University of California San Francisco School of Medicine, 513 Parnassus Avenue, San Francisco, CA 94143, USA.
Department of Dermatology, University of California San Francisco, 1701 Divisadero Street, 3rd Floor, San Francisco, CA 94115, USA.
Infect Dis Clin North Am. 2021 Mar;35(1):61-79. doi: 10.1016/j.idc.2020.10.001. Epub 2020 Dec 7.
Cellulitis is a common clinical diagnosis in the outpatient and inpatient setting; studies have demonstrated a surprisingly high misdiagnosis rate: nearly one-third of cases are other conditions (ie, pseudocellulitis). This high rate of misdiagnosis is thought to contribute to nearly $515 million in avoidable health care spending in the United States each year; leading to the delayed or missed diagnosis of pseudocellulitis and to delays in appropriate treatment. There is a broad differential diagnosis for pseudocellulitis, which includes inflammatory and noninflammatory conditions of the skin. Accurate diagnosis of the specific condition causing pseudocellulitis is crucial to management, which varies greatly.
蜂窝织炎是门诊和住院环境中的常见临床诊断；研究表明误诊率惊人地高：近三分之一的病例为其他疾病（即假性蜂窝织炎）。这种高误诊率被认为导致了美国每年近 5.15 亿美元的医疗保健费用的浪费；导致假性蜂窝织炎的诊断延迟或遗漏，以及适当治疗的延迟。假性蜂窝织炎的鉴别诊断范围很广，包括皮肤的炎症和非炎症性疾病。准确诊断导致假性蜂窝织炎的具体疾病对于管理至关重要，因为管理方法差异很大。
