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SARKOIDOZA IN 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 tej strani so bile zbrane s pomočjo specialista sarkoidoze Dr. S. Walsh, Svetovalec dermatolog, bolnišnica Kings College, London.

Erythema Nodosum

Eritem Nodosum je najpogostejša koža, povezana s sarkoidozo. Pogosto se pojavi v akutni obliki bolezni.

Simptomi:

  • nenadne rdeče, boleče grudice, ponavadi na spodnjih nogah ali rokah
  • pogosto spremljajo povišana telesna temperatura, utrujenost in bolečine v sklepih

Zdravljenje:

  • po 3 do 6 tednih spontano izboljša, enostavna zdravila proti bolečinam, kot sta paracetamol in ibuprofen, lahko pomagajo pri simptomih
  • vijolično-modra barva lahko ostane vidna nekaj tednov
  • v 6 mesecih se 80% primerov popolnoma zaceli brez brazgotin

Večina bolnikov z nodozom z eritemom ima drugačna stanja kot sarkoidoza (npr. Bakterije ali glivične okužbe). Poleg tega lahko povzročijo nekatera zdravila. To stanje kože ne vedno samodejno označuje sarkoidoze.

Prenesite prospekt:

Sarkoidoza in koža:

Lupus Pernio

Lupus Pernio se lahko pojavi tudi pri sarkoidozi.

Simptomi:

  • modra / rdeča ravna sprememba barve ali otekanje, ponavadi čez nos in lica
  • boleča koža
  • površinske lezije
  • pojavijo na obrazu, ušesih, prstih ali nogah

Zdravljenje:

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. 

Pri bolnikih z Lupus Pernio je potrebna napotitev k dermatologu (specialistu za zdravljenje kože).

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:

  • kožo
  • barva se spreminja od rdeče / modre do rumene / rdeče
  • plaki občutijo trdo in včasih tvorijo obroč na koži

Tehnike za razumevanje vašega stanja

Bolnike s sarkoidozo kože je treba ovrednotiti glede vključevanja drugih organov, kot so pljuča in jetra.

Napredovanje sarkoidoze na koži se spreminja, navadno sledi aktivnostim bolezni v pljučih.

V večini primerov zadostuje pregled kože s strani dermatologa (specialističnega zdravnika za kožo).

Včasih je potrebno izvesti biopsijo kože. Vaš zdravnik bo preskusni kožni del pregledal pod mikroskopom.

Preglejte svojo kožo!

Sarkoidoza lahko povzroči spremembe na koži. Posebno in redno upoštevajte:

  • tetovaže;
  • stare brazgotine;
  • bele ali celo temno obarvane lise na koži (hipo- in hiperpigmentacija).

Če opazite kakršnekoli spremembe na koži, je pametno, da jih pregleda zdravnik.

Zdravljenje

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.

Imunosupresivna zdravila 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 or your GP.

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

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

Sorodne vsebine iz SarcoidosisUK:

Sarkoidoza in utrujenost

Imate utrujenost? Poiščite simptome, zdravljenje in več informacij o sarkoidozi in utrujenosti.

Imenik svetovalcev

Želite poiskati svetovalca? Uporabite naš imenik in poiščite specialista sarkoidoze ali kliniko v vaši bližini.

Sarkoidoza in pljuča

Ali imate pljučno sarkoidozo? Ali sarkoidoza vpliva na pljuča. Kliknite tukaj, če želite izvedeti več.

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