Purulent scab

Introduction Septic fistula is a symptom of chronic active hepatitis in the presence of inflammatory papules on the trunk and limbs. Chronic active hepatitis can cause inflammatory papules in the trunk and limbs, central purulence, scarring, and atrophy, forming a characteristic acne-like scar. This rash can last for many years and fluctuates with the change of hepatitis.

Cause

It is caused by hepatitis B virus whose surface antigen is ayw subtype. Can be excreted through various body fluids, such as blood, semen, vaginal secretions, saliva, milk, menstruation, tear urine, sweat and so on. However, the frequency of occurrence of hepatitis B virus particles in different body fluids is different, so the infectivity of various body fluids varies greatly. Among them, blood, semen, menses and vaginal secretions are more contagious, and saliva is also contagious, but Less meaningful.

an examination

Related inspection

Liver function test serum protein electrophoresis serum protein electrophoresis (SPE)

(1) The course of disease is long, more than one year, and it will last for several years to several decades.

(2) fatigue, liver pain, loss of appetite and other symptoms persist, hepatosplenomegaly, texture hardened, weight loss, pale complexion or dullness and other liver disease face and liver palm, spider mites and other signs.

(3) hemorrhoids, rash, arthritis, nephritis, hemolytic anemia, pericarditis, vasculitis, male breast development or pubic hair loss, impotence, women's menstrual disorders, menopause and other extrahepatic manifestations.

(4) Liver function tests may have repeated abnormalities of alanine aminotransferase (GPT), turbidity and flocculation test continue to increase, plasma albumin decreases, globulin increases, protein ratio is abnormal, and serum protein electrophoresis -globulin increases significantly. ESR can also be accelerated. In addition, anti-smooth muscle antibodies, anti-mitochondrial antibodies and rheumatoid factors, lupus cells, anti-hepatocyte membrane lipoprotein positive and other autoimmune reactions may also occur. In patients with chronic active hepatitis, some clinical symptoms are not typical. For those who do not remit to the long-term development of concealing, the Australian anti-continuation positive, although the liver function damage is light but there is a growing tendency, liver biopsy should be done to confirm the diagnosis and timely treatment. Compared with chronic persistent hepatitis, this type of hepatitis has severe symptoms and poor prognosis. Only 15 to 30% of patients are cured after treatment. A considerable number of patients can be stable for a long time after active treatment, but there are also a few patients for various reasons. It is difficult to relieve, and the disease is further deteriorated, eventually leading to cirrhosis. Therefore, patients should be under medical supervision for a long time in order to achieve satisfactory results.

Differential diagnosis

Chickenpox scarring: Chickenpox scarring is a period of treatment for chickenpox. Yellow shiny knot: seen in milk thistle. Skin lesions occur in the face, starting from the cheeks, gradually invading the forehead, eyebrows, scalp, repeated attacks. In severe cases, you can kiss the neck, shoulders, and even the whole body. The lesions are various in shape, and the distribution is mostly symmetrical, light and heavy. In the face, the initial cluster of live erythema, papules; in the scalp or eyebrows, there are many greasy scales and yellow shiny scars. Light, only light red patches, accompanied by a small amount of desquamation; heavy, for erythema, blisters, erosion, immersed into pieces, continue to spread and expand, if excessive scratching, rubbing, washing, then smashed, Exudation increases, often due to skin damage and secondary infection, causing swelling of nearby lymph nodes, accompanied by fever, loss of appetite, and dryness and other systemic symptoms.

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