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目的探讨伴皮疹的小儿传染性单核细胞增多症(IM)的临床特征及误诊原因。方法对近5 a来确诊的伴皮疹小儿IM 16例临床资料进行回顾性分析。结果以皮疹为主要症状就诊的IM很易误诊,16例中误诊12例(75%)主要被误诊为病毒性上呼吸道感染、猩红热、药疹及川崎病。结论 IM临床表现多样化,伴皮疹者误诊率高。为明确诊断,对可疑IM应综合分析判断,及时行外周血异型淋巴细胞镜检,并行血清特异性抗体检测。
Objective To investigate the clinical features and misdiagnosis of infantile infectious mononucleosis (IM) with rash. Methods A retrospective analysis was performed on 16 cases of infantile IM with confirmed rash in recent 5 years. The results of the rash as the main symptom treatment of IM is easy to misdiagnosis, misdiagnosis in 16 cases, 12 cases (75%) were mainly misdiagnosed as viral upper respiratory tract infection, scarlet fever, drug eruption and Kawasaki disease. Conclusion IM clinical manifestations of diversification, with misdiagnosis of rash high. In order to confirm the diagnosis, the suspicious IM should be comprehensively analyzed and judged, and the peripheral blood lymphocyte microscopy and parallel serum specific antibody test should be performed in time.