小结
定义
病史和体格检查
关键诊断因素
- 年龄＜2 岁
- 免疫抑制
- 高热
- 皮疹
其他诊断因素
- 腹泻
- 腹痛
- Nagayama 斑
- 鼓膜炎症
- 上呼吸道症状
- 惊厥
- 眶周水肿
- 前囟凸起
- 颈部、枕部或耳后淋巴结肿大
危险因素
- 年龄＜2 岁
- 免疫抑制
诊断性检查
首要检查
- 无初始检查
需考虑的检查
- 病毒培养
- 抗体检测
新兴检查
- 聚合酶链反应 (PCR)
- 免疫组织化学检查
治疗流程
所有患者
撰稿人
作者
Henry M. Feder, Jr., MD
Professor of Pediatrics and Family Medicine
University of Connecticut Medical Center and Connecticut Children’s Medical Center
Farmington
CT
利益声明
HMF declares that he has no competing interests.
Hassan El Chebib, MD
Attending Physician in the Division of Infectious Diseases and Immunology
Connecticut Children’s Medical Center
Assistant Professor of Pediatrics
Pediatrics, Infectious Diseases and Immunology
University of Connecticut School of Medicine
Hartford
CT
利益声明
HEC declares that he has no competing interests.
Ashley C. Howard, DO
Attending Physician in the Division of Infectious Diseases and Immunology
Connecticut Children’s Medical Center
Assistant Professor of Pediatrics
Pediatrics, Infectious Diseases and Immunology
University of Connecticut School of Medicine
Hartford
CT
利益声明
ACH declares that she has no competing interests.
鸣谢
Dr Henry M. Feder, Dr Hassan El Chebib, and Dr Ashley C. Howard would like to gratefully acknowledge Dr Edward C. Kim, Dr Nicholas Bennett, Dr James Azim, Dr Margie C. Andreae, Dr Jon Dyer, and Dr Jennifer Holman, the previous contributors to this topic.
利益声明
ECK, NB, JA, MCA, JD, and JH declare that they have 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.
Mary T. Caserta, MD
Associate Professor of Pediatrics
Department of Pediatrics
Division of Infectious Diseases
University of Rochester Medical Center
Rochester
NY
利益声明
MTC declares that she has no competing interests.
鉴别诊断
- 麻疹
- 肠病毒
- EB病毒
更多 鉴别诊断指南
- 病毒疹
- 人疱疹病毒 6 型（包括玫瑰疹）和 7 型
更多 指南
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