误诊为水痘的急性泛发性发疹性脓疱病1例

A Case of Acute Generalized Exanthematous Pustulosis Misdiagnosed as Varicella

报道1例被误诊为水痘的急性泛发性发疹性脓疱病患者。以"躯干散在红斑、水疱伴发热2天"为主诉收治我院感染科,诊断成人水痘,抗病毒治疗无效。症状逐渐加重,皮肤表面开始出现大疱、脓疱,后联合多学科会诊,仔细追问病史,结合多项检查,最后确诊为急性泛发性发疹性脓疱病。因该患者皮疹表现特殊,早期难以与其他疾病鉴别,因此本文拟就误诊的原因进行探讨,总结经验避免类似情况再出现。

A case of acute generalized exanthematous pustulosis disease misdiagnosed as varicella was reported.he was admitted to the infection department of our hospital with the chief complaint of"scattered erythema and blisters on the trunk with fever for 2 days",and was diagnosed as adult varicella.Antiviral treatment was ineffective.The symptoms gradually worsened,and bullae and pustules began to appear on the skin surface.After multidisciplinary consultation,careful questioning of medical history and multiple examinations,the patient was finally diagnosed as acute generalized exellusive impetigo.Since the rash of this patient is special,it is difficult to distinguish it from other diseases in the early stage.Therefore,this paper will discuss the causes of misdiagnosis and summarize experience to avoid similar situations.