{"id":15641,"date":"2026-04-01T09:00:05","date_gmt":"2026-04-01T00:00:05","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=15641"},"modified":"2026-03-30T13:24:36","modified_gmt":"2026-03-30T04:24:36","slug":"menu_85","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_85\/","title":{"rendered":"Menu 85: \u7d05\u6591\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"<style>\r\n\/* indent *\/\r\n.list-indent {\r\n    padding-bottom: 2rem;\r\n    padding-top: 0;\r\n    margin-top: 0;\r\n    margin-bottom: 0;\r\n    letter-spacing: 0.05em;\r\n    line-height: 1.8em;\r\n    font-size: 1em;\r\n}\r\n.list-h_indent,\r\n.list-indent li {\r\n    padding-left: 1em;\r\n    text-indent: -1.5em;\r\n    margin-bottom: 0!important;\r\n}\r\n\r\n.ul_p-l {\r\n    padding-left: 1.5em;\r\n}\r\n\r\n.sp {\r\n    display: none;\r\n}\r\n\r\n@media screen and (max-width: 425px){\r\n.sp {\r\n    display: block;\r\n}\r\n}\r\n<\/style>\r\n\r\n<img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/10\/eigocafe.jpg\" alt=\"\" width=\"1100\" height=\"275\" \/>\r\n<p><span style=\"font-size: large;\">\u3053\u3093\u306b\u3061\u306f\u3002\u300c<span style=\"color: #8b4513;\"><strong>\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u3053\u306f\u300c<strong>\u30b3\u30fc\u30d2\u30fc1\u676f\u5206<\/strong>\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u9802\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c<span style=\"color: #1e90ff;\"><strong>\u7d05\u6591\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3067\u3059\u3002<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u76ae\u75b9<\/strong>\u300d<strong>skin rash<\/strong> \u306e\u4e2d\u3067\u3082\u300c<span style=\"color: #fe3d45;\"><strong>\u7d05\u6591<\/strong><\/span>\u300d<span style=\"color: #fe3d45;\"><strong>erythema<\/strong><\/span> \u306f\u3001\u65e5\u5e38\u8a3a\u7642\u3067\u3082\u983b\u51fa\u306e\u6240\u898b\u3067\u3059\u3002\u3057\u304b\u3057\u3053\u306e erythema \u306b\u306f\u3001<strong>erythema migrans<\/strong>\u3001<strong>erythema nodosum<\/strong>\u3001<strong>erythema infectiosum<\/strong>\u3001<strong>erythema multiforme<\/strong>\u3001<strong>erythema marginatum<\/strong> \u306a\u3069\u3001\u3088\u304f\u4f3c\u305f\u540d\u79f0\u306e\u3082\u306e\u304c\u6570\u591a\u304f\u5b58\u5728\u3057\u307e\u3059\u3002\u307e\u305f\u305d\u308c\u305e\u308c\u306e\u7d05\u6591\u306f\u7279\u5b9a\u306e\u75be\u60a3\u3068\u6df1\u304f\u95a2\u9023\u3057\u3066\u3044\u308b\u306e\u3067\u3059\u304c\u3001\u300c<strong>\u3053\u308c\u306f\u3069\u306e\u75be\u60a3\u3067\u898b\u3089\u308c\u308b\u7d05\u6591\u3060\u3063\u305f\u3063\u3051\uff1f<\/strong>\u300d\u3068\u8ff7\u3063\u305f\u7d4c\u9a13\u306e\u3042\u308b\u65b9\u3082\u591a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\u3002<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3053\u3067\u4eca\u6708\u306f\u300c<strong>\u7d05\u6591\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u30c6\u30fc\u30de\u306b\u3001\u305d\u306e\u7279\u5fb4\u3068\u8868\u8a18\u3092\u6574\u7406\u3057\u3066\u307f\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>blanching skin rash\u3063\u3066\u4f55\uff1f<\/strong><\/span><br>\r\n\u300c<strong>\u7d05\u6591<\/strong>\u300d\u306f\u82f1\u8a9e\u3067 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>erythema<\/strong><\/span>\uff08\u300c\u30a8\u30ea<strong>\u30bb<\/strong>\u30de\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u3068\u8a00\u3044\u3001\u300c<strong>\u8840\u7ba1\u62e1\u5f35<\/strong>\u300d<span style=\"color: #fe3d45;\"><strong>vasodilation<\/strong><\/span> \u306b\u3088\u3063\u3066\u751f\u3058\u307e\u3059\u3002\u3053\u306e