图7.沙土性皮炎
总之,对于肠道病毒感染所致的皮损,有时很难鉴别。对于具有较高的实验室水平的医院或科研院所,进行病毒性相关检查是确诊的主要依据。对于没有实验室条件的医疗机构,详细询问病史、仔细观察皮损的表现或可发现一些端倪。
好在许多肠道病毒所致的疾病不是那么的危急重症,仔细观察病情的变化,提早对危重症的预警预判是很有必要。治疗主要是抗病毒、对症处理,加强皮损的护理等处理。
参考文献:
[1]Krasota A,Loginovskih N,Ivanova O,Lipskaya G.Direct Identification of Enteroviruses in Cerebrospinal Fluid of Patients with Suspected Meningitis by Nested PCR Amplification.Viruses.2016 Jan.8(1):E10.
[2]Pons-Salort M,Parker EPK,Grassly NC.The epidemiology of non-polio enteroviruses:recent advances and outstanding questions.Curr Opin Infect Dis.2015 Oct.28(5):479-87.
[3]Park K,Lee B,Baek K,Cheon D,Yeo S,Park J,et al.Enteroviruses isolated from herpangina and hand-foot-and-mouth disease in Korean children.Virol J.2012 Sep 17.9(1):205.
[4]Prose NS,Tope W,Miller SE,Kamino H.Eruptive pseudoangiomatosis:a unique childhood exanthem?.J Am Acad Dermatol.1993 Nov.29(5 Pt 2):857-9.
[5]Miller PK,Zain-Ul-Abideen M,Paul J,Perry AE,Linos K,Carter JB,et al.A case of eczema coxsackium with erythema multiforme-like histopathology in a 14-year-old boy with chronic graft-versus-host disease.JAAD Case Rep.2017 Jan.3(1):49-52.
[6]Oberste MS,Michele SM,Maher K,et al.Molecular identification and characterization of two proposed new enterovirus serotypes,EV74 and EV75.J Gen Virol.2004 Nov.85:3205-12.
[7]Richer MJ,Horwitz MS.Coxsackievirus infection as an environmental factor in the etiology of type 1 diabetes.Autoimmun Rev.2009 Jun.8(7):611-5.
[8]王卫平主编.儿科学(第8)版.人民卫生出版社,(北京):197.
本文首发:医学界儿科频道
本文作者:张光成
责任编辑:CiCi
版权申明
本文原创 欢迎转发朋友圈
- End -
投稿/转载/商务合作,请*yxj_ek@yxj.org.cn