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目的分析2014年广州地区流行时间,登革热患者的皮疹特点及鉴别诊断。方法对2014年8月1日-11月30日广州市第八人民医院皮肤科诊治的102例出疹的登革热患者的临床资料进行回顾性分析。结果 102例患者中,男47例,女55例,平均年龄(30.5±12.1)岁,平均病程(10.1±3.2)d。其中93.14%(95/102)的患者出现发热,T(38.9±0.6)℃。平均出疹时间在发热或不适后(4.9±1.3)d。88.24%(90/102)的患者皮疹主要表现为四肢、前胸、颜面密集分布的针尖大小的红斑或出血点,疹间可见正常皮肤,90.20%(92/102)的皮疹伴有明显瘙痒。皮疹平均消退时间为(3.9±1.4)d。结论本病好发于夏秋季节,多见于中青年人群,皮疹主要为密集分布的针尖大红斑,围绕正常皮肤,并常伴瘙痒,其是登革热皮疹的主要特征,有助于鉴别诊断。
Objective To analyze the epidemiological characteristics and differential diagnosis of rash in dengue fever patients in Guangzhou in 2014. Methods The clinical data of 102 cases of dengue fever who were diagnosed and dermatologically treated in Guangzhou Eighth People’s Hospital from August 1, 2014 to November 30, 2014 were retrospectively analyzed. Results Among 102 patients, 47 were male and 55 were female, with an average age of (30.5 ± 12.1) years and a mean duration of (10.1 ± 3.2) d. Among them, 93.14% (95/102) had fever, T (38.9 ± 0.6) ℃. The average time for rash was after fever or discomfort (4.9 ± 1.3) d. In 88.24% (90/102) of the patients, the rash mainly manifested in the extremities, the anterior chest, the erythema or bleeding spots with densely distributed needlepoint size on the face, normal skin in the rash and pruritus in 90.20% (92/102) of the rashes. The average time to skin rash was (3.9 ± 1.4) days. Conclusion The disease occurs in summer and autumn, more common in young people, the rash is mainly concentrated intensive red spot around the needle, around the normal skin, and often accompanied by itching, which is the main feature of dengue rash, contribute to the differential diagnosis.