Rɛd spat dɔn apia wantɛm wantɛm na yu skin, i de it? Yu tink se i gɛt inflam? I kin bi wan sik we dɛn kɔl Wells’ Syndrome!

Yu dɔn ɛva notis se wan spat na yu skin, ɔ pɔsin we yu sabi, kin tɔn rɛd wantɛm wantɛm, i kin swel, ɛn sɔntɛm i kin ivin tan lɛk se yu gɛt rash, bɔt nɔto injuri rili mek i apin? Ɔ i kin tan lɛk se di skin dɔn rɛd ɛn i de bɔn wit it we pɔsin nɔ ebul fɔ bia? Dɛn tin ya kin apin ɛnisay na di bɔdi. If yu dɔn gɛt dis ɛkspiriɛns, i kin bi wan sik we nɔ kin apin so ɔltɛm we dɛn kɔl Wells’ Syndrome, we wi go tɔk bɔt tide. Nɔ wɔri, wi go tɔk bɔt dis ditayli .

Wetin na di sik we dɛn kɔl Wells’ Syndrome? Fɔ tɔk am simpul wan...

Wells’ Syndrome na wan sik wae nɔr kin bɔrku pan yu skin. Dɛn kin kɔl am bak "Eosinophilic Cellulitis" . Naw yu kin de tink se, "We yu se sɛlulitis, i min infɛkshɔn, nɔto so?" Yɛs, sɛlulayt kin bi we di skin kin rɛd ɛn swel bikɔs ɔf baktriyal infɛkshɔn. Bɔt pan di sik we dɛn kɔl Wells’ Syndrome, pan ɔl we di skin kin tan lɛk se i rɛd, i kin swel, ɛn i kin tan lɛk se i dɔn tan , fɔ tru, nɔ infekshɔn nɔ de . Na dat spɛshal. So wetin mek dis kin apin? Bɔku kayn sɛl dɛn de na wi bɔdi we de wok lɛk smɔl sojaman dɛn. Wan spɛshal grup fɔ sojaman dɛn we dɛn kɔl eosinophils . Dɛn tan lɛk di wan dɛn we de gayd wi bɔdi. We ɛnimi lɛk jem ɔ parasayt kam insay di bɔdi, dɛn eosinofil ya kin go fɛt dɛn ɛn sev wi. Dɛn kin involv bak we alɛji kin apin. Bɔt sɔntɛnde, dɛn eosinophil sojaman ya kin gladi tumɔs. כ, mכr eosinofil dεm de prodyuz na di bכdi pas aw dεn fכ prodyuz. Dɔn wetin kin apin na dat dɛn kin bigin fɔ atak di pat dɛn we gɛt wɛlbɔdi na dɛn yon bɔdi, mɔ di skin. I tan lɛk se dɛn de trowe ston na dɛn yon os. Na da tɛm de dis prɔblɛm we dɛn kɔl Wells’ Syndrome kin bigin. Na dat mek di skin kin inflam, rɛd, ɛn swel.

Aw dis sik nɔ kin apin so ɔltɛm? Udat kin gɛt am mɔ?

Infakt, dis na tin we nɔ kin apin so ɔltɛm . Yu nɔ go ivin ebul fɔ imajin am. Te naw, i nɔ rich 100 pipul dɛn we gɛt di sik ɔlsay na di wɔl. Dat min se i de dawt if ivin wan pan ɛvri milyɔn pipul dɛn go gɛt am. Bɔrku tɛm, dɛn kin si dis sik pan big pipul dɛm. Bɔt, na smɔl tɛm nɔmɔ, dɛn dɔn ripɔt se i dɔn divɛlɔp bak pan yɔŋ pikin dɛn. Nɔr difrɛns nɔr de bitwin man ɛn uman, dɛn ɔl tu kin divɛlɔp am ikwal. So, ivin if yu gɛt dɛn kayn sik ya, nɔr de panik wantɛm wantɛm se dis na Wells’ Syndrome, bikɔs dis nɔr kin apin so ɔltɛm. Bɔt i impɔtant fɔ mek wi go to dɔktɔ fɔ advays.

