S1 guideline: Differential diagnosis of acute and chronic redness of the lower legs.

Autor: Zidane M; Department of Dermatology, Venereology and Allergology, Division of Evidence-Based Medicine (dEBM), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany., Jungkunz HW; Practice Dr. Wilfried Jungkunz, Friedberg, Germany., Kahle B; Department of Dermatology, Venereology and Allergology, University Hospital Schleswig-Holstein Campus Lübeck, Germany., Miller A; Practice Dr.med. Anya Miller, Berlin, Germany., Ochsendorf F; Department of Dermatology, Venereology and Allergology, University Hospital Frankfurt, Frankfurt am Main, Germany., Sunderkötter C; Department of Dermatology and Venereology, University Hospital Halle (Saale), Germany., Traidl-Hoffmann C; Institute of Environmental Medicine (IEM), Medical Faculty Augsburg, University Hospital Augsburg, Germany., Wurpts G; Department of Dermatology and Allergology, Aachen Comprehensive Allergy Center (ACAC), University Hospital of RWTH Aachen, Germany., Nast A; Department of Dermatology, Venereology and Allergology, Division of Evidence-Based Medicine (dEBM), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany.
Jazyk: angličtina
Zdroj: Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG [J Dtsch Dermatol Ges] 2022 Jul; Vol. 20 (7), pp. 1041-1047. Date of Electronic Publication: 2022 Jun 27.
DOI: 10.1111/ddg.14816
Abstrakt: Acute or chronic redness of the lower leg is a frequent reason for visits to clinics and practices. The differential diagnosis is often challenging. The aim of this guideline is to define criteria and procedures for the differential diagnosis of acute or chronic, unilateral or bilateral redness of the lower leg. Finding the correct diagnosis is essential for selecting an appropriate treatment and can help to reduce the inappropriate use of antibiotics. The guideline committee identified the most relevant differential diagnoses: 1. erysipelas, 2. stasis dermatitis, 3. hyperergic ictus reaction, 4. superficial and deep vein thrombosis, 5. gout, 6. chronic allergic contact dermatitis, and 7. acute toxic or allergic contact dermatitis. Algorithms/diagnostic pathways, each of which can be broken down into anamnesis, clinical examination, and diagnostics, have been developed for these seven diagnoses. In addition, the guideline group identified over 40 other relevant diagnoses and summarized their characteristics in a table to facilitate further differential diagnoses.
(© 2022 The Authors. Journal der Deutschen Dermatologischen Gesellschaft published by John Wiley & Sons Ltd on behalf of Deutsche Dermatologische Gesellschaft.)
Databáze: MEDLINE
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