Erythema nodosum

Erythema nodosum chirwere chekuputira. Inosanganisira nyoro, matsvuku mapundu (maqhumu) pasi peganda.

Munenge hafu yezviitiko, chaiyo chaiyo erythema nodosum haina kuzivikanwa. Mhosva dzasara dzakabatana nehutachiona kana imwe systemic kusagadzikana.

Zvimwe zvezvirwere zvinowanzoitika zvine chekuita nechirwere ndezvi:

• Streptococcus (yakajairika)
• Cat scratch chirwere
• Chlamydia
• Coccidioidomycosis
• Hepatitis B
• Histoplasmosis
• Leptospirosis
• Mononucleosis (EBV)
• Mycobacteria
• Mycoplasma
• Psittacosis
• Njovhera
• Tiibhii
• Tularemia
• Yersinia

Erythema nodosum inogona kuitika nekunzwisisa kune mimwe mishonga, kusanganisira:

• Mishonga inorwisa mabhakitiriya, kusanganisira amoxicillin nemamwe mapenicillin
• Sulfonamides
• Sulfone
• Mapiritsi ekudzivirira kubata pamuviri
• Progestin

Dzimwe nguva, erythema nodosum inogona kuitika panguva yekuzvitakura.

Zvimwe zvinetswa zvakabatana nemamiriro aya zvinosanganisira leukemia, lymphoma, sarcoidosis, rheumatic fever, Bechet chirwere, uye ulcerative colitis.

Mamiriro acho akajairika muvakadzi kupfuura zvaari kuvarume.

Erythema nodosum inowanzoonekwa kumberi kwemashure. Izvo zvinogona zvakare kuitika kune dzimwe nzvimbo dzemuviri senge magaro, mhuru, makumbo, zvidya, nemaoko.

Maronda acho anotanga semarara, akasimba, anopisa, matsvuku, mapundu anorwadza ayo angangoita 1 inches (2.5 masentimita) kuyambuka. Mumazuva mashoma, ivo vanogona kuve purplish muvara. Kwemavhiki akati wandei, mapundu acho anodzikira kuita brownish, yakati sandara chigamba.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kupindwa nechando
• Kazhinji kurwara kunzwa (malaise)
• Joint aches
• Ganda kutsvuka, kuzvimba, kana kutsamwa
• Kuzvimba kwegumbo kana imwe nzvimbo yakakanganiswa

Anopa hutano hwako anokwanisa kuongorora mamiriro aya nekutarisa paganda rako. Miedzo inogona kuitwa inosanganisira:

• Punch biopsy ye nodule
• Tsika yehuro yekubvisa hutachiona hwe strep
• Chest x-ray kutonga kunze sarcoidosis kana tibhii
• Kuongororwa kweropa kutsvaga hutachiona kana zvimwe zvinetso

Hutachiona hwechikonzero, mushonga, kana chirwere chinofanira kuonekwa nekurapwa.

Kurapa kunogona kusanganisira:

• Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs).
• Yakasimba inorwisa-kupisa mishonga inonzi corticosteroids, inotorwa nemuromo kana kupihwa sepfuti.
• Potassium iodide (SSKI) mhinduro, inowanzo kupihwa semadonhwe akawedzerwa kune muto weorenji.
• Mimwe mishonga yemumuromo inoshanda pane immune system.
• Mishonga yemarwadzo (analgesics).
• Zorora.
• Kusimudza nzvimbo inorwadza (kukwirira).
• Kupisa kana kutonhora kumanikidza kubatsira kudzikisira kusagadzikana.

Erythema nodosum haina kugadzikana, asi haina ngozi mune dzakawanda kesi.

Zviratidzo zvinowanzoenda mukati memasvondo matanhatu, asi zvinogona kudzoka.

Fonera mupi wako kana iwe ukagadzira zviratidzo zve erythema nodosum.

• Erythema nodosum inosangana nesarcoidosis
• Erythema nodosum patsoka

Forrestel A, Rosenbach M. Erythema nodosum. Mune: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Kurapa kweGanda Rezvirwere: Dzakakwana Therapeutic Strategies. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 75.

Gehris RP. Dermatology. Mune: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Kuziva. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 8.

James WD, Elston DM, Bata JR, Rosenbach MA. Zvirwere zvemafuta epasi. Muna: James WD, Elston DM, Bata JR, Rosenbach MA, Neuhaus IM, eds. Andrews 'Zvirwere zveGanda: Clinical Dermatology. 13 ed. Philadelphia, PA: Elsevier; 2020: chits. 23.