Erythema annulare yog liab thiab o ntawm daim tawv nqaij, uas yog txuam nrog vasodilation thiab stagnation ntawm cov ntshav nyob rau hauv lawv. Nws tuaj yeem tshwm sim ntau zaus raws li cov tshuaj tiv thaiv kab tom, nrog rau kev tawm tsam keeb kwm ntawm cov txheej txheem autoimmune thiab helminthic invasions. Pathology thiaj li hu ua vim hais tias ntawm cov yam ntxwv tsos: lub nplhaib liab nrog tsa sawv uas txwv thaj tsam ntawm daim tawv nqaij puas. Nyob ntawm cov xwm txheej uas ua rau tus kab mob, tus kab mob no tshwm sim hauv ib qho mob lossis mob ntev.
Ua rau erythema annulare
Daim tawv nqaij txuas nrog tag nrho cov kab ke thiab cov kabmob, yog li nws cuam tshuam rau cov kev hloov pauv hauv tib neeg lub cev. Cov tsos mob ntawm cov pob qij txha nyob rau hauv daim ntawv ntawm ib lub nplhaib ntawm nws tsis yog ib qho kab mob ywj pheej, tab sis yog ib qho teeb meem ntawm kev ua txhaum cai. Cov laj thawj ntawm kev ua txhaum cai yuav tsum tau tshawb xyuas. Feem ntau, ua rau erythema muaj xws li:
- Qhov muaj qhov tsis xws luag hauv lub cev tiv thaiv kab mob.
- Cov qog nqaij hlav malignant.
- Qhov tshwm sim ntawm intoxications ntawm ntau lub hauv paus chiv keeb.
- Qhov tshwm sim ntawm tus kab mob Lyme.
- Kev muaj mob rheumatic thiab lwm yam kab mob autoimmune.
- Kev txhim kho ntawm helminthic invasions.
- Tshem tawm kev ua xua hauv lub cev.
- Kev txhim kho ntawm cov kab mob hauv zos foci ntawm tus kab mob nyob rau hauv daim ntawv ntawm sinusitis los yog osteomyelitis.
- Kev tshwm sim ntawm tuberculosis.
- Kev muaj qee yam tshuaj hormonal hauv lub cev.
- Cov tsos mob ntawm cov kab mob fungal.
- tsis ua haujlwm ntawm lub plab zom mov.
Erythema annulare tuaj yeem yog qhov cim ntawm tus kab mob dab tsi? Raws li koj tau pom, daim ntawv teev npe ntev heev.
Tus kab mob no tshwm sim li cas?
Cov tsos mob ntawm erythema annulare hauv tib neeg feem ntau cuam tshuam nrog cov kab mob ntawm cov hlab ntsha. Nyob rau tib lub sijhawm, cov hlab ntsha uas nyob hauv daim tawv nqaij nthuav dav, thiab cov ntshav ntws ncaj qha hauv lawv qeeb zuj zus. Yog li ntawd, ib feem ntawm cov ntshav plasma nkag mus rau hauv cov ntaub so ntswg, uas ua rau cov tsos ntawm edema hauv zos. T-lymphocytes, uas yog cov hlwb ntawm lub cev tiv thaiv kab mob uas muaj lub luag haujlwm rau kev lees paub tus neeg sawv cev txawv teb chaws, kuj tawm ntawm cov kua. Lawv lub luag haujlwm hauv kev tsim cov erythema tseem tsis tau meej meej, tab sis lawv qhia txog kev sib raug zoo ntawm pathology thiab kev tiv thaiv kab mob.
Peripheral zoom
Erythema annulus muaj peev xwm ntawm peripheral o. Hauv nruab nrab ntawm lub nplhaib tsim, cov txheej txheem pathological txo qis, yog li daim tawv nqaij tau txais cov qauv xim thiab tuab. Tab sis ncaj qha rau ntawm peripheryTseem muaj qee qhov ntawm cov dilated capillaries thiab cellular edema. Lub nplhaib, raws li txoj cai, nce qhov loj ntawm qhov chaw mus rau cov npoo. Hom no hu ua Darier centrifugal erythema.
