全国多中心皮炎湿疹患者继发感染情况及其相关因素分析

目的调查皮炎湿疹基础上继发皮肤感染的情况及其相关危险因素,为皮炎湿疹继发的预防及治疗提供依据。方法对2014年3～5月在全国31家三甲医院皮肤科门诊就诊的6 208例符合标准的皮炎湿疹患者进行皮肤继发感染率的问卷调查,其中57例因信息不全排除。分析年龄、性别、瘙痒程度、过敏史、病程、皮肤干燥史、婴儿湿疹史、屈侧皮炎史与皮肤继发感染的相关性。结果皮炎湿疹患者皮肤继发感染率为8. 44%(525/6 208)。皮炎湿疹继发感染率排名前4位的是自家敏感性皮炎40. 9%(47/115)、变应性接触性皮炎25. 8%(60/233),盘状湿疹20. 9%(54/258),泛发性湿疹18. 9%(79/417)。性别、瘙痒程度、过敏史、病程、皮肤干燥史、婴儿湿疹史是皮炎湿疹患者皮肤继发感染的相关危险因素。7结论皮炎湿疹患者皮肤继发感染常见多发,临床诊疗工作中要关注皮炎湿疹继发感染的影响因素,进行有效预防和治疗。

继发于无乳链球菌脓毒症的双侧乳腺细菌性蜂窝织炎(法语)

Background.We report a case of group B streptococcal septicemia of digestive origin with secondary bilateral breast dermal-hypodermal localization.Case report.A 71-year-old woman with a past history of bilateral breast cancer treated by conservation therapy was hospitalized because of the sudden occurrence of two clearly delimited,inflammatory,dermal-hypodermal cutaneous plaques located on each breast,associated with fever(39°C),4 days after a colonoscopy.Further investigations eliminated carcinomatous mastitis and blood cultures were positive for group B β-hemolytic streptococcus(Streptococcus agalactiae).Histological examination of a sigmoid polyp revealed a tubular adenocarcinoma.Discussion.We report the first documented case of secondary dermal-hypodermal bacterial skin infection(cellulitis)due to group B β-hemolytic streptococcus.The occurrence after colonoscopy examination,chronology of clinical features,bilaterality and positive blood cultures are arguments in favor of the secondary nature of the skin infection process.

急性硫酸二甲酯中毒11例报告

硫酸二甲酯为无色略有葱头气味的油状液体,易挥发。广泛用于制药、香料、染料等工业。本品属高毒类、在生产,搬运或使用过程中,常由于意外事故而发生急性中毒。本文报告11例中9例系轻度急性硫酸二甲酯中毒,2例为刺激反应,均住院治疗,现将各病例过程分析报告如下。

先天性大疱性表皮松懈症12例报告

先天性大疱性表皮松懈症是一种少见的常染色体遗传性疾病。本院自1979年以来共收治12例,除2例自动出院外,余全部治愈出院。现报告如下。临床资料一、一般资料: 男9例,女3例。日龄为生后3小时～15天。皮损发现时间生时即有7例,生后1～11天5例。1例因头盆不称行剖腹产,余足月顺产。本组均无窒息史。体重2500～3500g,父母无近亲史。1例母孕3个月时患疟疾,经抗疟治疗。另一例孕期两下肢轻度水肿,原有高血压史,曾服降压药及钙片。1例其兄生后即患本病,数年来时轻时重,