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序言:
自首次出版的八年以來,本書已接受了好幾代實習醫師與住院醫師的考驗。他們的意見與見解造就了本書第三版。與以往一樣,我們將繼續致力於為兒科醫療人員的培訓提供便於攜帶的快速參考,特別強調高效益的資訊與實證醫學的做法。
為此,本書採用最新的參考文獻與資料完全改寫了此一新版本。
與先前一樣,此書的宗旨並不在於提供全面性的兒科治療,也不是內容中特定主題的詳盡治療。書中的主題是依據讀者所欲掌握的核心知識來作選擇。每個主題內容的選擇和組織,是由目前正在受訓的住院醫師於積極參與臨床實務的主治醫師之監修下進行,進而高效益地總覽每個主題。我們對每個章節進行了回顧,特別著重於新的實證醫學做法與學會或協會的指引,另外增加了超過100個新的引用文獻,以向感興趣的讀者指引更全面的治療方法。在缺乏實證的部分,我們則收錄公認的最佳做法及專家意見。
與以前的版本一樣,我們非常謹慎地系統性說明了每個參考文獻,以便可以在www.pubmed.gov上輕鬆搜尋,並可直接看到相關的文章。
我們也瞭解此書永遠是一本正在進行的工作,隨著對兒科學的了解,疾病過程相關的新知識日益進展,新的實驗室檢查與程序以及新的實證醫學指引等都不斷加入整個醫療資源中。我們致力於使內容盡可能是最新的,但絕不能取代臨床經驗和臨床判斷。
PARITOSH PRASAD, MD, DTM&H
目次
chapter 1 初級照護與青少年醫學(PRIMARY CARE AND ADOLESCENT MEDICINE)
Nicole Cifra, Francis Coyne, and Paritosh Prasad
發展里程碑(Developmental Milestones) 1
兒童保健(Healthcare Maintenance) 2
生長及營養(Growth & Nutrition) 5
生長遲緩,長不大(Failure to Thrive, FTT) 7
疫苗(Vaccinations) 8
嬰兒猝死症候群(Sudden Infant Death Syndrome, SIDS) 8
頭骨畸形(Skull Deformities) 9
鉛濃度篩檢和毒性(Lead Screening and Toxicity) 10
發展遲緩(Developmental Delay) 12
體重過重與肥胖(Overweight and Obesity) 13
飲食性疾患(Eating Disorders) 14
避孕法/婦科問題(Contraception/Gynecology) 15
初級醫療中的常見診斷(Common Diagnoses in Primary Care) 17
chapter 2 急診 (EMERGENCY DEPARTMENT)
Uzair Admani and Asim Abbasi
初步評估/創傷檢查(Initial Assessment/Trauma Exam) 20
初級評估(Primary Survey) 20
次級評估(Secondary Survey) 21
頭部/頸部創傷(Head/Neck Trauma) 21
呼吸系統急症(Respiratory Emergencies) 22
氣喘急性發作(Asthma Exacerbation) 22
過敏性反應(Anaphylaxis) 23
上呼吸道阻塞/喘鳴(Upper Airway Obstruction/Stridor) 24
心血管急症(Cardiovascular Emergencies) 25
休克(Shock) 25
心室上頻脈(SVT) 26
短暫消退的不明原因事件(之前稱為顯著威脅生命的事件)[Brue/Brief Resolved Unexplained Events (Formerly Alte)] 27
神經急症(Neurologic Emergencies) 28
癲癇/癲癇重積狀態(Seizures/Status Epilepticus) 28
熱性痙攣(Febrile Seizures) 28
頭痛/偏頭痛(Headaches/Migraines) 29
外科急症(Surgical Emergencies) 29
闌尾炎(Appendicitis) 29
腸套疊(Intussusception) 30
藥物食入/中毒症候群(Ingestions/Toxidromes) 31
乙醯胺酚食入(Acetaminophen Ingestion) 32
食入阿司匹林(Aspirin Ingestion) 33
食入有毒物質造成的心電圖改變(ECG Changes in Toxic Ingestions) 33
中毒症候群(Toxidromes) 33
急診臨床醫療處置(ED Procedures) 34
醫療處置中的鎮靜(Procedural Sedation) 34
撕裂傷的修補(Laceration Repair) 35
chapter 3 過敏反應和免疫學(ALLERGY AND IMMUNOLOGY)
Sylwia Nowak, Jeanne Lomas, and Maria A. Slack
