【摘要】：目的分析37例白塞病誤診的原因,加深臨床醫(yī)師對本病的認(rèn)識。方法收集本科2009年1月-2015年12月曾經(jīng)誤診的白塞病37例,對其臨床表現(xiàn)、誤診的疾病和科室進(jìn)行原因分析。診斷標(biāo)準(zhǔn)采用2014年白塞病的國際標(biāo)準(zhǔn)評分系統(tǒng)。結(jié)果臨床表現(xiàn)中,口腔潰瘍37例(100%),結(jié)節(jié)性紅斑18例(48.65%),針刺反應(yīng)陽性22例(59.46%),生殖器潰瘍9例(24.32%),眼部病變15例(40.54%),關(guān)節(jié)疼痛13例(35.13%),毛囊炎13例(35.13%),紫癜樣皮損2例(5.40%),多形紅斑樣皮損和神經(jīng)病變各1例(2.70%)。誤診為結(jié)節(jié)性紅斑15例(40.54%),阿弗他潰瘍9例(24.32%),鞏膜炎及結(jié)膜炎6例(16.22%),外陰潰瘍2例(5.40%),固定性藥疹2(5.40%);復(fù)發(fā)性生殖器皰疹、過敏性紫癜1例和腦梗死各1例(2.70%)。結(jié)論白塞病臨床表現(xiàn)多樣,因首發(fā)癥狀不一而就診科室不同;本病的診斷沒有特異性的血清學(xué)診斷,所以需要綜合考慮,避免臨床上誤診或漏診。
[Abstract]:Objective to analyze the causes of misdiagnosis in 37 cases of Behcet's disease. Methods 37 cases of Behcet's disease which were misdiagnosed from January 2009 to December 2015 were collected. The clinical manifestations, misdiagnosed diseases and the causes of misdiagnosis were analyzed. The diagnostic criteria were based on the 2014 international standard scoring system for Behcet's disease. Results there were 37 cases (100%) of oral ulcer, 18 cases (48.65%) of erythema nodule, 22 cases (59.46%) of positive acupuncture reaction, 9 cases (24.32%) of genital ulcer, 15 cases (40.54%) of ocular diseases. There were 13 cases of joint pain (35.13%), 13 cases of folliculitis (35.13%), 2 cases of purpura lesions (5.40%), 1 case of polymorphic erythematoid lesions and 1 case of neuropathy (2.70%). 15 cases (40.54%) were misdiagnosed as nodular erythema, 9 cases (24.32%) were aphthous ulcer, 6 cases (16.22%) were scleral inflammation and conjunctivitis, 2 cases (5.40%) were vulvar ulcer, 2 (5.40%) were fixed drug rash. Recurrent genital herpes, Henoch-Schonlein purpura in 1 case and cerebral infarction in 1 case (2.70%). Conclusion the clinical manifestations of Behcet's disease are various and the first symptoms are different. The diagnosis of Behcet's disease has no specific serological diagnosis so it should be considered synthetically to avoid misdiagnosis or missed diagnosis.
【作者單位】： 云南省曲靖第一人民醫(yī)院(昆明醫(yī)科大學(xué)附屬曲靖醫(yī)院)皮膚科;
【分類號】：R597.9

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