Dermatitis herpetiformis

I-Dermatitis herpetiformis (i-DH) kukurhawuzelela okungathandekiyo okubandakanya amaqhuma kunye namadyungudyungu. Ukukhawuleza kungapheliyo (ixesha elide).

I-DH ihlala iqala kubantu abaneminyaka engama-20 nangaphezulu. Maxa wambi abantwana banokuchaphazeleka. Kubonakala kumadoda nabasetyhini.

Oyena nobangela awaziwa. Ngaphandle kwegama, ayihambelani nentsholongwane ye-herpes. I-DH sisifo esibuhlungu somzimba. Kukho unxibelelwano olomeleleyo phakathi kwe-DH kunye nesifo se-celiac. Isifo seCeliac sisifo sokuzimela komzimba esibangela ukudumba kwithumbu elincinci lokutya i-gluten. Abantu abane-DH banobuntununtunu kwi-gluten, ebangela irhashalala. Phantse iipesenti ezingama-25 zabantu abanesifo esiqhekezayo banayo ne-DH.

Iimpawu zibandakanya:

• Amaqhuqhuva arhawuzayo okanye i-blisters, zihlala zihlala kwiingqiniba, emadolweni, ngasemva nasezimpundu.
• IiRashes ezihlala zilingana ngokulinganayo kunye nemilo kumacala omabini.
• Irhashalala linokubonakala njenge-eczema.
• Amanqaku okuqala kunye nokukhukhuka kwesikhumba endaweni yamadyungudyungu kwabanye abantu.

Uninzi lwabantu abane-DH banomonakalo emathunjini abo ekutyeni i-gluten. Kodwa kuphela zineempawu zamathumbu.

Kwiimeko ezininzi, isikhumba biopsy kunye ngqo immunofluorescence uvavanyo ulusu lwenziwa. Umboneleli wezempilo angacebisa i-biopsy yamathumbu. Uvavanyo lwegazi lunokuyalelwa ukuqinisekisa isifo.

Iyeza elibizwa ngokuba yi-dapsone lisebenza kakhulu.

Ukutya okungqongqo okungenagluten kuya kucetyiswa ukunceda ukulawula isifo. Ukunamathela koku kutya kunokuphelisa isidingo samayeza kunye nokuthintela iingxaki ezinokubakho kamva.

Amachiza agqithisela amajoni omzimba anokusetyenziswa, kodwa awasebenzi kakuhle.

Esi sifo sinokulawulwa kakuhle ngonyango. Ngaphandle konyango, kunokubakho umngcipheko obonakalayo womhlaza wamathumbu.

Iingxaki zinokubandakanya:

• Ukuzikhusela ngokuzenzekelayo isifo se-thyroid
• Phuhlisa umhlaza othile, ngakumbi ii-lymphomas zamathumbu
• Iziphumo ebezingalindelekanga zamachiza asetyenziselwa ukunyanga i-DH

Fowunela umnikezeli wakho ukuba unerhashalo eqhubekayo ngaphandle konyango.

Akukho kuthintelwa kwesi sifo. Abantu abanale meko banokukwazi ukuthintela iingxaki ngokuphepha ukutya okuqukethe i-gluten.

Isifo esiswini; IDH

• Dermatitis, herpetiformis - ukuvala isilonda
• Dermatitis - herpetiformis edolweni
• Dermatitis - herpetiformis engalweni nasemilenzeni
• Dermatitis herpetiformis kubhontsi
• I-Dermatitis herpetiformis esandleni
• I-Dermatitis herpetiformis kwingalo yangaphambili

IHull CM, iZone JJ. I-Dermatitis herpetiformis kunye ne-IgA yolusu yedermatosis. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 31.

UKelly CP. Isifo seCeliac. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 107.