Tuba Koca, Tolga Bağlan, Gülbahar Saraç, Aydın Arslan

Soğuk Hasarı ve Perniosis (Mayasıl)

Perniosis (mayasıl) soğuğa maruziyet ile ortaya çıkan, akral yüzeylerde (el ve ayak parmakları, burun, aurikula) lokalize inflamatuvar kütenöz lezyonlardır. İdiopatik (primer) dermatoz veya altta yatan bir otoimmun hastalık (sekonder) ile ortaya çıkabilir. Primer veya idiopatik form altta yatan herhangi bir hastalık ile ilişkili değil iken, klinik olarak sekonder formdan ayırımı zordur. Sekonder form konnektif doku hastalığı, monoklonal gammopati, kyroglobunemi, veya kronik myelositik lösemi gibi hastalıklar ile ilişkili olabilir. Histopatoloji, primer formu sekonder formdan tam olarak ayırımını yapamamaktadır. Bu derleme perniosis'e farkındalık oluşturularak gereksiz araştırma ve anksiyetenin önüne geçip, uygun basit öneriler ve tedaviye izin vermeyi amaçlamaktadır.

Anahtar Kelimeler:

Perniosis, mayasıl, soğuk hasarı

Cold Injury and Perniosis (Chilblain)

Perniosis (chilblain) is inflammatory cutaneous lesions located on acral surfaces (fingers, toes, nose, aurikula) which present in association with cold exposure. They can appear as an idiopathic (primary) dermatosis or with an underlying autoimmune disease (secondary). The primary or idiopathic form is not associated with an underlying disease and is clinically indistinguishable from the secondary form. The secondary form is associated with an underlying condition such as connective tissue disease, monoclonal gammopathy, cryoglobulinemia, or chronic myelomonocytic leukemia. Histopathology cannot accurately help distinguish the primary from secondary forms of chilblains. This review aims to raise the awareness ofperniosis to avoid excessive investigation and anxiety and to help patients with only appropriate simple advice and treatment.

Keywords:

Perniosis, chilblain, cold injury,

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