
erithima migrans

lime rogathinte aadyaghattathil palappozhum kaanapedunna oru vardhichuvarunna thadippaanu erithima migrans allengil erithima chronicum migrans, koodaathe thekkan tick-anubandha thadippu rogam (staari) moolavum (ennaal saadhaaranayaayi kuravaanu) ithu sambhavikkam. oru tick kadichu oru divasam muthal oru maasam vare ithu evideyum prathyakshappedaam. eee thadi kadiyettathinodu allergy kaanikkunna prathikaranamalla, marichu "borelia" janussil ninnulla lime bacteria enangalilonninte yadhaartha charmma anubaadhayaan. migrating redness" ennartham varunna neo-laattin enna padatthil ninnaan raashinte peru vannath.
lime rogam.
"laborattari sthireekaranathinte abhaavathil klinikkal roganirnayam anuvadikkunnathinu mathiyaya vyathirikthamaya american aikyanaadukalile lime rogathinte eaka prakadanamaanu erithima migrans."palappozhum, pakshe ellaayppozhum allah, oru taargett kshathathekkurichulla paraamarshangal (kaalayude kanninte kshata) erithima migransinekkurichu samsaarikkunnu. ennirunnaalum, erithima migraansinte roopam ganyamaayi vyathyaasappedaam chilath yuu. yill kaalayude kannu pole kaanapedunnu.ezz. mikathum thulyamaayi chuvappo neelayo aanu, central allengil ring polulla clearing illa. oru nyoonapaksham rogikalkku orikkalum oru thadipum undaakilla. eathaanum aazhchakalkkullil lime rogam deerghakaala neurological sankeernathakalkku kaaranamakumennathinaal, thadipum lime saadhaaranamaaya outtdoor pravartthanangalude sameepakaala charitravumulla vyakthikal roganirnayathinaayi oru doctore sameepikkanam.
avatharanam.
ekadesham 80 sathamaanam lime anubaadhakaludeyum prarambha adayaalam, palappozhum charmmatthinte madakkinaduthulla, athaayath ambitt, groin allengil kaalmuttinte pinbhagam, thumbikkai, vasthra strappukalkk keezhil, allengil kuttikalude mudi, chevi, kazhuthu ennivayil undaakunna eritheema migrans (em) thadippaanu. rogabadhitharaaya mikka aalukalum oru tick allengil kadiyettathu kandathayi oorkkunnilla. kadiyettathinu sesham onno rando aazhchakal (paridhi 3-32 divasam) saadhaaranayaayi emm raash prathyakshappedunnu. prathidinam yathaakramam 2-3 centimeter vare vikasikkukayum <aii. dii. 1> centimeter (50 sathamaanam 16 centimeteril kooduthal) vyasamullathaayi maarukayum cheiyunna vegathayum vyaapthiyumaan emm raashinte ettavum savisheshamaaya savisheshathakal. saadhaaranayaayi vrithaakruthiyilullatho oval aakruthiyilullatho chuvappo neelayo ullathum uyarnnatho irundatho aaya oru kendramaayirikkaam eee purikatthinu. europile 79 sathamaanam kesukalilum 19 sathamaanam kesukal maathramaan yuu. esile praadeshika pradeshangalil.ezz.orupakshe "bulls aii" paatten roopappeduthunna eee thadi kramena kendratthil ninnu arikukalilekku maarunnu. thadi choodullathaayi thonniyekkaam, pakshe saadhaaranayaayi chorichil anubhavappedilla, apoorvvamaayi mriduvum vedanaajanakavumaanu, chikilsichillenkil ithu pariharikkan naalu aazhcha vare edukkum.
ksheenam, thalavedana, sareeravedana, panii, thanupp ennivayulppede vairal polulla rogathinte lakshanagal palappozhum eee thadippinoppam undaakumenkilum saadhaaranayaayi ookkaanam allengil uyarnna shwasana prasnangal undaakilla. eee lakshanagal oru paadukalillaathe prathyakshappedaam, allengil paadukal aprathyakshamaayathin sesham neendunilkkaam. eee lakshanangalo thadippo illaathe laiminu pinneedulla gattangalilekku purogamikkaan kazhiyum.
rogalakshanamillaatha eeem rashullah oru vyakthikk athinte praadhaanyam eluppathil nashtamakum. ennirunnaalum, prarambha emm raash chikilsichillenkil, anubadha lymphatic systethiloodeyo rakthathiloodeyo pakaraam. divasangalilo aazhchakalilo, saadhaaranayaayi cheruthaaya adhika em parikkukal mattu sthalangalil prathyakshappedaam, allengil anubadha naadeevyoohathilo hridayathilo sandhikalilo kooduthal gurutharamaaya sankeernathakalkku kaaranamakum.
thekkan tick-anubandha raash rogam.
thekke tick-anubandha raash rogam (staari) samanamaaya oru raash paatten srishtikkunnu, ennirunnaalum ithu kooduthal vegathil vikasikkukayum cheruthaakukayum cheiyunnu. eee erithimaye chilappol erithima migrans allengil emm ennum vilikkunnu. anubandha pakarchavyaadhi ejantu nirnnayikkappettilla. antibiotic chikitsa rogathe vegathil pariharikkunnu.
chikitsa.
lime rogavum staariyum antibioticukal, prathyekichu doxycycline upayogichu chikilsikkaam.
8 vayassil thaazheyulla kuttikalil amoxicillin.
charithram.
1909-ll sweedish sosaitti oof dermattolajiyude yogathil, arvid affselius aadyamaayi thaan nireekshicha valayampolulla oru kshathathekkurichu gaveshanam avatharippichu. 12 varshathinusesham affselius thante kruthi prasidheekarikkukayum oru "ixodes" tick, meninchaitik lakshanagal, niravadhi kesukalil adayaalangal ennivayil ninnaan thadi varunnathennum rund lingangaleyum baadhichuvennum anumaanikkukayum cheythu. eee thadi, aadyaghatta lime rogathil kaanapedunna charmmatthile thadi aaya erithima chronicum migrans ennariyappettirunnu.
1920-kalil franch doctormaaraaya garrin, bujadox ennivar oru tick kadiyettathinethudarnnu meningoensephalitis, vedanaajanakamaaya censory radiculitis, erithima migrans ennivayulla oru rogiye vivarikkukayum rogalakshanangal oru spirochettal anubadha moolamaanennu avar anumaanikkukayum cheythu. 1940kalil jarmman neurologist alfred banwart vittumaaraatha lymphocytic meninchaitis, polyradiculoniotitis ennivayude niravadhi kesukal vivarichu, avayil chilath erithamattas charmma shathangalkkoppam undaayirunnu.