上呼吸道(Upper Airway) 37
過敏性鼻炎(Allergic Rhinitis) 37
鼻竇炎(Sinusitis) 38
下呼吸道(Lower Airway) 38
食物過敏(Food Allergies) 39
食物過敏的概論和評估(Overview and Evaluation for Food Allergies) 39
口腔過敏症候群(Oral Allergy Syndrome) 40
食物蛋白誘發的直腸結腸炎(Food Protein-Induced Proctocolitis) 41
食物蛋白誘發的小腸結腸炎症候群(Food Protein-Induced Enterocolitis Syndrome, FPIES) 41
嗜伊紅性食道炎(Eosinophilic Esophagitis, EoE) 42
表皮/皮膚疾病(Cutaneous/Skin Disorders) 42
異位性皮膚炎(Atopic Dermatitis) 42
蕁麻疹(Urticaria) 43
遺傳性血管性水腫(Hereditary Angiodema) 44
接觸型皮膚炎(Contact Dermatitis) 45
其他(Other) 46
藥物過敏(Drug Allergies) 46
乳膠過敏(Latex Allergy) 46
蚊蟲叮咬過敏(Insect Sting Allergy) 47
免疫學(Immunology) 48
反覆感染的兒童的評估法(Approach to the Child with Recurrent Infections) 48
抗體/B細胞免疫缺乏症(Antibody/B-Cell Immunodeficiency) 49
T細胞/細胞性免疫缺乏症(T-Cell/Cellular Immunodeficiency) 49
吞噬細胞缺陷(Phagocytic Deficiency) 50
補體缺乏症(Complement Deficiency) 51
chapter 4 心臟學(CARDIOLOGY)
Peter Boulos and Michael Joynt
心電圖(Electrocardiography) 52
心電圖基礎(ECG Basics) 52
心電圖判讀(Approach to ECG Interpretation) 52
傳導異常(Conduction Abnormalities) 54
心律不整(Arrhythmias) 54
緩慢性心律不整(Bradyarrhythmias) 54
快速性心律不整(Tachyarrhythmias) 55
心室心律不整(Ventricular Arrhythmias) 56
暈厥(Syncope) 57
心雜音的評估(Approach to Heart Murmurs) 57
先天性心臟病(Congenital Heart Disease) 59
感染性心內膜炎之預防(Infective Endocarditis Prophylaxis) 59
阻塞性病灶(Obstructive Lesions) 59
非發紺性病灶(Acyanotic Lesions) 61
發紺性病灶(Cyanotic Lesions) 63
其他心臟病灶(Miscellaneous Lesions) 68
心臟手術與術後病程(Cardiac Procedures & Post-Operative Course) 69
常見先天性心臟病的術式(Common CHD Surgeries) 69
先天性心臟病之手術前考量(Preoperative CHD Considerations) 70
手術後考量(Postoperative Considerations) 71
介入性心臟學(Interventional Cardiology) 73
鬱血性心臟衰竭(Congestive Heart Failure) 73
心肌病變、心包膜炎、後天性病灶 75
(Cardiomyopathies, Pericarditis, & Acquired Lesions)
心肌病變(Cardiomyopathy, CM) 75
心包膜炎(Pericarditis) 77
後天性心臟病(Acquired Cardiac Disease) 78
chapter 5 內分泌學(ENDOCRINOLOGY)
Rose Barham and Shara Bialo
成長、青春期及相關疾病(Growth, Puberty, and Assoc Disorders) 81
身高(Height) 81
腎上腺疾病(Adrenal Disease) 89
甲狀腺疾病(Thyroid Disease) 92
鈣離子失調(Calcium Disorders) 93
腦下垂體疾病(Pituitary Disease) 95
內分泌症候群(Endocrine Syndromes) 96
糖尿病:第一型 vs. 第二型(Diabetes Mellitus: Type 1 vs. Type 2) 96
糖尿病酮酸中毒(Diabetic Ketoacidosis, DKA) 97
