Saturday, January 26, 2013

Tubercle and common symptom --Nodular erythematous _'s symptom

Tubercle and common symptom --Nodular erythematous _'s symptom


Summary
Nodular erythema is the vascular inflammation one of the diseases tubercle type skin, it is the irritated manifestation due to cell immunity.
Cause of disease of disease The cause of disease is complicated, it is abnormal late to generally regarded as the blood vessel that many kinds of factors cause the sending react. Meet at the intersection of streptococcus and disease mainly ' Such as rheumatic fever, scarlet fever) And primary children of tuberculosis, see on convalescence such as measles (produce, inhibit from by a allergy by rash sometimes, the allergic phenomenon appears again convalescence) ,Tubercle bacillus infect with and the intersection of fungi and disease, cat stress disease or employ after the medicine on belong to getting false by pneumonia, the intersection of Yale and full of trees fungus. Can erupt simultaneously at limitation little enteritis, ulcer colitis, one kind of sarcomatous diseases or fill in the disease in vain. , a symptom of nodular multiple arteritis in also may be collagenic disease. Think it is the type allergy at present.
Clinical manifestation
Nodular erythema take place in to stretch the side four limbs often, especially see more stretching the side of shank, acute suddenly to have illness coming on, over 39 of Damien that generated heat first, could smoke to ache, the joint ached and whole body was uncomfortable, the ones that continued presented a fairly large number of scarlet tubercles group by group, the round or ellipse, diameter about 2- 5cm, higher than the skin slightly, the skin surface is smooth, shiny sometimes, there are pain and tenderness. Stretch side in shank generally, can also involve four limbs, buttock place, by hard to soften in 3- 6 week about tubercle mostly, color from scarlet to transfer to blue and getting red, blue and green and getting dark, take brown pigmentation finally, it is routed and disappearing not to break. Erythrocyte sedimentation rate increases fast, the leucocyte increases, the electric swimming of albumen reveals 2 and globulin increase. Diagnose that checks Should pay attention to with hard erythema, turn into distinguishing in conformity with the vascular inflammation of sex. Blood routine, erythrocyte sedimentation rate, resisting " O " Determine, the X-ray examination of chest. Make tuberculin test and skin living subject if necessary and organize the inspection.
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