erythema \u3068\u3088\u304f\u5bfe\u6bd4\u3055\u308c\u308b\u306e\u304c\u300c<strong>\u7d2b\u6591<\/strong>\u300d<span style=\"color: #fe3d45;\"><strong>purpura<\/strong><\/span>\uff08\u300c<strong>\u30d1\u30fc<\/strong>\u30d4\u30e5\u30e9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u3067\u3001\u3053\u3061\u3089\u306f\u300c<strong>\u8840\u7ba1\u5916\u6f0f\u51fa<\/strong>\u300d<span style=\"color: #fe3d45;\"><strong>extravasation<\/strong><\/span> \u306b\u3088\u3063\u3066\u751f\u3058\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e2\u3064\u3092\u533a\u5225\u3059\u308b\u305f\u3081\u306b\u884c\u3046\u306e\u304c\u3001\u76ae\u75b9\u3092\u30ac\u30e9\u30b9\u306a\u3069\u306e\u900f\u660e\u306a\u7269\u4f53\u3067\u5727\u8feb\u3059\u308b\u65b9\u6cd5\u3067\u3059\u3002\u5727\u8feb\u3057\u305f\u3068\u304d\u306b\u76ae\u75b9\u304c <span style=\"color: #fe3d45;\"><strong>blanch<\/strong><\/span>\u300c\u767d\u304f\u306a\u308b\u30fb\u9000\u8272\u3059\u308b\u300d\u304b\u3069\u3046\u304b\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><strong>erythema<\/strong> \u306f\u8840\u7ba1\u62e1\u5f35\u306b\u3088\u308b\u305f\u3081\u5727\u8feb\u3067\u9000\u8272\u3057\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>blanching skin rash<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u4e00\u65b9\u3001<strong>purpura<\/strong> \u306f\u8840\u6db2\u304c\u8840\u7ba1\u5916\u306b\u6f0f\u51fa\u3057\u3066\u3044\u308b\u305f\u3081\u5727\u8feb\u3057\u3066\u3082\u8272\u304c\u5909\u308f\u3089\u305a\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>non-blanching skin rash<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u76ae\u75b9\u3092\u5727\u8feb\u3057\u3066\u8a55\u4fa1\u3059\u308b\u65b9\u6cd5\u306f\u300c<strong>\u785d\u5b50\u5727\u8a3a<\/strong>\u300d\u3068\u547c\u3070\u308c\u3001\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>diascopy<\/strong><\/span> \u3068\u8a00\u3044\u307e\u3059\u3002dia- \u306f through \u3092\u610f\u5473\u3057\u307e\u3059\u306e\u3067\u3001\u3053\u306e <strong>diascopy<\/strong> \u3068\u306f\u300c<strong>\u900f\u304b\u3057\u3066\u89b3\u5bdf\u3059\u308b\u3053\u3068<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e diascopy \u306f\u3001\u30ac\u30e9\u30b9\u3084\u30bf\u30f3\u30d6\u30e9\u30fc\u3092\u7528\u3044\u308b\u3053\u3068\u304b\u3089 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>glass test<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>tumbler test<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u76ae\u819a\u75c5\u5909\u306e\u8868\u8a18\u65b9\u6cd5\u306f\uff1f<\/strong><\/span><br>\r\n\u3067\u306f\u5177\u4f53\u7684\u306a erythema \u306e\u7a2e\u985e\u3092\u3054\u7d39\u4ecb\u3059\u308b\u524d\u306b\u3001<strong>skin lesion<\/strong>\u300c<strong>\u76ae\u819a\u75c5\u5909<\/strong>\u300d\u3092\u81e8\u5e8a\u7684\u306b\u3069\u306e\u3088\u3046\u306b\u8868\u8a18\u3059\u308b\u304b\u3092\u78ba\u8a8d\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002\u76ae\u819a\u75c5\u5909\u306e\u8a3a\u65ad\u3067\u306f\u3001\u305d\u308c\u305e\u308c\u306e\u75c5\u5909\u3092\u300c<strong>\u6b63\u78ba\u306b\u8868\u8a18\u3067\u304d\u308b\u3053\u3068<\/strong>\u300d\u304c\u51fa\u767a\u70b9\u306b\u306a\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u305d\u306e\u8868\u8a18\u306b\u306f\u4e0b\u8a18\u306e6\u3064\u306e\u8981\u7d20\u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002\uff08\u8a73\u3057\u304f\u77e5\u308a\u305f\u3044\u65b9\u306f Stanford Medicine \u306e<a href=\"https:\/\/med.stanford.edu\/stanfordmedicine25\/the25\/dermatology.html\" target=\"_blank\">\u3053\u3061\u3089<\/a>\u306e\u30b5\u30a4\u30c8\u3092\u3054\u89a7\u304f\u3060\u3055\u3044\u3002\uff09\u3053\u308c\u3089\u304c\u57fa\u672c\u7684\u306a \u201c<span style=\"color: #fe3d45;\"><strong>the language of dermatology<\/strong><\/span>\u201d \u3068\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p style=\"padding-bottom: 0;font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Primary Morphology\u300c\u4e00\u6b21\u75c5\u5909\u300d<\/strong><\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;padding-bottom: 0px!important;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"color: #fe3d45;\"><strong>Macule<\/strong><\/span>\u300c\u6591\u300dFlat lesion less than 1 cm, without elevation or depression<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"color: #fe3d45;\"><strong>Patch<\/strong><\/span>\u300c\u5c40\u9762\u300dFlat lesion greater than 1 cm, without elevation or depression<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"color: #fe3d45;\"><strong>Plaque<\/strong><\/span>\u300c\u5c40\u9762\u30fb\u6241\u5e73\u9686\u8d77\u6027\u75c5\u5909\u300dFlat, elevated lesion, greater than 1 cm<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"color: #fe3d45;\"><strong>Papule<\/strong><\/span>\u300c\u4e18\u75b9\u300dElevated, solid lesion less than 1 cm<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"color: #fe3d45;\"><strong>Nodule<\/strong><\/span>\u300c\u7d50\u7bc0\u300dElevated, solid lesion greater than 1 cm<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"color: #fe3d45;\"><strong>Pustule<\/strong><\/span>\u300c\u81bf\u75b1\u300dElevated, pus-filled lesion<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"color: #fe3d45;\"><strong>Vesicle<\/strong><\/span>\u300c\u6c34\u75b1\u300dElevated, fluid-filled lesion less than 1 cm<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"color: #fe3d45;\"><strong>Bulla<\/strong><\/span>\u300c\u5927\u6c34\u75b1\u300dElevated, fluid-filled lesion greater than 1 cm<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"color: #fe3d45;\"><strong>Wheal<\/strong><\/span>\u300c\u81a8\u75b9\u300dTransient elevated and edematous lesion<\/li>\r\n<\/ul>\r\n\r\n<p style=\"padding-bottom: 0;font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Size\u300c\u5927\u304d\u3055\u300d<br>Demarcation\u300c\u5883\u754c\u300d\r\n<\/strong><\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;padding-bottom: 0px!important;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Well demarcated<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Poorly demarcated<\/li>\r\n<\/ul>\r\n\r\n<p style=\"font-size: large;\">\r\n<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>Color\u300c\u8272\u8abf\u300d<br>\r\nSecondary Morphology\u300c\u4e8c\u6b21\u75c5\u5909\u300d<br>\r\nDistribution\u300c\u5206\u5e03\u300d\r\n<\/strong><\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3046\u3061\u6700\u3082\u91cd\u8981\u306a\u8981\u7d20\u304c\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>primary morphology<\/strong><\/span>\u300c<strong>\u4e00\u6b21\u75c5\u5909<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e primary morphology \u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>primary skin lesions<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u3001\u305d\u306e\u76ae\u75b9\u306e\u672c\u8cea\u3092\u6700\u3082\u3088\u304f\u53cd\u6620\u3059\u308b\u57fa\u672c\u7684\u306a\u5f62\u614b\u306e\u3053\u3068\u3092\u6307\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u5e73\u5766\u3067\u89e6\u308c\u306a\u3044 1 cm \u672a\u6e80\u306e\u75c5\u5909\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>macule<\/strong><\/span>\u30011 