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[归国旅行者的皮肤病:根据临床表现的病因分析]

[Skin diseases in returning travelers: etiologies according to clinical presentation].

作者信息

Monsel G, Caumes E

机构信息

Service des maladies infectieuses et tropicales, Hôpital Pitié-Salpêtrière, 47-83 Bd de l'hôpital, 75013 Paris.

出版信息

Rev Med Suisse. 2010 May 12;6(248):960-4.

Abstract

Dermatoses are one of the three most common causes of health problem in returning travelers. These dermatoses include infections, environmental diseases (sunburns, arthropod-related reactions) and superficial injuries. Skin infections are the most common cause of consultation after return. They include bacterial infections of cosmopolitan origin (pyoderma, abcess, cellulites) and tropical diseases (hookworm-related cutaneous cutaneous larva migrans, localized cutaneous leishmaniasis, tungiasis, myiasis...). Travelers abroad must be appropriately vaccinated against tetanus and specifically instructed to avoid arthropods bites and sun overexposure. Travel first aid kits should include antibiotics effective against bacterial skin infection, oral antihistamines and corticosteroid ointments.

摘要

皮肤疾病是归国旅行者中最常见的三大健康问题之一。这些皮肤疾病包括感染、环境性疾病(晒伤、节肢动物相关反应)和浅表损伤。皮肤感染是归国后就诊的最常见原因。它们包括全球常见的细菌感染(脓皮病、脓肿、蜂窝织炎)和热带疾病(钩虫相关的皮肤幼虫移行症、局限性皮肤利什曼病、潜蚤病、蝇蛆病……)。出国旅行者必须接种破伤风疫苗,并得到专门指导,避免被节肢动物叮咬和过度暴露在阳光下。旅行急救包应包括对细菌性皮肤感染有效的抗生素、口服抗组胺药和皮质类固醇软膏。

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