Erythema nodosum

Erythema nodosum cuta ce ta kumburi. Ya haɗa da laushi, kumburi ja (nodules) ƙarƙashin fata.

A cikin kusan rabin lamura, ba a san ainihin dalilin erythema nodosum ba. Sauran lamura suna da alaƙa da kamuwa da cuta ko wata cuta ta tsarin.

Wasu daga cikin cututtukan da suka fi saurin haɗuwa da cutar sune:

• Streptococcus (mafi yawan kowa)
• Cutar karce
• Chlamydia
• Coccidioidomycosis
• Ciwon hanta na B
• Tarihin jini
• Leptospirosis
• Mononucleosis (EBV)
• Mycobacteria
• Mycoplasma
• Psittacosis
• Syphilis
• Tarin fuka
• Tularemia
• Yersinia

Erythema nodosum na iya faruwa tare da ƙwarewa ga wasu magunguna, gami da:

• Magungunan rigakafi, gami da amoxicillin da sauran penicillins
• Sulfonamides
• Sulfones
• Magungunan haihuwa
• Progestin

Wani lokaci, erythema nodosum na iya faruwa yayin daukar ciki.

Sauran cututtukan da ke da alaƙa da wannan yanayin sun haɗa da cutar sankarar bargo, lymphoma, sarcoidosis, zazzaɓin zazzaɓi, cututtukan Bechet, da ulcerative colitis.

Yanayin ya fi faruwa ga mata fiye da na maza.

Erythema nodosum ya fi kowa a gaban shins. Hakanan yana iya faruwa a wasu yankuna na jiki kamar gindi, calves, idon sawu, cinyoyi, da hannaye.

Raunukan suna farawa ne kamar daskararre, tabbatacce, mai zafi, ja, ƙwanƙolin ciwo waɗanda suke kusan inci 1 (santimita 2.5). A cikin fewan kwanaki kaɗan, zasu iya zama masu launi cikin launi. Fiye da makonni da yawa, kumburin ya dushe zuwa launin ruwan kasa, faci.

Sauran cututtuka na iya haɗawa da:

• Zazzaɓi
• Jin ciwo na musamman (rashin lafiyar jiki)
• Hadin gwiwa
• Jan fata, kumburi, ko hangula
• Kumburin kafa ko wani yanki da abin ya shafa

Mai ba da lafiyar ku na iya tantance wannan yanayin ta hanyar duban fatar ku. Gwajin da za a iya yi sun hada da:

• Punch biopsy na nodule
• Al'adar makogwaro don yin sarauta daga kamuwa da cuta
• Kirjin x-ray don kore sarcoidosis ko tarin fuka
• Gwajin jini don neman cututtuka ko wasu rikice-rikice

Kamuwa da cutar, magani, ko cuta ya kamata a gano kuma a bi da su.

Jiyya na iya haɗawa da:

• Magungunan anti-inflammatory marasa ƙwayar cuta (NSAIDs).
• Magungunan anti-kumburi masu ƙarfi da ake kira corticosteroids, ana ɗauka ta baki ko a ba da harbi.
• Maganin potassium iodide (SSKI), galibi ana bayar dashi azaman saukad da ƙara ruwan lemu.
• Sauran magungunan baka da ke aiki a jikin garkuwar jiki.
• Magungunan ciwo (analgesics).
• Huta
• Isingaga yankin ciwon (tsayi).
• Matsi masu zafi ko sanyi don taimakawa rage rashin jin daɗi.

Erythema nodosum ba shi da dadi, amma ba mai haɗari ba a mafi yawan lokuta.

Kwayar cutar galibi galibi tana tafiya cikin kimanin makonni 6, amma na iya dawowa.

Kira mai ba ku sabis idan kun ci gaba bayyanar cututtukan erythema nodosum.

• Erythema nodosum hade da sarcoidosis
• Erythema nodosum a ƙafa

Forrestel A, Rosenbach M. Erythema nodosum. A cikin: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Jiyya na cututtukan fata: Dabarun Magungunan Mahimmanci. 4th ed. Philadelphia, PA: Elsevier; 2018: babi na 75.

Gehris RP. Dermatology. A cikin: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli da Davis 'Atlas na Ciwon Ilimin Yara. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 8.

James WD, Elston DM, Kula da JR, Rosenbach MA. Cututtuka na subcutaneous fat. A cikin: James WD, Elston DM, Kula da JR, Rosenbach MA, Neuhaus IM, eds. Cututtukan Andrews na Fata: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020: babi na 23.