Ntau zaus muaj kev loj hlob, kev kawm ntev thiab kev kho mob. Ua ntej yog tev thiab o liab liab-daj lossis liab me ntsis. Tsis tas li ntawd, cov txheej txheem nce ntxiv, ntau cov ntsiab lus erythematous tshwm sim, uas muaj cov duab annular nrog ntug urticarial thiab ib qho chaw daj ntseg. Nyob rau hauv nruab nrab ib feem ntawm lub tsom xam muaj ib tug tiaj tus, du nto, ncav ib tug loj txog li ob cm. Kev loj hlob ntawm peripheral ntawm cov ntsiab lus ua rau lub fact tias lawv ncav cuag ib txoj kab uas hla ntawm 15 cm. Qee lub nplhaib tuaj yeem ua ke thiab tsim cov ntsiab lus scalloped, garlands, thiab arcs. Scalloped ntsiab muaj nyob rau 2-3 lub lis piam, tom qab ntawd lawv dhau, tab sis tom qab lawv hnyav pigmentation tseem nyob. Tom qab ntawd cov ntsiab lus tshiab tau tsim.
Qhov chaw nyiam tshaj plaws ntawm cov kab mob yog lub cev thiab cov ceg, me ntsis feem ntau ntawm lub ntsej muag, caj dab, daim di ncauj thiab pob tw. Muaj khaus thiab kub hnyiab. Ntau yam ntawm Darier erythema tau kuaj pom qhov txawv, txawv hauv cov qauv hauv qab no:
- Scaly (ib nyias dawb ciam teb tev tawm raws ntug sab nrauv ntawm qhov txhab).
- Vesicular daim ntawv ntawm Darier's erythema (vesicles nyob rau ntawm cov npoo ntawm cov ntsiab lus sai sai ploj mus).
- Yooj yim garland-puab (lub sijhawm luv ntawm cov pob, los ntawm ob peb teev mus rau ob peb hnub).
- Resistant microgarland-puab daim ntawv, suav nrog cov khoom me me txog li 1 cm inch. Thaum kuaj histological ntawm lub epidermis, dyskratosis nrog cov ntsiab lus ntawm lub cev puag ncig, thiab cov nplej, tau kuaj pom. Tsis tshua muaj, vesicles pom nyob rau hauv cov epidermis, uas muaj cov kab mob shriveled uas muaj nplej.
Cov tsos mob ntawm tus kab mob no
Tus kab mob tshwm sim li cas? Cia peb saib ze rau ntawm qhov teeb meem no. Thaum pib, ib qho chaw liab liab tshwm rau ntawm daim tawv nqaij ntawm tus neeg, uas yog me ntsis tsa saum npoo av thiab zoo li ib lub npib. Thaum lub sij hawm siab, erythema feem ntau ploj los yog ploj tag nrho. Nyob rau hauv qhov chaw, dhau sij hawm, ib tug tsom xam ntawm enlightenment yog tsim. Daim tawv nqaij hloov liab. Qee lub sij hawm nyob rau hauv nruab nrab ntawm erythema, ob peb foci ntawm enlightenment ntawm ib puag ncig zoo tuaj yeem tsim ib txhij. Nyob rau hauv cov xwm txheej zoo li no, ob peb lub nplhaib-zoo li qhov chaw ntawm daim tawv nqaij.
Ntse tev nrog npuas tshwm rau ntawm qhov chaw. Nyob rau tib lub sijhawm, erythema ciam teb tseem liab thiab maj mam nkag mus ntxiv, uas ua rau muaj kev nce ntxiv hauv txoj kab uas hla. Ntug ntawm lub nplhaib yuav nce me ntsis saum daim tawv nqaij.
Erythema annulare ntawm qhov sib txawv ntawm kev loj hlob tuaj yeem pom nyob rau hauv tib qhov chaw, thiab cov nplhaib feem ntau sib koom ua ke. Qhov no yog li cas arched contours yog tsim nrog wavy npoo ntawm qhov chaw. Cov kab mob ntawm daim tawv nqaij muaj qee zaus nrog mob, uas ncaj qha nyob ntawm qhov ua rau tus kab mob.
Lwm cov cim qhia ntawm pathology
Symptoms of annularerythema yog tsim tawm tsam keeb kwm ntawm lwm cov cim qhia ntawm pathology:
- Cov kab mob kis tau los ntawm erythema tau tshaj tawm los ntawm cov tsos mob ntawm intoxication nyob rau hauv daim ntawv ntawm kub taub hau, tsis muaj zog thiab mob cov leeg tsis muaj qab los noj mov. Migrating erythema feem ntau tshwm sim tawm tsam keeb kwm ntawm kev kis kab mob Borrelia vim yog zuam tom. Nyob rau hauv nruab nrab ntawm redness, koj tuaj yeem pom qhov tom hauv daim ntawv ntawm ib puag ncig crust lossis yaig. Feem ntau, lub hom phiaj zoo li erythema tuaj yeem tsim. Tawm tsam keeb kwm yav dhau los no, lub nplhaib me me nyob hauv qhov loj dua.