低血糖(Hypoglycemia) 99
脂質疾病(Lipid Disorders) 100
chapter 6 輸液與電解質(FLUIDS AND ELECTROLYTES)
Hilary Whelan and Erin Rademacher
維持的輸液量(Maintenance Fluids) 101
低血容積(Hypovolemia) 101
低血鈉(Hyponatremia) 103
高血鈉(Hypernatremia) 104
高血鉀(Hyperkalemia) 105
低血鈣(Hypocalcemia) 107
高血鈣(Hypercalcemia) 108
鎂的不平衡(Magnesium Disturbances) 109
磷的不平衡(Phosphorus Disturbances) 110
酸鹼性疾病(Acid/Base Disorders) 111
代謝性酸中毒(Metabolic Acidosis) 112
代謝性鹼中毒(Metabolic Alkalosis) 114
呼吸性酸中毒與鹼中毒(Respiratory Acidosis and Alkalosis) 115
chapter 7 腸胃病學(GASTROENTEROLOGY)
Margaret Connolly and Rebecca Abell
急性腹痛/嘔吐(Acute Abdominal Pain/Vomiting) 116
噁心/嘔吐的處理(Management of Nausea/Vomiting) 116
闌尾炎(Appendicitis) 117
腸阻塞(Obstruction) 117
便秘(Constipation) 119
先天性巨結腸症(Hirschsprung Disease) 119
功能性便秘(Functional Constipation) 120
腹瀉(Diarrhea) 120
急性腹瀉(Acute Diarrhea) 120
慢性腹瀉(Chronic Diarrhea) 121
乳糜瀉(Celiac Disease) 121
發炎性腸道疾病(Inflammatory Bowel Disease) 122
食道疾病(Esophageal Disorders) 124
食道閉鎖(Esophageal Atresia) 124
誤食異物(Foreign Body/Ingestions) 124
嗜伊紅性食道炎(Eosinophilic Esophagitis) 124
胃食道逆流疾病(GERD) 124
消化性潰瘍(Peptic Ulcer Disease) 125
胃腸道出血(GI Bleeding) 125
肝臟疾病(Hepatic Disorders) 126
黃疸(Jaundice) 127
黃疸的病因(Etiologies of Jaundice) 127
肝炎(Hepatitis) 128
胰臟炎(Pancreatitis) 129
急性胰臟炎(Acute Pancreatitis) 129
慢性胰臟炎(Chronic Pancreatitis) 130
chapter 8 血液學(HEMATOLOGY)
Francis Coyne and Craig Mullen
貧血(Anemia) 131
小球性貧血(Microcytic Anemias) 132
正球性貧血(Normocytic Anemias) 133
溶血性貧血(Hemolytic Anemias) 134
血紅素病變(Hemoglobinopathies) 138
大球性貧血(Macrocytic Anemias) 143
血小板疾病(Platelet Disorders) 145
血小板低下(Thrombocytopenia) 145
血小板功能異常(Platelet Function Disorders) 151
白血球疾病(Leukocyte Disorders) 152
白血球增多症(Leukocytosis) 152
嗜中性白血球低下(Neutropenia) 152
凝血疾病(Coagulation Disorders) 155
出血素質(Bleeding Diatheses) 155
血栓性疾病(Thrombotic Disorders) 158
全血球低下(Pancytopenia) 160
chapter 9 腫瘤學(ONCOLOGY)
Francis Coyne and Craig Mullen
淋巴結病變(Lymphadenopathy) 164
白血病(Leukemia) 164
急性白血病(Acute Leukemias) 167
淋巴瘤(Lymphoma) 167
何杰金氏淋巴瘤(Hodgkin Lymphoma) 170
非何杰金氏淋巴瘤(Non-Hodgkin Lymphoma) 173
中樞神經系統腫瘤(CNS Tumors) 174
後顱窩腫瘤(Posterior Fossa Tumors) 174
髓質母細胞瘤(Medulloblastoma) 174
高惡性度膠質細胞瘤(High-Grade Gliomas, HGG) 175
骨腫瘤(Bone Tumors) 176
