BMJ Best Practice
最后审核时间: 七月 2019
最近更新时间: 六月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 有证据的咬伤/蜇伤
  • 局部水肿
  • 局部疼痛

其他诊断因素

  • 脓疱
  • 靶心状皮疹
  • 手掌和脚掌皮疹
  • 线状凸起皮疹

危险因素

  • 职业或娱乐活动中接触到昆虫
  • 地域性昆虫接触
  • 过敏(或过敏样)反应既往史

诊断性检查

需要考虑的检查

  • 全血细胞计数 (FBC)
  • 血清纤维蛋白溶酶
  • 敏感性试验
全部具体信息

治疗流程

贡献者

Tom Morrissey MD, PhD

Associate Professor

Department of Emergency Medicine

University of Florida

Jacksonville

FL

利益冲突披露
TM declares that he has no competing interests.

Tom Morrissey would like to gratefully acknowledge the assistance of Richard Vetter (MS) from the Department of Urban Entomology at the University of California.

利益冲突披露
Not disclosed.

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Allergist and Immunologist

Jacobs Ramirez and Freeman Allergy & Immunology

San Antonio

TX

利益冲突披露
TMF is an author of a number of references cited in this topic.

Clinical Director

Acute Medicine

Associate Medical Director

Consultant Emergency Medicine

Guy's and St Thomas' NHS Foundation Trust

Clinical Lead and Consultant

Accident Emergency Medicine

St Thomas' Hospital

London

UK

利益冲突披露
AP declares that he has no competing interests.

Chairman and Professor

Department of Medicine

Professor of Pediatrics

Billy S. Guyton Distinguished Professor

University of Mississippi Medical Center

Jackson

MS

利益冲突披露
RD is an author of a reference cited in this topic.

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