Erythroderma

Erythroderma ke khubelu e atileng ea letlalo. E tsamaea le ho nyoloha, ho ebola le ho phesola letlalo, mme e ka kenyelletsa ho hlohlona le ho lahleheloa ke moriri.

Erythroderma e ka hlaha ka lebaka la:

• Ho kopana ha maemo a mang a letlalo, joalo ka eczema le psoriasis
• Ho itšoara ka meriana kapa lik'hemik'hale tse ling, tse kang phenytoin le allopurinol
• Mefuta e meng ea mofets'e, joalo ka lymphoma

Ka linako tse ling sesosa ha se tsejoe. E atile haholo ho banna.

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Bofubelu ho feta 80% ho 90% ea 'mele
• Matlalo a letlalo la letlalo
• Letlalo le tenya
• Letlalo lea hlohlona kapa le bohloko ka monko
• Ho ruruha ha matsoho kapa maoto
• Ho otla ha pelo kapele
• Ho lahleheloa ke metsi, ho lebisang ho felloa ke metsi
• Ho lahleheloa ke taolo ea mocheso ke 'mele

Ho ka ba le tšoaetso ea bobeli ea letlalo.

Mofani oa hao oa tlhokomelo ea bophelo o tla botsa ka matšoao a hau mme a nke nalane ea hau ea bongaka. Mofani oa thepa o tla etsa tlhahlobo ea letlalo ka dermatoscope. Boholo ba nako, sesosa se ka tsejoa kamora tlhahlobo.

Haeba ho hlokahala, ho ka laeloa liteko tse latelang:

• Biopsy ea letlalo
• Ho hlahlojoa ke mafu
• Liteko tse ling ho fumana sesosa sa erythroderma

Kaha erythroderma e ka baka mathata a maholo kapele, mofani oa litšebeletso o tla qala kalafo hanghang. Hangata hona ho kenyelletsa tekanyetso e matla ea meriana ea cortisone ho fokotsa ho ruruha.

Mefuta e meng ea kalafo e ka kenyelletsa:

• Meriana e sebetsanang le sesosa sa erythroderma
• Lithibela-mafu bakeng sa tšoaetso efe kapa efe
• Liaparo li sebelisoa letlalong
• Leseli la ultraviolet
• Khalemelo ea mokelikeli le mokelikeli oa electrolyte

Maemong a boima, motho o hloka ho alafshoa sepetlele.

Mathata a ka kenyelletsa:

• Matšoao a bobeli a ka lebisang ho sepsis (karabelo ea 'mele ea ho ruruha)
• Ho lahleheloa ke metsi ho ka fella ka ho felloa ke metsi 'meleng le ho se leka-lekane ha liminerale (li-electrolyte)' meleng
• Ho hloleha ha pelo

Bitsa mofani oa hau hang-hang haeba:

• Matšoao a mpefala kapa ha a fole, leha e le kalafo.
• O ba le diso tse ntjha.

Kotsi ea erythroderma e ka fokotsoa ka ho latela litaelo tsa mofani oa tlhokomelo ea letlalo.

Dermatitis e tsoang; Dermatitis exfoliativa; Pruritus - exfoliative dermatitis; Pityriasis rubra; Lefu la Red man; Exfoliative erythroderma

• Eczema, atopic - haufi-up
• Psoriasis - x4 e holisitsoeng
• Dermatitis e phahameng
• Ho tlosoa ka ntle ho erythroderma

Calonje E, Brenn T, Lazar AJ, Billings SD. Spongiotic, psoriasiform le pustular dermatoses. Ka: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. Pathology ea McKee ea Letlalo. La 5th. Philadelphia, PA: Elsevier; 2020: khaolo ea 6.

James WD, Elston DM, Tšoara JR, Rosenbach MA, Neuhaus IM. Pityriasis rosea, pityriasis rubra pilaris, le mafu a mang a atileng haholo le a tšoaetsanoang haholo. Ka: James WD, Elston DM, Tšoara JR, Rosenbach MA, Neuhaus IM, eds. Andrews ’Maloetse a Letlalo. 13th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 11.

Whittaker S. Erythroderma. Ka: Bolognia JL, Schaffer JV, Cerroni L, bahlophisi. Dermatology. La 4 ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 10.