CAJ | 학술논문

目的探讨恶性萎缩性丘疹(Degos)病误诊为艾滋病的原因和诊断应该注意的问题.方法收集1 例Degos病误诊为艾滋病的患者的临床资料,回顾分析其临床症状及诊断和误诊过程.结果误诊原因主要是患者首发症状不典型,医患双方对Degos病缺乏认识,询问病史不详细.结论感染科医务人员要在提高对艾滋病认识的同时,提高对其他皮疹性疾病的认识,对以腹痛、皮疹、发热就诊的患者要详细询问病史并做相应的检查,以免漏诊及误诊.
목적 탐토악성위축성구진(Degos)병오진위애자병적원인화진단응해주의적문제.방법 수집1 례Degos병오진위애자병적환자적림상자료,회고분석기림상증상급진단화오진과정.결과 오진원인주요시환자수발증상불전형,의환쌍방대Degos병결핍인식,순문병사불상세.결론 감염과의무인원요재제고대애자병인식적동시,제고대기타피진성질병적인식,대이복통、피진、발열취진적환자요상세순문병사병주상응적검사,이면루진급오진.
Objective To investigate the causes of the misdiagnosed Degos' disease as AIDS and the problems should be noted in diagnosing.Methods To collect clinical data of a patient with Degos disease,retrospective analysis the process of diagnosis and misdiagnosis of their clinical symptom.s.Results 1 patient with Degos disease was misdiagnosed as AIDS,the causes of misdiagnosis is mainly in patients with atypical symptoms,both doctors and patients lack of understanding of Degos disease,medical histories were not inquired in detail.Conclusion Medical staff in Infectious Disease should deepen the understanding toward HIV infection,at the same time,raise awareness of other diseases of skin rashes;and should inquire medical histories of the patients who have abdominal pain,rash,fever in detail,then do some corresponding checks,in order not to avoid any missed diagnosis and misdiagnosis.