Erythema nodosum

ʻO Erythema nodosum kahi maʻi maʻi. Pili ia i nā palupalu, nā puʻupuʻu ʻulaʻula (nodule) ma lalo o ka ʻili.

Ma kahi o ka hapalua o nā hihia, ʻike ʻole ʻia ke kumu kikoʻī o ka erythema nodosum. Pili nā hihia i koe me ka maʻi maʻi a i ʻole nā ​​ʻano maʻi ʻōnaehana.

ʻO kekahi o nā maʻi maʻamau e pili pū me ka maʻi ʻo:

• ʻO Streptococcus (ka mea maʻamau)
• Maʻi maʻi popoki
• Chlamydia
• ʻO Coccidioidomycosis
• Hepatitis B
• Histoplasmosis
• Leptospirosis
• Mononucleosis (EBV)
• ʻO Mycobacteria
• Mycoplasma
• ʻO Psittacosis
• Syphilis
• Maʻi puʻu
• Tularemia
• Yersinia

Hiki i ka Erythema nodosum me ka noʻonoʻo i kekahi mau lāʻau, e like me:

• Nā Antibiotics, me amoxicillin a me nā penicillins ʻē aʻe
• Sulfonamides
• Nā Sulfones
• Pila pale hānau
• Progestin

I kekahi manawa, hiki i ka erythema nodosum ke hana i ka wā hāpai.

ʻO nā maʻi ʻē aʻe e pili ana i kēia ʻano, ʻo ia ka leukemia, lymphoma, sarcoidosis, ka maʻi rumatika, ka maʻi Bechet, a me ka ulcerative colitis.

ʻOi aku ka maʻamau o ke kūlana i nā wahine ma mua o nā kāne.

ʻO ka erythema nodosum ka mea maʻamau ma ka mua o nā shins. Hiki paha ia i nā wahi ʻē aʻe o ke kino e like me ka ʻūlū, nā keiki bipi, nā kuʻekuʻe wāwae, nā ʻūhā, a me nā lima.

Hoʻomaka nā liona ma ke ʻano he pālahalaha, kūpaʻa, wela, ʻulaʻula, ʻehaʻeha e kokoke ana i 1 iniha (2.5 centimita) ma ʻō. I loko o kekahi mau lā, lilo lākou i purplish i ke kala. I loko o kekahi mau pule, mae wale nā ​​ʻōpuʻu i kahi papa brownish, pālahalaha.

Hiki i nā ʻōuli ʻē aʻe ke:

• Fiva
• ʻO ka manaʻo maʻi maʻamau (malaise)
• ʻEha pū
• ʻUlaʻula ʻula, wela, a hoʻonāukiuki paha
• ʻO ka pehu ʻana o ka wāwae a i ʻole nā ​​wahi ʻē aʻe i hoʻopili ʻia

Hiki i kāu mea mālama ola ke hōʻoia i kēia ʻano ma ka nānā ʻana i kou ʻili. ʻO nā hoʻāʻo e hana ʻia ana paha:

• Punch biopsy o kahi nodule
• ʻO ka moʻomeheu Throat e kāpae i kahi maʻi strep
• ʻO ka x-ray umauma e kāpae i ka sarcoidosis a i ʻole ka tuberculosis
• Nānā ke koko e nānā i nā maʻi a i ʻole nā ​​maʻi ʻē aʻe

ʻO ke kumu o ka maʻi, lāʻau, a maʻi paha e ʻike ʻia a mālama ʻia.

Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs).
• ʻO nā lāʻau ʻoi aku ka ikaika o ka anti-inflammatory i kapa ʻia ʻo corticosteroids, lawe ʻia e ka waha a i ʻole hāʻawi ʻia ma ke ʻano he pū.
• ʻO ka hopena Potassium iodide (SSKI), hāʻawi pinepine ʻia e like me nā kulu i hoʻohui ʻia i ka wai ʻalani.
• Nā lāʻau lapaʻau waha ʻē aʻe e hana ana i ka pale o ke kino.
• Nā lāʻau ʻeha (analgesics).
• Hoʻomaha.
• Ke hāpai nei i ka ʻeha (kahi kiʻekiʻe).
• ʻO nā compresses wela a anuanu paha e kōkua i ka hōʻemi ʻana i ka pilikia.

ʻAʻole ʻoluʻolu ʻo Erythema nodosum, akā ʻaʻole makaʻu i ka nui o nā hihia.

Hele pinepine nā ʻōuli i loko o 6 mau pule, akā hoʻi paha.

Kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā ʻōuli o erythema nodosum.

• Pili ʻia ʻo Erythema nodosum me sarcoidosis
• Erythema nodosum ma ka wāwae

Forrestel A, Rosenbach M. Erythema nodosum. I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Ka mālama ʻana i ka maʻi ʻili: nā ʻōnaehana Therapyutic Comprehensive. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 75.

ʻO Gehris RP. Dermatology. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 8.

James WD, Elston DM, mālama iā JR, Rosenbach MA. Nā maʻi o ka momona subcutaneous. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o Andrews 'o ka ʻili: Dermatology Haumāna. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 23.