Annular erythema. Erythema - kurapwa

Erythema achiperekedzwa nokuwedzera capillaries, nokuda ndichibvunza ropa wedzerai kwavari. Annular erythema (Erythema annulare) ndiyo imwe rheumatic chirwere zviratidzo zviri kushingaira chokutambudzika, zvakadai polyarthritis, uye kuratidza vamwe zvirwere zviri mumuviri. The chirwere chinobata kunyanya vana uye vechidiki kusvika makore 30. Muzana remakore rapfuura, nyanzvi zvinofungidzirwa annular erythema sezvinoita chirwere ane murombo fungidziro. Munguva yedu, kana paine vatsva kurapa zvakabatsirawo rheumatic nepfungwa kunotarisirwa pakurwisa erythema zvikuru netariro.

Nhoroondo pakudzidza erythema

Zviratidzo zviri chirwere vakanga dzakaonekwa navanachiremba pakutanga rokupedzisira remakore. Yakatanga kutsanangura imwe annular erythema, ndokuridzoserazve ganda zvirwere pediatricians kubva Austria G. Lendorff uye X .Leyner muna 1922. Ivo anotsanangura chirwere somumwe zviratidzo rheumatism. Saka, hosha anonziwo erythema rheumatic Lendorffa-Leiner. Doctor Besnier kubva kuFrance panguva inonzi annular erythema erytheme margine in plaques, saka dzimwe anogona kazhinji kuwana zita erythema marginatum.

Muna 1975, H. Stollerman annular chimiro zvinoratidza erythema, kuti akanga asiri nokuratidzwa rheumatic nefivhiri. Pane zvakawanda zveBhaibheri histological mumunda vakabvumira avo rashes unyanzvi kusiyanisa chimiro chirwere, mhaka izvo kwete rheumatic chirwere, uye autonomic murau pakakuvara vascular masvingo, uyewo zvirwere zvakasiyana-siyana uye zvinetso zviri zvirwere.

Zviratidzo annular erythema

Annular erythema kunooneka pacharo muchimiro Pink kana tsvuku namahwindo zvindori kuti aonekwa ganda. Kakawanda ikaona kumativi kana denderedzwa, ane rakachenuruka muzinda uye kazhinji zvimba. vawirwa nenjodzi regai peel they and and uye nyarara. Varwere vanogona kuvaviwa uye unopfuta manzwiro Munzvimbo.

Zvindori dzichiwedzera kukura, kazhinji mukati kwavari, nokuumbwa Nzanga itsva. Sezvo kuwandisa erythema mavara vanogona batanidza nemumwe, pova chirungamutauro zvakasiyana-siyana. Hosha rinowanikwa muna mafungu, uye kana munhu marin'i inonyangarika pashure pechinguva panzvimbo yavo, itsva akatsvuka. Mumwe Kurwisa unotsiva mumwe mavhiki anenge matatu. The pakuonekwa mapundu pamusoro mucous membranes, ganda emichindwe uye inotsika haisi kwese kuti zvirwere zvakadai mhete erythema. Photo zvakajeka chinoratidza hunhu ganda maronda ose erythema.

Annular erythema iri mupasi riri pachipfuva, mapfudzi, chiso uye mutsipa, dzimwe nguva ari shure, maoko nemakumbo. Kuwanda gwapa zvinowanzooneka dzinowedzerwa simba zvimwe zvinhu. Pakati pavo, nezvaizoitwa tembiricha, zvose pasi uye yakakwirira kunetsa, kwemakemikari anobudiswa kuchinja (kumwedzi, hormone pamuviri kana kugadzirira steroid) uye zvichingodaro. Mune zvimwe zviitiko pachena atypically erythema, achiperekedzwa paumbwe ruvara mapundu uye vesicles. Kana pamwe marin'i aonekwa ganda nodules, vanachiremba kuzviona somunhu chiratidzo achinongedzera vanoshorwa kukura rheumatic nefivhiri. Panguva iyoyowo, iyo annular erythema vakachengeta Varwere vari kupora chokutambudzika pashure kunyangarika chikuru kuratidzwa RA chirwere.

