Matenda khungu. Erythema multiforme exudative

Erythema multiforme ndi ostrovospalitelnym khungu matenda (dermatosis multiforme). Iwo amakhala ndi "seasonality" ndi relapsing Inde. Exudative erythema multiforme ndi ambiri, pali akuluakulu komanso ana. Nthawi zambiri, matenda kumaonekera mu kasupe ndi autumn M'nyengo. Monga mmene kumapeto, anthu ambiri atengeke ndi oposa theka la milandu zikusonyeza kuti msinkhu pansi zaka makumi awiri.

Zotsatira za kufufuza tinganene katawiradi kuti zinthu zazikulu zimene zimayambitsa matenda ndi zotupa opatsirana (zilonda zapakhosi, enaake ophwanya m'thupi, khate, typhoid). Nthawi zambiri, exudative erythema multiforme chifukwa cha chinzonono, nsungu matenda, mycoplasmosis. Iwo amatchuka pansiyi matumbo kuledzera.

Khalani ascertains ena nkhani za matenda chifukwa phwando mankhwala munthu (zochizira matenda ena). Nthawi zambiri, erythema multiforme exudative akufotokozera pa chithandizo cha matenda zotupa mankhwala mankhwala a sulfa gulu, komanso mankhwala salicylates ndi barbiturates. Pankhaniyi, mankhwala ankagwiritsa ntchito limodzi ndi mankhwala ena, komanso zawo. The nkhani yosowa monga chitukuko cha matenda pambuyo ingestion mankhwala okhala ndi Mercury, ayodini kapena Arsenic. Sikuti analetsa, ndi limagwirira wosanganiza kukhudzana ndi wothandizila opatsirana ndi poizoni awo molumikizana ndi mankhwala. Erythema multiforme kumachitika chifukwa matenda zokhudza zonse minofu connective ndi malignancies watsopano amene angakhalepo ngati ntchito mankhwala amphamvu, ndi wopanda ntchito.

The ziwengo kungakhale mu mawonekedwe a mawanga, vesicles, papules kapena thovu ofiira kapena mdima pinki. Infiltrates (magazi ndi lymph kuchulukana mu zimakhala ndi) akhoza kuoneka ngati misonkhano ikuluikulu kwambiri kapena papules ang'onoang'ono. Ukuchoka motero akhoza lochepa kapena pang'ono.

Erythema multiforme imayamba kuoneka mu yamawangamawanga yaing'ono kapena papules edematous ndi awiri pakati masentimita limodzi ndi zisanu. M'kupita kwa matenda kupanga mipukutuyi, kukhala pamodzi ndi periphery ku likulu ndi kutha. Kuphulika amakhala symmetrically. Pafupipafupi malo kutanthauzira awo ndi mbali kumbuyo PAD, kapena burashi, m'zigongono, nkhope, mkono wonse wakumanja, mawondo, elbows, crotch, mbolo. Zotupa Lip nembanemba mucous za m'mphuno, oropharynx, akumaliseche mfundo ndi kuperekedwa mu mawonekedwe a erosions chowawa, fibrinous lokutidwa filimu. Akugonjetsa m'madera waubweya pa mutu si lililonse.

Malinga ndi kusalekerera zizindikiro ndi mtundu waukulu wa zotupa kugawana mitundu itatu ya matenda.

Poyamba amanena papular (yosavuta) mawonekedwe. Pankhaniyi pali ofatsa njira ya matenda, imene mitundu ikuluikulu ya zotupa ndi mipukutuyi ndi papules ndi mawanga pang'ono zotupa mucosal.

The chachiwiri chikhumbo bullous mawonekedwe, amene amakhala ndi ochepa zotupa, amene ankaimira mwa mipukutuyi erythematous. Pakati pa mipukutuyi anapanga ndi kuwira pa periphery ya ananenanso pamaso thovu. Pakuti mawonekedwe matenda ndi khalidwe mucosal kuwonongeka.

monga katundu bullous mawonekedwe kwa mtundu wachitatu (Stevens-Johnson syndrome). Choncho pali khungu yaikulu ndi mucous chotupa wa M'mimbamo m'kamwa, dera diso, akumaliseche, anogenital m'deralo. Nthawi zina, pali chitukuko cha matenda Lyell a.

Khalani limasonyeza kuti matenda ndi atatu kapena anayi (wofatsa) ndi anayi sikisi (m'njira kwambiri) masabata. Chitadutsa kugonjetsedwa m'malo pang'onopang'ono. Mu ichi kulimbikira zilema khungu, monga ulamuliro, osati chizindikiro.