Mesh : Chronic Disease Dermatitis, Allergic Contact / diagnosis Diagnosis, Differential Erythema / diagnosis Humans Leg Varicose Veins / diagnosis

来  源:   DOI:10.1111/ddg.14816

Abstract:
Acute or chronic redness of the lower leg is a frequent reason for visits to clinics and practices. The differential diagnosis is often challenging. The aim of this guideline is to define criteria and procedures for the differential diagnosis of acute or chronic, unilateral or bilateral redness of the lower leg. Finding the correct diagnosis is essential for selecting an appropriate treatment and can help to reduce the inappropriate use of antibiotics. The guideline committee identified the most relevant differential diagnoses: 1. erysipelas, 2. stasis dermatitis, 3. hyperergic ictus reaction, 4. superficial and deep vein thrombosis, 5. gout, 6. chronic allergic contact dermatitis, and 7. acute toxic or allergic contact dermatitis. Algorithms/diagnostic pathways, each of which can be broken down into anamnesis, clinical examination, and diagnostics, have been developed for these seven diagnoses. In addition, the guideline group identified over 40 other relevant diagnoses and summarized their characteristics in a table to facilitate further differential diagnoses.
摘要:
小腿的急性或慢性发红是经常去诊所和诊所的原因。鉴别诊断通常具有挑战性。本指南的目的是定义急性或慢性疾病的鉴别诊断标准和程序。小腿单侧或双侧发红。找到正确的诊断对于选择适当的治疗方法至关重要,并且可以帮助减少抗生素的不当使用。指导委员会确定了最相关的鉴别诊断:1.丹毒,2.淤滞性皮炎,3.高发性发作反应,4.浅静脉和深静脉血栓形成,5.痛风,6.慢性过敏性接触性皮炎,和7.急性中毒性或过敏性接触性皮炎。算法/诊断路径,每个都可以分解成回忆,临床检查,和诊断,已经为这七个诊断开发了。此外,指南组确定了40余例其他相关诊断,并在表格中总结了其特征,以促进进一步的鉴别诊断.
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