Erythema nodosum - Eritem Nodosum
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Li parèt kòm yon nodil eritematous ki fè mal sou janm lan.
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ReferencesErythema nodosum se kalite panikulit ki pi komen, li karakterize pa nodil wouj ki fè lapenn, sitou sou pye pi ba yo. Kòz egzak li yo rete enkoni, men li sanble rezilta yon repons egzajere ki deklanche plizyè faktè. Malgre ke orijin li souvan ensèten, li esansyèl pou eskli lòt kondisyon kache anvan dyagnostik primè erythema nodosum. Li ka endike prezans maladi sistemik tankou enfeksyon, enflamasyon, kansè, oswa reyaksyon a medikaman. Kòz ki pi souvan yo enkli strep infections, tuberculosis, sarcoidosis, Behçet's disease, inflammatory bowel disease, kèk medikaman, ak gwosès.
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 refere a yon seri kondisyon enflamatwa ki afekte tisi grès ki anba po a. Kondisyon sa yo pa komen lakay timoun. Panniculitis ka swa reprezante pwoblèm prensipal la nan yon maladi sistemik, oswa li ka parèt kòm yon reyaksyon segondè a faktè tankou enfeksyon, blesi, oswa sèten medikaman. Kèlkeswa kòz la, pifò kalite panniculitis montre sentòm ki sanble, tankou doulè ak nòdil wouj ki parèt anba po a.
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, yon enflamasyon nan kouch grès ki anba po a, se yon kondisyon ki ra anjeneral e ki parèt kòm nodil anfle oswa plak. Erythema nodosum (EN) se kalite ki pi komen, souvan deklanche pa plizyè faktè. Pandan ke anviwon 55 % nan ka yo pa gen okenn kòz klè, deklanche komen yo enkli enfeksyon, medikaman, sèten maladi tankou sarkoidoz ak maladi entesten enflamatwa, gwosès, ak kansè. EN anjeneral parèt nan adolesan ak jèn adilt, pi souvan nan fi. Li souvan prezante ak yon santiman jeneral maladi ki dire youn a twa semèn, ak sentòm tankou lafyèv ak pwoblèm respiratwa anwo. Lè sa a, nodil wouj parèt, anjeneral sou bò eksteryè bra ak janm, ki lakòz doulè. Kòz egzak EN a poko konplètman konprann, men yo kwè li enplike yon repons iminitè kont ti veso sangen ki nan kouch grès la, sa ki mennen nan enflamasyon. Tipikman, yon biyopsi montre enflamasyon nan kouch grès la san domaj veso sangen yo. Menm san tretman espesifik pou kòz ki kache a, EN souvan rezoud poukont li. Se konsa, pifò pasyan bezwen sèlman swen sipò pou sentòm yo.
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.
Dyagnostik Erythema nodosum fèt sou baz klinik. Yo ka fè yon biyopsi epi egzamine li mikwoskòp pou konfime dyagnostik la lè li pa klè. Yo ta dwe fè yon radyografi pwatrin pou elimine maladi poumon, espesyalman sarkoidoz ak tibèkiloz.