ʻErythroderma

Hoʻolahalaha nui ʻo Erythroderma i ka ʻula. Hele pū ʻia me ke kaha ʻana, ka ʻili ʻana, a me ka ʻili ʻana o ka ʻili, a hiki pū ke komo pū me ka aniani a me ka nalo ʻana o ka lauoho.

Kū paha ʻo Erythroderma ma muli o:

• ʻO ka pilikia o nā ʻili ʻē aʻe, e like me eczema a me psoriasis
• Ka hana i nā lāʻau a i ʻole kekahi mau kemika, e like me phenytoin a me allopurinol
• ʻO kekahi ʻano o ka maʻi ʻaʻai, e like me ka lymphoma

I kekahi manawa ʻaʻole maopopo ke kumu. ʻOi aku ka maʻamau i nā kāne.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• ʻO kaʻulaʻula ma luna o 80% a 90% o ke kino
• Pākuʻi ʻili scaly
• ʻIli mānoanoa
• Māʻeha a ʻeha paha ka ʻili me kahi pilau
• ʻO ka pehu ʻana o nā lima a me nā wāwae
• Kuʻi ka puʻuwai wikiwiki
• Ka nalowale o nā wai, hiki i ka make wai
• Ka nalowale ʻana o ke ana wela ma ke kino

Loaʻa paha nā maʻi ʻelua i ka ʻili.

E nīnau kāu mea mālama ola e pili ana i kāu mau hōʻailona a lawe i kāu mōʻaukala. E hana ka mea nāna i kahi loiloi ʻili me kahi dermatoscope. ʻO ka hapa nui o ka manawa, hiki ke ʻike ʻia ke kumu ma hope o ka hōʻike.

Inā pono, e kauoha ʻia nā hōʻike aʻe:

• ʻO Biopsy o ka ʻili
• Ke hoʻāʻo ʻana i ka maʻi ʻaʻai
• Nā hōʻike ʻē aʻe e ʻike i ke kumu o ka erythroderma

ʻOiai hiki i ka erythroderma ke alakaʻi koke i nā pilikia koʻikoʻi, e hoʻomaka koke ka mea lawelawe i ka lāʻau. Hoʻopili kēia i nā lāʻau ikaika o nā lāʻau cortisone e hōʻemi ai i ka mumū.

Hiki i nā mālama ʻē aʻe ke:

• Nā lāʻau lapaʻau e mālama i ke kumu kumu o ka erythroderma
• Nā Antibiotics no kekahi maʻi maʻi
• Pili nā lole i ka ʻili
• Mālamalama ultviolet
• Ka hoʻoponopono ʻana o ke kaupaona a me ke kaulike electrolyte

I nā hihia koʻikoʻi, pono e mālama ʻia ke kanaka i ka haukapila.

Komo pū nā pilikia:

• ʻO nā maʻi ʻelua e hiki ai ke alakaʻi i ka sepsis (ka pane ʻana o ke kino ākea)
• Loli ka wai i hiki ke hopena i ka make wai a me ke kaulike ʻole o nā minelala (electrolytes) i ke kino
• Hewa puʻuwai

Kāhea koke i kāu mea hāʻawi inā:

• Hele a maikaʻi ʻole nā ​​ʻōuli a ʻaʻole hoʻi e ʻoi aku ka maikaʻi, ʻoiai me ka lāʻau.
• Hoʻolālā ʻoe i nā leona hou.

Hiki ke hoʻemi ʻia ka makaʻu no ka erythroderma e ka hahai ʻana i nā ʻōlelo a ka mea hoʻolako i ka mālama ʻana i ka ʻili.

Dermatitis Exfoliative; Dermatitis exfoliativa; Pruritus - exfoliative dermatitis; Pityriasis rubra; Pāʻā kanaka ʻulaʻula; Erythroderma exfoliative

• Eczema, atopic - kokoke loa
• Psoriasis - hoʻonui ʻia x4
• Atopic dermatitis
• Exfoliation e pili ana i ka erythroderma

ʻO Calonje E, Brenn T, Lazar AJ, Billings SD. Spongiotic, psoriasiform a me nā dermatoses pustular. I: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. ʻO McKee's Pathology o kaʻili. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 6.

James WD, Elston DM, Hana iā JR, Rosenbach MA, Neuhaus IM. Pityriasis rosea, pityriasis rubra pilaris, a me nā maʻi papulosquamous a me hyperkeratotic. I: James WD, Elston DM, mālama iā JR, Rosenbach MA, Neuhaus IM, eds. Nā maʻi o ka ʻili ʻo Andrews. 13th ed. Piladelapia, PA: Elsevier; 2020: chap 11.

ʻO Whittaker S. Erythroderma. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 10.