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SARKOIDOZA I KOŽA

Sarcoidosis of the skin occurs in 20 to 35% of all sarcoidosis patients. Sometimes a skin condition may be the only complaint. There are several types of skin disorders that can occur with sarcoidosis including erythema nodosum, lupus pernio and brownish-red lumps and bumps (lesions).

Informacije na ovoj stranici sastavljene su uz pomoć specijalista sarkoidoze Dr. S. Walsh, Konzultant dermatolog, bolnica Kings College, London.

Erythema Nodosum

Erythema Nodosum je najčešći kožni poremećaj povezan sa sarkoidozom. Često se javlja u akutnom obliku bolesti.

simptomi:

  • iznenadne crvene, bolne kvržice, obično na donjim nogama ili rukama
  • često praćena temperaturom, umorom i bolovima u zglobovima

Liječenje:

  • često se spontano poboljšava nakon 3 do 6 tjedana, jednostavna sredstva protiv bolova kao što su paracetamol i ibuprofen mogu pomoći kod simptoma
  • ljubičasto-plava boja može ostati vidljiva nekoliko tjedana
  • unutar 6 mjeseci 80% slučajeva potpuno zacjeljuje bez ožiljaka

Većina bolesnika s nodozom eritemom ima stanja koja nisu sarkoidoza (npr. Bakterije ili gljivične infekcije). Osim toga, određeni lijekovi mogu ga uzrokovati. Ovo stanje kože uvijek ne označava automatski sarkoidozu.

Preuzmite letak:

Sarkoidoza i koža:

Lupus Pernio

Lupus Pernio se također može pojaviti u sarkoidozi.

simptomi:

  • plava / crvena ravna diskoloracija, ili oteklina, obično preko nosa i obraza
  • bolna koža
  • površinske lezije
  • pojavljuje se na licu, ušima, prstima ili nožnim prstima

Liječenje:

Lupus pernio is a chronic condition; it rarely disappears spontaneously and can cause permanent damage to the skin where it occurs. Proper and timely medication for this skin condition is very important. 

Upućivanje dermatologu (liječniku specijalistu za kožu) potrebno je za pacijente s Lupus Pernio.

Other Skin Lesions

The skin may produce thick bumps (nodules) and smaller bumps of a few millimeters in diameter (papules). In some cases, these bulges sit so close together that they form a sort of plate, also called plaque. These lesions most commonly occur on the extremities, face, scalp, back, and buttocks. They are usually reddish-brown in colour and are not usually symptomatic. These lesions most commonly occur on the extremities: face, scalp, back, and buttocks.

simptomi:

  • lumps u koži
  • boja varira od crvene / plave do žute / crvene
  • plakovi se osjećaju tvrdo i ponekad čine prsten na koži

Tehnike za razumijevanje vašeg stanja

Bolesnike sa sarkoidozom kože treba procijeniti na sudjelovanje drugih organa, kao što su pluća i jetra.

Progresija sarkoidoze varira, obično prateći aktivnost bolesti u plućima.

U većini slučajeva dovoljan je pregled kože od strane dermatologa (specijalist za kožu).

Ponekad je potrebno uzeti biopsiju kože. Vaš će liječnik uzeti mikroskopski pregledni komad kože.

Pregledajte kožu!

Sarkoidoza može uzrokovati promjene na koži. Obratite posebnu pozornost na:

  • tetovaže;
  • stari ožiljci;
  • bijele ili čak tamne boje na koži (hipo-i hiperpigmentacija).

Ako primijetite bilo kakve promjene na koži, pametno je da ih pregledate liječnik.

liječenje

Skin disorders during sarcoidosis are often spontaneous and pose no threat to general health. Therefore, full recovery is seen in many cases. However sometimes the skin is so damaged, painful or disfiguring that the patient may feel very physically or socially uncomfortable. Skin lesions take time to recover. In these cases, the dermatologist may prescribe the following medications:

Ointments or creams contain corticosteroids which suppress the inflammation of the skin. However, corticosteroids can make the skin thin and fragile in the long term.

Kortikosteroidne tablete (e.g. prednisolone) may be prescribed for severely disfiguring disorders and conditions that do not heal spontaneously. The treatment with these drugs usually takes a number of months. Prescriptions will only be given in the most serious of cases due to adverse side effects of corticosteroids.

Hydroxychloroquine/Mepacrine These medicines were originally used in the treatment of malaria. Dermatologists may prescribe these drugs to treat various forms of skin sarcoidosis.

Imunosupresivni lijekovi inhibit cell division and are only prescribed if corticosteroids do not provide sufficient recovery. Methotrexate is an example of such a medication. Although your GP may be able to provide ongoing prescriptions, these medications should be supervised by a consultant dermatologist.

Sarcoidosis and Tattoos

There is a reported risk that sarcoidosis can be triggered, or existing symptoms worsened, by tattoos. A flare up is indicated by nodules appearing on the tattoo. Some patients have actually been diagnosed with sarcoidosis due to their tattoos suddenly producing raised scars. Some colours are more likely to cause problems than others.

The interaction between sarcoidosis symptoms and tattoos may be caused by either the tattoo procedure breaking the skin or the tattoo ink itself. Not all patients are affected – some may not experience any symptoms, particularly if they do not have skin sarcoidosis. 

SarcoidosisUK therefore recommends that patients with sarcoidosis do not get tattoos, particularly those patients with existing skin sarcoidosis. If you are concerned about existing tattoos or would like to discuss your options, contact the SarcoidosisUK Medicinska pomoć za sestre or your GP.

Čitaj višeTattoo Sarcoidosis (Lyons, A., Brayman, G. & Tahhan, S. J GEN INTERN MED (2018) 33: 128.)

Page last updated: July 2019. Next review: July 2021.

Povezani sadržaji iz SarcoidosisUK:

Sarkoidoza i umor

Osjećate li umor? Pronađite simptome, liječenje i više informacija o sarkoidozi i umoru.

Imenik konzultanata

Želite li pronaći savjetnika? Koristite naš katalog i pronađite specijalistu za sarkoidozu ili kliniku u vašoj blizini.

Sarkoidoza i pluća

Imate li plućni sarkoidozu? Da li sarkoidoza utječe na pluća. Kliknite ovdje da biste saznali više.

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