POLIOSIS (WHITE WHITE PATCH): FAʻAILOGA, MAFUAʻAGA MA TOGAFITIGA

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Poliosis o se tulaga e mafua ai papaʻe fula i luga o le tagata lava lauulu. O se tagata e mafai ona fanau mai ma le tulaga pe mafai ona atiina ae ia i so o se taimi o le matua. Atonu na e maitauina i luga o nisi lauiloa talafatu Bellatrix Lestrange mai Harry Potter po o Benjamin Barker i Sweeney Todd ^[1] . Tagata taʻitoʻatasi ma poliosis ua i ai se pa'ū maualalo tulaga pe atoa le leai o le melanin i latou lauulu follicles.

O le tulaga e taua foi o le poliosis circumscripta ma aʻafia ai ou mata, lauulu ulu, lauulu ma isi lava vaega ma lauulu. A o le tulaga e aʻafia ai le ulu ulu o loʻo i luga tonu o le muaulu, e taʻua o le papaʻe mua. O le fasi paʻepaʻe mafai ona faʻalauteleina i le tasi nofoaga pe mafai ona afaina ai le tele o vaega o lou lauulu. E tusa ai ma mafuaʻaga autu, o le tuutuuga mafai ona umi pe puʻupuʻu ^[lua] , ^[3] .

[Source: Joe.Miller]

Poliosis e le faʻamataʻu i le ola ma e le afaina lou soifua maloloina. Peitaʻi, e mafai ona tupu faʻatasi ma ni tulaga faigata faʻafomaʻi ^[4] pei o vitiligo, Vogt-Koyanagi-Harada faamaʻi, alopecia areata, sarcoidosis etc.

Faʻailoga o le Poliosis

E faigofie ona iloa le atinaʻeina o lenei tulaga. O faʻailoga ma faʻailoga o le poliosis e aofia ai fasi fulufulu paʻepaʻe i luga o soʻo se vaega o le tino e iai lauulu. Poliosis mafai ona aliaʻe faʻafuaseʻi i soʻo se tausaga, tusa lava poʻo le a le itupa ^[5] .

Ituaiga O Poliosis

O le tulaga ua faʻavasegaina i ni vaega se lua ^[6] , ^[7] .

Genetic poʻo le faʻavae poliosis: I nisi tulaga, poliosis mafai ona tupuaga. O paepae papaʻe o laulu e mafai ona i ai i le taimi o le fanau mai ona o le fesuiaiga o nisi genes poʻo isi genesisi mataupu.
Maua poliosis: O le tulaga mafai foi ona tupu aʻe o se itu aʻafiaga pe o se mulimuli ane aʻafiaga o nisi tulaga faʻafomaʻi. E mafai ona mafua ai le atinaʻeina papaʻe papaʻe o lauulu i se tasi laʻasaga mulimuli o le olaga.

Mafuaaga o le Poliosis

O mafuaʻaga mo le atinaʻeina o le tulaga mafai ona faʻailoa atu i eseese mafuaaga. E tusa ai ma manatu masani, o le poliosis e mafua mai i le mafaufau tiga, faʻateʻia o le tino ma le popole. Faʻasaienisi, ua faʻamaonia o mea nei o mafuaʻaga i tua atu o le atinaʻeina o le poliosis ^[8] , ^[9] , ^[10] .

Faʻalavelave faʻafitauli: E pei o le piebaldism, Waardenburg's syndrome, Marfan's syndrome, tuberous sclerosis, Vogt-Koyanagi-Harada (VKH) syndrome, giant congenital nevus, ma le Alezzandrini syndrome.
Faʻamaʻi e puipuia oe lava mai le puipuia o le tino: E pei o vitiligo, hypopituitarism, neurofibromatosis, thyroid faamaʻi, sarcoidosis, hypogonadism, idiopathic uveitis, intradermal nevus, post-inflammatory dermatoses, paʻu kanesa, halo nevus, post-trauma, GAPO syndrome, ma le onnicious anemia.
Isi mafuaaga: E pei o le melanoma, alopecia areata, Rubinstein-Taybi syndrome, herpes zoster poʻo shingles, radiotherapy, faaletonu o le melanisation, dermatitis, albino, manuʻa, matua, faʻafitauli, molo halo, hypo poʻo hyperpigmentation o mata, lepela, ma nisi vailaʻau.

Tulaga e Fesoʻotaʻi ma Poliosis

E pei ona taʻua muamua, e le taufaamataʻu pe afaina ai foi. Peitai, e mafai ona avea ma vave faʻailoga poʻo se lapataiga faʻailo o faigata faitele mataupu ^{[sefulu ma le tasi]} . O tuutuuga e fesoʻotaʻi ma poliosis e faʻapea:

Melanoma (paʻu kanesa)
Uveitis e mafai ona taitai atu ai i le glaucoma ma cataract
Faamai faʻamaʻi
O gasegase o le thyroid e mafai ona mafua ai le lelava, faʻafitauli o le foloina, faʻanoanoaga, manatua mea, maualuga kolisi, maualalo feusuaiga faʻamalosi ma mamafa maua

Faʻailoaina o Poliosis

O le aliali mai o le fulufulu sinasina poʻo le paʻepaʻe o fulufulu o le na o le pau le faʻailoga manaʻomia e faʻailoaina le tulaga ^[12] .

Afai o le tulaga ua aʻafia lau tama e tatau ona alu vave i se fomaʻi. E ui e mafai ona fananau mai tamaiti ma papaʻe papaʻe o lauulu, e mafai foi ona avea ma faʻailoga o thyroid faʻaletonu, vitamini B12 le lava ma isi Mo lenei, le fomaʻi ono fautuaina se suʻega toto ^[13] .

