Erythroderma

Erythroderma yog qhov dav liab. Nws nrog los ntawm kev teev, tev thiab flaking ntawm daim tawv nqaij, thiab yuav suav nrog khaus thiab plaub hau poob.

Erythroderma tej zaum yuav tshwm sim vim:

• Teeb meem ntawm lwm cov tawv nqaij mob, xws li eczema thiab psoriasis
• Kev tawm tsam tshuaj lossis qee yam tshuaj lom neeg, xws li phenytoin thiab allopurinol
• Qee hom mob cancer, xws li mob qog ua kua ntshav

Qee zaum cov laj thawj tsis paub. Nws muaj ntau hauv cov txivneej.

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Liab tshaj 80% txog 90% ntawm lub cev
• Daim tawv muag nplai
• Thickened ntawm daim tawv nqaij
• Cov tawv nqaij nws khaus los yog mob nrog ib tus ntxhiab tsw
• O o ntawm caj npab los yog txhais ceg
• Lub plawv dhia ceev ceev
• Poob kua dej, ua rau lub cev qhuav dej
• Kev tswj qhov kub tsis txaus los ntawm lub cev

Tej zaum yuav muaj kev sib kis ntxiv ntawm daim tawv.

Koj tus kws kho mob yuav nug txog koj cov tsos mob thiab coj koj li keeb kwm kev kho mob. Tus kws kho mob yuav kuaj xyuas cov tawv nqaij nrog daim tawv muag tshuaj pleev xim. Feem ntau, qhov ua rau tuaj yeem paub tom qab kuaj.

Yog tias xav tau, cov kev xeem hauv qab no tej zaum yuav raug txiav txim:

• Biopsy ntawm daim tawv nqaij
• Kev fab tshuaj tsis haum
• Lwm yam kev kuaj kom paub qhov ua rau ntawm erythroderma

Txij li erythroderma tuaj yeem ua rau mob hnyav sai, tus kws khomob yuav pib kho tam sim ntawd. Qhov no feem ntau txuam nrog koob tshuaj cortisone muaj zog kom txo qhov mob.

Lwm yam kev kho mob suav nrog:

• Tshuaj kho mob los kho mob lwm yam ua rau mob erythroderma
• Tshuaj tua kab mob rau ib qho mob
• Hnav ris tsho thov rau ntawm daim tawv nqaij
• Ultraviolet teeb
• Kev kho cov kua thiab hluav taws xob sib npaug

Thaum muaj mob hnyav, tus neeg yuav tsum tau kho hauv tsev kho mob.

Teeb meem yuav suav nrog:

• Tus kab mob thib ob uas tuaj yeem ua rau mob sepsis (thoob plaws lub cev)
• Kev haus dej uas ua rau lub cev qhuav dej thiab ua kom tsis txaus ntawm cov zaub mov (electrolytes) hauv lub cev
• Lub plawv tsis ua hauj lwm

Hu rau koj tus kws khomob sai sai yog tias:

• Cov tsos mob mob heev los yog tsis tau zoo dua, txawm tias muaj kev kho mob.
• Koj pib mob qhov txhab tshiab.

Kev pheej hmoo rau erythroderma tej zaum yuav raug txo los ntawm kev ua raws li tus kws kho mob cov lus qhia txog kev tu tawv nqaij.

Exfoliative dermatitis; Dermatitis exfoliativa; Kev mob viav vias - exfoliative dermatitis; Pityriasis rubra; Tus txiv neej liab syndrome; Exfoliative erythroderma

• Eczema, atopic - ze-up
• Psoriasis - ua qauv loj x4
• Atopic dermatitis
• Exfoliation tom qab erythroderma

Calonje E, Brenn T, Lazar AJ, Billings SD. Spongiotic, psoriasiform thiab pustular dermatoses. Hauv: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. McKee Qhov Kev Kawm ntawm daim tawv nqaijCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2020: chap 6.

James WD, Elston DM, Kho JR, Rosenbach MA, Neuhaus IM. Pityriasis rosea, pityriasis rubra pilaris, thiab lwm yam papulosquamous thiab hyperkeratotic kab mob. Hauv: James WD, Elston DM, Kho JR, Rosenbach MA, Neuhaus IM, eds. Andrews 'Cov Kab Mob Ntawm Cov TawvCov. 13th ed. Philadelphia, PA: Elsevier; 2020: chap 11.

Whittaker S. Erythroderma. Hauv: Bolognia JL, Schaffer JV, Cerroni L, eds. Lub cev ntaj ntsugCov. 4 tug ed. Philadelphia, PA: Elsevier; 2018: chap 10.