影响皮肤的病毒性疾病

Chelsea M. Gerlicki
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摘要

本章深入探讨了病毒性外感病的复杂世界,重点关注其诊断难题和独特特征,并提供了最新的病例介绍和要点。从婴儿玫瑰疹的非典型发热皮疹表现到鲁贝拉疹的死灰复燃,本章强调了及时诊断的重要性。风疹经常与麻疹混淆,需要高度怀疑,尤其是成人和孕妇。手足口病的表现多种多样,需要准确区分。讨论还延伸到 parvovirus B19、水痘-带状疱疹病毒、Epstein-Barr 病毒和 HIV 原发感染。此外,还探讨了痘疹的复发、寨卡病毒在怀孕期间的风险以及罕见但危及生命的带状疱疹湿疹。Gianotti-Crosti 综合征、单侧后胸腔积液和其他病毒性疾病也在本章中一一介绍。总之,本章全面介绍了病毒性外皮癣,使临床医生能够区分和处理这些皮肤病难题。准确的鉴别对于为少数病例提供专业治疗和为多数病例提供支持性护理至关重要。提高警惕、全面检查以及对病毒表现的细致了解对于驾驭这种错综复杂的疾病至关重要。
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Viral diseases affecting the skin

This chapter delves into the complex world of viral exanthems, focusing on their diagnostic challenges and distinctive features, with updated presentations and pearls. From Roseola Infantum's atypical fever-rash presentation to Rubeola's resurgence, it underscores the importance of prompt diagnosis. Rubella, frequently confused with measles, demands heightened suspicion, especially in adults and pregnant patients. Hand, Foot, and Mouth Disease's diverse manifestations warrant accurate differentiation. The discussion extends to Parvovirus B19, Varicella-Zoster Virus, Epstein-Barr Virus, and HIV Primary Infection. The resurgence of Mpox, Zika Virus's risks during pregnancy, and the rare but life-threatening Eczema Herpeticum are explored. Gianotti-Crosti Syndrome, Unilateral Laterothoracic Exanthem, and other viral conditions complete the landscape. In summary, this chapter offers a comprehensive understanding of viral exanthems, enabling clinicians to distinguish and manage these dermatological challenges. Accurate identification is crucial for providing specialized therapy to a minority of cases and supportive care to the majority. Vigilance, thorough examination, and a nuanced understanding of viral presentations are essential in navigating this intricate landscape.

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