Erythema nodosum

Erythema nodosum o se faʻamaʻi afaina. E aofia ai maʻa vaivai, mūmū (nodules) i lalo ole paʻu.

I le tusa o le afa o mataupu, o le mafuaʻaga tonu o le erythema nodosum e le o iloa. O mataupu o loʻo totoe e fesoʻotaʻi ma se faʻamaʻi pipisi poʻo seisi faʻafitauli i le tino.

O nisi o faʻamaʻi taatele e fesoʻotaʻi ma le faʻamaʻi o:

• Streptococcus (sili ona taatele)
• Pusi valu maʻi
• Chlamydia
• Coccidioidomycosis
• Hepatitis B
• Histoplasmosis
• Leptospirosis
• Mononucleosis (EBV)
• Mycobacteria
• Mycoplasma
• Psittacosis
• Syphilis
• Fomaʻi
• Tularemia
• Yersinia

Erythema nodosum ono tupu ma le malamalama i nisi vailaʻau, aofia ai:

• Antibiotics, e aofia ai le amoxicillin ma isi penicillins
• Sulfonamides
• Sulfones
• Pamu e taofi ai le fananau mai
• Progestin

O nisi taimi, erythema nodosum ono tupu i le taimi o maʻito.

O isi faʻafitauli e fesoʻotaʻi ma lenei tulaga e aofia ai leukemia, lymphoma, sarcoidosis, fiva rumatika, maʻi o Bechet, ma le ulcerative colitis.

O le tulaga e sili ona taatele i fafine nai lo alii.

Erythema nodosum e sili ona taatele i luma o le paʻu. E mafai foi ona tupu i isi vaega o le tino e pei o papa, tamaʻi povi, tapuvae, ogavae, ma lima.

O lesi e amata pei o mafolafola, mausali, vevela, mumu, tiga tiga e tusa ma le 1 inisi (2.5 senitimita) faalava. I totonu o ni nai aso, latou ono ono mama i le lanu. I le aluga o vaiaso, o lapisi na mou atu i se mea enaena, mafolafola fola.

O isi faʻailoga e mafai ona aofia ai:

• Fiva
• Lagolago lautele maʻi (malaise)
• Tiga soʻofaʻatasi
• Paʻu mumu, mumu, po o le itaitagofie
• Fula le vae poʻo se isi itu ua aʻafia

E mafai e lau tausi soifua maloloina ona suʻesuʻeina lenei tulaga ile vaai i lou paʻu. O suʻega e mafai ona faia e aofia ai:

• Punch biopsy o le nodule
• Faʻatonutonu aganuu e faʻateʻa ai se siama papala
• Fatafata x-avega e faʻateʻa ai le sarcoidosis poʻo le fatafata
• Toto suʻega e vaʻai ai faʻamaʻi poʻo isi faʻaletonu

Le faʻamaʻi pipisi, vailaʻau, poʻo faʻamaʻi e tatau ona iloa ma togafitia.

Togafitiga ono aofia ai:

• Nonsteroidal anti-inflammatory vailaʻau (NSAIDs).
• O vailaʻau e sili atu le teteʻe e faʻaigoaina o le corticosteroids, e ave e le gutu pe avatua o se fana.
• Potassium iodide (SSKI) fofo, masani ona tuʻuina mai pei o ni mataua faʻaopopo i le moli moli.
• Isi vailaau tautala e galue i le tino o le tino puipuia.
• Paʻu vailaʻau (analgesics).
• Malolo.
• Siitia le vaega tiga (tulaga maualuga).
• Vevela po o le malulu compresses e fesoasoani faʻaititia le faʻaletonu.

Erythema nodosum e le toʻafimalie, ae le mataʻutia i le tele o tulaga.

Faʻailoga e masani ona alu i totonu pe a ma le 6 vaiaso, ae ono toe foʻi.

Valaʻau lau tautua pe a fai e te maua faʻailoga o le erythema nodosum.

• Erythema nodosum e fesoʻotaʻi ma le sarcoidosis
• Erythema nodosum luga o le vae

Forrestel A, Rosenbach M. Erythema nodosum. I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Togafitiga o le Paʻu Faamai: Auiliili togafitiga togafitiga. 4th ed. Filatelefia, PA: Elsevier; 2018: mata 75.

Gehris RP. Dermatology. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ma Davis 'Atlas o Pediatric Diagnosis. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 8.

James WD, Elston DM, togafiti JR, Rosenbach MA. Faʻamaʻi o le subcutaneous fat. I totonu: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews 'Faamaʻi o le Paʻu: Clinical Dermatology. 13th lomiga. Filatelefia, PA: Elsevier; 2020: chap 23.