在帕尔沃病毒B19爆发期间的皮切和紫色皮疹:皮肤症状有区别吗?
Sevgi Kus1, Aysegul Elvan-Tuz1, Umit Aslan-Saritas1
1From the Department of Pediatric Infectious Diseases, Ministry of Health İzmir City Hospital, Izmir, Turkey.
The Pediatric infectious disease journal
|December 10, 2024
概括
人类帕尔沃病毒B19可以引起不寻常的紫色-皮性皮疹,与典型的红斑感染性不同. 识别这种与帕尔沃病毒B19相关的紫色-皮切性喷发对于诊断儿童发烧性紫外线至关重要.
科学领域:
- 儿科 儿科 儿科
- 病毒学 病毒学
- 皮肤病学 皮肤病学
背景情况:
- 人类帕尔沃病毒B19感染通常呈现为红斑感染性.
- 不同寻常的表现,包括像紫色-皮切皮疹这样的出血症状,较少报告.
- 这些非典型的表现可能会使诊断复杂化,特别是在儿科患者中.
研究的目的:
- 为了突出帕尔沃病毒B19相关的紫色-皮突发症 (PAPPE) 作为一个独特的临床特征.
- 强调在发烧性紫外线的差异诊断中考虑PAPPE的重要性.
- 在疫情期间在儿科环境中遇到的B19V相关皮疹的临床场景.
主要方法:
- 儿科病例B19V感染和紫色-皮性皮疹的回顾性审查.
- 临床数据分析,包括患者人口统计,症状和诊断结果.
- 关于B19V相关的出血症状的文献综述.
主要成果:
- 几例儿科病例表明PAPPE是B19V感染的主要表现.
- 患者呈现出发烧性紫外线,最初模仿其他出血状况.
- 通过对帕尔沃病毒B19.9的血清或分子检测证实了诊断.
结论:
- PAPPE是一种显著的,尽管不常见的,初级帕沃病毒B19感染的表现.
- 早期识别PAPPE对于适当的管理和避免误诊至关重要.
- 儿科医生应在对患有发烧性紫外线的儿童进行差异诊断时考虑B19V,特别是在疫情爆发期间.
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