骨肉瘤(Osteosarcoma) 177
Ewing氏肉瘤(Ewing Sarcoma) 178
固態腫瘤(Solid Tumors) 179
威爾姆氏瘤(腎母細胞瘤)[Wilms Tumor (Nephroblastoma)] 179
神經母細胞瘤(Neuroblastoma) 180
肝母細胞瘤(Hepatoblastoma) 181
腫瘤急症(Oncologic Emergencies) 183
發燒和中性球低下症(Fever and Neutropenia) 183
腫瘤溶解症候群(Tumor Lysis Syndrome) 184
白血球極度過多症與白血球鬱積症(Hyperleukocytosis and Leukostasis) 185
上縱膈腔症候群(Superior Mediastinal Syndrome) 186
脊髓壓迫(Spinal Cord Compression) 186
造血幹細胞移植(Hematopoietic Stem Cell Transplantation) 187
輸血治療(Transfusion Therapy) 189
化學治療(Chemotherapy) 191
噁心與嘔吐(Nausea and Vomiting) 191
化療的延遲效應(Late Effects of Chemotherapy) 191
急性毒性(Acute Toxicities) 192
chapter 10 遺傳與代謝(GENETIC AND METABOLISM)
Paritosh Prasad
產前篩檢和診斷(Prenatal Screening and Diagnostics) 194
帶因者篩檢(Carrier Screening) 194
胎兒異數體的篩檢(Screening for Fetal Aneuploidy) 194
診斷測試(Diagnostic Testing) 195
遺傳性疾病(Genetic Disorders) 195
異數體疾病(Aneuploidy Disorders) 195
X染色體脆折症(Fragile X Syndrome) 198
缺失症候群(Deletion Syndromes) 198
體染色體疾病(Autosomal Disorders) 199
先天性代謝異常(Inborn Errors of Metabolism) 200
先天性代謝異常的基本介紹(Basics of Inborn Errors of Metabolism) 200
代謝急症(Metabolic Emergencies) 202
陰離子間隙性酸中毒合併乳酸上升(Anion Gap Acidosis with Elevated Lactate) 204
低血糖(Hypoglycemia) 205
胺基酸代謝疾病(Aminoacidopathies) 207
脂肪酸氧化異常(Fatty Acid Oxidation Defects) 208
溶小體儲積症(Lysosomal Storage Disorders) 208
粒線體疾病(Mitochondrial Disorders) 211
chapter 11 感染性疾病(INFECTIOUS DISEASE)
Gregory Mak and Francis Gigliotti
新生兒發燒(Fever in Newborn) 212
新生兒B型鏈球菌感染(Group B Streptococcus in Neonates) 212
腦膜炎/腦炎(Meningitis/Encephalitis) 213
急性中耳炎和外耳炎(Acute Otitis Media and Externa) 214
咽炎(Pharyngitis) 214
眼眶周圍及眼眶蜂窩性組織炎(Periorbital and Orbital Cellulitis) 216
心內膜炎(Endocarditis) 216
肺炎(Pneumonia) 217
腸胃炎(Gastroenteritis) 218
腸系膜淋巴腺炎(Mesenteric Lymphadenitis) 219
闌尾炎(Appendicitis) 219
骨髓炎(Osteomyelitis) 220
敗血性關節炎(Septic Arthritis) 220
皮膚與軟組織感染(Skin and Soft Tissue Infections) 221
泌尿道感染(Urinary Tract Infection) 222
性傳染病(Sexually Transmitted Infections) 223
結核病(Tuberculosis) 226
病毒感染(Viral Infections) 226
蟲媒傳染病(Vector-Borne Diseases) 228
不明熱(Fever of Unknown Origin) 229
抗微生物製劑表(Antimicrobial Chart) 230
chapter 12 神經學(NEUROLOGY)
Emily Krainer, Justin Rosati, and Jonathan Mink
癲癇(Epilepsy) 233
