Belser Kate, Reddy Vinitha, Marks James, Ishmael Faoud, Kelbel Theodore
Penn State University College of Medicine, Hershey, Pennsylvania, USA.
Allergy Asthma Proc. 2016 Mar-Apr;37(2):171-4. doi: 10.2500/aap.2016.37.3898.
Chronic pruritic dermatitis with or without accompanying peripheral eosinophilia can be caused by a vast array of underlying disorders broadly classified as allergic/immunologic, infectious, or neoplastic. An organized and thorough work up is crucial in order to arrive at a definitive diagnosis enabling appropriate treatment. We present the case of a 42-year-old man with a history of chronic pruritic dermatitis and peripheral eosinophilia in a patient-oriented, problem-solving format including the clinical presentation, physical findings, results of pertinent lab/radiologic studies, differential diagnosis, and final diagnosis with discussion.
伴有或不伴有外周嗜酸性粒细胞增多的慢性瘙痒性皮炎可由大量潜在疾病引起，这些疾病大致可分为过敏性/免疫性、感染性或肿瘤性。为了得出明确的诊断并进行适当治疗，有条理且全面的检查至关重要。我们以面向患者、解决问题的形式呈现一名42岁男性的病例，内容包括临床表现、体格检查结果、相关实验室/影像学研究结果、鉴别诊断以及最终诊断并进行讨论。