Wetin mek di sik we dɛn kɔl Wells’ Syndrome kin apin? Wetin na di kɔz?

Dis na sɔntin we wi fɔ tink bɔt. Dɔktɔ dɛn stil nɔ dɔn no di rayt tin we kin mek pɔsin gɛt di sik we dɛn kɔl Wells’ Syndrome.I stil na sɔntin we nɔ izi fɔ ɔndastand. Bɔt dɔktɔ dɛn biliv se dis kin bi wan sik we wi bɔdi nɔ de wok fayn. Dat min se, i kin bi wan sik we de mek pɔsin nɔ ebul fɔ fɛt insɛf . Fɔ tɔk am simpul wan, di imyun sistɛm we dɛn se de protɛkt wi bɔdi, kin mistek tink se in yon sɛl ɛn tisu dɛn we gɛt wɛlbɔdi na di ɛnimi ɛn bigin fɔ atak dɛn. Bɔrku tɛm, dis sik kin apin randomly, wae nɔr kin gɛt ɛni patikyula rizin. Bɔt dɛn dɔn si se dis sik kin rɔn na famili dɛn we nɔ kin bɔku. Apat frɔm dat, dɛn kin sɔprayz se sɔm ɔda tin dɛn kin wok lɛk tin dɛn we kin mek pɔsin gɛt di sik we dɛn kɔl Wells’ Syndrome. Dat min se dɛn tin ya kin gi push fɔ mek di sik bigin. Dɛn na:

• Insɛkt bayt ɛn sting (arthropod bit ɛn sting): Ɛspɛshali bayt frɔm animal lɛk mɔskito ɛn tik .
• Vayral infεkshכn : We sכm kayn vayrus dεm de kam insay di bכdi.
• Dɛmatitis : Ɔda sik dɛn we bin dɔn de na di skin bifo tɛm.
• Giardiasis: Dis na parasayt infεkshכn we de apin na di intestכn dεm.
• Lukimiya: Dis na wan kayn blɔd kansa.
• Fɔngal infɛkshɔn : Fɔngal infɛkshɔn we kin apin na di skin ɔ ɔdasay na di bɔdi.
• Di bad tin dɛn we kin apin to sɔm drɔgs ɔ mɛtal dɛn.

Bɔt mɛmba se, dɛn tin ya nɔto 100% kɔnfyus kɔz yet. Dis na jɔs di tin dɛn we pipul dɛn de sɔprayz naw.

Wetin na di sayn dɛm wae de sho se yu gɛt Wells’ Syndrome?

Okay, naw lɛ wi si us sayn dɛm dis sik kin prɛzɛnt we i de kam. I kin bigin wit we yu de it ɔ we yu de bɔn na wan ɔ mɔ say na di skin. Dɔn, insay sɔm dez, di say kin bigin fɔ rɛd ɛn swel . Dɛn say ya we dɔn swel kin mek yu fil pen we yu tɔch yu. Fɔ sɔm pipul dɛn, i kin tan lɛk se na brus, lɛk se sɔmbɔdi dɔn bit dɛn. Sɔntɛnde, di fɔs sayn dɛn na nyu , wata we ful-ɔp wit blista ɔ nodul we de apia ɔnda di skin. Fɔ ɔda pipul dɛn, dɛn kin tan lɛk pat dɛn we tan lɛk ring.I kin apin. Ɔda we de fɔ mek di wɛlt dɛn we de it kin apin ɔlsay na di bɔdi, we tan lɛk ɛkzema.

Imajin, wan de, wi ɔnkul Sunil bin gɛt wan it we i nɔ ebul fɔ bia na in leg wantɛm wantɛm. I bin tink se sɔntin dɔn bit am. Afta tu ɔ tri dez, di say bin rili swel ɛn i bin de fil pen. I bin tan lɛk se sɔmbɔdi dɔn ɔt sɔntin. I bin de bɔn we i sho am to wan dɔktɔ, we tɛl am se dis na difrɛn sik, sɔntɛm na Wells’ Syndrome.

