Annular erythema. Erythema - kev kho mob

Erythema nrog los ntawm kev ua cov hlab ntsha, vim intensive ntshav mov rau lawv. Annular erythema (Erythema annulare) yog ib tug ntawm cov rheumatic kab mob cov tsos mob nyob rau hauv lub active theem, xws li polyarthritis, thiab manifestation ntawm lwm yam mob nyob rau hauv lub cev. Tus kab mob muaj feem xyuam rau mas cov me nyuam thiab cov tub ntxhais cov neeg mus txog rau 30 xyoo. Nyob rau hauv lub xyoo pua xeem, cov kws txawj kwv yees annular erythema raws li ib tug kab mob nrog rau ib tug neeg txom nyem raug. Nyob rau hauv peb lub sij hawm, thaum muaj tshiab zoo kev kho mob rau rheumatic mob huab cua nyob rau hauv sib ntaus tawm tsam erythema heev optimistic.

Lub keeb kwm ntawm txoj kev tshawb ntawm erythema

Cov tsos mob ntawm tus kab mob no tau kuaj tau los ntawm cov kws kho mob thaum pib ntawm lub xeem caug xyoo. Tus thawj los piav qhia txog ib tug annular erythema, thiab nqa nws mus rau hauv daim tawv nqaij cov kab mob pediatricians los ntawm Austria G. Lendorff thiab X .Leyner nyob rau hauv 1922. Lawv piav qhia txog tus kab mob no raws li ib tug ntawm cov tsos mob ntawm rheumatism. Yog li ntawd, tus kab mob no kuj hu ua erythema rheumatic Lendorffa-Leiner. Tus kws kho mob Besnier los ntawm Fabkis nyob rau hauv lub sij hawm hu ua lub annular erythema erytheme margine en plaques, li ntawd, nyob rau hauv txawv teb chaws qhov chaw yuav feem ntau nrhiav tau cov npe ntawm erythema marginatum.

Nyob rau hauv 1975, H. Stollerman annular zoo qhia erythema, uas tsis yog ib tug manifestation ntawm rheumatic fever. Heev heev histological kev tshawb fawb nyob rau hauv lub teb tau tso cai cov neeg txawj ua pob ua xyua qhov txawv daim ntawv ntawm tus kab mob, qhov ua rau ntawm uas tsis yog ib tug rheumatic teeb meem, thiab autonomic kev cai ua txhaum cai ntawm vascular phab ntsa, raws li zoo raws li ntau yam kab mob thiab mob ntawm lub cev.

Cov tsos mob annular erythema

Annular erythema manifests nws tus kheej nyob rau hauv daim ntawv ntawm cov liab los yog liab kaw rings uas yuav tshwm sim ntawm daim tawv nqaij. Feem ntau cov feem ntau me ntsis round los yog dawb, nrog ib tug daj ntseg chaw thiab feem ntau o. Cuam tshuam qhov chaw tsis dhas thiab tsis mob. Cov neeg mob tej zaum yuav muaj khaus thiab burning nov ntawm nqaij tawv nyob rau hauv lub cheeb tsam cov.

Rings kom nyob rau hauv loj, feem ntau nyob rau hauv lawv, tus tsim ntawm cov tshiab cov zej zog. Raws li cov loj hlob ntawm erythema me ntsis yuav tshuam nrog txhua lwm yam, txoj kev ua ib daim duab ntawm ntau yam nrhiav. Tus kab mob no tshwm sim nyob rau hauv tsis, thiab yog hais tias ib tug rings ploj tom qab ib tug thaum nyob rau hauv lawv qhov chaw, tshiab lossis puas liab liab. Ib nres xyoo lwm kwv yees li peb lub lis piam. Cov tsos ntawm cov pob nyob rau hauv lub qog ua kua week, daim tawv nqaij ntawm lub xib teg thiab qab xib taws yog tsis raug rau tej kab mob raws li lub nplhaib erythema. Diam duab kom meej meej qha qhov ntawm daim tawv nqaij qhov chaw mob ntawm erythema.

