ʻO Livedo reticularis

ʻO Livedo reticularis (LR) kahi hōʻailona o ka ʻili. Pili ia i kahi ʻano netlike o ka ʻulaʻula-ʻulaʻula discoloration. Hoʻopili pinepine ʻia nā wāwae. Pili kēia ʻano i nā moku koko pehu. E hele a māhuahua paha ke anuanu ke anuanu.

Ke holo nei ke koko i loko o ke kino, ʻo nā aʻa ke kīʻaha koko e lawe i ke koko mai ka puʻuwai a lawe nā veins i ke koko i ka puʻuwai. ʻO ke kumu o ka loli ʻana o ka ʻili o LR nā hopena mai nā aʻa i loko o ka ʻili i piha i ke koko ʻoi aku ma mua o ka maʻamau. Hiki i kēia ke kumu o kekahi o kēia:

• ʻO nā veins i hoʻonui ʻia
• Kahe kahe o ke koko e waiho ana i nā uaua

ʻElua ʻano o ka LR: mua a me ke kula kiʻekiʻe. ʻIke ʻia ʻo LR lua ʻo livedo racemosa.

Me ka LR kumu nui, ka hōʻike ʻana i ke anu, hoʻohana paka, a i ʻole nāukiuki i ka naʻau e hiki ai ke alakaʻi i ka ʻili o ka ʻili. ʻO nā wahine 20 a 50 mau makahiki ka nui o ka hopena.

Pili nā maʻi like ʻole he nui me ka LR lua, me:

• Congenital (i kēia manawa i ka hānau ʻana)
• Ma ke ʻano he hopena i kekahi mau lāʻau e like me amantadine a i ʻole interferon
• ʻO nā maʻi maʻi koko ʻē aʻe e like me polyarteritis nodosa a me Raynaud hanana
• Nā maʻi e pili ana i ke koko e like me nā proteins abnormal a i ʻole ka makaʻu nui i ka hoʻomohala ʻana i nā clots koko e like me ka antiphospholipid syndrome
• ʻO nā maʻi e like me ka hepatitis C
• Pālolo

I ka hapanui o nā hihia, pili ka LR i nā wāwae. I kekahi manawa, pili ke alo, kumu, ʻūpā, lima a me nā wāwae kekahi. ʻO ka maʻamau, ʻaʻohe ʻeha. Eia nō naʻe, inā paʻa loa ke kahe o ke koko, hiki i ka ʻeha a me nā maʻi ʻeha ke ulu.

E nīnau kāu mea mālama ola e pili ana i kāu mau hōʻailona.

E hana ʻia nā hoʻokolohua koko a i ʻole kahi biopsy ʻili e kōkua i ke kuhi hewa ʻana i kekahi pilikia olakino.

No LR kumu:

• Ka mālama ʻana i ka mehana, keu hoʻi i nā wāwae, hiki ke kōkua i ka hōʻoluʻolu o ka ʻili.
• Mai puhi.
• Hōʻalo i nā hanana pilikia.
• Inā hōʻoluʻolu ʻole ʻoe i ka helehelena o kou ʻili, e kamaʻilio me kāu mea lawelawe e pili ana i ka mālama ʻana, e like me ka lawe ʻana i nā lāʻau i hiki ke kōkua i ka ʻili o ka ʻili.

No ka LR lua, pili ka lāʻau i ka maʻi maʻi. ʻO kahi laʻana, inā he pilikia ke koko koko, hiki i kāu mea hāʻawi ke ʻōlelo e hoʻāʻo ʻoe i ka lawe ʻana i nā lāʻau hoʻomāliʻi i ke koko.

I nā manawa he nui, hoʻomaikaʻi a nalo paha ka LR mua me ka makahiki. No LR ma muli o kahi maʻi maʻi, pili ka nānā i ka maikaʻi o ka mālama ʻana i ka maʻi.

Kāhea i kāu mea hāʻawi inā loaʻa iā LR a noʻonoʻo he kumu ia no kahi maʻi maʻi.

Hiki ke pale ʻia ka LR primer e:

• Noho mahana i nā mahana anuanu
• Hōʻalo paka ʻana
• Hōʻalo i ke kaumaha manaʻo

Cutis marmorata; Livedo reticularis - idiopathic; Sneddon Syndrome - idiopathic livedo reticularis; Livedo racemosa

• Livedo reticularis - pani-i luna
• Livedo reticularis ma nā wāwae

ʻO Jaff MR, ʻo Bartholomew JR. Nā maʻi arterial peripheral ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 80.

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.

Sangle SR, D'Cruz DP. Livedo reticularis: kahi enigma. ʻO Isr Med Assoc J. 2015; 17 (2): 104-107. PMID: 26223086 www.ncbi.nlm.nih.gov/pubmed/26223086.