Erythema multiforme

Erythema multiforme (EM) yog cov tshuaj tiv thaiv tawv nqaij los ntawm kev kis mob los yog lwm yam tshwm sim. EM yog tus kabmob txwv-tus kheej. Qhov no txhais tau tias nws feem ntau daws nws tus kheej yam tsis tau kho.

EM yog ib hom kev tawm tsam ntawm kev fab tshuaj. Feem ntau, nws tshwm sim hauv kev teb rau kev kis mob. Muaj qee zaus, nws tshwm sim los ntawm qee yam tshuaj lossis thoob plaws lub cev (muaj kab mob) muaj mob.

Cov kab mob uas yuav ua rau mob EM suav nrog:

• Cov kab mob, xws li mob herpes yooj yooj yim uas ua rau mob khaub thuas thiab ua pob ntawm chaw mos (feem ntau)
• Cov kab mob, xws li Mycoplasma mob ntswsuas ua rau mob ntsws
• Cov kab laum, xws li Cov tshuaj ntsiav Histoplasma, uas ua rau histoplasmosis

Cov tshuaj uas yuav ua rau mob EM suav nrog:

• NSAIDs
• Allopurinol (kho mob gout)
• Qee yam tshuaj tua kab mob, xws li sulfonamides thiab aminopenicillins
• Tshuaj tiv thaiv qaug dab peg

Cov mob muaj mob uas cuam tshuam nrog EM nrog:

• Cov mob o, xws li tus kab mob Crohn
• Txheej txheem lupus erythematosus

EM tshwm sim feem ntau rau cov neeg laus 20 txog 40 xyoo. Cov neeg nrog EM yuav muaj cov neeg hauv tsev neeg uas twb muaj tus EM lawm thiab.

Cov tsos mob ntawm EM suav nrog:

• Tsawg-qib kub taub hau
• Mob taub hau
• Mob caj pas
• Hnoos
• Los ntswg
• General mob siab
• Cov tawv nqaij khaus
• Mob ua ke
• Ntau lub qhov txhab tawv nqaij (qhov tawv nqaij lossis qhov chaw tsis zoo)

Cov tawv nqaij uas tawm mus:

• Pib nrawm
• Rov qab los
• Kis mus
• Raug tsa los yog cais
• Zoo li khaus
• Muaj lub caj dab mob ib puag ncig los ntawm cov xim liab daj, kuj hu ua phiaj, ntsej muag, lossis muag muag-qhov muag
• Muaj cov roj ua kua los yog cov hlwv uas muaj ntau qhov ntau thiab tsawg
• Ua rau ntawm lub cev sab saud, ceg, caj npab, xib teg, tes, lossis taw
• Xws li lub ntsej muag lossis daim di ncauj
• Txheeb tusyees ntawm ob sab ntawm lub cev (symmetrical)

Lwm cov tsos mob tuaj yeem suav nrog:

• Ntshav ntshav qhov muag
• Qhov muag qhuav
• Qhov muag hlawv, khaus, thiab tawm
• Qhov muag mob
• Lub qhov ncauj mob
• Cov teeb meem tsis pom kev

Muaj ob hom EM:

• Mob me me feem ntau cuam tshuam rau ntawm daim tawv nqaij thiab qee zaum qhov ncauj tawm.
• EM loj feem ntau pib mob ua npaws thiab mob pob txha. Dhau li ntawm qhov tawv nqaij mob thiab qhov ncauj tawm, tej zaum yuav muaj qhov ncauj tawm ntawm lub qhov muag, caj ces neeg, lub ntsws ua pa, lossis lub plab.

Koj tus kws kho mob yuav saib koj daim tawv nqaij los kuaj EM. Luag yuav nug koj txog koj li keeb kwm kev mob, xws li kev kis kab mob los sis cov tshuaj koj noj niaj hnub no.

Kev ntsuam xyuas yuav muaj xws li:

• Daim tawv nqaij txhab
• Kev kuaj cov tawv nqaij hauv qab lub tshuab tsom

EM feem ntau ploj nws tus kheej nrog lossis tsis kho.

Koj tus kws khomob yuav kom koj tsum tsis txhob noj ib yam tshuaj uas ua rau muaj qhov teebmeem ntawd. Tab sis, tsis txhob tsum tsis txhob tsum noj tshuaj koj tus kheej yam tsis tau tham nrog koj tus kws kho mob ua ntej.

Kev kho mob yuav suav nrog:

• Cov tshuaj noj, xws li tshuaj antihistamines, los tswj kev khaus
• Noo noo compresses thov rau ntawm daim tawv nqaij
• Cov tshuaj kho mob kom txo tus mob kub ib ce thiab tsis xis nyob
• Tshuaj yaug qhov ncauj kom tsis yooj yim rau qhov ncauj ua paug uas cuam tshuam nrog kev noj mov thiab haus
• Tshuaj tua kab mob rau tawv nqaij
• Corticosteroids tswj kev mob
• Tshuaj kho mob rau qhov muag tshwm sim

Kev nyiam huv yog tuaj yeem pab tiv thaiv kev kis mob theem ob (kev kis mob uas tshwm sim los ntawm kev kho tus mob thawj zaug).

Siv cov tshuaj pleev thaiv hnub, tiv thaiv khaub ncaws, thiab zam kom txhob tshav ntuj ntau dhau yuav tiv thaiv kom tsis txhob rov qab mob EM.

Cov ntawv me me ntawm EM feem ntau zoo dua hauv 2 txog 6 lub lim tiam, tab sis cov teeb meem yuav rov qab los.

Teeb meem ntawm EM tuaj yeem suav nrog:

• Patchy tawv xim
• Rov qab los ntawm EM, tshwj xeeb tshaj yog mob HSV

Hu rau koj lub chaw kho mob yog koj muaj tus mob EM.

EM; Erythema multiforme muaj hnub nyoog; Erythema multiforme qhov loj; Erythema multiforme muaj hnub nyoog - erythema multiforme von Hebra; Kev mob hnyav rau cov leeg - erythema multiforme; Cov kab mob pob sawv ntsug - erythema multiforme

• Erythema multiforme ntawm txhais tes
• Erythema multiforme, ncig txhab - ob txhais tes
• Erythema multiforme, phiaj txhab rau ntawm xib teg
• Erythema multiforme ntawm txhais ceg
• Erythema multiforme ntawm tes
• Exfoliation tom qab erythroderma

Duvic M. Urticaria, ua pob tshuaj rau cov leeg pob khaus, hlav thiab qog, thiab kab mob atrophic. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 411.

Holland KE, Soung PJ. Txais pob khaus hauv tus menyuam hlob dua. Hauv: Kleigman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Nelson Kev kuaj mob kom raws kev mobCov. Philadelphia, PA: Elsevier; 2018: chap 48.

Rubenstein JB, Spektor T. Tus mob hlwv: kis thiab tsis kis. Hauv: Yanoff M, Duker JS, eds. OphthalmologyCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 4.6.

Shah KN. Urticaria thiab erythema multiforme. Hauv: SS ntev, Prober CG, Fischer M, eds. Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob Kis Rau Tus MenyuamCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2018: chap 72.