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带状疱疹感染

最后审阅: 3 Sep 2024
最后更新: 06 Mar 2024

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
完整详情

其他诊断因素

  • 发热
  • 头痛
  • 不适感
  • 疲劳
  • 疼痛且无皮疹
完整详情

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
  • 某些急性或慢性疾病
  • 预防其他传染性疾病的免疫接种
完整详情

诊断性检查

首要检查

  • 临床诊断
完整详情

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
完整详情

治疗流程

急症处理

急性症状:免疫功能正常者

急性症状:免疫受损

持续性治疗

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 declares that he has no competing interests.

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.

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