Division of Dermatology, University of Washington School of Medicine, Seattle, Washington.
Dermatol Ther. 2013 Nov-Dec;26(6):433-8. doi: 10.1111/dth.12107.
Classic viral exanthems, such as measles, rubella, and Fifth disease, have great historical significance and, despite vaccine successes, still occur both in the United States and across the world. Because they are either less commonly seen (e.g., measles) or recognized by pediatricians (e.g., Fifth disease), viral exanthems that present to dermatology clinics are often "atypical" and may cause diagnostic confusion. This article will first review a general approach to the patient with a possible viral exanthem, discuss several current issues germane to "classic" exanthems, and delve into greater detail regarding atypical presentations.
经典的病毒性出疹性疾病，如麻疹、风疹和第五病，具有重要的历史意义，尽管疫苗取得了成功，但它们仍然在美国和世界各地发生。由于这些疾病要么不太常见（如麻疹），要么被儿科医生所忽视（如第五病），因此，出疹性疾病如果出现在皮肤科诊所，往往是“非典型”的，可能会导致诊断混淆。本文将首先回顾对可能患有病毒性出疹性疾病的患者的一般处理方法，讨论与“经典”出疹性疾病相关的几个当前问题，并深入探讨非典型表现。
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