Ɔda sayn dɛm wae de kam insay yu bɔdi, lɛk wae yu nɔr kin ebul fɔ blo fayn lɛk asma , yu jɔyn pen , ɔr fiva, nɔr kin bɔrku wit dis sik. Bɔt nɔto tin we nɔ pɔsibul, ɛn dɛn nɔ kin ripɔt dɛn kayn sik ya. As tɛm de go, di skin we gɛt dis sik kin bigin fɔ chenj in kɔlɔ bak. Di fɔs rɛd kɔlɔ kin tɔn smɔl smɔl to brawn-rɛd kɔlɔ. Dɔn i kin chenj to blu-grey kɔlɔ, ɛn leta to grin-grey kɔlɔ. Jɔs lɛk aw brus kin chenj in kɔlɔ we i wɛl. Di gud nyus na dat, dɛn spat ɛn swɛlin ya kin wɛl ɛn nɔr kin gɛt ɛni ɛfɛkt we go las insay sɔm wiks to sɔm mɔnt. Bɔt, sɔntɛnde i kin kam bak bak.

Aw dɛn kin no dis sik kɔrɛkt wan?

We yu gɛt sɔm kayn sik lɛk dis, e fayn fɔ no gud gud wan wetin i bi. Di men we fɔ no if pɔsin gɛt Wells’ Syndrome na fɔ du wan skin biopsy . Dis min se yu fɔ tek wan rili smɔl pat pan di skin frɔm di say we di sik afɛkt ɔnda anestezi ɛn chɛk am ɔnda maykroskɔp. Apat frɔm dat, sɔntɛnde if wi kɔnt ɔl di blɔd, i kin sho se di kayn wayt blɔd sɛl we dɛn kɔl eosinophils de insay di blɔd we wi bin dɔn tɔk bɔt bifo tɛm pas di nɔmal. We dɛn de chɛk di skin bayɔpsi, di dɔktɔ dɛn kin si if bɔku bɔku eosinophils de na di skin ɛn di tisu dɛn we de ɔnda di skin. Dɛn kin luk bak fɔ sɔm patɛns fɔ inflamɛns we na wan kayn we fɔ Wells’ Syndrome. Dɛn tɛst ya kin ɛp fɔ kɔnfɔm se di sayn dɛm nɔr de kɔmɔt frɔm ɔda tin – wan kɔmɔn alɛji, wan parasayt infestation, ɔda skin kɔndishɔn (dɛmatitis), insɛkt bayt, ɔ wan kɔndishɔn we nɔ kin apin lɛk Churg-Strauss syndrome.

Aw dɛn go trit dis? Yu tink se dɛn kin mɛn am?

Yɛs, tritmɛnt dɛn de fɔ dis. Wan tritmɛnt we dɛn kin ebul fɔ kɔntrol bɔku tɛm na wan mɛrɛsin we dɛn kɔl Prednisone . Dis na wan sistemik stεroyd.Wan kayn we. "Sistemik" min se dεn de gi am lεk pil כ as injεkshכn, εn i de afekt di כl bכdi sistεm. dis stεroyd mεdikeshכn dεm de wok bay we dεn de ridyus di כva aktiviti fכ wi imyun sistεm (immunosuppressant effect). Dat min se dɛn de kɔntrol di imyun sistɛm fɔ mek i nɔ atak in yon bɔdi. Fɔ tɔk am simpul wan, wi bɔdi gɛt wan stɛroyd ɔmon we dɛn kɔl kɔtisol, we di adrenal gland dɛn we de ɔp di kidni dɛn kin mek bay insɛf, ɛn prɛdnison na wan we we dɛn mek wit am. We yu bigin fɔ tek dis as pil, yu sik go dɔŋ insay sɔm dez ɛn yu go bigin fɔ fil fayn. Afta dat, yu dɔktɔ go ridyus di doz fɔ di mɛrɛsin smɔl smɔl fɔ lɛk wan mɔnt so. Ɔda tritmɛnt dɛn we dɛn kin gi sɔntɛnde na:

• Antifungals: Fɔ ɛgzampul, griseofulvin.
• Antibayɔtik : Fɔ ɛgzampul, dapsone.

