Cellulitis
Cellulitis
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DOI：
10.1056/nejmcp031807
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发表时间：
2004-02-26
影响因子：
158.5
通讯作者：
Swartz, MN
中科院分区：
文献类型：
--
作者：
Swartz, MN
前言本期刊专题以一个案例小插图开头，强调了一个常见的临床问题。然后提出支持各种策略的证据，然后对正式指南（如果存在）进行审查。文章最后给出了作者的临床建议。阶段一名原本健康的 40 岁男性感到发烧，并注意到脚背疼痛和发红。压痛性水肿和红斑向胫前区域扩展。脚趾之间出现裂缝。需要哪些诊断程序和治疗？临床问题蜂窝组织炎是一种真皮和皮下组织的急性、扩散性化脓性炎症，通常会并发伤口、溃疡或皮肤病。该区域通常位于腿部，有压痛、发热、红斑和肿胀。它与未受累皮肤没有明显的分界。丹毒是一种浅表蜂窝织炎，伴有明显的淋巴受累，表现为硬化的“橙皮”外观。 。 。
ForewordThisJournalfeature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.StageAn otherwise healthy 40-year-old man felt feverish and noted pain and redness over the dorsum of his foot. Tender edema and erythema extended up the pretibial area. Fissures were present between the toes. What diagnostic procedures and treatment are indicated?The Clinical ProblemCellulitis is an acute, spreading pyogenic inflammation of the dermis and subcutaneous tissue, usually complicating a wound, ulcer, or dermatosis. The area, usually on the leg, is tender, warm, erythematous, and swollen. It lacks sharp demarcation from uninvolved skin. Erysipelas is a superficial cellulitis with prominent lymphatic involvement, presenting with an indurated, “peau d'orange” appearance with . . .