Erythema nodosum

Erythema nodosum ke lefu la ho ruruha. E kenyelletsa maqhubu a bonolo, a mafubelu (maqhutsu) tlasa letlalo.

Hoo e ka bang halofo ea linyeoe, sesosa sa "erythema nodosum" ha se tsejoe. Maemo a setseng a amahanngoa le ts'oaetso kapa lefu le leng la "systemic".

Tse ling tsa tšoaetso e tloaelehileng e amanang le lefu lena ke:

• Streptococcus (e tloaelehileng haholo)
• Cat lefu mengoapo
• Chlamydia
• Coccidioidomycosis
• Hepatitis B
• Histoplasmosis
• Leptospirosis
• Mononucleosis (EBV)
• Mycobacteria
• Mycoplasma
• Tšoaetso ea Psittacosis
• Syphilis
• Lefuba
• Tularemia
• Yersinia

Erythema nodosum e ka hlaha ka kutlo ho meriana e meng, ho kenyelletsa:

• Lithibela-mafu, ho kenyelletsa amoxicillin le li-penicillin tse ling
• Sulfonamides
• Libabole
• Lipilisi tsa thibelo ea bokhachane
• Progestin

Ka linako tse ling, erythema nodosum e ka hlaha nakong ea bokhachane.

Mathata a mang a amanang le boemo bona a kenyelletsa leukemia, lymphoma, sarcoidosis, rheumatic fever, lefu la Bechet le ulcerative colitis.

Boemo bona bo atile haholo ho basali ho feta banna.

Erythema nodosum e atile haholo ka pele ho lihlaha. E kanna ea hlaha le likarolong tse ling tsa 'mele joalo ka makhopho, manamane, maqaqailana, lirope le matsoho.

Liso li qala li le sephara, li tiile, li chesa, li khubelu, li hlama tse bohloko tse ka bang lisenthimithara tse 2,5 ka bophara. Ka mor'a matsatsi a 'maloa, li ka' na tsa fetoha 'mala o pherese. Ka nako ea libeke tse 'maloa, makhopho ao a ponahalo e sethotsana.

Matšoao a mang a kenyeletsa:

• Feberu
• Boikutlo bo tloaelehileng ba ho kula (malaise)
• Mahlaba a kopaneng
• Bofubelu ba letlalo, ho ruruha kapa ho koata
• Ho ruruha ha leoto kapa sebaka se seng se amehileng

Mofani oa hao oa tlhokomelo ea bophelo a ka hlahloba boemo bona ka ho sheba letlalo la hao. Liteko tse ka etsoang li kenyelletsa:

• Phunya biopsy ea nodule
• Tloaelo ea 'metso ea ho thibela tšoaetso ea strep
• X-ray sefubeng ho tlosa sarcoidosis kapa lefuba
• Liteko tsa mali ho sheba tšoaetso kapa mathata a mang

Tšoaetso ea mantlha, sethethefatsi kapa lefu le lokela ho tsejoa le ho phekoloa.

Kalafo e ka kenyelletsa:

• Lithethefatsi tse seng khahlanong le ho ruruha (li-NSAID).
• Meriana e matla e khahlanong le ho ruruha e bitsoang corticosteroids, e nkiloeng ka molomo kapa e fanoang e le thunya.
• Tharollo ea Potassium iodide (SSKI), eo hangata e fanoang e le marotholi a kenyellelitsoeng ho lero la lamunu.
• Meriana e meng ea molomo e sebetsang masoleng a 'mele.
• Meriana ea bohloko (analgesics).
• Phomola.
• Ho phahamisa sebaka se bohloko (bophahamo).
• Ho hatella ho chesang kapa ho bata ho thusa ho fokotsa ho se utloise bohloko.

Erythema nodosum ha e phutholohe, empa ha e kotsi maemong a mangata.

Matšoao a lula a felile nakong ea libeke tse 6, empa a ka khutla.

Bitsa mofani oa hau haeba u ba le matšoao a erythema nodosum.

• Erythema nodosum e amanang le sarcoidosis
• Erythema nodosum ka leoto

Forrestel A, Rosenbach M. Erythema nodosum. Ka: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, bahlophisi. Kalafo ea Mafu a Letlalo: Mekhoa e Feletseng ea Phekolo. La 4 ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 75.

Gehris RP. Dermatology. Ka: Zitelli BJ, McIntire SC, Nowalk AJ, li-eds. Zitelli le Davis ’Atlas of Pediatric Diagnosis. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 8.

James WD, Elston DM, Tšoara JR, Rosenbach MA. Maloetse a mafura a ka tlasa letlalo. Ka: James WD, Elston DM, Tšoara JR, Rosenbach MA, Neuhaus IM, eds. Andrews ’Maloetse a Letlalo: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 23.