以结膜炎首诊的成人手足口病一例  

A case of hand,foot and mouth disease in adults who first diagnosed with conjunctivitis

作　　者：刘畅 徐漫 李绍伟 孙旭光 Liu Chang;Xu Man;Li Shaowei;Sun Xuguang(Beijing Aier Intech Eye Hospital,Aier Corneal Institute,Beijing 100021,China)

机构地区：[1]北京爱尔英智眼科医院,爱尔角膜病研究所,100021

出　　处：《中华眼科杂志》2021年第2期139-141,共3页Chinese Journal of Ophthalmology

摘　　要：患者女性,34岁,因双眼红1周就诊。裂隙灯检查见双眼睑轻度水肿,下睑结膜囊可见水样分泌物,睑结膜滤泡形成,下睑结膜面可见灰白色伪膜及小片状结膜下出血。全身查体见患者左手部掌侧2个淡红色疱疹样改变,大小约5 mm×6 mm;右手部掌侧见1个淡红色疱疹样改变,大小约4 mm×5 mm。上下口唇部皮肤、口腔内及牙龈处黏膜可见多处溃疡灶。皮肤科会诊后明确诊断为成人手足口病。双眼局部给予抗病毒及糖皮质激素治疗后病情很快缓解。A 34-year-old female presented to the doctor with chief complaint of redness in both eyes for 1 week.The slit lamp examination showed slight eyelid swelling,water-like discharge in the conjunctival sac of the lower eyelid,conjunctival follicles,gray-white pseudomembrane and small lamellar subconjunctival hemorrhage on the lower palpebral conjunctiva.Physical examination showed two erythematous macules(size 5 mm×6 mm)on the left palm.One erythematous macule(size 4 mm×5 mm)was seen on the right palm.Multiple erosions were located in the skin of upper and lower lips,oral cavity and the gingival mucosa.A diagnosis of hand,foot and mouth disease was made following by dermatological consultation.After topical antiviral and steroids treatment,the disease quickly relieved.

关 键 词：结膜炎 手足口病 

分 类 号：R512.5[医药卫生—内科学] R777.31[医药卫生—临床医学]