TAILIEUCHUNG - Chapter 018. Fever and Rash (Part 3)

Confluent Desquamative Erythemas These eruptions consist of diffuse erythema frequently followed by desquamation. The eruptions caused by group A Streptococcus or Staphylococcus aureus are toxin mediated. Scarlet fever (Chap. 130) usually follows pharyngitis; patients have a facial flush, a "strawberry" tongue, and accentuated petechiae in body folds (Pastia's lines). Kawasaki disease (Chaps. 54 and 319) presents in the pediatric population as fissuring of the lips, a strawberry tongue, conjunctivitis, adenopathy, and sometimes cardiac abnormalities. Streptococcal toxic shock syndrome (Chap. 130) manifests with hypotension, multiorgan failure, and often a severe group A streptococcal infection (., necrotizing fasciitis). . | Chapter 018. Fever and Rash Part 3 Confluent Desquamative Erythemas These eruptions consist of diffuse erythema frequently followed by desquamation. The eruptions caused by group A Streptococcus or Staphylococcus aureus are toxin mediated. Scarlet fever Chap. 130 usually follows pharyngitis patients have a facial flush a strawberry tongue and accentuated petechiae in body folds Pastia s lines . Kawasaki disease Chaps. 54 and 319 presents in the pediatric population as fissuring of the lips a strawberry tongue conjunctivitis adenopathy and sometimes cardiac abnormalities. Streptococcal toxic shock syndrome Chap. 130 manifests with hypotension multiorgan failure and often a severe group A streptococcal infection . necrotizing fasciitis . Staphylococcal toxic shock syndrome Chap. 129 also presents with hypotension and multiorgan failure but usually only S. aureus colonization not a severe S. aureus infection is documented. Staphylococcal scalded-skin syndrome Chap. 129 is seen primarily in children and in immunocompromised adults. Generalized erythema is often evident during the prodrome of fever and malaise profound tenderness of the skin is distinctive. In the exfoliative stage the skin can be induced to form bullae with light lateral pressure Nikolsky s sign . In a mild form a scarlatiniform eruption mimics scarlet fever but the patient does not exhibit a strawberry tongue or circumoral pallor. In contrast to the staphylococcal scalded-skin syndrome in which the cleavage plane is superficial in the epidermis toxic epidermal necrolysis Chap. 56 a maximal variant of Stevens-Johnson syndrome involves sloughing of the entire epidermis resulting in severe disease. Exfoliative erythroderma syndrome Chaps. 53 and 56 is a serious reaction associated with systemic toxicity that is often due to eczema psoriasis mycosis fungoides or a severe drug reaction. Vesiculobullous Eruptions Varicella Chap. 173 is highly contagious often occurring in winter or spring. At any point .

• Y học thường thức
• Fever and Rash
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Harrisons principles of internal medicine
• Internal medicine
• Quality of health care
• Developed countries
• Health care systems
• Chest discomfort
• Clinical medicine
• The cardiovascular system
• Critical care medicine
• The kidney and urinary tract
• The gastrointestinal system
• The joints and adjacent tissues
• Neoplasms of the Lung
• tài liệu y khoa
• bệnhbệnh học và điều trị
• Sodium and Water học và điều trị
• General considerations in clinical medicine
• Cardinal manifestations
• Presentation of diseases
• The environment and disease
• Regenerative medicine
• Introduction to clinical medicine
• The environment
• Disorders of the cardiovascular system
• Disorders of the respiratory system
• Disorders of the gastrointestinal system
• Infectious diseases
• The respiratory system
• Neurologic Disorders
• Moraxella Infections
• Haemophilus Infections
• Bệnh truyền nhiễm
• Tim mạch
• Tiết niệu
• Tiêu hóa
• Cơ xương khớp
• Acute rheumatic fever
• Antiphospholipid syndrome
• Inflammatory myopathies
• Relapsing polychondritis
• Pituitary tumor syndromes