ABORDAGEM DIAGNÓSTICO DAS DOENÇAS EXANTEMÁTICAS DA INFÂNCIA

Cláudia Regina Soares
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Abstract

Childhood involvement due to exanthematous pathologies is one of the most common conditions in pediatric practice, frequently posing diagnostic challenges. Several conditions can lead to rash, with infectious causes being responsible for more than 70% of episodes. Most exanthemas are self-limited, however the correct identification of the etiology has clinical relevance due to the severity and deterioration of the prognosis in case of delay in diagnosis in certain cases, and for public health, considering the potential for contagion of infectious causes. The clinical nonspecificity of exanthematous diseases requires a systematic approach for early diagnosis that includes the collection of a complete anamnesis and a broad and careful physical examination. These are the main instruments for diagnostic elucidation, also allowing guidance for laboratory diagnostic conduct. This study aims to expose the main clinical-epidemiological characteristics of exanthemas, emphasizing that anamnesis and physical examination are the main tools to aid in the differential diagnosis and consequent management of patients affected by exanthematous disease in childhood.
儿童红斑性疾病的诊断方法
儿童时期因外皮病变引起的皮疹是儿科最常见的疾病之一,常常给诊断带来困难。多种疾病均可导致皮疹,其中 70% 以上的发病是由感染引起的。大多数外皮疹都是自限性的,但正确识别病因对临床具有重要意义,因为在某些情况下,如果延误诊断,预后就会恶化,而且考虑到传染病的潜在传染性,正确识别病因对公共卫生也具有重要意义。由于出血性疾病在临床上没有特异性,因此需要采用系统的方法进行早期诊断,包括收集完整的病史和进行广泛而仔细的体格检查。这些都是诊断阐释的主要工具,也可为实验室诊断提供指导。本研究旨在揭示外皮藓的主要临床流行病学特征,强调病史和体格检查是帮助鉴别诊断和治疗儿童外皮藓患者的主要工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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