The zvinokonzera chirwere

The chikonzero okuremadzwa rheumatism erythema riri basa chokutambudzika, uye chitarisiko zvindori paganda kazhinji anoita harbinger chakasimba rheumatic carditis uye polyarthritis. Nokuti vanachiremba kakawanda dzeraundi erythema ari kusimbisa nechirwere kuti "rheumatism".

Forms nerevmatoidnoy annular erythema kuva nokuda zvimwe zvikonzero. Pakati pavo:

• fungal zvirwere zvakadai mutambi rutsoka, uye candidiasis;
• atadze kushanda zvakanaka pamusoro kwemakemikari anobudiswa hurongwa;
• rokuzvidzivirira nematambudziko;
• kudhaka;
• zvatichiri Zvirwere (osteomyelitis, tonsillitis, cholecystitis, etc.);
• Dysproteinemia, kana kutyora puroteni Zvinoumba Ropa;
• neutachiona mishonga;
• neleukemia, rwekenza yelymphoma, adenocarcinoma;
• sepsis;
• glomerulonephritis;

Treatment annular erythema

With Panyaya pakurwisa zvirwere zvakadai annular erythema, kurapwa anonyanya zvainanga Achabvisa zvinokonzera ganda maronda. Kana maperembudzi pamwe nokuvapo chirwere pamuviri, nemishonga inorwisa mabhakitiriya vari ndishandise. Uyewo, mukubata erythema annulare inowanzoshandiswa vhitamini kurapa, immunostimulating mabiko, antihistamines, calcium yavaibvisa thiosulfate. Inopa murefu zvokudya zvokudya, izvo hapana allergens nezvokudya. Mabatirwo erythema, iyo chinokonzera rheumatism, anonyanya zvainanga pakurwisa zvirwere zvikuru.

erythema migrans

Kana ganda rinowanika mhete chete pamwe tichingoda ikaruma pakati, ndiwo mubvunzo kuti maronda akadai erythema migrans mhete. It Vakawana kuti ichi Chirwere kunogona kuitika nokuda ikaruma pamusoro Zvikwekwe nezvimwe zvipembenene.

Chikonzero erythema migrans nepakudiwa utachiona, kazhinji zvinokonzerwa nemavhairasi kana kwemabhakitiriya. The chirwere zvakaoma zvakakwana, kazhinji anova refu. Zvinokosha kucherechedza kuti erythema migrans kunoita kuti chakasvitswa kubva amai mudumbu. Initial zviratidzo - ganda akatsvuka, kuzvimba uye peeling. The lesion zvishoma inokura pakukura uye nzira mupendero imwe mhando. Uyezve dzinoratidzwa kukura padariro exocytosis, iro kunoratidzwa sezvo unodzivirira basa, utachiona zvinyama masero bvikinyidza zvine chepfu kuburikidza Kamudzira pemvura. The zvinyama infiltration pamusoro leukocytes dzakaonekwa. Nda zvakaoma kuongororwa unobvumira zvakarurama zvawanikwa.

Characteristically, ivo ikaruma ose Zvikwekwe, nyuchi, mago nezvimwe tumbuyu muchiswededza kukura rikwanise erythema migrans. More kunzwisisa uye achinyengera mhando chirwere anoonekwa kuti ayo chisingaperi chimiro, rinova mabviro Kazhinji harizivikanwi. Uye iye erythema dzinoratidzwa zvikuru kuzvimba, marwadzo uye kugara kuvaviwa uye unopfuta. Nokuti nechirwere echirwere erythema ichiitwa misoro kuongorora, kusanganisira kuongorora zvakakwana ropa uye weti, uye kudzidza infiltration of Epiderme e.