Annular erythema yog laus rau lub hauv siab, xub pwg, lub ntsej muag thiab lub caj dab, tej zaum nyob rau hauv lub rov qab, caj npab thiab ob txhais ceg. Cov kev siv ntawm lub stain yog feem ntau enhanced los ntawm tus ntawm tej yam tseem ceeb. Ntawm lawv, cov nyhuv ntawm kub, ob leeg tsawg thiab siab lub siab lub ntsws lub xeev, endocrine kev hloov (ua poj niam, hormonal contraceptive los yog steroid npaj) thiab thiaj li nyob. Nyob rau hauv tej rooj plaub tshwm sim atypically erythema, nrog los ntawm cov tsim ntawm ntshav pob thiab hlwv. Yog hais tias nrog rau cov rings tshwm sim ntawm daim tawv nqaij nodules, cov kws kho mob saib nws raws li ib tug mob taw tes rau tus unfavorable txoj kev loj hlob ntawm rheumatic fever. Nyob rau tib lub sij hawm, lub annular erythema cai nyob rau hauv cov neeg mob nyob rau hauv lub rov qab theem tom qab lub disappearance ntawm lub ntsiab ces rheumatoid mob.

Cov ua ntawm tus kab mob

Qhov ua rau ntawm rheumatoid rheumatism erythema yog nyob rau hauv lub active theem, thiab cov tsos ntawm ib ncig nyob rau hauv daim tawv nqaij feem ntau ua harbinger mob rheumatic carditis thiab polyarthritis. Rau cov kws kho mob nyob rau hauv feem ntau tus neeg mob yeej erythema yog ib tug qhia txog cov mob ntawm "rheumatism".

Cov ntaub ntawv nerevmatoidnoy annular erythema tsim vim muaj ib co lwm yam yog vim li cas. Cov lawv:

• fungal kab mob xws li ua kis las tus taw, thiab Candidiasis;
• malfunction ntawm lub endocrine system;
• tiv thaiv kab mob muaj teeb meem;
• intoxication;
• focal kab mob (osteomyelitis, tonsillitis, cholecystitis, thiab lwm yam);
• Dysproteinemia, los yog ua txhaum ntawm cov protein muaj pes tsawg leeg ntawm cov ntshav;
• kev tsis haum tshuaj rau noj tshuaj;
• leukemia, nqaij hlav, adenocarcinoma;
• sepsis;
• glomerulonephritis;

Kev kho mob annular erythema

Nrog kev xav txog cov sib ntaus tawm tsam kab mob xws li annular erythema, kev kho mob yog feem ntau aimed ntawm xa cov ua ntawm daim tawv nqaij qhov chaw mob. Yog hais tias tus kab mob no yog los ntawm lub xub ntiag ntawm kab mob nyob rau hauv lub cev, tshuaj tua kab mob cov kws kho. Tsis tas li ntawd, nyob rau hauv kev soj ntsuam txog nrog erythema annulare kheev siv vitamin txoj kev kho, immunostimulating txais tos, antihistamines, calcium thiab sodium thiosulfate. Nws muab tus neeg mob noj mov noj cov zaub mov, nyob rau hauv uas muaj muaj tsis muaj allergens nyob rau hauv cov zaub mov. Kev kho mob ntawm erythema, uas yog qhov ua rau ntawm rheumatism, yog feem ntau aimed ntawm combating kab mob loj.

erythema migrans

Yog hais tias daim tawv nqaij zoo nkaus li ib lub nplhaib nrog ib co kua nplaum ntawm tom nyob rau hauv qhov chaw, nws yog ib lo lus nug ntawm tej qhov txhab li erythema migrans nplhaib. Nws twb pom tias qhov no hom ntawm tus kab mob muaj peev xwm tshwm sim vim cov tom ntawm zuam thiab lwm yam kab.

