小结
定义
病史和体格检查
关键诊断因素
- 存在危险因素
- 皮区局限性疼痛
- 瘙痒
- 皮疹
- 角膜溃疡
其他诊断因素
- 发热
- 头痛
- 不适感
- 疲劳
- 疼痛且无皮疹
危险因素
- 年龄＞50 岁
- 女性
- HIV
- 长期使用皮质类固醇
- 化疗
- 恶性肿瘤
- 白种人
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 聚合酶链反应 (PCR)
- 免疫组化检查
- 疱液培养
- HIV 检查
治疗流程
急性症状：免疫功能正常者
急性症状：免疫受损
带状疱疹后遗神经痛
撰稿人
作者
Phuc Le, PhD, MPH
Assistant Professor
Center for Value-Based Care Research
Medicine Institute
Cleveland Clinic
Cleveland
OH
利益声明
PL declares that she has no competing interests.
Michael Rothberg, MD, MPH
Professor
Center for Value-Based Care Research
Medicine Institute
Cleveland Clinic
Cleveland
OH
利益声明
MR received funds from Health Advances LLC for consulting on the role of cost-effectiveness in vaccine approval.
鸣谢
Dr Phuc Le and Dr Michael Rothberg would like to gratefully acknowledge Dr Kenneth J. Smith and Dr Linda Kalilani, the previous contributors to this topic.
利益声明
KJS and LK declare that they have no competing interests.
同行评议者
Julius Atashili, MD, MPH
Department of Epidemiology
Division of General Medicine and Epidemiology
UNC at Chapel Hill
Chapel Hill
NC
利益声明
JA declares that he has no competing interests.
Ken Mutton, MB, BS, FRCPA, FRCPath
Consultant Virologist
Manchester Royal Infirmary
Manchester
UK
利益声明
KM declares that he has no competing interests.
鉴别诊断
- 接触性皮炎
- 单纯疱疹
- 胆囊炎
更多 鉴别诊断指南
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- IAP 2018-2019 免疫接种指导手册
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