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扁桃体局灶性感染所致皮肤病的术前诊断:近期观点

Pre-operative diagnosis for dermatoses due to tonsillar focal infections: recent views.

作者信息

Noda Y

机构信息

Department of Otorhinolaryngology, School of Medicine, University of the Ryukyus, Okinawa, Japan.

出版信息

Auris Nasus Larynx. 1989;16 Suppl 1:S59-64. doi: 10.1016/s0385-8146(89)80031-8.

Abstract

The recent views on the pre-operative diagnosis for dermatoses possibly due to tonsillar focal infections were presented as follows: 1) the range of dermatoses which may be related to tonsillar focal infection and may be indications for tonsillectomy, was introduced based on a questionnaire sent to departments of dermatology and otorhinolaryngology throughout Japan; 2) provocation test using direct stimulation with ultra-short waves and inhibition test with Impletol for the pre-operative diagnosis in patients with Pustulosis palmaris et plantaris, which appears to have a relatively high prevalence and the highest possibility of induction by tonsillar focal infection; 3) the selection of timing of the tonsillectomy in patients with Pustulosis palmaris et plantaris; and 4) the necessity of diagnostic and therapeutic alliance between dermatologists and otorhinolaryngologists.

摘要

关于可能由扁桃体局灶性感染引起的皮肤病术前诊断的最新观点如下

1)基于向日本各地皮肤科和耳鼻咽喉科发送的调查问卷,介绍了可能与扁桃体局灶性感染相关且可能作为扁桃体切除术指征的皮肤病范围;2)对掌跖脓疱病患者进行术前诊断时,采用超短波直接刺激激发试验和安妥碘抑制试验,掌跖脓疱病的发病率相对较高,且由扁桃体局灶性感染诱发的可能性最大;3)掌跖脓疱病患者扁桃体切除术时机的选择;4)皮肤科医生和耳鼻咽喉科医生之间诊断和治疗合作的必要性。

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