Hypersensitivity vasculitis

Hypersensitivity vasculitis bụ mmeghachi omume gabigara ókè nye ọgwụ, ọrịa, ma ọ bụ ihe mba ọzọ. Ọ na - ebute mbufụt na mmebi nke arịa ọbara, ọkachasị na akpụkpọ. Ejighi okwu a otutu ugbu a n'ihi na a na-ewere aha ndi ozo kariri.

Hypersensitivity vasculitis, ma ọ bụ cutaneous obere arịa vasculitis, kpatara site na:

• Ọrịa ma ọ bụ ihe ndị ọzọ si mba ọzọ na-eme nfụkasị ahụ
• Mmeghachi omume na ọrịa

Ọ na-emetụtakarị ndị okenye karịa afọ 16.

Ọtụtụ mgbe, enweghị ike ịchọta ihe kpatara nsogbu ọbụlagodi na iji nlezianya na-amụ banyere akụkọ ihe mere eme nke ahụike.

Hypersensitivity vasculitis nwere ike ịdị ka systemic, necrotizing vasculitis, nke nwere ike imetụta akwara ọbara niile ahụ ọ bụghị naanị na akpụkpọ. N'ime ụmụaka, ọ nwere ike ịdị ka Henoch-Schonlein purpura.

Mgbaàmà nwere ike ịgụnye:

• Ọrịa ọhụrụ nwere ebe dị nro, odo odo ma ọ bụ aja aja na-acha uhie uhie na nnukwu mpaghara
• Akpịrị anụ ahụ kachasị dị na ụkwụ, buttocks, or akpati
• Iberibe na akpụkpọ
• Hives (urticaria), nwere ike ịdị ogologo oge karịa awa 24
• Mepee ọnya na anụ nwụrụ anwụ (ọnya necrotic)

Onye nlekọta ahụike ga-adabere nchoputa na mgbaàmà. Onye na-eweta ọrụ ahụ ga-enyocha ọgwụ ọ bụla ma ọ bụ ọgwụ ọ bụla ị andụrụla na ọrịa ndị na-adịbeghị anya. A ga-ajụ gị gbasara ụkwara, ahụ ọkụ, ma ọ bụ mgbu obi.

A ga-enyocha ule zuru oke.

A na-eme nyocha ọbara na mmamịrị iji chọpụta nsogbu sistemụ dị ka lupus erythematosus, dermatomyositis, ma ọ bụ ịba ọcha n'anya C. Ọbara ọbara nwere ike ịgụnye:

• Ọnụọgụ ọbara zuru ezu na ọdịiche
• Erythrocyte sedimentation ọnụego
• Chemistry panel na imeju enzymes na creatinine
• Ihe mgbochi antiinuclear (ANA)
• Rheumatoid ihe
• Antineutrophil cytoplasmic na-alụso ọrịa ọgụ (ANCA)
• Mgbakwunye ọkwa
• Cryoglobulins
• Patba ọcha n'anya B na C ule
• Nyocha HIV
• Urinalysis

Skin biopsy na-egosi mbufụt nke obere arịa ọbara.

Ebumnuche nke ọgwụgwọ bụ iji belata mbufụt.

Onye na-eweta gị nwere ike ịkọwa ọgwụ aspirin, ọgwụ ndị na-egbochi ọgwụ mgbochi (NSAIDs), ma ọ bụ corticosteroids iji belata mbufụt nke arịa ọbara. (Enyela ụmụaka ọgwụ aspirin belụsọ na ndị na - enye gị ndụmọdụ).

Onye na-enye gị ụlọ ọrụ ga - agwa gị ka ị kwụsị ị takingụ ọgwụ nwere ike ịkpata ọrịa a.

Hypersensitivity vasculitis na-apụkarị ka oge na-aga. Ọnọdụ ahụ nwere ike ịlaghachi na ụfọdụ ndị.

Ndị mmadụ na-aga n'ihu na vasculitis kwesịrị ịlele maka systemic vasculitis.

Nsogbu nwere ike ịgụnye:

• Mbibi na-adịgide adịgide na arịa ọbara ma ọ bụ akpụkpọ anụ na ọnya
• Ọkpụkpụ ọbara na-emetụta ọrịa nke akụkụ ahụ

Kpọọ onye na-eweta gị ma ọ bụrụ na ị nwere mgbaàmà nke oke mgbali vasculitis.

EJIla ọgwụ ndị kpatara ihe nfụkasị ahụ n'oge gara aga.

Cutaneous obere arịa vasculitis; Ọrịa vasculitis; Leukocytoclastic vasculitis

• Vasculitis na nkwụ
• Vaskulitis
• Vasculitis - urticarial na aka

Habif TP. Hypersensitivity syndromes na vasculitis. Na: Habif TP, ed. Ọrịa Clinical Dermatology. Nke isii. Philadelphia, PA: Elsevier; 2016: isi 18.

Jennette JC, Falk RJ, Bacon PA, et al. Ọma 2012 megharịrị International Chapel Hill nkwenye ogbako nzuko nke vasculitides. Ọrịa ogbu ogbu na nkwonkwo. Ọrịa. 2013; 65 (1): 1-11. PMID: 23045170 www.ncbi.nlm.nih.gov/pubmed/23045170.

Patterson JW. Reactionkpụrụ mmeghachi omume vasculopathic. Na: Patterson JW, ed. Weedon's Skin Ọrịa. Agba nke anọ. Philadelphia, PA: Elsevier Churchill Livingstone; 2016: isi 8.

Nkume JH. Sistemụ vasculitides. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 270.

Sunderkötter CH, Zelger B, Chen KR, et al. Nomenclature nke cutanous vasculitis: dermatologic addendum na 2012 Revised International Chapel Hill Consensus Conference Nomenclature nke Vasculitides. Ogbu na nkwonkwo Rheumatol. 2018; 70 (2): 171-184. PMID: 29136340 www.ncbi.nlm.nih.gov/pubmed/29136340.