Erythema nodosum

Erythema nodosum waa cilad barar. Waxay ku lug leedahay jilicsanaan, kuuskuus casaan (qanjira) maqaarka hoostiisa.

Qiyaastii kalabar kiisaska, sababta saxda ah ee erythema nodosum lama yaqaan. Kiisaska haray waxay la xiriiraan infakshan ama cillad kale oo nidaamsan.

Qaar ka mid ah infekshannada ugu badan ee la xiriira cilladda ayaa ah:

• Streptococcus (ugu badan)
• Cudurka xoqida bisadda
• Chlamydia
• Coccidioidomycosis
• Cagaarshowga B
• Cudurka 'histoplasmosis'
• Leptospirosis
• Mononucleosis (EBV)
• Mycobacteria
• Mycoplasma
• Psittacosis
• Waraabow
• Qaaxada
• Tularemia
• Yersinia

Erythema nodosum waxaa laga yaabaa inay ku dhacdo xasaasiyadda daawooyinka qaarkood, oo ay ku jiraan:

• Antibiyootikada, oo ay ku jiraan amoxicillin iyo penicillins kale
• Sulfonamides
• Suldaanka
• Kiniiniyada ka hortagga uurka
• Progestin

Mararka qaarkood, erythema nodosum ayaa dhici kara inta lagu jiro uurka.

Cilladaha kale ee lala xiriiriyo xaaladdan waxaa ka mid ah leukemia, lymphoma, sarcoidosis, rheumatic fever, Bechet disease, iyo ulcerative colitis.

Xaaladda ayaa ku badan dumarka marka loo eego ragga.

Erythema nodosum ayaa ugu badan dhinaca hore ee dhalaalaya. Waxay sidoo kale ku dhici kartaa meelaha kale ee jirka sida badhida, weylaha, anqawyada, bowdyaha, iyo gacmaha.

Nabarradu waxay ku bilaabmayaan sidii fidmo, adag, kulul, casaan, buro xanuun badan oo ilaa 1 inji (2.5 sentimitir) guud ahaan ah. Dhowr maalmood gudahood, waxay noqon karaan midab khafiif ah. Dhowr toddobaad ka badan, burooyinku way u libdhayaan midab bunni ah oo fidsan.

Calaamadaha kale waxaa ka mid noqon kara:

• Qandho
• Dareen guud (xanuun)
• Wadajir xanuun
• Guduudasho maqaarka, caabuq, ama cuncun
• Barar lugta ama aagga kale ee ay dhibaatadu saameysey

Bixiyaha xanaanada caafimaadkaaga ayaa ku ogaan kara xaaladaan adoo fiirinaya maqaarkaaga. Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Cad biopsy of nodule ah
• Dhaqanka cunaha si meesha looga saaro infekshinka xanuunka 'strep'
• Raajo laabta ah si meesha looga saaro sarcoidosis ama qaaxada
• Baadhitaanada dhiiga si loo baadho infekshan ama cilado kale

Infekshanka salka ku haya, daroogada, ama cudurka waa in la aqoonsadaa lana daaweeyaa.

Daaweynta waxaa ka mid noqon kara:

• Daawooyinka anti-bararka ee nonsteroidal (NSAIDs).
• Daawooyinka kahortagga bararka ee loo yaqaan 'corticosteroids', oo afka laga qaato ama loo siiyo tallaal ahaan.
• Potassium iodide (SSKI) xal, inta badan waxaa loo bixiyaa dhibco lagu daro casiirka liinta.
• Daawooyinka kale ee afka laga qaato ee ka shaqeeya habka difaaca jirka.
• Daawooyinka xanuunka (analgesics).
• Naso
• Kordhinta aagga xanuunka (kor u qaadista).
• Cadaadis kulul ama qabow si looga caawiyo yareynta raaxo-darrada.

Erythema nodosum waa mid aan raaxo lahayn, laakiin khatar ma aha kiisaska badankood.

Calaamadaha badanaa waxay ku baaba'aan 6 toddobaad gudahood, laakiin way soo noqon karaan.

Wac daryeel bixiyahaaga haddii aad isku aragto astaamaha erythema nodosum.

• Erythema nodosum oo la xidhiidha sarcoidosis
• Erythema nodosum cagta

Forrestel A, Rosenbach M. Erythema nodosum. Gudaha: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Daaweynta Cudurka Maqaarka: Istaraatijiyadaha Daaweynta Oo dhameystiran. 4aad. Philadelphia, PA: Elsevier; 2018: cutubka 75.

Gehris RP. Cudurka maqaarka. Gudaha: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli iyo Davis ’Atlas of Pediatric Diagnosis. 7aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 8.

James WD, Elston DM, Daawee JR, Rosenbach MA. Cudurada dufanka subcutaneous. Gudaha: James WD, Elston DM, Ku daawee JR, Rosenbach MA, Neuhaus IM, eds. Cudurada Andrews ee maqaarka: Cilmiga maqaarka. 13aad. Philadelphia, PA: Elsevier; 2020: cutubka 23.