cm\u3088\u308a\u5927\u304d\u3051\u308c\u3070 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>patch<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u3002\u4e00\u65b9\u3067\u76db\u308a\u4e0a\u304c\u3063\u3066\u89e6\u308c\u308b 1 cm \u672a\u6e80\u306e\u75c5\u5909\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>papule<\/strong><\/span>\u30011 cm \u3088\u308a\u5927\u304d\u304f\u306a\u308b\u3068 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>nodule<\/strong><\/span>\u3001\u305d\u3057\u3066\u5e83\u304f\u5e73\u5766\u306b\u9686\u8d77\u3057\u305f 1 cm\u4ee5\u4e0a\u306e\u3082\u306e\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>plaque<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u5185\u5bb9\u7269\u3092\u6301\u3064\u75c5\u5909\u3068\u3057\u3066\u306f\u3001\u6db2\u4f53\u3092\u542b\u3080 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>vesicle<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>bulla<\/strong><\/span>\u3001\u81bf\u3092\u542b\u3080 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>pustule<\/strong><\/span> \u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u6d6e\u816b\u306b\u3088\u3063\u3066\u4e00\u904e\u6027\u306b\u9686\u8d77\u3059\u308b\u75c5\u5909\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>wheal<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u4e00\u6b21\u75c5\u5909\u306f\u305d\u308c\u305e\u308c\u660e\u78ba\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u304c\u3001\u81e8\u5e8a\u306e\u73fe\u5834\u3067\u306f\u3053\u308c\u3089\u304c\u5358\u72ec\u3067\u5b58\u5728\u3059\u308b\u3068\u306f\u9650\u308a\u307e\u305b\u3093\u3002\u5b9f\u969b\u306b\u306f\u8907\u6570\u306e\u5f62\u614b\u304c\u6df7\u5728\u3057\u3066\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u3082\u591a\u304f\u3001\u305d\u306e\u4ee3\u8868\u7684\u306a\u8868\u73fe\u304c <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>maculopapular rash<\/strong><\/span>\u300c<strong>\u6591\u4e18\u75b9\u6027\u767a\u75b9<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306f\u30011 cm \u672a\u6e80\u306e\u5e73\u5766\u306a <strong>macule<\/strong>\u300c<strong>\u6591<\/strong>\u300d\u3068\u3001\u89e6\u77e5\u53ef\u80fd\u306a <strong>papule<\/strong>\u300c<strong>\u4e18\u75b9<\/strong>\u300d\u304c\u6df7\u5728\u3057\u3066\u3044\u308b\u72b6\u614b\u3092\u6307\u3059\u8868\u73fe\u3067\u3059\u3002\u8996\u899a\u7684\u306b\u306f\u300c<strong>\u8d64\u3044\u5e73\u5766\u306a\u90e8\u5206\u306e\u4e2d\u306b\u5c0f\u3055\u306a\u76db\u308a\u4e0a\u304c\u308a\u304c\u6563\u5728\u3057\u3066\u3044\u308b<\/strong>\u300d\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u3002\u30a6\u30a4\u30eb\u30b9\u611f\u67d3\u75c7\u3084\u85ac\u75b9\u306a\u3069\u3067\u3088\u304f\u898b\u3089\u308c\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>USMLE\u306a\u3069\u3067\u3082\u975e\u5e38\u306b\u983b\u7e41\u306b\u7528\u3044\u3089\u308c\u308b\u8868\u73fe<\/strong><\/span>\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u6b21\u306b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>size<\/strong><\/span>\u300c<strong>\u5927\u304d\u3055<\/strong>\u300d\u3067\u3059\u3002\u3053\u3053\u3067\u306f\u5358\u306b\u300c\u5927\u304d\u3044\u300d\u300c\u5c0f\u3055\u3044\u300d\u3068\u8a00\u3046\u306e\u3067\u306f\u306a\u304f\u3001\u5177\u4f53\u7684\u306a\u6570\u5024\u3067\u793a\u3059\u3053\u3068\u304c\u671b\u307e\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>demarcation<\/strong><\/span>\u300c<strong>\u5883\u754c<\/strong>\u300d\u3082\u91cd\u8981\u306a\u60c5\u5831\u3067\u3059\u3002\u5883\u754c\u304c\u660e\u77ad\u306a\u5834\u5408\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>well