第一次非誘發性發作(First Unprovoked Seizure) 234
無力(Weakness) 234
肌肉張力低下嬰兒(The Hypotonic Infant) 235
低張力嬰兒的圖解分析法(Schematic Approach to Hypotonia) 236
脫髓鞘疾病(Demyelinating Diseases) 236
格林-巴利症候群(Guillain-Barré Syndrome, GBS) 236
急性瀰漫性腦脊髓炎(Acute Disseminated Encephalomyelitis, ADEM) 237
多發性硬化症(Multiple Sclerosis, MS) 237
頭痛(Headaches) 238
偏頭痛(Migraines) 239
緊張型頭痛(Tension Headache) 239
三叉自律神經頭痛(Trigeminal Autonomic Cephalagias, TACs) 240
神經皮膚症候群(Neurocutaneous Syndromes) 240
結節性硬化症(Tuberous Sclerosis) 240
神經纖維瘤第一型(Neurofibromatosis Type 1) 241
神經纖維瘤第二型(Neurofibromatosis Type 2) 241
STURGE-WEBER症候群(Sturge-Weber Syndrome) 241
運動失調微血管擴張症候群(Ataxia Telangiectasia) 242
VON HIPPEL-LINDAU症候群(Von Hippel-Lindau) 242
腦震盪(Concussion) 242
動作障礙疾病(Movement Disorders) 243
運動失調(Ataxia) 243
抽動/妥瑞症(Tics/Tourette Syndrome) 243
腦性麻痺(Cerebral Palsy) 244
chapter 13 肺部(PULMONARY)
Caitlin Metzger, Peter Boulos, and Karen Voter
常見的呼吸問題(Common Respiratory Complaints) 246
依症狀分類(Respiratory Complaints by Symptom) 246
哮鳴(Wheezing) 247
氣喘(Asthma) 247
細支氣管炎(Bronchiolitis) 249
呼吸道感染(Respiratory Infections) 250
肺炎(Pneumonia) 250
百日咳(Pertussis) 252
咳血(Hemoptysis) 252
肋膜腔疾病(Diseases of the Pleural Space) 254
氣胸(Pneumothorax) 254
肋膜積液(Pleural Effusion) 255
囊性纖維病(Cystic Fibrosis) 256
上呼吸道的疾病(Diseases of the Upper Airway) 258
阻塞性呼吸中止症(Obstructive Sleep Apnea) 258
喉頭軟化症(Laryngomalacia) 258
氣管軟化症(Tracheomalacia) 259
上呼吸道阻塞(Upper Airway Obstruction) 259
下呼吸道的疾病(Lower Airway Disease) 260
兒童間質性肺疾病(Childhood Interstitial Lung Disease, CILD) 260
支氣管肺發育不全(Bronchopulmonary Dysplasia, BPD) 261
肺功能檢查(Pulmonary Function Tests) 262
chapter 14 腎臟(RENAL)
Julia Lister, Adam Bracken, and Erin Rademacher
尿液分析(Urinalysis) 264
概論(Overview) 264
血尿(Hematuria) 264
蛋白尿(Proteinuria) 266
急性腎損傷(Acute Kidney Injury) 267
慢性腎臟疾病(Chronic Kidney Disease) 269
腎小管中毒(Renal Tubular Acidosis) 271
高血壓(Hypertension) 272
腎病症候群(Nephrotic Syndrome) 275
腎絲球腎炎/腎炎症候群(Glomerulonephritis/Nephritic Syndromes) 277
尿結石(Urinary Calculi) 280
先天腎臟畸形(Congenital Renal Malformations) 281
膀胱輸尿管逆流(Vesicoureteral Reflux) 284
chapter 15 風濕病學(RHEUMATOLOGY)
Ajay Tambralli and Bethany Marston
實驗室檢查(Lab Studies) 286
關節炎(Arthritis) 288
跛行或拒絕步行的兒童(Child with a Limp or Refusal to Walk) 288
