Scarlet face

Introduction Scarlet face: The face of a person is not only the "stage" of the seven emotions, but also the "window" that reflects the diseases in the body. Therefore, it is an important and simple method to detect diseases in the early stage. The scarlet hot face is flushed with facial congestion and the skin color around the nose and mouth is obviously pale. The symptom is characterized by scarlet fever, which is an acute rash-like respiratory infection caused by a group A type B hemolytic streptococcus, which Chinese medicine calls "bad throat", mainly in winter and spring. Any age can be sick, but babies 2 to 8 years old are most susceptible to infection.

Cause

Scarlet fever is an acute respiratory infection caused by group A hemolytic streptococcal infection. Its clinical features are fever, angina, diffuse red rash of the whole body and obvious desquamation after rash. A small number of patients develop heart, kidney and joint damage due to allergies after illness. Occurs in children under 10 years of age.

Tanjung is an acute disease caused by the evil of the scorpion venom. The clinical fever, sore throat or rot, the body is covered with scarlet rash, and the rash is characterized by desquamation and peeling. The disease can occur all year round, but it is more in winter and spring. It can occur at any age, especially in children aged 2-8.

an examination

Related inspection

Blood routine serum immunoglobulin assay

The scarlet hot face is characterized by facial congestion and flushing, and the skin color around the nose and mouth is obviously pale.

ASO test: The ASO test is an anti-streptolysin "O" test, and streptolysin is one of the metabolites of hemolytic streptococcus. After infection with this type of streptococci, a large amount of anti-streptolysin "0" (ASO) antibody can be present in the serum.

Differential diagnosis

Differential diagnosis of scarlet hot face:

1, acute face: face flushing, happy and uneasy, expression pain, is an acute fever, such as lobar pneumonia, malaria and other performance.

2, bitter smile face: tetanus is caused by the toxins of Clostridium tetani to the nervous system syndrome. Patients with local or systemic muscles or tonic spasm, often affected by facial and neck muscles, closed jaws and "smiley face".

3, mucinous edema face: the characteristic face of hypothyroidism in adulthood. Chinese medicine believes that it belongs to spleen qi deficiency and kidney yang deficiency syndrome; Western medicine believes that it is more common in hypothyroidism. This type of face can also be seen in testicular and pituitary dysfunction.

4, chronic face: face gray or pale, face stunned, gaze. Common in chronic wasting diseases, such as cirrhosis, malignant tumors, severe tuberculosis.

5, measles face: two eyes are red and afraid of light, increased secretions in the eyes, nasal obstruction, accompanied by fever and cough.

6, anemia face: pale and dull, eyelids, lips and tongue light, expression tired and weak.

7, dementia face: head large neck short, small eye cracks, wide nose, flat nose, hypertrophy of the nose, thick tongue and often stretch out of the mouth, common in patients with small patients.

8, typhoid face: apathy, slow response, showing no desire. Mostly, the face of patients with high fever and fever, such as typhoid fever, encephalitis, and meningitis.

9, cachexia quality face: face is extremely thin, pale complexion, skin elasticity is poor, more common in patients with chronic wasting diseases, such as tuberculosis, advanced cancer and so on.

10, mask face: facial expression is dull, like wearing a mask, common in patients with encephalitis, tremor paralysis.

11, liver disease face: gray complexion, thin cheeks, brown pigmentation on the forehead and cheeks.

12, acromegaly face: the skull is enlarged, the face is long, the jaw is large and protruding forward, the two bones are raised, the ear and nose are enlarged, the lips and tongue are thickened, and it is common in patients with pituitary tumors.

13, half-sided face: semi-lateral muscles irregular paroxysmal convulsions, sometimes only for sputum or mouth twitching, common in patients with facial nerve spasm sequelae and trigeminal neuralgia, central nervous system disorders.

14, hyperthyroidism face: facial muscle weight loss, eyeballs, gaze shining with a frightened expression, increased eye cracks and less blinking, accompanied by happy, irritated and irritated performance is common in patients with exophthalmia hyperthyroidism. Expressed as a horrified face, it is very horrified by the small sounds of the outside world; the eyeballs are convex, similar to the goldfish eyes; excited, irritated and irritable. This is a typical manifestation of hyperthyroidism.

The face is congested with redness and the skin color around the nose and mouth is obviously pale.

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