Ua ntawm erythema migrans nyob rau hauv dej tus kab mob, feem ntau yog kis los yog kab mob. Tus kab mob yog yooj yim txaus, feem ntau yuav ntev. Nws yog ib nqi sau cia hais tias lub erythema migrans nyhav yuav kis tau los ntawm leej niam mus rau fetus. Initial cov tsos mob - daim tawv nqaij liab liab, o thiab nti. Lub lesion maj hlob nyob rau hauv loj thiab ntaub ntawv ib yam ntawm cov fringe. Ntxiv tsiag ntawv los ntawm txoj kev loj hlob theem ntawm exocytosis, uas yog manifested raws li tus tiv thaiv muaj nuj nqi, cov kab mob cov ntaub so ntswg hlwb tshem tej yam tshuaj lom los ntawm daim nyias nyias rau ntawm qhov chaw. Cov ntaub so ntswg infiltration ntawm leukocytes kuaj. Infiltrate lub kev kawm kev soj ntsuam uas tso cai rau qhov tseeb kuaj mob.

Characteristically, lub tom ntawm zuam, muv, daiv thiab lwm yam kab ua rau cov kev loj hlob ntawm mob erythema migrans. Ntau complex thiab insidious zoo ntawm tus kab mob yog pom tias yuav yuav nws mob daim ntawv no, uas yog lub hauv paus chiv keeb ntawm feem ntau tus neeg mob yog tsis paub. Thiab nws erythema yus mob loj heev o, mob thiab qhov khaus thiab burning. Rau cov mob ntawm tus kab mob erythema ua ib tug kev daim ntawv ntsuam xyuas, nrog rau ib tug tag nrho tsom xam ntawm cov ntshav thiab zis, thiab kawm txog infiltration ntawm lub epidermis.

Kev kho mob ntawm erythema migrans

Cov kev kho nqa tawm los ntawm txoj kev broad-spectrum tshuaj tua kab mob. Xaiv cov tshuaj kws kho mob ua nyob rau hauv daim ntawv thiab theem. Piv txwv li, thawj kauj ruam uas muab ib tug zoo zoo ntawm medicament daim ntawv thov "Doxycycline" li ib mus rau ob lub lim piam. Yog hais tias tus kab mob no yog nyob rau hauv lub loj heev, tus kws kho mob yuav muab tshuaj rau cov tshuaj "Tsetriakson" ntsiav tshuaj thiab "penicillin" intramuscularly rau 14-21 hnub. Ntxiv txoj kev kho yuav noj vitamins. Pom kev kho mob xaiv xaiv kev mob nkees xws li erythema migrans nplhaib, nyob rau hauv Feem ntau, muaj txhawb rau sai rov qab.

erythema lom

Qhov no zoo ntawm tus kab mob no tshwm sim nyob rau hauv cov me nyuam mos thiab yog manifested pob liab liab nyob rau hauv tus me nyuam lub cev. Tus kab mob yog raug rau 20-40% ntawm cov me nyuam mos. Raws li cov heev ntawm cov tshuaj lom erythema muab faib mus rau hauv unexpressed thiab qhia (los yog generalized) cov ntaub ntawv. Nyob rau hauv rooj plaub thawj me ua pob ua xyua thiab laus nyob rau hauv folds rov qab thiab extremities. Cov kev mob ntawm tus me nyuam yog soj ntsuam raws li fee.

Nyob rau hauv generalized lom erythema sawv pob ntau, lawv feem ntau hauj lwm ua ke nrog txhua lwm yam mus rau tsim cov hlwv. Qhov kub nyob rau hauv cov ntaub ntawv no yog nce, thiab tus me nyuam yuav nyob tsis tswm. Cov me nyuam mos liab ntshav tsom nce eosinophils. Qhov no zoo ntawm leukocytes ua tau ib tug tiv thaiv kev ua thaum noj allergens thiab helminth infestations.

