Isifo se-Gianotti-Crosti

I-Gianotti-Crosti syndrome yisimo sesikhumba sobuntwana esingahle sihambisane nezimpawu ezimnene zomkhuhlane kanye ne-malaise. Kungase kuhlotshaniswe ne-hepatitis B nezinye izifo ezithathelwanayo.

Abahlinzeki bezempilo abazi imbangela ngqo yalesi sifo. Bayazi ukuthi ixhunyaniswe nezinye izifo.

Ezinganeni zase-Italy, i-Gianotti-Crosti syndrome ibonakala kaningi nge-hepatitis B. Kepha lesi sixhumanisi asivamile ukubonwa e-United States. Igciwane le-Epstein-Barr (i-EBV, i-mononucleosis) yigciwane elivame ukuhlotshaniswa ne-acrodermatitis.

Amanye amagciwane ahlobene afaka:

• I-Cytomegalovirus
• Amagciwane kaCoxsackie
• Igciwane le-Parainfluenza
• Igciwane le-syncytial yokuphefumula (i-RSV)
• Ezinye izinhlobo zemithi yokugoma yamagciwane aphilayo

Izimpawu zesikhumba zingafaka noma yikuphi okulandelayo:

• I-Rash noma i-patch esikhunjeni, imvamisa ezingalweni nasemilenzeni
• Umbala onsundu ngokubomvu noma ngombala wethusi oqinile futhi uyisicaba ngaphezulu
• Umugqa wamaqhubu angavela kulayini
• Ngokuvamile akulume
• IRash ibukeka ifana nhlangothi zombili zomzimba
• I-Rash ingavela ezintendeni zezandla nasematheni, kepha hhayi ngemuva, esifubeni, noma esiswini (le ngenye yezindlela ekhonjwa ngayo, ngokungabikho kokuqubuka esiqwini somzimba)

Ezinye izimpawu ezingabonakala zifaka:

• Isisu esivuvukile
• Ama-lymph node avuvukile
• Ama-lymph node wethenda

Umhlinzeki angakwazi ukuxilonga lesi simo ngokubheka isikhumba nokuqubuka. Isibindi, ubende, nama-lymph node kungenzeka avuvuke.

Ukuhlolwa okulandelayo kungenziwa ukuqinisekisa ukuxilongwa noma ukukhishwa kwezinye izimo:

• Izinga leBilirubin
• I-hepatitis virus serology noma i-hepatitis B surface antigen
• Ama-enzyme wesibindi (izivivinyo zomsebenzi wesibindi)
• Ukuhlolisiswa kwama-antibodies e-EBV
• Isikhumba biopsy

Isifo uqobo asilashwa. Izifo ezixhumene nalesi simo, ezifana ne-hepatitis B ne-Epstein-Barr, ziyelashwa. Ama-Cortisone okhilimu nama-antihistamine omlomo angasiza ngokulunywa nokucasuka.

Ukuqhuma kuvame ukunyamalala kukodwa cishe emavikini amathathu kuya kwayisishiyagalombili ngaphandle kokwelashwa noma inkinga. Izimo ezihambisanayo kufanele zibukwe ngokucophelela.

Izinkinga zenzeka ngenxa yezimo ezihambisanayo, kunokuba kube ngenxa yokuqubuka.

Shayela umhlinzeki wakho uma ingane yakho inezimpawu zalesi simo.

I-papular acrodermatitis yobuntwana; I-acrodermatitis yezinsana; I-Acrodermatitis - lichenoid yezinsana; I-Acrodermatitis - usana olunamaphepha; I-Papulovesicular acro-syndrome

• I-Gianotti-Crosti syndrome emlenzeni
• I-mononucleosis ethathelwanayo

IBender NR, Chiu YE. Izinkinga ze-eczematous. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 674.

Isifo seGelmetti C. Gianotti-Crosti. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, abahleli. Ukwelashwa Kwezifo Zesikhumba: Amasu Wokwelashwa Okuphelele. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 91.