Erythema nodosum
☆ Í niðurstöðum Stiftung Warentest 2022 frá Þýskalandi var ánægja neytenda með ModelDerm aðeins minni en með greiddum fjarlækningaráðgjöfum.
Það virðist sem sársaukafullur roðahnútur á fótleggnum.
References
Erythema nodosum er algengasta tegund hálsbólgu, sem einkennist af sársaukafullum rauðum hnúðum, aðallega á neðri fótleggjum. Nákvæm orsök þess er enn óþekkt, en hún virðist stafa af ýktum viðbrögðum við ýmsum kveikjum. Þótt uppruni þess sé oft óviss er mikilvægt að útiloka önnur undirliggjandi sjúkdómsástand áður en primary erythema nodosum er greint. Það getur gefið til kynna upphaf almennra sjúkdóma eins og sýkinga, bólgu, krabbameins eða viðbrögð við lyfjum. Algengar kveikjur eru 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.
Panniculitis vísar til fjölbreyttra bólgusjúkdóma sem hafa áhrif á fituvef undir húðinni. Þessar aðstæður eru sjaldgæfar hjá börnum. Panniculitis getur annað hvort verið aðalvandamálið í kerfisbundnu ástandi eða viðbrögð af völdum þátta eins og sýkingar, meiðsla eða ákveðinna lyfja. Burtséð frá orsökinni sýna flestar tegundir panniculitis svipuð einkenni, þar á meðal sársaukafulla, rauða hnúða undir húðinni.
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 , bólga í fitulaginu undir húðinni, er sjaldgæft ástand sem kemur venjulega fram sem bólgnir hnúðar eða blettir. Erythema nodosum (EN) er algengasta tegundin, oft kveikt af ýmsum þáttum. Þó að um 55% tilvika hafi enga skýra orsök, eru algengar kveikjur sýkingar, lyf, ákveðnir sjúkdómar eins og sarklíki og bólgusjúkdómur í þörmum, meðgöngu og krabbamein. EN kemur venjulega fram hjá unglingum og ungum fullorðnum, oftar hjá konum. Á undan henni kemur oft almenn veikindatilfinning sem varir í eina til þrjár vikur, með einkennum eins og hita og efri öndunarfærum. Þá birtast rauðir hnúðar, venjulega á ytri hliðum handleggja og fótleggja, sem valda sársauka. Nákvæm orsök EN er ekki að fullu skilin, en talið er að það feli í sér ónæmisfléttur í litlum æðum fitulagsins, sem leiðir til bólgu. Venjulega sýnir vefjasýni bólgu í fitulaginu án skemmda á æðum. Jafnvel án sérstakrar meðferðar fyrir undirliggjandi orsök leysist EN oft af sjálfu sér. Þannig að flestir sjúklingar þurfa aðeins stuðningsmeðferð við einkennum sínum.
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.
Erythema nodosum greinist klínískt. Hægt er að taka vefjasýni og skoða það í smásjá til að staðfesta óvissa greiningu. Gera skal röntgenmynd af brjósti til að útiloka lungnasjúkdóma, einkum sarklíki og berkla.