MBBS (Hons), BMedSc, FRACGP, DCH, PDipDerm, General Practitioner, Tas.
AM, BSc (Hons), MBBS, MPH, FACD, FAFOEM, Consultant Dermatologist and Occupational Physician; Adjunct Clinical Associate Professor, Monash University, Vic; Honorary Associate Professor, The University of Melbourne, Vic; Director, Occupational Dermatology Research and Education Centre, Vic.
Aust J Gen Pract. 2021 Apr;50(4):231-236. doi: 10.31128/AJGP-02-20-5246.
Patients with viral exanthems commonly present to the general practitioner. Although it can be challenging to make a specific diagnosis on the basis of the clinical presentation, most viral exanthems can be distinguished initially on the basis of age, distribution and morphology of the rash without requiring investigations.
The aim of this article is to provide an initial guide to the clinical diagnosis of viral exanthems based on age, distribution and morphology of the rash.
Although most viral exanthems can present at any age, it may be helpful to initially consider certain exanthems depending on the age of the patient. Following consideration of differential diagnoses according to age groups, it is proposed that most exanthems can be distinguished by the distribution and morphology of the rash. Other diagnostic considerations include associated symptoms and diagnostic tests if applicable.
患有病毒性出疹的患者通常会去看全科医生。虽然根据临床表现做出明确诊断具有一定挑战性,但大多数病毒性出疹通常可以根据出疹的年龄、分布和形态初步区分,而无需进行检查。
本文旨在根据出疹的年龄、分布和形态为病毒性出疹的临床诊断提供初步指导。
虽然大多数病毒性出疹可发生于任何年龄,但根据患者的年龄,首先考虑某些出疹可能会有所帮助。在根据年龄组考虑鉴别诊断后,提出大多数出疹可以根据出疹的分布和形态来区分。其他诊断注意事项包括相关症状和适用的诊断测试。