أمراض الجلد

حب الشباب المداهم Acne fulminans

حميد صالح الحراسي

حب الشباب المداهم يعرف باسم حب الشباب الحاد التقرحي الحموي وهو نوع نادر و شديد جداً، وينشط هذا المرض في ذروة سن البلوغ، وعادة في حوالي 13 سنة من العمر، ويصيب الذكور اكثر من الاناث على الأغلب.

حب شباب عقدي التهابي ومتقرح

حب الشباب الحاد التقرحي الحموي

أسباب حب الشباب المداهم

تحدث معظم الحالات حب الشباب الحاد التقرحي الحموي بدون سبب معروف، وبعض الباحثين يعتقدون أن هذه الحالة يسببها مرض مناعي سببه ارتفاع في مستوى هرمون التستوستيرون الذي يؤدي إلى ارتفاع في الزهم والبروبيونية العدية (البكتيريا)، وقد تحدث في بعض الأحيان بسبب تعاطي التيستوستيرون.

أعراض وعلامات حب الشباب التقرحي الحموي

حب الشباب الحاد التقرحي الحموي يصيب الذكور بنسبة أكثر من الأناث ويتصف بالأعراض والعلامات التالية : -

ظهور حب شباب عقدي التهابي ومتقرح في منطقة الصدر والظهر.
حدوث ندبات شديدة.
حمى متقلبة.
آلام في المفاصل.
خمول.
فقدان الشهية والوزن.
ارتفاع في عدد كريات الدم البيضاء.

علاج حب الشباب المداهم

قد يكون علاج حب الشباب المداهم صعباً ويتطلب تعاطي أدوية عديدة ومنها : -

جرعات عالية من المضاد الحيوي عن طريق الفم مثل : الأثروميسين.
مضادات الإلتهابات مثل : الأسبرين.
الستيرويد الشامل بالفم.
دابسون.
إيزوتريتنوين.

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