Nā ʻōuli o erythema nodosum

Nā ʻōuli o erythema nodosum

 

He stereotypical mau ka Erythema nodosum i kona ulu ʻana a pili pū ʻekolu mau ʻāpana

1/ Māhele prodromique

ʻO Erythema nodosum kekahi manawa ma mua ENT a i ʻole ka maʻi hanu kiʻekiʻe ma mua o 1 a 3 mau pule ma mua o ka ʻeha, manaʻo ʻia no ka streptococcal kumu. ʻO ka pinepine, hoʻokahi wale nō kuni, eha hui, eha opu i kekahi manawa...

2 / Māhele kūlana

ka nouures (nā ʻano pōpō ma lalo o ka ʻili, palena ʻole) e hoʻopaʻa i ka 1 a 2 mau lā ma nā maka hoʻonui o nā wāwae a me nā kuli, kakaikahi ka uha a me ka lima. He ʻano nui lākou (1 i ka 4 cm), kakaikahi (3 a 12 mau ʻeha), ʻelua ʻaoʻao akā ʻaʻole kūlike. O lākou eha (hoʻonui ʻia ka ʻeha ma ke kū ʻana), mehana, paa. Aia pinepine a ʻeha kuʻekuʻe wāwae a me ka ʻeha hui mau.

3 / Māhele hoʻihoʻi

ʻO ia ma mua o ka mālama pono ʻana. E ulu ana kēlā me kēia puʻupuʻu i nā lā he ʻumi, e lawe ana i nā hiʻohiʻona polū-ʻōmaʻomaʻo a melemele., e like me ka ulu ʻana o kahi hematoma. ʻO nā puʻupuʻu nalo me ka pau ole. Hiki ke komo i ka Erythema nodosum ʻO kekahi mau paʻi ma luna o 1 a 2 mau mahina, makemake ʻia e ke kūlana kū.

 

Pono anei e hana i nā hoʻokolohua inā loaʻa ka erythema nodosum?

Ke ʻimi nei ke kauka he kumu erythema nodosum i mea e mālama ai. Loaʻa iā ia nā hoʻokolohua i hoʻokō pinepine ʻia e nā hōʻailona lapaʻau (ka nānā ʻana o ka stool i ka hihia o ka maʻi maʻi wale no ka laʻana):

ʻO ka hoʻāʻo koko me ka helu ʻana o nā kiʻi koko (nā koko ʻulaʻula, nā keʻokeʻo keʻokeʻo, a me nā mea ʻē aʻe), ka hoʻāʻo ʻana o ke ake, ʻimi no ka ʻā, ʻimi no ka antistreptolysin O (ASLO) a me nā antistreptodornases (ASD), nā hoʻāʻo tuberculin, ke ʻano o ka enzyme hoʻololi o angiotensin, serodiagnosis o ka yersiniosis, rʻāʻī ʻāʻī. 

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