小结
定义
病史和体格检查
关键诊断因素
- 存在危险因素
- 低热
- 口腔水疱和溃疡
- 手部及足部有皮疹和/或小（水）泡
其他诊断因素
- 不适感
- 口腔酸痛
- 食欲不振
- 咽痛
- 臀部皮疹和/或水疱
- 腹痛
- 腹泻
- 咳嗽
- 舌红斑/水肿
- 关节痛
危险因素
- 免疫抑制
- 年龄小于 10 岁
- 在家或学校接触感染者
诊断性检查
需考虑的检查
- 病毒培养
- 全血细胞计数 (FBC)
新兴检查
- PCR 分子检测
治疗流程
所有患者
撰稿人
作者
Malobi I. Ogboli, MBBS, FRCP
Consultant Dermatologist
Birmingham Children's Hospital and Birmingham City Hospital
Birmingham
UK
利益声明
MIO declares that she has no competing interests.
同行评议者
Helen Goodyear, MBChB, MRCP, FRCPCH, MD, MMed
Consultant Paediatrician
Heartlands Hospital
Birmingham
UK
利益声明
HG declares that she has no competing interests.
Andrew Riordan, MD, FRCPCH, MRCP, DTM&H
Consultant in Paediatric Infectious Diseases and Immunology
Royal Liverpool Children's Hospital (Alder Hey)
Liverpool
UK
利益声明
AR declares that he has no competing interests.
David Cassarino, MD, PhD
Assistant Professor
Department of Pathology and Laboratory Medicine
University of California
Los Angeles
CA
利益声明
DC declares that he has no competing interests.
Leonid Izikson, MD
Staff Dermatologist
Department of Dermatology
Massachusetts General Hospital
Boston
MA
利益声明
LI declares that he has no competing interests.
Aisha Sethi, MD
Assistant Professor of Medicine
Associate Residency Program Director
University of Chicago
Chicago
IL
利益声明
AS declares that she has no competing interests.
鉴别诊断
- 阿弗他口炎或口腔阿弗他溃疡
- 单纯疱疹
- 疱疹性咽峡炎
更多 鉴别诊断指南
- 儿童和青年活动场所（包括教育机构）的健康保障
- 中国手足口病的诊断及治疗指南（2018 版）
更多 指南
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