Department of Dermatology, Korea University College of Medicine, Seoul, Republic of Korea.
Int Wound J. 2019 Feb;16(1):297-299. doi: 10.1111/iwj.13014. Epub 2018 Oct 31.
Cellulitis is a microbial infection of the deep dermis and the subcutaneous tissue. Several non-infectious disorders, such as contact dermatitis, insect bites, stasis dermatitis, and lipodermatosclerosis, masquerade as infectious cellulitis. There are no specific criteria for the diagnosis of cellulitis; thus, it is challenging to correctly diagnose true cellulitis. For previously assumed cellulitis cases that were refractory to conventional antimicrobial treatment, thoroughly investigating the circumstances of symptom initiation, recording the medical history, and performing an attentive physical examination of the patient is critical for distinguishing true cellulitis from conditions that mimic cellulitis. The inquiry should be personalised according to the patient's age and the prescribed medication. Furthermore, imaging studies, including ultrasonography and magnetic resonance imaging, should be considered on certain occasions to non-invasively aid the differential diagnosis.
蜂窝织炎是真皮和皮下组织的微生物感染。几种非传染性疾病,如接触性皮炎、昆虫叮咬、淤滞性皮炎和硬皮病,会伪装成传染性蜂窝织炎。蜂窝织炎的诊断没有特定的标准;因此,正确诊断真正的蜂窝织炎具有挑战性。对于先前假定的对抗生素治疗有抗药性的蜂窝织炎病例,彻底调查症状开始的情况、记录病史和对患者进行仔细的身体检查对于区分真正的蜂窝织炎和模仿蜂窝织炎的情况至关重要。询问应根据患者的年龄和规定的药物进行个性化。此外,在某些情况下,应考虑使用超声和磁共振成像等影像学研究来无创性辅助鉴别诊断。