Dermatitis herpetiformis

ʻO Dermatitis herpetiformis (DH) kahi wīwī wīwī loa me nā puʻupuʻu a me nā puʻupuʻu. Kūleʻa ka hū (lōʻihi).

Hoʻomaka ka DH ma nā makahiki he 20 a ʻoi. Hiki i nā keiki ke hoʻopilikia i kekahi manawa. ʻIke ʻia i nā kāne a me nā wahine.

ʻAʻole ʻike ʻia ke kumu kūpono. ʻOiai ka inoa, ʻaʻole pili i ka maʻi herpes. ʻO DH kahi maʻi maʻi autoimmune. Aia kahi loulou ikaika ma waena o DH a me nā maʻi celiac. ʻO ka maʻi Celiac kahi maʻi autoimmune nāna e hoʻonā i ka ʻōpū liʻiliʻi mai ka ʻai ʻana i ka gluten. ʻO ka poʻe me DH kekahi i ka maʻalahi i ka gluten, kahi e hoʻopiʻi ai i ka ʻili. Ma kahi o 25% o ka poʻe me ka maʻi celiac kekahi DH.

ʻO nā hōʻailona me:

• ʻO nā puʻupuʻu a i ʻole nā ​​palapū nui, pinepine pinepine ʻia ma nā kuʻe lima, nā kuli, kua, a me nā puʻupuʻu.
• ʻO nā rashes e like ka nui a me ke ʻano ma nā ʻaoʻao ʻelua.
• Hiki ke nānā aku i ka ʻōlapa e like me ka eczema.
• ʻO nā kaha wili a me ka ʻili erosi ma kahi o nā palapū i kekahi poʻe.

Loaʻa ka hapa nui o ka poʻe me DH i ko lākou ʻōpū mai ka ʻai ʻana i ka gluten. Akā aia wale kekahi i nā ʻōpū ʻōpū.

I ka hapanui o nā hihia, hana ʻia kahi biopsy o ka ʻili a me ka hoʻāʻo pono immunofluorescence o ka ʻili. Hiki paha i ka mea mālama ola ke ʻōlelo i kahi biopsy o nā ʻōpū. Kauoha ʻia paha nā hōʻoia koko e hōʻoia i ka ʻike.

He hopena maikaʻi loa kahi antibiotic i kapa ʻia dapsone.

Paipai ʻia kahi papaʻai gluten-ʻole koʻikoʻi e kōkua i ka mālama ʻana i ka maʻi. ʻO ke kūpaʻa i kēia papaʻai hiki ke hoʻopau i ka pono o nā lāʻau a pale i nā pilikia ma hope.

Hiki ke hoʻohana ʻia nā lāʻau e kākoʻo i ka ʻōnaehana pale, akā ʻoi aku ka maikaʻi.

Mālama maikaʻi ʻia ka maʻi me ka lāʻau. Me ka mālama ʻole ʻia, nui paha ka makaʻu o ka maʻi ʻaʻai ʻōpū.

Komo pū nā pilikia:

• ʻO ka maʻi thyroid autoimmune
• Hoʻolālā i kekahi mau maʻi maʻi maʻi, ʻo ia hoʻi nā lymphomas o nā ʻōpū
• Nā hopena o nā lāʻau i hoʻohana ʻia e mālama iā DH

Kāhea i kāu mea hāʻawi inā loaʻa ʻoe i ka hū e hoʻomau me ka mālama ʻana.

ʻAʻole ʻike ʻia ka pale ʻana i kēia maʻi. Hiki i nā poʻe me kēia ʻano ke pale aku i nā pilikia ma ka hōʻalo ʻana i nā meaʻai i loaʻa ka gluten.

Maʻi hōʻino; DH

• ʻO Dermatitis, herpetiformis - kahi kokoke i ka leona
• Dermatitis - herpetiformis ma ke kuli
• Dermatitis - herpetiformis ma ka lima a me nā wāwae
• Dermatitis herpetiformis ma ka manamana nui
• ʻO Dermatitis herpetiformis ma ka lima
• Dermatitis herpetiformis ma ka forearm

Hull CM, ʻĀpana JJ. Dermatitis herpetiformis a me ka laina IgA bullous dermatosis. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 31.

ʻO Kelly CP. Maʻi Celiac. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 107.