中华皮肤科杂志 ›› 2009, Vol. 42 ›› Issue (6): 374-376.

• 论著 • 上一篇    下一篇

登革热皮疹87例分析

杨晴1,夏瑾瑜2,李春娜2,等3   

  1. 1. 中山大学附属第五医院
    2. 珠海，中山大学附属第五医院感染科
    3.
  • 收稿日期:2008-06-03 修回日期:2008-07-03 出版日期:2009-06-15 发布日期:2009-06-03
  • 通讯作者: 杨晴

Skin rashes in 87 patients with dengue fever

  • Received:2008-06-03 Revised:2008-07-03 Online:2009-06-15 Published:2009-06-03

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摘要：

目的 分析登革热皮疹的临床表现及特点。方法 对2007年8 - 10月本院收治的126例登革热住院患者中伴发皮疹的87例临床资料进行分析。结果 登革热患者69.0%（87/126）出现皮疹，出疹时间在发热后1 ~ 11天，59.7%（52/87）于发热后3 ~ 7天出疹，67.8%（59/87）出疹无明显顺序。43.7%（38/87）为躯干合并四肢出疹，34.5%（30/87）为四肢出疹。皮疹为斑疹者占14.9%（13/87），斑丘疹占14.9%（13/87），丘疹占18.4%（16/87），各种出血疹占26.4%（23/87），混合皮疹占21.8%（19/87）。结论 登革热患者在发热后3 ~ 7天出疹；出疹部位以四肢躯干为多；皮疹形态有斑疹、斑丘疹、丘疹、出血疹、疱疹等。

关键词: 登革热;皮疹

Abstract:

Objective To investigate the appearance and characteristics of skin rashes in patients suffering from dengue fever. Methods Clinical data were retrospectively analyzed for 126 hospitalized patients with dengue fever collected from August to October, 2007. Results Out of 126 patients with dengue fever, 69.0% （87/126） had skin rashes, which usually developed from day 1 and 11 after fever. About 59.7% （52/87） of these patients developed skin rashes from day 3 to 7 after fever. No eruption order was evidenced in 59 （67.8%） patients. Skin rashes were located in both the trunk and limbs in 38 （43.7%） patients, and only in the limbs in 30 （34.5%） patients. The incidence rates of maculae, maculopapules, papules, hemorrhagic rash and mixed eruptions were 14.9% （13/87）, 14.9% （13/87）, 18.4% （16/87）, 26.4% （23/87） and 21.8% （19/87）, respectively. Conclusions Most patients with dengue fever developed skin rashes from day 3 to 7 after fever. Limbs and trunk are predilection sites of skin rashes in dengue fever. Skin rashes in dengue fever is complex, including maculae, papules, hemorrhagic rashes, vesicles and mixed rashes.