[1]郭武,钱革,张嫦娥,等.儿童疱疹性瘭疽37例临床分析[J].中国皮肤性病学杂志,2020,(10):1149-1151.[doi:10.13735/j.cjdv.1001-7089.202002150]
 GUO Wu,QIAN Ge,ZHANG Chang'e,et al.Clinical Features of 37 Children with Herpetic Whitlow[J].The Chinese Journal of Dermatovenereology,2020,(10):1149-1151.[doi:10.13735/j.cjdv.1001-7089.202002150]
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儿童疱疹性瘭疽37例临床分析()
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2020年10期
页码:
1149-1151
栏目:
临床经验
出版日期:
2020-10-01

文章信息/Info

Title:
Clinical Features of 37 Children with Herpetic Whitlow
文章编号:
1001-7089(2020)10-1149-03
作者:
郭武钱革张嫦娥王胜吴邓婷邸宇姿
郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院皮肤科,河南 郑州 450000
Author(s):
GUO WuQIAN GeZHANG Chang'eWANG ShengWU DengtingDI Yuzi
Department of Dermatology,Children's Hospital Affiliated to Zhengzhou University,Henan Children's Hospital,Zhenzhou Children's Hospital,Zhengzhou 450000,China
关键词:
儿童 疱疹性瘭疽 误诊 皮肤表现
Keywords:
Children Herpetic whitlow Misdiagnosis Skin manifestation
分类号:
R 752.1
DOI:
10.13735/j.cjdv.1001-7089.202002150
文献标志码:
B
摘要:
目的 总结儿童疱疹性瘭疽的临床特点和治疗方案,旨在引起广大医师的重视,减少误诊。方法 回顾性分析2017年9月-2019年9月郑州大学附属儿童医院诊治的37例儿童疱疹性瘭疽病例资料。结果 男21例,女16例,年龄1~9岁,其中1~5岁31例,春夏发病26例,秋冬发病11例; 32例有啃咬手指等不良卫生习惯; 5例皮损表现为红斑、硬性红色丘疹,7例为红肿基础上单个或簇状分布丘疱疹,25例为红肿基础上簇状水疱、脓疱。其中15例误诊,误诊率40.54%; 全部病例经1~3周的治疗后痊愈。结论 疱疹性瘭疽5岁以下儿童高发,早期主要表现为疼、肿、红斑、红斑基础上硬性丘疹,3~4 d后转为红肿基础上单个或簇状疱疹、水疱、脓疱,常被误诊为甲沟炎、脓疱疮等,对于以手指痛性红斑、丘疹、水疱为表现的患儿应详细询问病史,仔细体格检查,综合分析皮疹形态的动态发展变化以免误诊。
Abstract:
Objective To summarize the clinical features and treatment in children with herpetic whitlow,aiming to attract the attention of physicians and reduce misdiagnosis.Methods Data of 37 cases of herpetic whitlow in Children's Hospital Affiliated to Zhengzhou University from September 2017 to September 2019 were retrospectively analyzed.Results There were 21 males and 16 females,aged 1 to 9 years old,including 31 cases from 1 to 5 years old,26 patients occurred in spring and summer,and 11 patients occurred in autumn and winter,32 patients had bad health habits such as biting fingers,5 patients of skin lesions showed erythema and red papules,7 patients with papules on the basis of redness and swelling,and 25 patients with clustered blisters and pustules.Among them,15 patients were misdiagnosed,with a misdiagnosis rate of 40.54%,all cases were cured after 1 to 3 weeks of treatment.Conclusion Children under the age of 5 have a high incidence,with early manifestations of pain,swelling,erythema,and hard papules on the basis of erythema.After 3 to 4 days,the lesions become single or clustered herpes,blisters,and pustules on the basis of redness.It often misdiagnosed as paronychia,impetigo,etc.For children with finger painful erythema,papules,blister,a detailed medical history and careful physical examination is required to avoid misdiagnosis.

参考文献/References:

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备注/Memo

备注/Memo:
[基金项目] 河南省医学科技攻关计划联合共建项目(2018020659)
[通信作者] 钱革,E-mail:drqiange@sina.com
更新日期/Last Update: 2020-10-15