Kroshinsky Daniela, Grossman Marc E, Fox Lindy P
Department of Dermatology, SUNY Downstate Medical Center, Brooklyn, NY, USA.
Semin Cutan Med Surg. 2007 Sep;26(3):168-78. doi: 10.1016/j.sder.2007.09.002.
Dermatologists frequently are consulted in the evaluation and management of the patient with cellulitic-appearing skin. For routine cellulitis, the clinical presentation and patient symptoms are usually sufficient for an accurate diagnosis. However, when the clinical presentation is somewhat atypical, or if the patient fails to respond to appropriate therapy for cellulitis because of routine bacterial pathogens, the differential diagnosis should be rapidly expanded. We discuss the approach to the patient with presumed cellulitis, with an emphasis on the differential diagnosis of cellulitis in both the immunocompetent and immunucompromised patient.
皮肤科医生经常会参与到疑似蜂窝织炎样皮肤患者的评估和治疗中。对于常规蜂窝织炎，临床表现和患者症状通常足以做出准确诊断。然而，当临床表现有些不典型，或者患者因常规细菌病原体对蜂窝织炎的适当治疗无反应时，鉴别诊断范围应迅速扩大。我们讨论疑似蜂窝织炎患者的诊疗方法，重点是免疫功能正常和免疫功能低下患者蜂窝织炎的鉴别诊断。
