Doutre M-S, Beylot-Barry M
Service de dermatologie, Hôpital du Haut-Lévêque, CHU de Bordeaux, 33604 Pessac cedex, France.
Ann Dermatol Venereol. 2011 Nov;138 Suppl 3:S201-6. doi: 10.1016/S0151-9638(11)70090-4.
The term "red face" is reserved for lesions located exclusively or very predominantly on the face. Diagnosis is based on different data: date and mode of appearance, characteristics of the erythema, functional signs, and associated systemic manifestations. A case of red face can have an infectious origin, caused by vascular, congenital, or acquired lesions, or be caused by photodermatosis, or be the main location of inflammatory dermatosis or collagenosis, but depending on the clinical context, many other diagnoses can be suggested. A few observations are presented so as to discuss the management of red face in the atopic patient, the role played by ultraviolet rays in the cutaneous lesions of dermatomyositis, as well as the diagnostic criteria of polymorphous light eruption, and lupus erythematosus.
“红脸”一词专指仅位于面部或主要位于面部的皮损。诊断基于不同的数据：出现的日期和方式、红斑的特征、功能体征以及相关的全身表现。红脸病例可能有感染性病因，由血管性、先天性或后天性病变引起，或由光皮肤病引起，或是炎症性皮肤病或胶原病的主要发病部位，但根据临床情况，还可能提示许多其他诊断。现列举一些病例，以讨论特应性患者红脸的处理、紫外线在皮肌炎皮肤病变中的作用，以及多形性日光疹和红斑狼疮的诊断标准。
