He aha ʻo Palmar Erythema?

Anter

• He aha ke ʻano o ka palmar erythema?
• He aha ke kumu o ka erythema palmar a ʻo wai ka pilikia?
• Erythema palmar kumu
• ʻErythema palmar kiʻekiʻe
• Pehea e ʻike ʻia ai ka palmar erythema?
• Pono ʻia ka hoʻāʻo ʻana e pono ai?
• Q:
• A:
• Aia kekahi mau lapaʻau no ka palmar erythema?
• He aha kāu e manaʻo ai?

He aha ka palmar erythema?

ʻO ka palmar erythema kahi ʻano ʻili laha ʻole kahi e ʻulaʻula ai nā pālima o nā lima ʻelua. Hoʻopili pinepine kēia hoʻololi i ke kala i ke kumu o ka palama a me ka wahi a puni ka lalo o kou manamana nui a me kou manamana liʻiliʻi. I kekahi mau hihia, e ʻulaʻula paha kou mau manamana lima.

Hiki ke ʻokoʻa ke kekelē o ka ʻulaʻula ma muli o:

• mahana
• kau kaomi i kou mau lima
• kou kūlana naʻau
• inā e hāpai ana ʻoe i kou mau lima i luna

ʻIke paha ʻoe i ka mehana a i ʻole ke ahi wela i loko o kou mau lima, akā ʻaʻole pono e makaʻu nā wahi i hoʻopili ʻia.

Hiki ke hoʻoilina kēia. Hiki ke hopena ʻia mai nā kūlana kikoʻī, e like me ka hāpai ʻana, a i ʻole nā ​​maʻi, e like me ka cirrhosis ate. ʻAʻole kahi lapaʻau maʻamau a lāʻau lapaʻau paha no ka ʻulaʻula ponoʻī. Inā kumu ʻia ka palmar erythema e kahi ʻano paʻa, e hoʻomaʻemaʻe paha kāu mau hōʻailona ma hope o ka mālama ʻana no ke kumu kumu.

Kapa ʻia ʻo Palmar erythema i nā palma ate, nā pāmaʻulaʻula, a me ka maʻi o Lane. E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe.

He aha ke ʻano o ka palmar erythema?

He aha ke kumu o ka erythema palmar a ʻo wai ka pilikia?

Palmar erythema hiki ke:

• hoʻoilina hoʻoilina
• ma muli o kahi kūlana kumu
• o ke kumu i ʻike ʻole ʻia

Inā hoʻoilina ke kūlana, pili i ka hāpai ʻana, a i ʻole kumu ʻike ʻole ʻia, manaʻo ʻia he erythema palmar mua ia. Inā kumu ʻia ia e kahi kumu olakino kumu a i ʻole nā ​​ʻano kaiapuni, manaʻo ʻia ia ʻo ka palmar erythema lua.

Erythema palmar kumu

ʻO Hereditary palmar erythema ka mea, me kekahi mau hihia i wehewehe ʻia i loko o nā puke olakino. I kēia mau hihia, aia ka ʻulaʻula i ka wā hānau a mau ke ola. He ʻano maikaʻi ia, ʻo ia hoʻi ʻaʻohe ʻeha a mumule paha. ʻO ka ʻulaʻula mai nā kīʻaha koko i hoʻonui ʻia ma lalo o ka ʻili.

Kū ka palry erythema e pili ana i ka hāpai ʻana ma kahi o 30 pākēneka o nā hāpai keiki. ʻO kēia paha ma muli o nā hoʻololi vascular e pili ana i ka hoʻonui ʻana o nā pae estrogen i ka wā hāpai.

I kekahi mau hihia, ʻaʻole hoʻoilina ke ʻano a pili ʻole paha i kekahi ʻano a i ʻole nā ​​maʻi i ʻike ʻia.

ʻErythema palmar kiʻekiʻe

ʻO Palmar erythema kahi hōʻailona o nā ʻano ʻano like ʻole. ʻO kona helehelena ka hōʻailona mua o ka hopohopo olakino.

ʻO kahi laʻana, pili ʻia ka palmar erythema me kekahi ʻano o ka maʻi ate. Ma kahi o 23 pākēneka o ka poʻe i loaʻa i ka cirrhosis o ke akepaʻa e ʻike pū i ka erythema palmar.

ʻO nā maʻi akepaʻa ʻē aʻe e pili ana i ka palmar erythema e pili pū ana me ka maʻi o Wilson, kahi e loaʻa ai ke nui ke keleawe i kou kino, a me ka hemochromatosis, i kū ke loaʻa ka hao ma kou kino.

Ua hana pū ʻia nā hui maopopo no nā ʻano aʻe:

• Diabetes: Kuhi ʻia kahi poʻe i loaʻa i ka maʻi kō e palmar erythema.
• Nā maʻi Autoimmune: Ma mua o ka poʻe i loaʻa i ka rheumatoid arthritis ʻike i ka palmar erythema.
• ʻO ka maʻi thyroid: Ma kahi o 18 pākēneka o ka poʻe me ka nui o ka thyroid hormone i loaʻa ka palmar erythema.
• HIV: ʻO kahi hihia o ka palmar erythema e pili ana i ka maʻi HIV i hōʻike mua ʻia ma 2017.

