Pharyngeal lupus
Introduction
Introduction to pharyngeal lupus The pharyngeal lupus is often secondary to the face and nose, and the pathogenic bacteria are tuberculosis bacteria with low virulence. The pharyngeal sinus is the same as lupus in other areas. It is characterized by insidious onset and painless development. When lupus occurs on the face or nose, and the typical applesauce-like nodules in the pharynx occur, the diagnosis is easy, but still Need to pass biopsy to confirm the diagnosis, the disease needs to be differentiated from pharyngeal tuberculosis and third-stage syphilis. The progress of the disease is very slow, the patient often does not know when to start the disease, the general symptoms are mild, often feel pharyngeal discomfort and sticky feeling, swallowing is slightly inconvenient, usually no sore throat, the general condition is better, the uvula is often the first site, and then invade Tongue bow and soft palate, but tonsils are rarely violated. basic knowledge The proportion of illness: 0.005% Susceptible people: no specific population Mode of infection: non-infectious Complications: difficulty swallowing
Cause
Cause of pharyngeal lupus
(1) Causes of the disease:
This disease is usually caused by Mycobacterium tuberculosis infection, due to tuberculosis infection, and the body's resistance is increased, it can cause fibrosis, if the body's resistance is relatively low, usually occurs suppurative .
(2) Pathogenesis:
The pathogenesis of this disease is not detailed, and may be related to the direct infiltration of tuberculosis, or it may be an allergic reaction caused by tuberculosis infection.
Prevention
Pharyngeal lupus prevention
Pay attention to oral hygiene, maintain local cleansing and timely medication, as long as the appropriate treatment, the prognosis is good.
Complication
Pharyngeal lupus complications Complications, difficulty swallowing
Frequent pharyngeal discomfort and sticky feeling, swallowing is slightly inconvenient, usually no sore throat, the whole body is better.
Symptom
Pharyngeal lupus symptoms common symptoms sore throat swallow burning pain pharyngeal congestion pharyngeal ulcer
The pharyngeal sinus is the same as lupus in other areas. It is characterized by insidious onset and painless development. When lupus occurs on the face or nose, and the typical applesauce-like nodules in the pharynx occur, the diagnosis is easy, but still Need to pass biopsy to confirm the diagnosis, the disease needs to be differentiated from pharyngeal tuberculosis and third-stage syphilis.
The progress of the disease is very slow, the patient often does not know when to start the disease, the general symptoms are mild, often feel pharyngeal discomfort and sticky feeling, swallowing is slightly inconvenient, usually no sore throat, the general condition is better, the uvula is often the first site, and then invade Tongue bow and soft palate, but tonsils are rarely violated, according to clinical progress can be divided into four phases.
1. Submucosal infiltration: The mucosa is pale, swollen, slightly dry and shiny, and loses softness.
2. Nodular proliferative phase: lupus nodular color is reddish or yellowish, as large as millet, most nodules are aggregated into granular lupus lesions, and nodules on the lesion are sometimes difficult to identify due to mucosal congestion, coated with adrenaline fluid The nodules often show a typical apple sauce color.
3. Ulcer period: nodules ulcerated into ulcers, the surface may be covered with white pseudomembrane, the ulcer is generally shallow, the edge bulge contains nodules, and the bottom often has granulation.
4. Scar formation period: ulcers can often self-heal and form smooth scars, which can be shortened due to soft palate contraction.
Examine
Examination of pharyngeal lupus
A biopsy is required to confirm the diagnosis. Biopsy refers to the technique of cutting, clamping or puncture the diseased tissue from the patient for the purpose of diagnosis and treatment, and performing pathological examination. This is the most important part of diagnostic pathology. A clear histopathological diagnosis can be made for most cases, which is used as the final clinical diagnosis.
Diagnosis
Diagnosis and diagnosis of pharyngeal lupus
1. Pharyngeal tuberculosis: is a chronic systemic infection caused by tuberculosis. Various organs can be affected, but tuberculosis is the most common. Most of the pharyngeal tuberculosis is caused by the contact with the pharyngeal mucosa of the tuberculosis in the tuberculosis patient, or it is caused by the upward spread of the laryngeal tuberculosis. It can also occur in the bloodstream spread of Mycobacterium tuberculosis.
2. Phase III syphilis: A chronic systemic sexually transmitted disease caused by infection with Treponema pallidum. Mainly through sexual intercourse. The disease is extremely complex and can almost invade all organs of the body, causing damage to multiple organs.
