Pigmented progressive purpuric dermatosishttps://en.wikipedia.org/wiki/Pigmented_purpuric_dermatosis
☆ 2022. gada Stiftung Warentest rezultātos no Vācijas patērētāju apmierinātība ar ModelDerm bija tikai nedaudz zemāka nekā ar maksas telemedicīnas konsultācijām. Schamberg disease ― 26 gadus vecs vīrietis ar asimptomātiskas pigmentācijas plankumu un telangiektāziju uz kājas.
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References Pigmented Purpuric Dermatoses: A Complete Narrative Review 34070260 NIH
Pigmented purpuric dermatoses (PPD) ir ādas slimību grupa, ko raksturo nelieli asiņošanas laukumi zem ādas kapilāru iekaisuma dēļ. PPD parasti sākas no sarkaniem līdz purpursarkaniem plankumiem, kas vēlāk kļūst zeltaini brūni, kad hemosiderīns tiek reabsorbēts.
Pigmented purpuric dermatoses (PPD) include several skin diseases characterized by multiple petechial hemorrhage as consequence of capillaritis. PPD generally present with red to purple macules that progressively evolve to golden-brown color as the hemosiderin is reabsorbed.
Schamberg Disease 32809367 NIH
Schamberg disease ir visizplatītākais pigmented purpuric dermatoses (PPDs) veids, kas ir hroniskas ādas slimības, kam raksturīgi mazi sarkani vai purpursarkani plankumi un pastiprināta ādas krāsa (brūni, sarkani vai dzelteni plankumi) . PPD iedala piecos veidos: Schamberg's purpura, Majocchi purpura, lichen aureus, Gougerot-Blum purpura, and eczematoid-like purpura of Doucas and Kapetanakis. Schamberg disease (SD) ir pazīstams arī kā progressive pigmentary dermatosis of Schamberg, purpura pigmentosa progressiva, and Schamberg's purpura. Tas galvenokārt skar vīriešus un parasti parādās uz apakšstilbiem, bet var rasties arī uz augšstilbiem, sēžamvietām, stumbra vai rokām.
Schamberg disease represents the most common type of pigmented purpuric dermatoses (PPDs), a chronic, benign, cutaneous eruptions characterized by petechiae, purpura, and increased skin pigmentation (brown, red, or yellow patchy). The PPDs are grouped into five clinical entities: Schamberg's purpura, Majocchi purpura, lichen aureus, Gougerot-Blum purpura and, eczematoid-like purpura of Doucas and Kapetanakis. Schamber disease (SD) has also been called: progressive pigmentary dermatosis of Schamberg, purpura pigmentosa progressive and, Schamberg's purpura. It is commonly seen in males and mainly affects the tibial regions, and could involve thighs, buttocks, trunk, or upper extremities.
Characteristics and Clinical Manifestations of Pigmented Purpuric Dermatosis 26273156 NIH
Tika analizēta informācija par 113 pacientiem ar PPD, tostarp 38, kuriem šim pētījumam tika veikta ādas biopsija. Visizplatītākais klīniskais veids bija Šamberga slimība (60,5%) . Citi stāvokļi līdzās PPD bija hipertensija (15,8%) , diabēts (10,5%) un citi. Zāļu lietošanas vēsturē tika atklāti statīni (13,2%) , beta blokatori (10,5%) un citi. Iespējamie ar PPD saistītie faktori bija nesena augšējo elpceļu infekcija (5,3%) , ilgstoša stāvēšana, kas izraisīja augstu ortostatisko spiedienu (2,6%) , un smaga fiziska slodze (2,6%) . Ārstēšana tika veikta 36 pacientiem (94,7%) - oral antihistamines, pentoxifylline, topical steroids, and/or phototherapy.
Information on 113 patients with PPD was analyzed, and 38 subjects with skin biopsy were included for this study. Schamberg's disease was the most frequent clinical type (60.5%). Concomitant diseases included hypertension (15.8%), diabetes (10.5%), and others. Associated medication histories included statins (13.2%), beta blockers (10.5%), and others. Possibly associated etiologic factors were recent upper respiratory infection (5.3%), high orthostatic pressure due to prolonged standing (2.6%), and strenuous exercise (2.6%). A total of 36 patients (94.7%) were treated with one or more treatment methods, including oral antihistamines, pentoxifylline, topical steroids, and/or phototherapy.
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