ʻO Gianotti-Crosti maʻi maʻi

ʻO Gianotti-Crosti Syndrome kahi ʻano ʻili o ke kamaliʻi i hiki ke hele pū ʻia me nā ʻōuli māmā o ke kuni a me ka malaise. Pili pū paha ia me ka hepatitis B a me nā maʻi viral ʻē aʻe.

ʻAʻole ʻike ka poʻe lawelawe olakino i ke kumu kūpono o kēia maʻi. ʻIke lākou pili ia i nā maʻi ʻē aʻe.

I nā keiki Italia, ʻike pinepine ʻia ʻo Gianotti-Crosti Syndrome me ka maʻi hepitis B. Akā ʻike pinepine ʻole ʻia kēia loulou i United States. ʻO ka maʻi ʻo Epstein-Barr (EBV, mononucleosis) ka mea hoʻomaʻi e pili pinepine ʻia me ka acrodermatitis.

ʻO nā virus ʻē aʻe i pili pū me:

• Cytomegalovirus
• ʻO nā virus Coxsackie
• Virus Parainfluenza
• ʻO ka maʻi maʻi Syncytial Respiratory (RSV)
• ʻO kekahi ʻano o nā lāʻau hoʻomaʻamaʻa ola

Hiki i nā ʻōuli o ke ʻili ke hoʻopili i kekahi o kēia mau mea:

• Rash a kāpili paha i ka ʻili, maʻamau ma nā lima a me nā wāwae
• ʻO ka pale Brown-ʻulaʻula a keleawe paha i paʻa a pālahalaha ma luna
• ʻIke ʻia ke aho o nā puʻupuʻu i kahi laina
• ʻO ka maʻamau ʻole ka makaʻu
• ʻIke like ʻo Rash ma nā ʻaoʻao ʻelua o ke kino
• ʻIke paha ʻo Rash ma nā pāma a me nā kapuwaʻi, akā ʻaʻole ma ka ʻaoʻao, ka umauma, a me nā wahi ʻōpū (ʻo kēia kekahi o nā ala e ʻike ʻia ai, ma ka loaʻa ʻole o ka ʻino mai ke kumu o ke kino)

Nā ʻōuli ʻē aʻe i ʻike ʻia e komo pū me:

• ʻŌpū pehu
• Nā pehu lymph pehu
• Nā pūnana lymph mālie

Hiki i ka mea hāʻawi ke ʻike i kēia ʻano ma ka nānā ʻana i ka ʻili a me ka ʻino. Pehu paha ke akepaʻa, ʻāpala, a me nā lymph.

E hana ʻia paha nā hoʻokolohua e hoʻokūpaʻa ai i ka hōʻailona a kāpae paha i nā kūlana ʻē aʻe:

• Pae Bilirubin
• Hepatitis virus serology a i ʻole hepatitis B ʻili antigen
• Nā ʻenekema akepau (nā hoʻāʻo o ka hana ate)
• ʻO ka loiloi no nā mea ʻino EBV
• ʻ biiwi lāʻau

ʻAʻole mālama ʻia ka maʻi ponoʻī. Hoʻolaʻi ʻia nā maʻi i hoʻopili ʻia me kēia ʻano, e like me ka hepatitis B a me Epstein-Barr. Hiki ke kōkua i nā kalima Cortisone a me nā antihistamines waha me ka makaʻu a me ka huhū.

Nalo pinepine ka ʻōpala iā ia iho ma kahi o 3 a 8 mau pule me ka ʻole o ka lapaʻau ʻana a i ʻole ka pilikia. Pono e nānā pono i nā kūlana e pili ana.

Kū nā pilikia ma muli o ke ʻano o nā kūlana e pili ana, ma mua o ka hopena o ka hū.

Kāhea i kāu mea hāʻawi inā loaʻa nā hōʻailona o kāu maʻi i kāu keiki.

ʻO ka Papular acrodermatitis o ka wā kamaliʻi; ʻO ke acrodermatitis Infantile; Acrodermatitis - lichenoid pēpē; Acrodermatitis - papule pēpē; Papulovesicular acro-Aia maʻi pale

• ʻO Gianotti-Crosti maʻi ma ka wāwae
• Mononucleosis maʻi maʻi

ʻO Bender NR, Chiu YE. Nā maʻi Eczematous. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 674.

ʻO Gelmetti C. Gianotti-Crosti maʻi maʻi. I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Ka mālama ʻana i ka maʻi ʻili: nā ʻōnaehana Therapyutic Comprehensive. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 91.