Sunday, January 27, 2013

Which tubercle are to behave and how to diagnose? 's general knowledge

Which tubercle are to behave and how to diagnose? 's general knowledge
[Clinical manifestation ]
Tubercle is a kind of whole body granulation swollen disease, involve skin and a lot of internal organs. The position given much trouble has lung, vertical diaphragm and lymph node, phalange, cardiac muscle, central nervous system, liver, spleen, kidney, eyes and parotid gland around besides skin. Tubercle disease can infringe one organ or organization only, can also many kinds of organ or organization are infringed meanwhile. The condition passes slowly, relieve and recur and replace. The clinical symptom of this disease is varied.
1.Skin display skin, tubercle of disease show as many kinds of shape, often for papule, tubercle, the intersection of spot and piece, red the intersection of skin and ill, silver the intersection of bits and disease kind, one kind of tumours of scar meat, the pigment fails and the bald head is damaged.The cover is decreased and distributed over places such as face and four limbs,etc. asymmetrically. It is flexible that it is touched that rash is hard, expand under the cover gradually, involve the thickness of the whole dermis. The change of the epidermis is not obvious, can become thin, change color slightly, the capillary expands and a few scales bits. It is often rubescent to purple brown, non- routed and broken, there is not subjective symptoms.
(1)One kind of tumours of papule meat is damaged for the syringe needle to the pea size low tubercle, is also called one kind of tumours of grains of meat of millet. Mainly distribute over the face, shank and shoulder. The intersection of glass and block shows faint yellow snack to similar to lupus tubercle, disappear and step back and does not leave the trace while pressing, leave over pigment spot, withers and cicatrix sometimes.
(2)One kind of tumours Hutchinson of piece type meat of spot has reported this unique spot bulk is damaged, as flat and slight high great points of foliate nodular spot pieces that get up of surface at first, common on the cheek, nose and arm.
(3)Often the clear spot piece of border happen on truck and four limbs in one kind of tumours for a kind of meat of silver the intersection of bits and disease, there are scale bits of disease kind of silver bits on it.
(4)Hemorrhoid kinds of lupus type, in take place position of hemorrhoid while being apt, for instance, the intersection of ear and pregnant, cheek portion, nose, mean the intersection of toe and the intersection of and symmetrical blue and green red or mauve spot piece of shallower infiltrations relatively that appear.
(5)The cover plays one kind of tumours of meat and calls one kind of tumours of Darier-Roussy meat too. The bean is to son's big solid skin lower tubercle of millet, with the skin adhesion, the epidermis is presented slightly violet, common on the truck, the face is rare, there is not subjective symptoms.
(6)One kind of tumours of meat of cicatrix is damaged, happened on the scar position. Such as on the scar after burn, folliculitis, herpes zoster. Make the original scar area expand, highly increase, is exactly like the scar hang-up.
(7)Red cover ill type meat infiltration erythema and scale's bits patch of a kind of tumour filling the air distribution, unclear in the border.
(8)Nodular erythema the intersection of meat and kinds of the intersection of tumour and some patient, disease of tubercle, arthralgic companion generate heat and erythrocyte sedimentation rate increase soon in order to person who occur frequently, enlargement of lymph nodes of X-ray examination lung door. The face, back and four limbs stretch the side and happen scatteredly at pain skin lower tubercle. The skin of surface is ruddy, most common to young women.
(9)Mucomembranous meat a kind of tumour buccal hard jaw, cheek department, hanging and stopping up hanging down and big papule of amygdaline syringe needle, troop and merge and form the flat spot piece, small tubercle happens in the conjunctiva of eyelid and lachrymal gland.
(10)Other the intersection of skin and the intersection of damage and the intersection of tubercle and disease can it amalgamates to be calm to have the intersection of skin and lower calcium, itch rash, many shape erythema and folliculitis display. Skin wither and horn take excessive increasing or it fails to be can also caused by this disease by pigment.
2.It is the first whole body disease that other organs damage tubercle, besides skin damage, a lot of organs are given much trouble.
(1)The enlargement of lymph nodes of whole body of pathological change of lymph node accounts for 50%. Tubercle disease early to limited to the shank or enlargement of lymph nodes of armpit only often, later on enlargement of lymph nodes of whole body, especially vertical diaphragm and enlargement of lymph nodes of lung door.
(2)Eye damage tubercle eyes are given much trouble and accounted for 25%- 30%, there are iris inflammation, iris cilliary inflammation. The most common one is granulation swollen tubercle of the iris. The lachrymal gland is involved, for the nodular swelling not aching, lachrymal gland pathological change is often with the enlargement of lymph nodes of shank, the gland, salivary gland and parotid gland are involved under the jaw (Mikulicz syndrome) . There can also be conjunctivitis, keratitis, retinitis and look at the nervous lesion, cause and lose one's sight.
(3)It is given much trouble more commonly that the lung damage lung is dirty. X-ray examination is a point-like, strip or flaky shade. Enlargement of lymph nodes of lung door. Early clinical symptom is relatively light, but it is very obvious to check and behave the silk; The anaphase lung fiber is obvious.
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