Mabatirwo erythema migrans

The kurapa kuitwa pachishandiswa mishonga inorwisa mabhakitiriya. Selection zvinodhaka chiremba anoitisa zvichienderana chimiro uye pachikuva. Somuenzaniso, danho rokutanga anopa nomugumisiro wakanaka medicament chikumbiro "Doxycycline" mukati munhu vhiki mbiri. Kana hosha iri huru, chiremba anogona kushandisa mishonga "Tsetriakson" Mahwendefa uye "Penicillin" intramuscularly kwemazuva 14-21. Zvimwe kurapa kunosanganisira kutora mavhitaminzi. Zvakanyanya Kunaka Panguva Yepamuviri kurapwa Ipfungwa yasarudzwa chirwere akadai erythema migrans mhete, kazhinji, zvinobatsira kuti akurumidze kupora.

erythema chepfu

mhando iyi zvirwere kunoitika vachangoberekwa uye kunoratidzwa mapundu pamusoro muviri wemwana. The chirwere pasi 20-40% kwevacheche. Sezvo kwokuomerwa ari chepfu erythema rakakamurwa unexpressed uye akaratidza (kana generalized) nzira. Kana wokutanga zviduku rashes uye vemunyika pamusoro pezviri pazvirugu shure uye migumo. The vakawanda nezvevakafa mwana kuongororwa sezvo inogutsa.

In generalized hunokachidza erythema mapundu kakawanda, kazhinji batanidza nemumwe kuumba vesicles. The tembiricha iri iyi rwuchiwanzwa, uye mwana anova kudzikama. ropa mucheche yakaratidza kwakawedzera eosinophils. mhando iyi leukocytes riite unodzivirira basa kana anwa allergens uye helminth infestations.

Pakati zvinokonzera ngozi chepfu erythema ndizvo zvinotevera:

• nhoroondo yemhuri;
• toxemia pamuviri, kunyanya rinorema;
• basa amai vanepamuviri mubasa ngozi;
• intrauterine chirwere chirwere;
• kuvapo muna zvokudya mukadzi pamuviri kana ukoti unosungira chikafu allergens, zvakadai maranjisi, zai, chocolate, uchi, currants, mahabhurosi, uye vamwe;
• cheshuga, zvirwere zviri thyroid shwanu kana mai vakafutisa.

Kana erythema pamusoro achangoberekwa migumisiro kuvapo allergens mu mukaka kana yemaitiro kudyisa, chirwere chacho vakazvimiririra 4-5 mazuva pashure nesimba dzokororo. Marapiro zvinoratidzwa nokuda kwazvo siyana chepfu erythema.

Mabatirwo erythema rusvava

Hunokachidza chimiro erythema zvinoda kurapwa kuti kwazvo siyana. Chiremba ibasa zvakarurama yakanyatsoiswa antihistamines uye anokosha mafuta kana cream. Zvakakosha panguva padariro kurapwa kubvisa kundopinda allergens kupinda muviri amai nemwana. Rakashandiswa ebetsero kurapwa "karusiyamu gluconate" mavhitamini, "purogiramu". Upundu uye vesicles zvakafanira kakawanda pazuva kuti ribude girini pendi kana simba 4-5% mhinduro kuti potassium permanganate, uye pashure nzira kureva ganda mwana mwana upfu.

erythema multiforme

Ichi kuzvimba ganda uye mucous membranes, iyo yakavakirwa pamusoro sema kuita. Erythema multiforme kunokanganisa muzvidimbu ari mucous membranes mumuromo, mhuno uye sikarudzi. Hosha rinowanikwa mune vose vana nevakuru.

Vamwe mishonga uye zvimwe zvirwere zvinokonzera kukura exudative erythema multiforme. mhando iyi anokonzera zvirwere nemishonga kuti penicillin, barbiturates, sulfonamides uye zvimwe zvinodhaka. Zvirwere zvikuru nevakawanda zvinokonzera erythema multiforme vari mycoplasmosis uye herpes. Wakakura zvikuru erythema anoonekwa chirwere yakakonzerwa maitiro mishonga. Somuenzaniso, Stevens-Johnson syndrome.

Mabatirwo erythema multiforme

Kurwisa chirwere anoshandiswa vose zvavo uye nemakanzuru kurapa. Aimbova zvinosanganisira kushandisa mishonga inorwisa mabhakitiriya uye antihistamines kugamuchira immunostimulants. Panguva imwe chete, murwere kurapa zvirwere. Local kurapwa kunooneka kushandisa inonyaradza marwadzo omusoro uye antiseptics, akadai "Chlorhexidine" kana "Furatsilinom" chizoro zviri prednisolone uye hydrocortisone. An inokosha ichakurukurwa kwazvo nomumukanwa utsanana uye dzimwe mucous membranes.