幼年型特發性關節炎(Juvenile Idiopathic Arthritis, JIA) 289
巨噬細胞活化症候群(Macrophage Activation Syndrome, MAS) 291
反應性關節炎(Reactive Arthritis) 292
全身性結締組織疾病(Systemic Connective Tissue Disease) 292
全身性紅斑性狼瘡(Systemic Lupus Erythematosus, SLE) 293
皮肌炎(Dermatomyositis) 295
硬皮症(Scleroderma) 296
混合型結締組織疾病(Mixed Connective Tissue Disease) 298
乾燥症(Sjögren Syndrome) 298
其他兒童骨骼肌肉疼痛(Other Pediatric Musculoskeletal Pain) 298
血管炎(Vasculitis) 299
大型血管炎(Large Vessel Vasculitis) 299
中型血管炎(Medium Vessel Vasculitis) 300
小型血管炎(Small Vessel Vasculitis) 301
抗嗜中性球細胞質抗體陽性的血管炎(ANCA (+) Vasculitis) 301
類肉瘤病(Sarcoidosis) 303
貝西氏症(Behçet Disease) 304
自體發炎疾病(Autoinflammatory Disease) 305
chapter 16 新生兒加護病房 (NICU)
Maha Kaissi and Rita Dadiz
產房處理(Delivery Room Management) 307
胎兒心率監視(Fetal Heart Rate Monitoring) 307
懷孕週數和出生體重分類(Gestational Age and Birth Weight Classification) 308
新生兒加護病房的基本處理(Basic NICU Management) 309
輸液、電解質和營養(Fluids, Electrolytes, and Nutrition) 309
肺部(Pulmonary) 310
呼吸窘迫症候群(Respiratory distress syndrome, RDS) 310
支氣管肺發育不良(Bronchopulmonary Dysplasia, BPD) 311
暫時性新生兒呼吸急促(Transient Tachypnea Of The Newborn, TTN) 311
肺炎(Pneumonia) 312
胎便吸入症候群(Meconium Aspiration Syndrome, MAS) 312
先天性橫膈膜疝氣(Congenital Diaphragmatic Hernia, CDH) 312
呼吸暫停(Apnea) 313
呼吸道融合病毒預防(RSV Prophylaxis) 313
心臟(Cardiology) 314
開放性動脈導管(Patent Ductus Arteriosus, PDA) 314
新生兒持續性肺高壓(Persistent Pulmonary Hypertension of the Newborn, PPHN) 314
腸胃病學(Gastroenterology) 314
壞死性腸炎(Necrotizing Enterocolitis, NEC) 314
氣管食道瘻管和食道閉鎖 [Tracheoesophageal Fistula (TEF) and Esophageal Atresia (EA)] 315
腹裂畸形(Gastroschisis) 316
臍膨出症(Omphalocele) 316
先天性巨結腸症(Hirschsprung Disease) 316
感染學(Infectious Diseases) 317
敗血症(Sepsis) 317
腦膜炎(Meningitis) 317
B型肝炎病毒(Hepatitis B Virus) 318
TORCHES感染(ToRCHeS Infections) 318
血液學(Hematology) 320
RH同種免疫(Rh Isoimmunization) 320
ABO同種免疫(ABO Isoimmunization) 320
高膽紅素血症(Hyperbilirubinemia) 321
神經學(Neurology) 323
腦室出血(Intraventricular Hemorrhage, IVH) 323
缺氧缺血性腦病變(Hypoxic Ischemic Encephalopathy, HIE) 324
新生兒抽搐發作(Neonatal Seizures) 326
chapter 17 兒童加護病房(PICU)
Uzair Admani and Jake Deines
加護病房照護的基本知識(Basics of ICU Care) 327
加護病房的鎮靜與疼痛控制(Sedation and Pain Control in the ICU) 327
