Department of Dermatology, Veterans Affairs Puget Sound Health Care System and the University of Washington School of Medicine, Seattle, Washington 98108, USA.
J Am Acad Dermatol. 2012 Aug;67(2):177.e1-9; quiz 185-6. doi: 10.1016/j.jaad.2012.03.023.
Several common conditions can mimic cellulitis, creating a potential for misdiagnosis and incorrect management. The most common disorders mistaken for lower limb cellulitis include venous eczema, lipodermatosclerosis, irritant dermatitis, and lymphedema. The dermatologist is often consulted when a patient has failed to respond to therapy, and a thorough knowledge of the differential diagnosis is essential. This article focuses on entities that can mimic cellulitis, with an emphasis of elements of the history and physical examination that can help to distinguish between lower limb cellulitis and its simulators.
几种常见的病症可能会模仿蜂窝织炎,从而导致误诊和不正确的治疗。最常见的被误诊为下肢蜂窝织炎的疾病包括静脉湿疹、脂硬皮病、刺激性皮炎和淋巴水肿。当患者对治疗无反应时,通常会咨询皮肤科医生,因此对鉴别诊断有透彻的了解是至关重要的。本文重点介绍了可能模仿蜂窝织炎的病症,并强调了病史和体格检查中的一些要点,这些要点有助于区分下肢蜂窝织炎及其模拟病症。