সংজ্ঞা
A skin ulcer is an open sore in the skin. Pyoderma gangrenosum is an uncommon form of skin ulcers. It usually occurs on the lower legs, but can occur anywhere on the skin.
কারণসমূহ
Pyoderma gangrenosum is thought to be caused by a problem with the immune system. The immune system finds and attacks foreign items in the body like viruses. Sometimes the immune system attacks the body’s own tissue. In this case the immune system attacks an area of the skin.
ঝুঁকির কারণ
Pyoderma gangrenosum is more likely to occur in people who have other underlying medical conditions, such:
- আলসারেটিভ কোলাইটিস
- ক্রোনের রোগ
- Chronic active hepatitis
- রিউমাটয়েড আর্থ্রাইটিস
- Polycythemia vera
- Myeloma
- Behcet’s syndrome
- Acute myelogenous leukemia
- Chronic myelogenous leukemia
লক্ষণ
The main symptom of pyoderma gangrenosum is a painful skin ulcer. These ulcers may begin as small irritated bump from an injury. However, the ulcer can grow up to 7.9 inches (20 centimeters). The ulcers often have purple edges that appear worn away.
রোগ নির্ণয়
Your doctor will ask about your symptoms and medical history. A physical exam will be done. You may be referred to a skin specialist. Pyoderma gangrenosum is diagnosed by its appearance. Your doctor will also want to rule out other conditions that can cause skin ulcers.
To look for other factors that could cause ulcers, your doctor may order:
- Sample of ulcer fluids —to look for infection or items that can cause infection
- Biopsy —a sample of tissue
- রক্ত পরীক্ষা
চিকিৎসা
আপনার জন্য সেরা চিকিত্সা পরিকল্পনা সম্পর্কে আপনার ডাক্তারের সাথে কথা বলুন। চিকিত্সার বিকল্পগুলির মধ্যে রয়েছে:
Steroid Medications and Cyclosporine
Oral steroid medications and cyclosporine are the first line of treatment for most. These medications are used to help calm the body’s immune system. This should stop or slow the attack on the skin.
Smaller ulcers may be treated with a topical steroid cream or an injection.
Other Medications
There are a variety of medications that can help calm the immune system. Your doctor may choose other medications based on other চিকিৎসাবিদ্যা শর্ত you may have. You may also be able to better tolerate some medications over others.
Talk to your doctor about which medications may work best for you.
Preventing New Ulcers
Ulcers often begin at the site of injuries. Take precaution to prevent injuries when possible. Wear proper safety gear and avoid high impact or full contact activities.
See your doctor as soon as you notice a possible ulcer.
প্রতিরোধ
There is no known way to prevent pyoderma gangrenosum.