手足口病

最后审阅: 4 六月 2022
最后更新: 05 一月 2021

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
更多 关键诊断因素

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
其他诊断因素

危险因素

  • 免疫抑制
  • 年龄小于 10 岁
  • 在家或学校接触感染者
更多 危险因素

诊断性检查

需考虑的检查

  • 病毒培养
  • 全血细胞计数 (FBC)
更多 需考虑的检查

新兴检查

  • PCR 分子检测

治疗流程

急症处理

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.

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