasculitis ma ka pāma
• ʻO Vasculitis
• Vasculitis - urticarial ma ka lima

ʻO Habif TP. ʻO nā syndrome hypersensitivity a me ka vasculitis. I: Habif TP, hoʻoponopono. Dermatology Lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 18.

Jennette JC, Falk RJ, Bacon PA, et al. Ua hoʻoponopono hou ʻo 2012 International Chapel Hill ʻaha kūkā kūkā kūkā kūkā inoa o vasculitides. ʻO Rheum Arthritis. 2013; 65 (1): 1-11. PMID: 23045170 www.ncbi.nlm.nih.gov/pubmed/23045170.

Patterson JW. ʻO ke kumu hoʻohālikelike vasculopathic. I: Patterson JW, hoʻoponopono. ʻO Weedon's Skin Pathology. ʻEhā ed. Piladelapia, PA: Elsevier Churchill Livingstone; 2016: chap 8.

Pohaku JH. Nā vasculitides ʻōnaehana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 270.

Sunderkötter CH, Zelger B, Chen KR, et al. Nomenclature o ka vasculitis cutaneus: hoʻohui dermatologic i ka 2012 ʻO ka loiloi nui o ka International Chapel Hill Consensus Conference o Vasculitides. Rumatika rumitis. 2018; 70 (2): 171-184. PMID: 29136340 www.ncbi.nlm.nih.gov/pubmed/29136340.