Vasculitis faʻafiafiaga tele

O le hypersensitivity vasculitis o se uiga ogaoga i vailaʻau, faʻamaʻi, poʻo vailaʻau mai fafo. E tau atu i le fulafula ma le faʻaleagaina o ala toto, tele lava i le paʻu. O le faaupuga e le o faʻaaogaina tele i le taimi nei ona o le tele o faʻapitoa igoa e manatu e sili atu le saʻo.

O le gasegase o le vasculitis, poʻo le siama tamaʻi vaʻa vaʻa, e mafua mai i:

• O le tali atu i se vailaʻau poʻo isi vailaʻau mai fafo
• O se tali atu i se siama

E masani ona aʻafia ai tagata matutua atu i le 16 tausaga.

Tele taimi, o le mafuaʻaga o le faʻafitauli e le mafai ona maua e tusa lava pe a suʻesuʻe ma le faʻaeteete i talaʻaga faʻasolopito.

Ole fasensitivity vasculitis atonu e foliga pei o le tino, faʻaaogaina o le vasculitis, e mafai ona aʻafia ai toto i le tino atoa ae le gata i le paʻu. I tamaiti, e mafai ona foliga pei o Henoch-Schonlein purpura.

Faʻailoga e ono aofia ai:

• Fou mageso ma vaivai, lanu viole poʻo le enaena-mumu ila i luga o tele eria
• Paʻu paʻu e tele lava ona tu i luga o vae, poʻomo poʻo ogalaau
• Paʻu i le paʻu
• Hives (urticaria), ono umi atu nai lo le 24 itula
• Tatala matala ma le oti tino (papala necrotic)

O le tausi soifua maloloina o le a faʻavae le faʻamaoniga i luga o faʻailoga. O le a iloiloina e le kamupani tuʻuina atu ni vailaʻau poʻo ni vailaʻau na e inuina ma faʻamaʻi talu ai nei. O le a fesiligia oe e uiga i le tale, fiva, poʻo le tiga o le fatafata.

E maeʻa se suʻega tino.

Toto ma miaga suʻega ono mafai ona faia e vaʻai ai faʻaletino faʻafitauli pei o systemic lupus erythematosus, dermatomyositis, poʻo le hepatitis C. O le toto suʻega ono aofia ai:

• Faitau atoa le toto ma le eseʻesega
• Fuafua sedimentation Erythrocyte
• Chemistry vaega faʻatasi ai ma le ate enzymes ma le foafoaina o mea
• Antinuclear antibody (ANA)
• Rheumatoid vaega
• Antineutrophil cytoplasmic antibodies (ANCA)
• Laʻasaga faʻamalieina
• Cryoglobulins
• Hepatitis B ma C suʻega
• Suʻega ole HIV
• Urinalysis

O le paʻu o le paʻu e faʻaalia ai le fulafula o tamaʻi toto.

O le faʻamoemoe o togafitiga o le faʻaititia o le fulafula.

E mafai e lau tautua ona faʻatonuina le aspirin, nonsteroidal anti-inflammatory vailaʻau (NSAIDs), poʻo le corticosteroids e faʻaititia ai le fulafula o alatoto. (AUA le tuʻuina atu aspirin i tamaiti vagana ua fautuaina e lau tautua)

O le a taʻu atu e lau tautua ia te oe e taofi le toe inu o vailaʻau e ono mafua ai lenei tulaga.

Ole faʻafitauli ole vasculitis e masani ona alu ese ile taimi. O le tulaga e mafai ona toe foi mai i nisi tagata.

Tagata e iai faʻaauau vasculitis tatau siaki mo vasculitis faiga.

Faʻafitauli e ono aofia ai:

• Faʻaleagaina tumau o le toto ala poʻo le paʻu ma maʻila
• O faʻamaʻi toto na afaina ai totoga i totonu

Valaʻau lau tautua pe a fai oe maua faʻailoga o le hypersensitivity vasculitis.

AUA le inuina vailaʻau na mafua ai le afaina o le mafaufau i taimi ua tuanaʻi.

Cutaneous tamaʻi vaʻa vasculitis; Vaimama vasculitis; Leukocytoclastic vasculitis

• Vasculitis i luga o le alofilima
• Vasculitis
• Vasculitis - urticarial i luga o le lima

Habif TP. Hypersensitivity syndromes ma vasculitis. I le: Habif TP, ed. Dermatology Togafitiga. 6th ed. Filatelefia, PA: Elsevier; 2016: mata 18.

Jennette JC, Falk RJ, Bacon PA, et al. 2012 toe iloiloina International Chapel Hill consensus konekarate nomenclature o vasculitides. Gugu i le gugu. 2013; 65 (1): 1-11. PMID: 23045170 www.ncbi.nlm.nih.gov/pubmed/23045170.

Patterson JW. Le vasculopathic tali faʻataʻitaʻi. I le: Patterson JW, ed. Weedon's Paʻu Faʻasologa. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2016: mata 8.

Maa JH. Le vasculitides faiga. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 25th lomiga. Filatelefaia, PA: Elsevier Saunders; 2016: mata 270

Sunderkötter CH, Zelger B, Chen KR, et al. Nomenclature o cutaneus vasculitis: dermatologic faʻaopoopoga i le 2012 Faʻafouina International Chapel Hill Consensus Conference Nomenclature o Vasculitides. Gugu Rheumatol. 2018; 70 (2): 171-184. PMID: 29136340 www.ncbi.nlm.nih.gov/pubmed/29136340.