PICU中的血管通路(Vascular Access in the PICU) 328
ICU中的相關預防(Prophylaxis in the ICU) 329
休克/心臟衰竭(Shock/Cardiac Failure) 329
氧氣輸送/生理學(Oxygen Delivery/Physiology) 329
休克類型(Types of Shock) 330
升壓劑(Pressors) 332
呼吸衰竭(Respiratory Failure) 332
基礎(Basics) 332
兒童急性呼吸窘迫症候群(Pediatric Acute Respiratory Distress Syndrome, ARDS) 334
氣喘急性發作(Asthma Exacerbation) 335
氧氣輸送和呼吸輔助(Oxygen Delivery and Ventilatory Assistance) 335
氧氣輸送裝置(Oxygen Delivery Devices) 335
非侵襲性正壓呼吸器(Noninvasive Positive Pressure Ventilation) 336
機械式呼吸輔助(Mechanical Ventilation) 337
神經系統衰竭(Neurologic Failure) 340
腦死(Brain Death) 340
癲癇重積狀態(Status Epilepticus) 340
顱內壓增高(Increased Intracranial Pressure, IICP) 340
內分泌急症(Endocrine Emergencies) 341
糖尿病酮酸中毒(Diabetic Ketoacidosis, DKA) 341
抗利尿激素不適當分泌症候群(Syndrome of Inappropriate ADH, SIADH) 341
尿崩症(Diabetes Inspidus, DI) 342
大腦耗鹽症候群(Cerebral Salt Wasting, CSW) 342
體外膜氧合/體外生命支持(ECMO/ECLS) 342
chapter 18 兒童皮膚病的臨床影像(CLINICAL IMAGES IN PEDIATRIC DERMATOLOGY)
Sakina Attaar and Maria Cordisco
皮膚學(Dermatology) 345
臨床皮膚學總覽(Overview of Clinical Dermatology) 345
新生兒中常見的皮膚病灶(Common Skin Lesions in Neonates) 349
濕疹性病灶(Eczematous Lesions) 350
常見兒童期病灶(Common Childhood Lesions) 351
乾癬(Psoriasis) 351
川崎氏症(Kawasaki Disease) 351
常見兒童感染病灶(Common Pediatric Infectious Lesions) 352
病毒(Viral) 352
細菌(Bacteria) 353
黴菌(Fungal) 354
寄生蟲(Parasites) 355
發炎性疾病(Inflammatory Disorders) 355
全身性紅斑性狼瘡(Systemic Lupus Erythematosus, SLE) 355
幼年型皮肌炎(Juvenile Dermatomyositis, JDM) 355
白斑(Vitiligo) 356
藥物反應(Drug Reactions) 356
藥物疹合併嗜伊紅血症及全身症狀(Drug Reaction with Eosinophilia and Systemic Symptoms, DRESS) 356
神經皮膚疾病(Neurocutaneous Disorders) 359
神經纖維瘤(Neurofibromatosis) 359
結節性硬化症(Tuberous Sclerosis) 359
移植物對抗宿主疾病(Graft versus Host Disease) 360
新生兒常見的皮膚疾病(Common Skin Disorders of Neonates) 360
血管異常(Vascular Anomalies) 363
濕疹性病灶(Eczematous Lesions) 363
乾癬(Psoriasis) 364
川崎氏症(Kawasaki Disease) 364
常見兒童感染性病灶-病毒(Common Pediatric Infectious Lesions - Viral) 364
常見兒童感染性病灶-細菌(Common Pediatric Infectious Lesions - Bacterial) 366
常見兒童感染性病灶-黴菌(Common Pediatric Infectious Lesions - Fungal) 367
發炎性疾病(Inflammatory Disorders) 367
藥物反應(Drug Reactions) 368
索引(Index) 369
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