Erythema nodosum - Eritema Nodosum
☆ Alemaniako Stiftung Warentest-en 2022ko emaitzetan, ModelDerm-ekin kontsumitzaileen gogobetetasuna apur bat txikiagoa izan zen ordaindutako telemedikuntzako kontsultekin baino.
Hankan nodulu eritematoso mingarri gisa agertzen da.
References
Erythema nodosum panikulitis mota ohikoena da, nodulu gorri mingarriak ditu, batez ere beheko hanketan aurkitzen direnak. Bere kausa zehatza ezezaguna da, baina badirudi hainbat eragileren erantzun gehiegizko baten ondorioz. Bere jatorria sarritan ziurra ez den arren, ezinbestekoa da azpiko beste baldintza batzuk baztertzea primary erythema nodosum diagnostikatu aurretik. Gaixotasun sistemikoen agerpena adieraz dezake, hala nola infekzioak, hanturak, minbizia edo botiken erreakzioak. Abiarazle arruntak strep infections, tuberculosis, sarcoidosis, Behçet's disease, inflammatory bowel disease, certain medications, and pregnancy dira.
Erythema nodosum is the most common form of panniculitis and is characterized by tender erythematous nodules mainly in the lower limbs on the pretibial area. The exact cause of erythema nodosum is unknown, although it appears to be a hypersensitivity response to a variety of antigenic stimuli. Although the etiology is mostly idiopathic, ruling out an underlying disease is imperative before diagnosing primary erythema nodosum. Erythema nodosum can be the first sign of a systemic disease that is triggered by a large group of processes, such as infections, inflammatory diseases, neoplasia, and/or drugs. The most common identifiable causes are streptococcal infections, primary tuberculosis, sarcoidosis, Behçet disease, inflammatory bowel disease, drugs, and pregnancy.
Erythema nodosum is the most common form of panniculitis and is characterized by tender erythematous nodules mainly in the lower limbs on the pretibial area. The exact cause of erythema nodosum is unknown, although it appears to be a hypersensitivity response to a variety of antigenic stimuli. Although the etiology is mostly idiopathic, ruling out an underlying disease is imperative before diagnosing primary erythema nodosum. Erythema nodosum can be the first sign of a systemic disease that is triggered by a large group of processes, such as infections, inflammatory diseases, neoplasia, and/or drugs. The most common identifiable causes are streptococcal infections, primary tuberculosis, sarcoidosis, Behçet disease, inflammatory bowel disease, drugs, and pregnancy.
Panniculitis larruazaleko gantz-ehunari eragiten dion hantura-egoera anitzak aipatzen ditu. Baldintza hauek ez dira ohikoak haurrengan. Panniculitis egoera sistemiko baten arazo nagusia izan daiteke edo infekzioa, lesioa edo zenbait botika bezalako faktoreen bigarren mailako erreakzioa izan daiteke. Kausa edozein dela ere, panniculitis mota gehienek antzeko sintomak erakusten dituzte, azalaren azpian nodulu gorri mingarriak barne.
Panniculitides form a heterogenous group of inflammatory diseases that involve the subcutaneous adipose tissue. These disorders are rare in children and have many aetiologies. As in adults, the panniculitis can be the primary process in a systemic disorder or a secondary process that results from infection, trauma or exposure to medication. Some types of panniculitis are seen more commonly or exclusively in children, and several new entities have been described in recent years. Most types of panniculitis have the same clinical presentation (regardless of the aetiology), with tender, erythematous subcutaneous nodules.
Panniculitides form a heterogenous group of inflammatory diseases that involve the subcutaneous adipose tissue. These disorders are rare in children and have many aetiologies. As in adults, the panniculitis can be the primary process in a systemic disorder or a secondary process that results from infection, trauma or exposure to medication. Some types of panniculitis are seen more commonly or exclusively in children, and several new entities have been described in recent years. Most types of panniculitis have the same clinical presentation (regardless of the aetiology), with tender, erythematous subcutaneous nodules.
Panniculitis , azalaren azpiko gantz-geruzaren hantura, normalean nodulu edo adabaki puztuta agertzen den egoera arraroa da. Erythema nodosum (EN) mota ohikoena da, askotan hainbat faktorek eraginda. Kasuen % 55 inguruk kausa argirik ez duten arren, abiarazle arruntak infekzioak, botikak, sarkoidosia eta hesteetako hanturazko gaixotasuna, haurdunaldia eta minbizia bezalako gaixotasun batzuk dira. EN nerabe eta heldu gazteetan agertzen da normalean, emakumezkoetan maizago. Askotan gaixotasun-sentsazio orokorra izaten da astebete edo hiru aste irauten duena, sukarra eta goiko arnas arazoak bezalako sintomekin. Orduan, nodulu gorriak agertzen dira, normalean besoen eta hanken kanpoaldean, mina eraginez. EN-ren kausa zehatza ez da guztiz ulertzen, baina uste da gantz-geruzaren odol-hodi txikietan konplexu immuneak daudela, hantura eragiten duela. Normalean, biopsiak gantz-geruzan hantura erakusten du odol-hodietan kalterik gabe. Azpiko kausaren tratamendu espezifikorik gabe ere, EN askotan bere kabuz konpontzen da. Beraz, paziente gehienek beren sintometarako laguntza-laguntza baino ez dute behar.
Panniculitis, an inflammation of the fat layer under the skin, is a rare condition usually showing up as swollen nodules or patches. Erythema nodosum (EN) is the most common type, often triggered by various factors. While around 55% of cases have no clear cause, common triggers include infections, medications, certain diseases like sarcoidosis and inflammatory bowel disease, pregnancy, and cancer. EN usually appears in teens and young adults, more often in females. It's often preceded by a general feeling of illness lasting one to three weeks, with symptoms like fever and upper respiratory issues. Then, red nodules appear, usually on the outer sides of arms and legs, causing pain. EN's exact cause isn't fully understood, but it's believed to involve immune complexes in small blood vessels of the fat layer, leading to inflammation. Typically, a biopsy shows inflammation in the fat layer without damage to blood vessels. Even without specific treatment for the underlying cause, EN often resolves on its own. So, most patients need only supportive care for their symptoms.
Panniculitis, an inflammation of the fat layer under the skin, is a rare condition usually showing up as swollen nodules or patches. Erythema nodosum (EN) is the most common type, often triggered by various factors. While around 55% of cases have no clear cause, common triggers include infections, medications, certain diseases like sarcoidosis and inflammatory bowel disease, pregnancy, and cancer. EN usually appears in teens and young adults, more often in females. It's often preceded by a general feeling of illness lasting one to three weeks, with symptoms like fever and upper respiratory issues. Then, red nodules appear, usually on the outer sides of arms and legs, causing pain. EN's exact cause isn't fully understood, but it's believed to involve immune complexes in small blood vessels of the fat layer, leading to inflammation. Typically, a biopsy shows inflammation in the fat layer without damage to blood vessels. Even without specific treatment for the underlying cause, EN often resolves on its own. So, most patients need only supportive care for their symptoms.
Eritema nodosa klinikoki diagnostikatzen da. Biopsia bat hartu eta mikroskopikoki aztertu daiteke ziurtasunik gabeko diagnostikoa baieztatzeko. Bularreko erradiografia egin behar da biriketako gaixotasunak baztertzeko, bereziki sarkoidosia eta tuberkulosia.