Erythema nodosum
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O farahan bi nodule erythematous irora lori ẹsẹ.
References
Erythema nodosum jẹ iru panniculitis ti o wọpọ julọ, ti a ṣe afihan nipasẹ awọn nodules pupa ti o ni irora, ti a rii ni akọkọ lori awọn ẹsẹ isalẹ. Idi gangan rẹ ko jẹ aimọ, ṣugbọn o han pe o jẹ abajade lati idahun abumọ si ọpọlọpọ awọn okunfa. Botilẹjẹpe ipilẹṣẹ rẹ nigbagbogbo jẹ aidaniloju, o ṣe pataki lati ṣe akoso awọn ipo abẹlẹ miiran ṣaaju ṣiṣe ayẹwo primary erythema nodosum. O le ṣe afihan ibẹrẹ ti awọn arun eto eto gẹgẹbi awọn akoran, igbona, akàn, tabi awọn aati si oogun. Awọn okunfa ti o wọpọ pẹlu 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 n tọka si eto oniruuru ti awọn ipo iredodo ti o ni ipa lori ẹran ọra labẹ awọ ara. Awọn ipo wọnyi ko wọpọ ni awọn ọmọde. Panniculitis le jẹ ọrọ akọkọ ni ipo eto tabi ifasẹ si atẹle awọn nkan bii ikolu, ipalara, tabi awọn oogun kan. Laibikita idi naa, ọpọlọpọ awọn oriṣi panniculitis ṣe afihan awọn aami aisan kanna, pẹlu irora, awọn nodules pupa labẹ awọ ara.
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 , igbona ti ipele ọra labẹ awọ ara, jẹ ipo ti o ṣọwọn nigbagbogbo n ṣafihan bi awọn nodules wiwu tabi awọn abulẹ. Erythema nodosum (EN) jẹ oriṣi ti o wọpọ julọ, nigbagbogbo nfa nipasẹ awọn ifosiwewe pupọ. Lakoko ti o wa ni ayika 55% ti awọn iṣẹlẹ ko ni idi ti o daju, awọn okunfa ti o wọpọ pẹlu awọn akoran, awọn oogun, awọn aisan kan bi sarcoidosis ati arun ifun inu aiṣan, oyun, ati akàn. EN nigbagbogbo han ni awọn ọdọ ati awọn ọdọ, diẹ sii nigbagbogbo ninu awọn obinrin. Nigbagbogbo o ṣaju nipasẹ rilara gbogbogbo ti aisan ti o to ọsẹ kan si mẹta, pẹlu awọn ami aisan bii iba ati awọn ọran atẹgun oke. Lẹhinna, awọn nodules pupa han, nigbagbogbo ni awọn ẹgbẹ ita ti awọn apa ati awọn ẹsẹ, nfa irora. Idi gangan EN ko ni oye ni kikun, ṣugbọn o gbagbọ pe o kan awọn eka ajẹsara ninu awọn ohun elo ẹjẹ kekere ti ipele ọra, ti o yori si iredodo. Ni deede, biopsy kan fihan igbona ninu ipele ọra laisi ibajẹ si awọn ohun elo ẹjẹ. Paapaa laisi itọju kan pato fun idi ti o fa, EN nigbagbogbo pinnu lori ara rẹ. Nitorinaa, ọpọlọpọ awọn alaisan nilo itọju atilẹyin nikan fun awọn ami aisan wọn.
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 jẹ ayẹwo ni ile-iwosan. A le mu biopsy kan ki o ṣe ayẹwo ni airi lati jẹrisi okunfa ti ko ni idaniloju. A yẹ ki o ṣe X-ray àyà lati ṣe akoso awọn arun ẹdọforo, ni pataki sarcoidosis ati iko.