Department of Pediatrics, Pushpagiri Institute of Medical Sciences and Research Center, Thiruvalla, Kerala, India.
Indian J Pediatr. 2018 Jul;85(7):528-534. doi: 10.1007/s12098-017-2459-1. Epub 2017 Sep 23.
Fever with rashes is one of the commonest clinical problems a general practitioner or pediatrician has to face in day-to-day clinical practice. It can be a mild viral illness or a life-threatening illness like meningococcemia or Dengue hemorrhagic fever or it can be one with a lifelong consequence like Kawasaki disease. It is very important to arrive at a clinical diagnosis as early as possible with the minimum investigational facilities. The common causes associated with fever and rashes are infections, viral followed by other infections. There can be so many non-infectious causes also for fever and rashes like auto immune diseases, drug allergies etc. The type of rashes, their appearance in relation to the fever and pattern of spread to different parts of body and the disappearance, all will help in making a diagnosis. Often the diagnosis is clinical. In certain situations laboratory work up becomes essential.
发热伴出疹是全科医生或儿科医生在日常临床实践中最常面临的问题之一。它可以是轻微的病毒性疾病，也可以是危及生命的疾病，如脑膜炎球菌血症或登革热出血热，也可以是终身后果的疾病，如川崎病。尽可能利用最少的检查设施尽早进行临床诊断非常重要。发热伴出疹的常见原因包括感染，病毒性感染后是其他感染。发热伴出疹也可能有许多非传染性原因，如自身免疫性疾病、药物过敏等。皮疹的类型、与发热的关系、向身体不同部位的扩散模式以及消退情况，都有助于做出诊断。通常，诊断是临床诊断。在某些情况下，实验室检查变得必不可少。