- Nrog rau kev txhim kho ntawm rheumatism, cov kab mob sib txuas tau raug puas tsuaj, uas tshwm sim los ntawm qhov mob ntawm cov pob qij txha thiab cov leeg, nrog rau kev txav mus los tsawg, kev hloov ntawm daim tawv nqaij zoo, nce los ntshav ntawm cov hlab ntsha, qhov kub thiab txias ntev. siab tshaj peb caug-yim degrees thiab ua txhaum ntawm lub plawv dhia. Nyob rau tib lub sijhawm, ciam teb ntawm cov nplhaib feem ntau muaj xim liab, thiab lawv qhov chaw tuaj yeem ua tau tiag tiag.
- Kev ua xua erythema, raws li txoj cai, yog qhov kaj heev, thiab cov edema nrog nws tau qhia zoo thiab tuaj yeem nrog cov pob liab liab ntawm ntau qhov ntawm lub cev. Conjunctivitis thiab rhinitis kuj tsis suav nrog. Kev khaus ntawm qhov sib txawv tuaj yeem pom tau.
- Qhov muaj tus kab mob neoplasm yog qhia los ntawm kev qaug zog ntev nrog rau kev poob phaus, mob arching hauv cov pob txha tubular, nrog rau cov qog ntshav nce ntxiv thiab ua npaws ntev.
Erythema annulare hauv cov menyuam yaus feem ntau cuam tshuam nrog mob rheumatic, tiv thaiv kab mob thiab helminthic invasion.
Kawm kab mob
Cov kab mob ncaj qha nyob ntawm ntau qhov laj thawj thiab tuaj yeem ua ntau hom:
- Ib hom paroxysmal. Hauv qhov no, kev hloov ntawm daim tawv nqaij tshwm sim tam sim ntawd, dhau mus yam tsis muaj kab hauv ob peb teev lossis hnub.
- ntse zoo li. Pom cov nplhaib yuav maj mam ploj mus li ob lub hlis.
- hom mob. Cov tawv nqaij hloov mus ntev.
- Recurrent type. Tom qab kev kho mob, erythema migrans tuaj yeem rov tshwm sim ntawm tib qhov chaw lossis ntawm qhov chaw tshiab.
YKev kuaj mob ntawm pathology
Kev kuaj mob erythema feem ntau tsis ua rau muaj teeb meem. Yog tias tsim nyog kom paub qhov txawv ntawm tus kab mob los ntawm granuloma zoo ib yam hauv cov tsos mob, cov kws kho mob dermatologist coj ib feem ntawm cov ntaub so ntswg puas rau kev kuaj mob. Hauv chav kuaj, cov khoom siv me me tau npaj los ntawm cov qauv.
Daim tawv nqaij hloov pauv hauv erythema
Feem ntau, cov tawv nqaij hloov pauv nrog erythema suav nrog:
- Kev nthuav dav ntawm cov hlab ntsha.
- Kev sib sau ntawm cov lymphocytes ze cov hlab ntsha.
- Kev muaj me ntsis edema ntawm cov hlwb, nrog rau cov chaw intercellular ntawm cov epidermis.
- Presence of moderate edema of the dermis.
Raws li ib feem ntawm kev tshawb nrhiav qhov ua rau erythema annulare, tus kws kho mob ua qhov kev sim ntxiv. Piv txwv li, kev kuaj ntshav dav dav nrog plasma biochemistry raug tshawb xyuas. Cov kev hloov pauv hauv cov kev tshuaj ntsuam no qhia txog qhov kev taw qhia mus rau tom ntej. Piv txwv li, helminthic invasions yog yam ntxwvme ntsis anemia nrog rau eosinophilia thiab ceev ESR. Tawm tsam keeb kwm yav dhau los ntawm cov tshuaj tiv thaiv kab mob hauv plasma, cov ntsiab lus ntawm immunoglobulin E protein nce ntxiv, muaj cov qog nqaij hlav malignant yog tshwm sim los ntawm kev txo qis hauv hemoglobin, nrog rau erythrocytes, nrog rau kev hloov pauv hauv cov mis leukocyte.