Ntawm cov muaj tej yam tshuaj lom erythema yog cov nram qab no:

• tsev neeg zaj keeb;
• toxemia uas cev xeeb tub, tshwj xeeb yog hnyav;
• kev ua hauj lwm tos niam nyob rau hauv tej chaw ua hauj lwm;
• intrauterine kab mob kab mob;
• hauv lub xub ntiag nyob rau hauv kev noj haus ntawm ib tug cev xeeb tub los sis tsev laus poj niam obligate zaub mov allergens, xws li citrus, qe, qhob noom xim kasfes, zib ntab, currants, raspberries, thiab lwm leej lwm tus;
• mob ntshav qab zib, mob ntawm lub qog caj pas los yog rog niam.

Yog hais tias lub erythema ntawm tus me nyuam mos yog ib lub txim ntawm lub xub ntiag ntawm allergens nyob rau hauv niam cov kua mis los yog mis noj, tus kab mob no yog nws tus kheej 4-5 hnub tom qab lub hwj chim ntawm kev kho nqi lus. Cov kev kho mob yog qhia rau mob loj heev ntaub ntawv ntawm cov tshuaj lom erythema.

Kev kho mob ntawm erythema me nyuam mos

Toxic daim ntawv ntawm erythema yuav tsum tau kev kho mob loj ntaub ntawv ntawm. Tus kws kho mob assigns ib tug kom haum antihistamines thiab tshwj xeeb tshuaj pleev los yog cream. Nws yog ib qho tseem ceeb nyob rau theem ntawm kev kho mob los mus tshem tawm nkag teb chaws ntawm allergens rau hauv lub cev ntawm leej niam thiab tus me nyuam. Raws li siv koom haum pab kev kho mob "calcium gluconate" vitamins, "niaj hnub". Ntse thiab hlwv tsim nyog ob peb zaug ib hnub twg rau cov txheej txheem ntsuab xim los yog ib tug tsis muaj zog 4-5% tshuaj ntawm poov tshuaj permanganate, thiab tom qab ntawm txoj kev ua ntawv thov rau ntawm daim tawv nqaij me nyuam tus me nyuam hmoov.

erythema multiforme

Qhov no yog o ntawm daim tawv nqaij thiab qog ua kua week, uas yog raws li nyob rau hauv ib tug tsis haum cov tshuaj tiv thaiv. Erythema multiforme muaj feem xyuam rau povtseg, lub qog ua kua week ntawm lub qhov ncauj, qhov ntswg thiab genitals. Tus kab mob no tshwm sim nyob rau hauv ob qho tib si rau cov me nyuam thiab cov neeg laus.

Tej yam tshuaj noj thiab ib co kab mob ua rau kom txoj kev loj hlob ntawm exudative erythema multiforme. Qhov no zoo ntawm tus kab mob ua rau tshuaj tua kab mob penicillin, barbiturates, sulfonamides thiab lwm yam tshuaj. Cov kab mob ntawm cov feem ntau ua rau cov erythema multiforme yog mycoplasmosis thiab herpes. Qhov loj tshaj plaws erythema yog suav tias yog ib tug kab mob tshwm sim los ntawm ib tug tshuaj tiv thaiv rau cov tshuaj. Piv txwv li, Stevens-Johnson syndrome.

Kev kho mob ntawm erythema multiforme

Yuav kom tshwj kom txhob muaj tus kab mob yog siv ob qho tib si general thiab lub zos kev kho mob. Cov yav tas los xws li siv cov tshuaj tua kab mob thiab antihistamines txais tos immunostimulants. Ib txhij, tus neeg mob tswj mob mob. Local kev kho mob yog reflected nyob rau hauv cov kev siv ntawm painkillers thiab antiseptics, xws li "Chlorhexidine" los yog "Furatsilinom" tshuaj pleev cov ntsiab lus ntawm prednisolone thiab hydrocortisone. Ib qho tseem ceeb xam tau tias yog txhij txhua qhov ncauj thiab lwm yam qog ua kua week.