Dɔktɔ kin gi dɛn tin ya bak. Sɔntɛnde, if di sayn dɛm nɔ tu tranga, dat na, insay smɔl kes dɛm , dɛn kin mɛn am bay we yu jɔs put wan stɛroyd krim (e.g. haydrokɔtizɔn) pan di say dɛm we di skin afɛkt.

Wan we de fɔ mek dis sik nɔ kam?

Dis na tin we de mek pɔsin sɔri smɔl. Bikɔs dɛn nɔ dɔn no yet bɔt di rayt tin we kin mek pɔsin gɛt di sik we dɛn kɔl Wells’ Syndrome, i nɔ pɔsibul yet fɔ tɔk bɔt wan patikyula we fɔ mek i nɔ apin. If dɛn kam fɔ no di tin dɛn we kin mek i sik tumara bambay, sɔntɛm wi go no bak bɔt aw fɔ mek i nɔ gɛt am.

Wetin na di prɔgnosis fɔ pɔrsin wae gɛt Wells’ Syndrome? (Prɔgnosis) .

Dis na gud nyus! Di prɔgnosis fɔ pipul dɛm wae gɛt Wells’ Syndrome fayn fayn wan. Dis min se di skin lεsin dεm εn di swεl we dis kכndyushכn kin mek kin sכlv kכmplit wan insay fכ wik to fכ mכnt. Bɔku tɛm, no skata nɔ de we go de sote go. Sɔntɛnde, afta di sik dɔn dɔn, di kɔlɔ kin chenj smɔl na di skin. Dis min se di skin kin gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔt dis kɔlɔ we de chenj go dɔn smɔl smɔl as tɛm de go. Bɔt wan tin we wi fɔ mɛmba na dat dis sik kin kam bak . Insay dɛn kayn tin ya we kin apin bak, di tritmɛnt kin tek sɔm ia fɔ kɔntrol am ɔltogɛda. Bɔt dɛn kin ebul fɔ kɔntrol am fayn if dɛn gɛt di rayt mɛrɛsin.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so naw yu dɔn ɔndastand gud gud wan bɔt Wells’ Syndrome, lɛk aw wi dɔn tɔk bɔt. Na sɔm impɔtant tin dɛn we yu fɔ mɛmba:

• Wells’ Syndrome na wan sik wae nɔr kin bɔrku pan yu skin.
• Dis nɔto infekshɔn na di skin, bɔt di sayn dɛm kin tan lɛk infekshɔn.
• Pan ɔl we wi nɔ no di rayt tin we mek i apin, dɛn tink se na bikɔs ɔf prɔblɛm we de wit di imyun sistɛm .
• Di men sayn dɛm na fɔ it , bɔn, rɛd , ɛn swel na di skin .
• Dɛn kin kɔnfirm di sik bay we dɛn tek di skin bayɔpsi .
• Dɛn kin trit am fayn fayn wan wit mɛrɛsin lɛk stɛroyd .
• Di prɔgnosis fɔ di sik rili fayn , ɛn i kin wɛl we nɔ gɛt skata.
• Bɔt di sik kin kam bak .

If yu ɔ pɔsin we yu sabi gɛt ɛni wan pan dɛn sik ya, duya go to dɔktɔ we sabi du di wok wantɛm wantɛm . Nɔ de mɛn yusɛf. Dɔktɔ kin mek yu no di sik kɔrɛkt wan ɛn gi yu di tritmɛnt we fit yu pas ɔl.

Natin nɔ de fɔ fred. Di tin we impɔtant pas ɔl na fɔ no bɔt dɛn tin ya. Stay wit wɛlbɔdi!