Peitai, talu ai o le tulaga fesoʻotaʻiga ma le tele o isi tuutuuga, a maeʻa siakiina i luga ono ono manaʻomia. O le fomaʻi o le a suʻea le talaʻaga faʻasolopito o le tagata ma fesili e uiga i le tupu o le poliosis i le aiga. O le faʻamaoniga e ono aofia ai se asiasiga atoa o le tino,

suʻesuʻega o mea paleni, suʻesuʻega o le endocrinal, suʻega ile toto, suʻesuʻega ole paʻu faʻataʻitaʻi ma mafuaʻaga o neura ^[14] .

Togafitiga Mo Poliosis

I le taimi nei, o loʻo i ai le le lava o faʻalelei togafitiga e suia tumau ai le papaʻe patches mafua mai i le poliosis. Ae ui i lea, oe mafai ona faʻaogaina auala nei e faʻatapulaʻa ai le amataga o le tulaga ^{[sefulu ma le lima]} .

Faʻatapulaʻaina le taumafaina o vailaʻau
Faateleina malamalama i moli UV-B
Faʻaogaina Ammi majus vailaʻau
Faia o se epidermal faapipiiina luga o le depigmented paʻu (nei i lalo o le paʻepaʻe fulufulu ulu patch)

O nisi o auala e mafai ai ona faʻatonutonu le tulaga e ala i le valiina o lou lauulu, fai o pulou, fusi, ulu, poʻo isi ituaiga ufiufi lauulu. Poʻo, oe mafai ona tuʻuina i le tulaga ua i ai!

Vaʻai Tusitusiga Faʻasino

[1]Chen, C. S., Wells, J., & Craig, J. E. (2004). O le Topical prostaglandin f2α analog na faʻaosofia poliosis. American journal of ophthalmology, 137 (5), 965-966.
[lua]Rones, B. (1932). Uveitis ma le dysacousia, alopecia ma le poliosis.Archives o Ophthalmology, 7 (6), 847-855.
[3]Kern, T. J., Walton, D. K., Riis, R. C., Manning, T. O., Laratta, L. J., & Dziezyc, J. (1985). Uveitis fesoʻotaʻi ma poliosis ma vitiligo i ono maile. Faʻasalalauga a le American Veterinary Medical Association, 187 (4), 408-414.
[4]Koplon, B. S., & Shapiro, L. (1968). Poliosis faʻamalosia o le neurofibroma.Archives o dermatology, 98 (6), 631-633.
[5]HAGUE, E. B. (1944). Uveitis Dysacousia Alopecia Poliosis, ma Vitiligo: O Se Autu e uiga i le Mafuaʻaga. Archives of Ophthalmology, 31 (6), 520-538.
[6]Parker, W.R. (1940). Ogaoga Uveitis ma Associated Alopecia, Poliosis, Vitiligo ma le tutuli: O le lona lua iloiloga o le lolomiina Faamaumauga.Archives o Ophthalmology, 24 (3), 439-446.
[7]Sleiman, R., Kurban, M., Succaria, F., & Abbas, O. (2013). Poliosis circumscripta: aotelega ma mafuaʻaga mafuaʻaga. Faʻasalalauga a le American Academy of Dermatology, 69 (4), 625-633.
[8]Yosipovitch, G., Feinmesser, M., & Mutalik, S. (1999). Poliosis fesoʻotaʻi ma se lapoʻa nevus fanau mai.Avanoa o dermatology, 135 (7), 859-861.
[9]Nordlund, J. J., Taylor, N. T., Albert, D. M., Wagoner, M. D., & Lerner, A. B. (1981). Le faʻateleina o vitiligo ma poliosis i tagata mamaʻi ma le uveitis. Faʻasalalauga a le American Academy of Dermatology, 4 (5), 528-536.
[10]Bansal, L., Zinkus, T. P., & Kats, A. (2018). Poliosis Faʻatasi ma se Rare Association.Pediatric neurology, 83, 62-63.
[sefulu ma le tasi]Vainstein, G., & Nemet, A. Y. (2016). Unilateral poliosis o mata mata. Ophthalmic palasitika ma toefausia taotoga, 32 (3), e73-e74.
[12]Wilson, L. M., Beasley, K. J., Sorrells, T. C., & Johnson, V. V. (2017). Faʻalauteleina o le neurocristic cutaneous hamartoma ma le poliosis: O se lipoti lipoti. Faʻasalalauga o faʻamaʻi faʻaleagaga, 44 (11), 974-977.
[13]Vyas, R., Selph, J., & Gerstenblith, M. R. (2016, Iuni). Faʻaaliga vaaia e fesoʻotaʻi ma le melanoma. InSeminars in oncology (Tusi 43, Nu. 3, itulau 384-389). WB Saunders.
[14]Bayer, M. L., & Chiu, Y. E. (2017). Manuia togafitiga o Vitiligo Faʻatasi ma Vogt – Koyanagi – Harada Faʻamaʻi.Pediatric dermatology, 34 (2), 204-205.
[sefulu ma le lima]Thomas, S., Laino, A., Sturm, R., Nufer, K., Lambie, D., Shepherd, B., ... & Schaider, H. (2018). Taulai regression o se muamua melanoma, mou malie lentigines ma poliosis i metastatic melanoma togafitia ma anti-PD-1.Journal o le European Academy o Dermatology ma Venereology: JEADV, 32 (5), e176.