中国麻风皮肤病杂志 ›› 2020, Vol. 36 ›› Issue (10): 581-583.doi: 10.12144/zgmfskin202010581

• 论著 • 上一篇    下一篇

198例儿童传染性红斑临床特征分析

郑冰洁,周景,林晓,崔祥祥,姚晨龙,钱秋芳   

  1. 上海市儿童医院，上海市交通大学附属儿童医院皮肤科，上海，200062
  • 出版日期:2020-10-15 发布日期:2020-09-22
  • 通讯作者: 钱秋芳，E-mail: qianqf@shchildren.com.cn

Analysis of the clinical characteristics of 198 children with erythema infectiosum

ZHENG Bingjie, ZHOU Jing, LIN Xiao, CUI Xiangxiang, YAO Chenlong, QIAN Qiufang   

  1. Department of Dermatology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai 200062, China
  • Online:2020-10-15 Published:2020-09-22
  • Contact: QIAN Qiufang, E-mail: qianqf@shchildren.com.cn

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摘要： 回顾性分析2017年11月至2019年12月我院皮肤科就诊的198例传染性红斑患儿临床资料。198例患儿中，男121例(61.1%)，女77例(38.9%)，平均年龄（6.49±2.63）岁。最常见的皮肤表现为面颊掌掴样红斑（153例，77.3%），其次是上、下肢网状红斑（132例，110例，分别占66.7%、55.6%）。57例（28.8%）患儿皮损有轻度瘙痒。22例（11.1%）出现了发热，17例（8.6%）出现了上呼吸道感染症状。134例（67.7%）患儿接受了血清B19-IgM、IgG检测，其中110例（55.6%）B19-IgM阳性。治疗药物包括中成药、抗组胺药及糖皮质激素，皮疹持续时间4～21天，平均10天。

关键词: 传染性红斑, 临床特征

Abstract: The data of 198 children with infectious erythema were analyzed retrospectively in the department of dermatology of our hospital from November 2017 to December 2019. Of 198 children, 121(61.1%) were male and 77(38.9%) were female. The average age of these patients was (6.49±2.63) years old. The most common skin manifestation was slapped-cheek erythema (153 cases, 65.6%), followed by reticular erythema on upper (132 cases, 55.6%) and lower extremities (110 cases, 55.6%). Fifty five patients (28.8%) had mild itching. Twenty two (11.1%) patients had fever and 17(8.6%) had symptoms of upper respiratory tract infection. Of the 134(67.7%) children who were tested for serum pathogens, 110(55.6%) were positive for B19-IgM. The treatment included proprietary Chinese medicines, antihistamines and glucocorticoids. The duration of the lesions was from 4 to 21 days, with an average of 10 days.

Key words: erythema infectiosum, clinical characteristics