Rozācija un diskoīdā vilkēde - klīniskais gadījums
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Date
2024
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Šis klīniskais gadījums ir par 68 gadus vecu pacienti, kurai 2023. gada oktobrī parādījušies jauni, makulopapulozi, sārti, eritematozi, niezoši un sāpīgi elementi uz sejas. Paciente 2016. gadā diagnosticēta diskoīdā sarkanā vikēde, kuras ārstēšanu paciente pārtraukusi pēc neveiksmīgas terapijas ar Plaquenil. Uz muguras ādas saglabājušies hroniski ādas bojājumi. 2022. gadā pacientei galvas matainajā daļā parādījās jauni blīvi, indurēti, zvīņām pārklāti elementi, ap kuriem izteikts matu zudums. Paciente iestājusies stacionārā, sekojoši veikta anamnēzes ievākšana, objektīvā izmeklēšana, optiskā dermatoskopija, divu ādas biopsiju paraugu veikšana no sejas un muguras ādas, asins, bioķīmijas analīžu veikšana un mikrobioloģiskie uzsējumi uz patogēniem mikroorganismiem. Pacientei tika uzstādīta rozācijas un diskoīdās sarkanās vilkēdes diagnozes un uzsākta sistēmiska desensibilizējoša terapija, lokāla pretiekaisuma terapija un antibakteriāla pretiekaisuma terapija, kuru rezultātā bija vērojama rozācijas uzlabošanās dinamikā.
This clinical case repport is about a 68 years old patient woman, who developed new maculopapulous, red, erythematous, itchy and painful elements on her face in October 2023. the patient was diagnosed with discoid lupus erythematosus in 2016, which therapy she quit after developing sideffects from medication Plaquenil. Ever since the patient has chronic lesions on her back. In 2022 the patient developed new elemens on her scalp, which were indurated, scaly and there was a significant hair loss around the affected area. Patient was admitted to the hospital for further objevtive investigation, optic dermoscopy, blood tests, microbiological tests, two skin biopsies from face and back skin. Patient was diagnosed with rosacea and discoid lupus erythematosus, and treated with systemic desensitization therapy, local anti-inflammatory therapy and antibacterial therapy, after which rosacea was effectively treated.
This clinical case repport is about a 68 years old patient woman, who developed new maculopapulous, red, erythematous, itchy and painful elements on her face in October 2023. the patient was diagnosed with discoid lupus erythematosus in 2016, which therapy she quit after developing sideffects from medication Plaquenil. Ever since the patient has chronic lesions on her back. In 2022 the patient developed new elemens on her scalp, which were indurated, scaly and there was a significant hair loss around the affected area. Patient was admitted to the hospital for further objevtive investigation, optic dermoscopy, blood tests, microbiological tests, two skin biopsies from face and back skin. Patient was diagnosed with rosacea and discoid lupus erythematosus, and treated with systemic desensitization therapy, local anti-inflammatory therapy and antibacterial therapy, after which rosacea was effectively treated.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Diskoīdā sarkanā vilkēde, Rozācija, Malārā eritēma, Klīniskais gadījums, Discoid lupus erythematosus, Rosacea, Malar rash, Clinical case report