BMJ:蚊虫叮咬所致的过敏性淋巴管炎——病例报道

2016-11-30 MedSci MedSci原创

患者,男性,9岁,双脚突然出现皮疹。患者自述病损部位瘙痒,但是无痛。询问病史,患者自述两天前双脚被蚊子叮咬。体格检查发现患者双脚出现不对称的红色条纹(图1⇓)。患者并未出现发热和腹股沟淋巴结肿大。根据病史和临床表现,初步诊断为蚊虫叮咬所致的浅表淋巴管炎。给予患者外用强效类固醇药物,用药不足5天皮疹开始消退。浅表淋巴管炎可发生于蚊虫叮咬后的一种过敏性反应,并没有感染的发生。原始出处:Mitsuhit

患者,男性,9岁,双脚突然出现皮疹。患者自述病损部位瘙痒,但是无痛。

询问病史,患者自述两天前双脚被蚊子叮咬。体格检查发现患者双脚出现不对称的红色条纹(图1⇓)。患者并未出现发热和腹股沟淋巴结肿大。

图1

根据病史和临床表现,初步诊断为蚊虫叮咬所致的浅表淋巴管炎。

处理措施:给予患者外用强效类固醇药物,用药不足5天皮疹开始消退。

浅表淋巴管炎可发生于蚊虫叮咬后的一种过敏性反应,并没有感染的发生。

原始出处:

Mitsuhito Ota. Allergic lymphangitis. BMJ.2016.

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    2017-05-29 gaoxiaoe
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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Thu Dec 01 23:37:36 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159367, encodeId=623f15936e70, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90f31612316, createdName=xiaotaiyang1, createdTime=Thu Dec 01 10:59:11 CST 2016, time=2016-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=159291, encodeId=1681159291aa, content=过敏性淋巴管炎,引起淋巴管水肿, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 01 05:37:56 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-05 飘飘爱

    图片清晰

    0

  5. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 01 05:37:56 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-02 amyloid
  6. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 01 05:37:56 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-01 老段

    学习了,赞一下!

    0

  7. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 01 05:37:56 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-01 xiaotaiyang1

    了解一下

    0

  8. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 01 05:37:56 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-01 邓启付

    过敏性淋巴管炎,引起淋巴管水肿

    0

  9. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 01 05:37:56 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-01 半夏微凉

    学习了,谢谢!

    0

  10. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 01 05:37:56 CST 2016, time=2016-12-01, status=1, ipAttribution=)]
    2016-12-01 刘煜

    学习新知识谢谢分享

    0