I-Erythema nodosum

I-Erythema nodosum sisifo esidumbisayo. Ibandakanya ithenda, amaqhuma abomvu (maqhuqhuva) phantsi kolusu.

Malunga nesiqingatha samatyala, oyena nobangela we-erythema nodosum awaziwa. Amatyala aseleyo ayanyaniswa nosulelo okanye enye ingxaki yenkqubo.

Ezinye zezifo eziqhelekileyo ezinxulumene nesifo zi:

• IStreptococcus (ixhaphake kakhulu)
• Isifo sekati ekuqaleni
• I-Chlamydia
• ICoccidioidomycosis
• IHepatitis B
• Imbali
• Leptospirosis
• Mononucleosis (EBV)
• Mycobacteria
• Mycoplasma
• I-Psittacosis
• Igcushuwa
• Isifo sephepha
• Tularemia
• Yersinia

I-Erythema nodosum inokwenzeka ngobuntununtunu kumayeza athile, kubandakanya:

• Amayeza okubulala iintsholongwane, kubandakanya i-amoxicillin kunye nezinye iipenicillin
• Isulfonamides
• Isalfone
• Iipilisi zokulawula inzala
• Iprogestin

Ngamanye amaxesha, i-erythema nodosum inokwenzeka ngexesha lokukhulelwa.

Ezinye iingxaki ezinxulumene nale meko zibandakanya i-leukemia, i-lymphoma, i-sarcoidosis, i-rheumatic fever, isifo se-Bechet, kunye ne-ulcerative colitis.

Le meko ixhaphake kakhulu kwabasetyhini kunokuba kunjalo emadodeni.

I-Erythema nodosum ixhaphake kakhulu ngaphambili. Inokuthi yenzeke nakwezinye iindawo zomzimba ezinjengeempundu, amathole, amaqatha, amathanga, kunye neengalo.

Izilonda ziqala njengezicaba, eziqinileyo, ezishushu, ezibomvu, izigaqa ezibuhlungu ezimalunga ne-intshi enye (2.5 iisentimitha) ukunqumla. Kwiintsuku nje ezimbalwa, banokuba umbala o-purplish. Ngaphezulu kweeveki ezininzi, amaqhuma aphela kwibala elimdaka ngebala.

Ezinye iimpawu zingabandakanya:

• Ifiva
• Imvakalelo yokugula ngokubanzi (malaise)
• Iintlungu ezidibeneyo
• Ubomvu besikhumba, ukuvuvukala, okanye ukucaphuka
• Ukudumba komlenze okanye enye indawo echaphazelekayo

Umboneleli wakho wezempilo unokuyifumanisa le meko ngokujonga ulusu lwakho. Uvavanyo olunokwenziwa lunokubandakanya:

• I-Punch biopsy ye-nodule
• Inkcubeko yomqala yokulawula usulelo lwe-strep
• I-x-ray yesifuba ukulawula i-sarcoidosis okanye isifo sephepha
• Uvavanyo lwegazi ukukhangela usulelo okanye ezinye iingxaki

Usulelo olusisiseko, iziyobisi, okanye isifo kufuneka zichongwe kwaye zinyangwe.

Unyango lunokubandakanya:

• Izidakamizwa ezichasayo ezichasayo (i-NSAID).
• Amayeza anamandla okulwa nokudumba abizwa ngokuba yi-corticosteroids, athathwe ngomlomo okanye anikezwe njengefoto.
• Isisombululo sePotassium iodide (SSKI), esihlala sinikwa njengamathontsi ongezwe kwijusi yeorenji.
• Amanye amayeza omlomo asebenza kwinkqubo yomzimba yokuzikhusela.
• Amayeza obuhlungu (iintlungu).
• Phumla.
• Ukuphakamisa indawo ebuhlungu (ukuphakama).
• Ukutshisa okanye ukubanda kubangela ukunceda ukunciphisa ukungonwabi.

I-Erythema nodosum ayonwabanga, kodwa ayinabungozi kwiimeko ezininzi.

Iimpawu zihlala zihamba malunga neeveki ezi-6, kodwa zinokubuya.

Tsalela umnxeba umboneleli wakho ukuba uphuhlisa iimpawu ze-erythema nodosum.

• I-Erythema nodosum enxulunyaniswa nesarcoidosis
• I-Erythema nodosum elunyaweni

I-Forrestel A, iRosenbach M. Erythema nodosum. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, ii-eds. Unyango lwezifo zolusu: Amacandelo oBuchule oNyango. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 75.

UGehris RP. Dermatology. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 8.

UJames WD, u-Elston DM, nyanga i-JR, iRosenbach MA. Izifo zamafutha angaphantsi. Ku: James WD, Elston DM, Phatha uJR, Rosenbach MA, Neuhaus IM, ii-eds. Izifo zikaAndrews zolusu: Unyango lweKlinikhi. Umhla we-13. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.