Erythema nodosum - Нодозни Еритем
☆ У резултатима Стифтунг Варентест-а за 2022. из Немачке, задовољство потрошача МоделДерм-ом је само нешто ниже него са плаћеним телемедицинским консултацијама.
Изгледа као болан еритематозни чвор на нози.
References
Erythema nodosum је најчешћи тип паникулитиса, који се карактерише болним црвеним чворовима, који се углавном налазе на потколеницама. Његов тачан узрок остаје непознат, али изгледа да је резултат претераног одговора на различите окидаче. Иако је његово порекло често неизвесно, неопходно је искључити друга основна стања пре постављања дијагнозе primary erythema nodosum. Може указивати на појаву системских болести као што су инфекције, упале, рак или реакције на лекове. Уобичајени покретачи укључују strep infections, tuberculosis, sarcoidosis, Behçet's disease, inflammatory bowel disease, certain medications, 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.
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 се односи на разноврстан скуп инфламаторних стања која утичу на масно ткиво испод коже. Ова стања су неуобичајена код деце. Panniculitis може бити или главни проблем у системском стању или реакција секундарна на факторе као што су инфекција, повреда или одређени лекови. Без обзира на узрок, већина типова panniculitis показује сличне симптоме, укључујући болне, црвене чворове испод коже.
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 , упала масног слоја испод коже, ретко је стање које се обично манифестује као натечени чворови или мрље. Erythema nodosum (EN) је најчешћи тип, често изазван разним факторима. Док око 55% случајева нема јасан узрок, уобичајени покретачи укључују инфекције, лекове, одређене болести као што су саркоидоза и инфламаторна болест црева, трудноћа и рак. ЕН се обично јавља код тинејџера и младих одраслих, чешће код жена. Често му претходи општи осећај болести који траје једну до три недеље, са симптомима као што су грозница и проблеми са горњим дисајним путевима. Затим се појављују црвени чворови, обично на спољним странама руку и ногу, изазивајући бол. Тачан узрок ЕН-а није у потпуности схваћен, али се верује да укључује имуне комплексе у малим крвним судовима масног слоја, што доводи до упале. Типично, биопсија показује упалу у слоју масти без оштећења крвних судова. Чак и без специфичног лечења основног узрока, ЕН се често решава сам. Дакле, већини пацијената је потребна само помоћна нега за њихове симптоме.
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.
Еритема нодозум се дијагностикује клинички. Биопсија се може узети и прегледати микроскопски да би се потврдила неизвесна дијагноза. Потребно је урадити рендгенски снимак грудног коша да би се искључиле плућне болести, посебно саркоидоза и туберкулоза.