Di strenj sayn we wan say na di bɔdi rɛd ɛn di ɔda say na pale (Harlequin Sign) .

Imajin se yu de luk na di miro ɛn si wan stret layn dɔŋ di midul pan yu fes, wan say rili rɛd ɛn swet, ɛn di ɔda say nɔmal, sɔntɛm i dɔn pale smɔl... Dat nɔ de mek yu fred ɛn sɔprayz smɔl? Ɔ wetin yu go du if yu si wan say na yu pikin we yu jɔs bɔn in bɔdi tɔn rɛd wantɛm wantɛm ɛn di ɔda say nɔmal? Dis na wetin wi kin kɔl di Harlequin Sign insay mɛrɛsin. Bikɔs di nem strenj smɔl, lɛ wi no mɔ bɔt am ɛn if dis na rili sɔntin we wi fɔ fred.

Wetin rili na dis Harlequin Sayn?

Fɔ tɔk am simpul wan, Harlequin Sign na we wan say na yu bɔdi ɔ yu fes chenj in skin kɔlɔ (rɛd ɔ dak), we di ɔda say de di sem, sɔm tɛm dɛn kin ivin pale. I tan lɛk se dɛn tu sayd dɛn ya gɛt wan stret layn, rayt dɔŋ di midul pat na di bɔdi.

Apat frɔm dis difrɛns pan di skin kɔlɔ, yu kin si ɔda tin dɛn na ɔl tu di say dɛn.

• Rɛdnɛs: Dis eria kin bi hyperhydrosis (we yu de swet pasmak). Di skin na da say de kin fil bak wam smɔl we yu tɔch am.
• Pale/Normal Side: Dis sayd nɔ de swet. Di skin go fil kol bak we yu tɔch am.

Pan ɔl we dis Harlequin Sayn kin bi sɔmtɛm wan sayn fɔ wan mɛdikal kɔndishɔn lɛk `Harlequin syndrome`, bɔku tɛm i nɔ kin fayn ɛn i kin jɔs go.

Wetin na di men rizin dɛn we mek dɛn de du dis?

Nɔr kin ɔltɛm pɔsibul fɔ fɛn wan patikyula kɔz fɔ dis. di men rizin fכ dis na di kכmyunikeshn prכblεm na wi bכdi in כtonom nεv sεstem. Tink bɔt dis as wi bɔdi in "ɔto-paylɔt" sistɛm. Dis sistɛm de kɔntrol tin dɛn we wi nɔ no se wi gɛt, lɛk aw wi de blo, aw wi at de bit, ɛn aw wi de swet.

So, if blכk כ difεkt de na di nεv path we de sεnd mεsej frכm di bren (hypothalamus) tru di spεnal kכd to di fes εn כp bכdi, di mεsej nכ go sכm fayn fayn wan to wan say nכmכ na di bכdi. Dis na di rizin we mek di blɔd vesel dɛn na wan say de dilayt ɛn tɔn rɛd, we di ɔda say nɔ de gɛt di mɛsej ɛn i de kɔntinyu fɔ bi nɔmal.

Dis kin apin to pikin dɛn we dɛn jɔs bɔn bak?

Yɛs, dis na sɔntin we dɛn kin si pan pikin dɛn we dɛn jɔs bɔn. Akɔdin to sɔv, lɛk 10% pan di pikin dɛn we gɛt wɛlbɔdi kin gɛt dis Harlequin Sayn. So, nɔ wɔri if yu pikin gɛt dis.

dis kin apin bitwin tu εn fayv dez afta dεn bכn di pikin, bכt sכmtεm i kin apin lεk tri wik.

I rili impɔtant: Dis kɔndishɔn we dɛn kɔl Harlequin Sign nɔ fɔ kɔnfyus wit `Harlequin ichthyosis`, we na wan rili denja, we de mek pɔsin in layf de pan denja ɛn we nɔ kin apin so ɔltɛm. `Harlequin ichthyosis` na di kכndyushכn we di pikin in כl bכdi de kכba wit tik skel dεm we lεk plet, wit dip krak dεm bitwin. Na sɔntin we rili difrɛn.

Ɔda sik dɛn we gɛt fɔ du wit dis

Sɔntɛnde, di Harlequin Sayn kin sho as sayn fɔ ɔda mɛrɛsin sik.

Di sik we dɛn kɔl Harlequin Syndrome

Dis na wan sik wae de afekt wi sympathetic nervous system. dis nεv sεstem de kכntro wi "fεt-כ-flay" rεspכns, we na di chenj dεm we de apin na di bכdi we wi de gladi, fred, כ de du εksεsayz. Ɛnitɛm we dɛn aktiv dis sistɛm pan pɔsin we gɛt Harlequin Syndrome (fɔ ɛgzampul, we i de du ɛksɛsayz), wan say na di fes ɛn bɔdi go rɛd ɛn swet, we di ɔda say nɔ go rɛd.

Di sik we dɛn kɔl Horner Syndrome

Dis na wan sik bak we nɔ kin apin na di nyurolɔjik we nɔ kin apin so ɔltɛm. I kin afɛkt di yay ɛn di tisu dɛn we de rawnd am na wan say na di fes. Dɛn kin kɔl am bak `okulosimpatik palsi`. I kin kam bikɔs di nerve pathway frɔm di bren to di yay ɛn fes kin blok. Na ya bak, di say we di fes afɛkt kin rɛd.

Aw dɛn kin trit am?

Di tritmɛnt dipen pan wetin mek di Harlequin Sayn de.

• Fɔ pikin dɛn we dɛn jɔs bɔn: Dɛn nɔ nid ɛni tritmɛnt. I go go fɔ insɛf insay sɔm sɛkɔn ɔ minit.
• Fɔ Harlequin Syndrome: Nɔto ɔltɛm i nid fɔ gɛt tritmɛnt. Sɔmtɛm dis sik kin bɛtɛ fɔ insɛf. Bɔt if yu dɔktɔ tink se i nid fɔ gɛt tritmɛnt, dɛn go gi yu di tritmɛnt dɛn bay di tin we mek yu gɛt am. Dɛn tin ya na:
• Dɛn kin yuz wan vaysin we dɛn kɔl `Stellate ganglion block` fɔ kɔntrol di kɔlɔ we di skin kin chenj.
• Botulinum toxin injection fɔ kɔntrol di swet.
• If wan tumbu de ɔndalayn, dɛn kin pul am bay ɔpreshɔn ɔ tru redyushɔn tɛrapi.
• Kɔnsul fɔ mental anxiety wae kin kam wit dis appearance.
• Fɔ Horner Syndrome: If nɔr de fil pen, i nɔr go nid fɔ gɛt tritmɛnt. If na so i bi, di dɔktɔ go trit di men tin we mek i apin.

Ustɛm yu fɔ go to dɔktɔ?

If yu ɔ sɔmbɔdi na yu famili notis di Harlequin Sign, we rɛd, swet, ɛn wam na wan say na di bɔdi, di bɛst tin fɔ du na fɔ go to dɔktɔ ɛn chɛk am.

Yu dɔktɔ go chɛk yu, aks yu bɔt di sik dɛn we yu gɛt, ɛn if nid de, du sɔm tɛst fɔ no ɔda tin dɛn we de apin to yu. Pan ɔl we i nɔ kin apin so ɔltɛm, i impɔtant fɔ pul di tumbu ɔ ɔda sik, bikɔs dis kin bi di kɔz.