19名住院儿童的植物光皮炎及其鉴别诊断：虐待儿童与单纯疱疹病毒感染。
Phytophotodermatitis in 19 children admitted to hospital and their differential diagnoses: Child abuse and herpes simplex virus infection.
作者信息
Carlsen Karen, Weismann Kaare
机构信息
Department of Dermatology at Bispebjerg Hospital, Copenhagen, Denmark.
出版信息
J Am Acad Dermatol. 2007 Nov;57(5 Suppl):S88-91. doi: 10.1016/j.jaad.2006.08.034.
BACKGROUND
Phytophotodermatitis is a non-immunologic cutaneous reaction that can be provoked after contact with plants containing psoralens followed by sun exposure.
OBJECTIVES
The purpose of this study is to describe the clinical features of phytophotodermatitis and its differential diagnoses, especially child abuse and herpes virus infection.
METHODS
Nineteen children seen in two county hospitals are described.
RESULTS
The 19 children had various cutaneous manifestations, which were mistaken in one patient for child abuse and in one child for herpes simplex virus infection.
LIMITATIONS
The doctors' perception is based on the doctors' education.
CONCLUSION
Children are susceptible to contact with psoralen-containing plants followed by sun exposure. Phytophotodermatitis is a difficult diagnosis, which can sometimes lead to the inappropriate investigation of child abuse or herpes simplex virus infection.
背景
植物性光皮炎是一种非免疫性皮肤反应，接触含补骨脂素的植物后再经阳光照射可诱发。
目的
本研究旨在描述植物性光皮炎的临床特征及其鉴别诊断，尤其是虐待儿童和疱疹病毒感染。
方法
描述了在两家县级医院就诊的19名儿童的情况。
结果
这19名儿童有各种皮肤表现，其中1例被误诊为虐待儿童，1例被误诊为单纯疱疹病毒感染。
局限性
医生的认知基于其教育背景。
结论
儿童易接触含补骨脂素的植物并随后接受阳光照射。植物性光皮炎诊断困难，有时会导致对虐待儿童或单纯疱疹病毒感染进行不恰当的调查。
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