Erythema nodosum yeej ib txwm ua stereotypical nyob rau hauv nws evolution thiab koom nrog peb theem ua tiav

1/ Theem prodromique

Erythema nodosum qee zaum ua ntej los ntawm ENT los yog kab mob ua pa siab 1 mus rau 3 lub lis piam ua ntej pob, hais txog streptococcal keeb kwm. Feem ntau, tsuas yog ib qho xwb kub taub hau, mob pob qij txha, qee zaum mob plab...

2 / xwm txheej theem

cov noj (hom pob hauv qab ntawm daim tawv nqaij, tsis zoo txwv) nyob rau hauv 1 mus rau 2 hnub ntawm lub ntsej muag extension ntawm ob txhais ceg thiab hauv caug, tsis tshua muaj thighs thiab forearms. Lawv yog cov variable loj (1 txog 4 cm), ob peb (3 mus rau 12 qhov chaw), ob sab tab sis tsis symmetrical. Lawv yog mob heev (mob accentuated los ntawm sawv), sov, ruaj. Feem ntau muaj ib pob taws edema thiab mob pob qij txha.

3 / Regression theem

Nws yog tag nrho ua ntej qhov kev kho mob zoo ua raws. Txhua lub pob caus hloov zuj zus nyob rau hauv kaum hnub, noj xiav-ntsuab thiab yellowish yam., zoo li evolution ntawm hematoma. Cov pob caus ploj tsis muaj sequel. Erythema nodosum tuaj yeem suav nrog ob peb thawb dhau 1 mus rau 2 lub hlis, nyiam los ntawm txoj haujlwm sawv.

Puas yog nws yuav tsum tau kuaj xyuas thaum muaj erythema nodosum?

Tus kws kho mob tab tom nrhiav ib vim erythema nodosum nyob rau hauv thiaj li yuav kho nws. Nws muaj cov kev ntsuam xyuas feem ntau qhia los ntawm kev soj ntsuam cov cim qhia (xws li quav quav thaum zawv plab nkaus xwb piv txwv):

Kev kuaj ntshav nrog cov mis suav ntawm cov qe ntshav (cov qe ntshav liab, cov qe ntshav dawb, thiab lwm yam), kuaj lub siab, tshawb nrhiav qhov mob, tshawb nrhiav antistreptolysin O (ASLO) thiab antistreptodornases (ASD), kuaj tuberculin, ntau npaum li cas ntawm kev hloov enzyme ntawm angiotensin, serodiagnosis ntawm yersiniosis, rthorax adiography.