Cov kev tshawb fawb nyob rau hauv daim ntawv x-rays, electrocardiograms, xam tomography thiab cov zoo li tau ua tiav yog tias muaj qee qhov kev hloov pauv tau pom tom qab kuaj tus neeg mob lossis hauv kev sim kuaj.
Kev kho mob
Kev kho tau zoo tuaj yeem ua tau thaum tsim cov kab mob pathology. Kev kho mob yog muab los ntawm ib tug kws kho mob dermatologist ua ke nrog ib tus kws kho mob tshwj xeeb txog cov kab mob hauv qab. Lawv tuaj yeem yog tus kws kho mob hlwb, kws kho mob rheumatologist, kws kho mob endocrinologist, kws tshuaj tiv thaiv kab mob, kws kho mob tshwj xeeb, thiab lwm yam. Tus neeg mob xav tau kev mus pw hauv tsev kho mob yog txiav txim siab raws li kev noj qab haus huv ntawm tus neeg mob thiab cov kab mob sib kis. Cov neeg mob feem ntau raug kho raws li tus neeg mob sab nraud.
Kev kho mob hauv zos
Kev kho mob ib txwm muaj xws li:
- Siv cov tshuaj tiv thaiv kab mob, tshuaj pleev thiab gels txhawm rau txhawm rau o, liab thiab khaus cuam tshuam nrog kev tso tawm histamine.
- Siv tshuaj pleev uas muaj zinc compounds, xws li Desitin. Cov txheej txheem ntawm lawv qhov kev txiav txim tseem tsis tau nkag siab tag nrho, tab sis lawv tuaj yeem tshem tawm qhov mob ntawm lub epidermis nrog rau khaus thiab flaking. Tsis tas li ntawd, tsis zoo li cov tshuaj hormonal, lawv yuav luag muaj kev nyab xeeb.
- Kev kho mobglucocorticoid tshuaj pleev thiab cream, piv txwv li, Akriderm lossis Sinaflan. Cov tshuaj no ua rau qeeb zuj zus ntawm T-lymphocytes, yog li tshem tawm cov laj thawj tseem ceeb ntawm kev hloov hauv cheeb tsam ntawm daim tawv nqaij. Lawv yuav tsum tau siv tsuas yog raws li kws kho mob qhia, txwv tsis pub muaj kev phiv loj hauv daim tawv nqaij atrophy yuav tshwm sim. Cov kab mob loj thiab cov kab mob fungal tuaj yeem ua tau.
Kev kho mob ntawm erythema annulare tsis txwv rau qhov no.
Kev siv tshuaj kho mob
Nrog rau kev kho mob hauv zos, cov tshuaj siv tau raug tshuaj:
- Kev siv cov tshuaj desensitizing uas tshem tawm cov co toxins nrog cov tshuaj tsis haum los ntawm cov hlab ntsha, txo cov permeability ntawm cov phab ntsa vascular thiab stabilizing daim nyias nyias ntawm lub cev tiv thaiv kab mob. Ua tsaug rau tag nrho cov no, kev tso tawm ntawm histamine hauv cov ntaub so ntswg raug txo.
- Y Kev siv cov glucocorticoids. Cov tshuaj no yog siv nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj los yog txhaj tshuaj. Nws raug nquahu kom siv lawv tawm tsam keeb kwm ntawm erythema hnyav.
- Kev siv tshuaj tua kab mob. Xws li cov tshuaj yog tsim nyog nyob rau hauv lub xub ntiag ntawm tus kab mob. Feem ntau, cov neeg mob hauv cov xwm txheej no tau muab tshuaj penicillins lossis cephalosporins.
- Kev siv tshuaj antihelminthic yog sau thaum cov qe qe pom hauv cov quav, thiab, ntxiv rau, tiv thaiv keeb kwm yav dhau los ntawm kev tshawb pom cov tshuaj immunoglobulins tshwj xeeb hauv cov ntshav.
Nyob hauv kaw
Yog li, erythema annulare tsis yog ib qho kab mob ywj pheej, tab sis yog cov tsos mob ntawm lwm yam pathologies. Yog li ntawd, nws yuav tsum tau kev kho mob complex thiablub ntsiab txhais ntawm qhov uas ua rau nws. Thaum muaj kab mob pathology, koj tsis tuaj yeem kho tus kheej, tab sis koj yuav tsum sab laj nrog kws kho mob.
Peb saib seb nws yog kab mob dab tsi - erythema annulare.
