Nyob Live reticularis

Livedo reticularis (LR) yog cov tsos mob ntawm daim tawv nqaij. Nws hais txog qhov sib xws li cov qauv ntawm cov tawv nqaij xim tawv nqaij tawv tawv xiav. Ob txhais ceg yog feem ntau cuam tshuam. Tus mob no yog txuas rau ntawm cov ntshav o tuaj. Nws tuaj yeem mob hnyav ntxiv thaum lub sijhawm txias.

Raws li cov ntshav ntws los ntawm lub cev, cov hlab ntsha yog cov hlab ntshav uas nqa cov ntshav tawm ntawm lub plawv thiab cov leeg ntshav xa ntshav rov qab mus rau lub plawv. Daim tawv nqaij tso tawm qauv ntawm LR tshwm sim los ntawm cov leeg ntshav hauv daim tawv nqaij uas tau ntim nrog cov ntshav ntau dua li ib txwm. Qhov no tuaj yeem ua rau los ntawm ib qho hauv qab no:

• Txhawb kom dav leeg
• Thaiv kev ntshav ntws tawm ntawm cov leeg ntshav

Muaj ob daim ntawv ntawm LR: thawj thiab theem nrab. Secondary LR kuj tseem raug hu ua livedo racemosa.

Nrog rau qhov LR tseem ceeb, kev kis tus mob khaub thuas, haus luam yeeb, lossis kev ntxhov siab tuaj yeem tuaj yeem ua rau tawv nqaij tawv. Cov pojniam 20 txog 50 xyoo feem ntau cuam tshuam.

Ntau yam kabmob sib txawv muaj feem xyuam nrog LR theem nrab, suav nrog:

• Congenital (tam sim no thaum yug)
• Vim kev tawm tsam rau qee yam tshuaj xws li amantadine lossis interferon
• Lwm cov kab mob ntawm cov hlab ntsha xws li polyarteritis nodosa thiab Raynaud tshwm sim
• Cov kab mob uas koom nrog cov ntshav xws li muaj protein tsis txaus lossis cov muaj feem yuav ua mob ntshav txhaws xws li antiphospholipid syndrome
• Cov kab mob xws li mob siab hom C
• Tuag tes tuag taw

Feem ntau, LR cuam tshuam ob txhais ceg. Qee zaum, lub ntsej muag, pob tw, pob tw, tes thiab taw muaj kev koom tes nrog rau. Feem ntau, tsis muaj mob. Txawm li cas los xij, yog hais tias cov ntshav ntws tag nrho sim, qhov mob thiab daim tawv nqaij mob tuaj yeem loj hlob.

Koj tus kws kho mob yuav nug txog koj cov tsos mob.

Kev kuaj ntshav lossis kuaj ntshav ntawm daim tawv nqaij yuav ua los pab ntsuas qee qhov teeb meem kev noj qab haus huv.

Rau thawj LR:

• Ua kom sov, tshwj xeeb yog txhais ceg, yuav pab txo daim tawv nqaij kev txawv txav.
• Tsis txhob haus luam yeeb.
• Zam kev ntxhov siab.
• Yog tias koj tsis xis nyob nrog koj cov tawv nqaij, nrog koj tus kws kho mob tham txog kev kho mob, xws li noj cov tshuaj uas tuaj yeem pab txo cov tawv nqaij kom tsis txhob mob.

Txog theem ob LR, kev kho yog nyob ntawm kab mob lwm yam. Piv txwv li, yog tias cov ntshav khov yog qhov teeb meem, koj tus kws kho mob yuav qhia kom koj sim noj cov tshuaj ntshav cov ntshav.

Feem ntau, thawj LR txhim kho lossis ploj nrog lub hnub nyoog. Txog LR vim muaj tus kab mob hauv qab, kev saib xyuas yog nyob ntawm seb yuav kho tus mob li cas.

Hu rau koj tus kws kho mob yog tias koj muaj LR thiab xav tias nws yog vim muaj lwm yam mob.

Thawj LR tuaj yeem tiv thaiv los ntawm:

• Ua kom sov nyob rau qhov txias txias
• Zam kev haus luam yeeb
• Xyeej kev ntxhov siab

Cutis marmorata; Kev ua neej nyob reticularis - idiopathic; Sneddon syndrome - idiopathic livedo reticularis; Livedo racemosa

• Livedo reticularis - ze-up
• Livedo reticularis ntawm ob txhais ceg

Jaff MR, Bartholomew JR. Lwm yam kab mob txha caj qaum. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 80.

Patterson JW. Vasculopathic cov qauv tshuaj tiv thaiv. Hauv: Patterson JW, ed. Weedon's Cov Khoom Siv Tawv TawvCov. 4 tug ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2016: chap 8.

Sangle SR, D'Cruz DP. Livedo reticularis: ib qho enigma. Isr Med Assoc JCov. Xyoo 2015; 17 (2): 104-107. PMID: 26223086 www.ncbi.nlm.nih.gov/pubmed/26223086.