Erythema nodosum
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Dealraíonn sé mar nodule erythematous painful ar an cos.
References
Is é Erythema nodosum an cineál panniculitis is coitianta, arb é is sainairíonna é nodules dearg pianmhar, a fhaightear go príomha ar na cosa níos ísle. Ní fios fós an chúis bheacht atá leis, ach is cosúil go bhfuil sé mar thoradh ar fhreagairt áibhéalach ar thruiceoirí éagsúla. Cé go mbíonn a bhunús neamhchinnte go minic, tá sé riachtanach coinníollacha bunúsacha eile a chur as an áireamh sula ndéantar primary erythema nodosum a dhiagnóisiú. Is féidir leis tosú galair sistéamach ar nós ionfhabhtuithe, athlasadh, ailse, nó frithghníomhartha ar chógas a léiriú. I measc na dtruiceoirí coitianta tá strep infections, tuberculosis, sarcoidosis, Behçet's disease, inflammatory bowel disease, certain medications, 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.
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.
Tagraíonn Panniculitis do shraith éagsúil coinníollacha athlastacha a théann i bhfeidhm ar an bhfíochán saille faoin gcraiceann. Tá na coinníollacha seo neamhchoitianta i leanaí. D'fhéadfadh Panniculitis a bheith mar phríomhcheist i riocht sistéamach nó imoibriú tánaisteach d'fhachtóirí mar ionfhabhtú, gortú, nó cógais áirithe. Beag beann ar an gcúis, léiríonn an chuid is mó de na cineálacha panniculitis comharthaí den chineál céanna, lena n-áirítear nodules pianmhar, dearg faoin gcraiceann.
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 , athlasadh sa chiseal saille faoin gcraiceann, is riocht annamh é a léirítear de ghnáth mar nodules ata nó paistí. Is é Erythema nodosum (EN) an cineál is coitianta, a spreagann fachtóirí éagsúla go minic. Cé nach bhfuil aon chúis shoiléir ag thart ar 55% de na cásanna, tá ionfhabhtuithe, cógais, galair áirithe cosúil le sarcoidosis agus galar putóige athlastach, toircheas agus ailse i measc na dtosaitheoirí coitianta. Is iondúil go bhfeictear EN i ndéagóirí agus i ndaoine fásta óga, i mná níos minice. Is minic a bhraitheann breoiteacht ghinearálta a mhairfidh ó aon go trí seachtaine roimhe seo, le hairíonna cosúil le fiabhras agus fadhbanna riospráide uachtarach. Ansin, feictear nodules dearga, de ghnáth ar thaobhanna seachtracha na n-arm agus na gcosa, agus is cúis le pian. Ní thuigtear go hiomlán cén chúis chruinn atá ag EN, ach creidtear go mbaineann sé le coimpléisc imdhíonachta i soithigh fola beaga den chiseal saille, rud a fhágann athlasadh. De ghnáth, léiríonn bithóipse athlasadh sa chiseal saille gan damáiste do shoithí fola. Fiú mura ndéantar cóireáil shonrach ar an mbunchúis, is minic a réitíonn EN leis féin. Mar sin, níl de dhíth ar fhormhór na n-othar ach cúram tacaíochta dá n-airíonna.
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.
Déantar diagnóis chliniciúil ar erythema nodosum. Is féidir bithóipse a ghlacadh agus a scrúdú go micreascópach chun diagnóis neamhchinnte a dhearbhú. Ba cheart X-gha cliabhraigh a dhéanamh chun galair scamhógacha a chur as an áireamh, go háirithe sarcoidosis agus eitinn.