ʻO nā mea hiki ʻē aʻe ke:

• nā kūlana ʻili, e like me atopic dermatitis, eczema, a me psoriasis
• maʻi viral a bacteria paha, e like me ka ʻike ʻia ʻo Rocky Mountain i ke kuni, coxsackievirus (ka lima, ka wāwae, a me ka maʻi waha), a me syphilis
• maʻi pulmonary ākea
• ʻōpū o ka lolo i kolohe a i ʻole metastasized

ʻO nā kumu kaiapuni, e like me nā lāʻau, hiki ke alakaʻi i ka palmar erythema. ʻO kahi laʻana, inā maʻamau kāu hana ate, ʻo nā lāʻau e like me topiramate (Topamax) a me albuterol (Proventil) ke kumu o nā ʻōuli.

Inā hōʻeha kāu hana ate, ʻike ʻia ka palmar erythema inā ʻoe e lawe amiodarone (Cordarone), cholestyramine (Questran), a i ʻole gemfibrozil (Lopid).

ʻO nā kumu kaiapuni ʻē aʻe e:

• puhipaka
• inu nui loa ʻana
• lāʻau make ʻaukala

Pehea e ʻike ʻia ai ka palmar erythema?

ʻOiai hiki ke ʻike ʻia ka palmar erythema i ka ʻike maka ʻana, makemake kāu kauka e hoʻoholo inā he hōʻailona o kahi ʻano kumu.

Ma hope o ka loiloi ʻana i kāu mōʻaukala olakino a me ka hana ʻana i kahi hoʻokolohua kino, kauoha paha lākou i hoʻokahi a ʻoi paha nā hoʻokolohua diagnostics e ana ai:

• helu selā koko
• kō kō
• hana ate
• hana thyroid
• nitrogen urea koko
• pae haku hana
• pae pae hao
• pae pae rheumatoid
• pae pae keleawe

Hoʻokomo ʻia paha ka hoʻāʻo hou:

• MRI o kou lolo
• CT scan o kou umauma, ʻōpū, a pelvis
• biopsy iwi ʻōiwi
• nā hoʻāʻo no nā mea ʻino ʻē aʻe

Pono ʻia ka hoʻāʻo ʻana e pono ai?

Q:

Inā ʻaʻole i loaʻa kahi kumu kumu i ka wā o ka hoʻokolohua diagnostical mua, e hoʻi paha wau no nā ukali?

Hoʻomanawanui inoa ʻole

A:

Ke kaukaʻi ʻia nei nā hōʻike āu i loaʻa ai a me nā hopena mai kāu hoʻokolohua diagnostical kumu, pono paha ʻoe e hoʻi no nā hoʻokolohua hou a hiki i ka loaʻa ʻana o ke kumu o ka palmar erythema. Maʻalahi ke ʻike ʻia nā hihia hoʻoilina, no ka mea aia kēlā mau ʻōuli ma ka wā hānau. Pono nā hihia hou e hoʻokolokolo e ʻike i ke kumu. Pono ia e ʻike i ke kumu kumu mai ka mea he pilikia olakino koʻikoʻi paha.

ʻO Debra Sullivan, PhD, MSN, CNE, COIAnswers e hōʻike i nā manaʻo o kā mākou kauka loea. Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.

Aia kekahi mau lapaʻau no ka palmar erythema?

ʻAʻole loaʻa nā lapaʻau e hōʻemi i ka ʻulaʻula ponoʻī.

Me ka erythema palmar kiʻekiʻe, e hoʻemi paha ka ʻulaʻula i ka mālama ʻia ʻana o ke aʻa. ʻO kahi laʻana, inā pili kāu palmar erythema me kahi maʻi autoimmune, hiki i kahi papa pōkole o nā lāʻau corticosteroid ke hoʻomaikaʻi i kāu mau ʻōuli.

Inā ʻo kahi lāʻau āu e lawe nei ke kumu i ka ʻulaʻula, e kamaʻilio me kāu kauka e pili ana i nā lāʻau ʻē aʻe. ʻAʻole pono ʻoe e hōʻoki i ka lawe ʻana i kāu lāʻau i kuhikuhi ʻia me ka ʻole o ka ʻāpono a kāu kauka.

He aha kāu e manaʻo ai?

He mea nui ia e ʻike i kāu kauka inā he ʻulaʻula kou i kou mau lima. ʻO ke kumu he maʻi maʻi paʻa e mālama ʻia i ka wā hiki koke, ma mua o ka ulu ʻana o nā pilikia.

Inā ke kumu nei nā kumu lua i kāu palmar erythema, e mae paha kāu mau ʻōuli ma ka manawa. ʻO nā wahine hāpai hāpai ʻike pinepine i ka hele ʻana o ka ʻulaʻula ma hope o ka hānau ʻana.

Ke hoʻomau nei paha nā ʻōuli i nā hihia o ka erythema palmar hoʻoilina.