小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 尿布区域皮疹的急性发作
- 尿布区域凸面红斑
- 皮肤褶皱处无皮损
其他诊断因素
- 念珠菌病特征
- 金黄色葡萄球菌感染的特征
- A 群链球菌感染的特征
- 烦躁
危险因素
- 幼龄(< 2 岁
- 腹泻
- 潜在的皮肤病
- 口服抗生素
- 不经常更换尿布
- 过度使用婴儿护理产品
- 过量清洁剂
- 过度擦拭
- 塑料内裤
- 没有不穿尿布的时间
- 潜在的皮肤感染
诊断性检查
需考虑的检查
- 皮肤刮屑氢氧化钾试验
- 皮肤细菌培养
- 皮肤真菌培养
- 全血细胞计数(FBC
- 血清锌水平
治疗流程
所有患者
撰稿人
作者
Linda S. Nield, MD, FAAP
Assistant Dean for Admission
Professor of Medical Education and Pediatrics
West Virginia University School of Medicine
Morgantown
WV
利益声明
LSN is an author of references cited in this topic.
Deepak Kamat, MD, PhD, FAAP
Professor of Pediatrics
Vice Chair for Academic Affairs
Department of Pediatrics
UT Health San Antonio
San Antonio
TX
利益声明
DK is an author of references cited in this topic.
同行评议者
Jonette E. Keri, MD, PhD
Assistant Professor of Dermatology and Cutaneous Surgery
University of Miami
Miller School of Medicine
Miami
FL
利益声明
JEK declares that she has no competing interests.
Martin E. Weisse, MD
Professor of Pediatric Infectious Disease
Walter Reed Army Medical Center
Washington
DC
利益声明
MEW declares that he has no competing interests.
Kam Lun Ellis Hon, MBBS, DCH, FAAP, FCCM
Associate Professor
Department of Paediatrics
The Chinese University of Hong Kong
Hong Kong
China
利益声明
KLEH declares that he has no competing interests.
鉴别诊断
- 过敏性接触性皮炎
- 脂溢性皮炎
- 银屑病
更多 鉴别诊断指南
- 产后最多 8 周内的产后护理
更多 指南- 登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明