儿童猩红热87例临床表现及皮疹特征

目的探讨当前儿童猩红热的临床表现及皮疹特征。方法收集2009年8月-2011年12月笔者诊断为猩红热的患儿87例,对其临床表现及皮疹特征进行分析。结果 87例患儿中,发热42例(48.3%),咽痛73例(83.9%),咽峡炎77例(88.5%),典型皮疹51例(58.6%),不典型皮疹36例(41.4%);发现面部针尖大丘疹84例(96.6%),躯干针头大丘疹伴砂纸感75例(86.2%),手足针头大丘疹伴砂纸感79例(90.8%)。结论儿童猩红热的临床表现倾向轻症化;首次发现猩红热患儿面部常有针尖大丘疹;猩红热患儿面部针尖大丘疹、躯干和手足的针头大丘疹伴砂纸感具有特征性。

Clinical Manifestations and Characteristic Skin Rashes in Children with Scarlet Fever: Analysis of 87 Cases

Objective To investigate the clinical manifestations and characteristic skin rashes in children with Scarlet fever in recent years.Methods The clinical data from 87 children with Scarlet fever were collected between August 2009 and December 2011.The clinical manifestations and characteristic skin rashes occurred in these children were retrospectively analyzed.Results The clinical manifestations occurred in the 87 children included fever in 42 patients(48.3%),pharyngodynia in 73 patients(83.9%),angina in 77 patients(88.5%),typical skin rashes in 51 patients(58.6%) and atypical skin rashes in 36 patients(41.4%).The characteristic skin rashes appeared in these children included pinpoint sized papules on face in 84 patients(96.6%),pinhead sized papules with the feel of sandpaper on trunk in 75 patients(86.2%) and on hands-feet in 79 patients(90.8%).Conclusions Scarlet fever children currently show a tendency toward mild clinical manifestations.It is first discovered that pinpoint sized papules often appear on face in children with Scarlet fever.Pinpoint sized papules on face,pinhead sized papules with the feel of sandpaper on trunk and on hands-feet are the characteristic skin rashes in Scarlet fever children.