demarcated<\/strong><\/span>\u3001\u4e0d\u660e\u77ad\u306a\u5834\u5408\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>poorly demarcated<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>color<\/strong><\/span>\u300c<strong>\u8272\u8abf<\/strong>\u300d\u306b\u3064\u3044\u3066\u306f\u3001white\u3001purple\u3001brown\u3001yellow\u3001black\u3001blue \u306a\u3069\u306e\u5177\u4f53\u7684\u306a\u8272\u8abf\u3067\u8868\u73fe\u3057\u307e\u3059\u304c\u3001\u8d64\u3044\u5834\u5408\u306b\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>erythematous<\/strong><\/span> \u3068\u3044\u3046\u5f62\u5bb9\u8a5e\u304c\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>secondary morphology (secondary skin lesions)<\/strong><\/span>\u300c<strong>\u4e8c\u6b21\u75c5\u5909<\/strong>\u300d\u3068\u306f\u3001\u4e00\u6b21\u75c5\u5909\u306e\u7d4c\u904e\u3084\u5916\u7684\u8981\u56e0\u306b\u3088\u3063\u3066\u751f\u3058\u305f\u5909\u5316\u3092\u6307\u3057\u307e\u3059\u3002\u305f\u3068\u3048\u3070\u3001\u9c57\u5c51\u3092\u4f34\u3046 <span style=\"color: #fe3d45;\"><strong>scaling<\/strong><\/span> \u306f\u8868\u76ae\u306e\u30bf\u30fc\u30f3\u30aa\u30fc\u30d0\u30fc\u306e\u4ea2\u9032\u3092\u793a\u3057\u3001<span style=\"color: #fe3d45;\"><strong>crust<\/strong><\/span> \u306f\u6ef2\u51fa\u6db2\u304c\u4e7e\u71e5\u3057\u305f\u72b6\u614b\u3092\u8868\u3057\u307e\u3059\u3002\u307e\u305f\u63bb\u7834\u306b\u3088\u308b <span style=\"color: #fe3d45;\"><strong>excoriation<\/strong><\/span> \u3084 <span style=\"color: #fe3d45;\"><strong>erosion<\/strong><\/span> \u306f\u3001\u75d2\u307f\u3068\u3044\u3046\u75c7\u72b6\u3068\u305d\u308c\u306b\u5bfe\u3059\u308b\u60a3\u8005\u306e\u884c\u52d5\u3092\u53cd\u6620\u3057\u3066\u3044\u307e\u3059\u3002\u3064\u307e\u308a <strong>secondary morphology<\/strong> \u3068\u306f\u3001\u300c<strong>\u76ae\u819a\u306b\u73fe\u308c\u305f\u4e00\u6b21\u75c5\u5909\u306e\u6642\u9593\u7d4c\u904e\u306e\u8a18\u9332<\/strong>\u300d\u3068\u3082\u8a00\u3048\u308b\u3082\u306e\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u6700\u5f8c\u306e\u8981\u7d20\u304c <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>distribution<\/strong><\/span>\u300c<strong>\u5206\u5e03<\/strong>\u300d\u3067\u3059\u3002\u76ae\u75b9\u304c\u3069\u3053\u306b\u3069\u306e\u3088\u3046\u306b\u5e83\u304c\u3063\u3066\u3044\u308b\u304b\u306f\u3001\u8a3a\u65ad\u306b\u5927\u304d\u306a\u30d2\u30f3\u30c8\u3092\u4e0e\u3048\u307e\u3059\u3002\u305f\u3068\u3048\u3070\u3001\u5168\u8eab\u306b\u5e83\u304c\u308b <span style=\"color: #fe3d45;\"><strong>generalized<\/strong><\/span> \u306a\u7d05\u6591\u306f\u85ac\u75b9\u3092\u793a\u5506\u3057\u3001\u65e5\u5149\u66b4\u9732\u90e8\u306b\u9650\u5c40\u3059\u308b <span style=\"color: #fe3d45;\"><strong>photodistributive<\/strong><\/span> \u306a\u5206\u5e03\u306f\u5149\u7dda\u95a2\u9023\u75be\u60a3\u3092\u60f3\u8d77\u3055\u305b\u307e\u3059\u3002\u307e\u305f\u3001\u8098\u3084\u819d\u306a\u3069\u306e <span style=\"color: #fe3d45;\"><strong>extensor surface<\/strong><\/span> \u306b\u5206\u5e03\u3059\u308b\u76ae\u75b9\u306f\u3001\u4e7e\u766c\u306a\u3069\u3092\u60f3\u8d77\u3055\u305b\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u76ae\u819a\u75c5\u5909\u3092\u8a18\u8ff0\u3059\u308b\u969b\u306b\u306f\u3001\u5fc5\u305a\u3053\u306e6\u3064\u306e\u8981\u7d20\u3092\u4f7f\u3063\u3066\u8a18\u8ff0\u3059\u308b\u3088\u3046\u306b\u610f\u8b58\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002\u305d\u3046\u3059\u308b\u3053\u3068\u3067\u75c5\u5909\u306e\u60c5\u5831\u304c\u300c<strong>\u8a3a\u65ad\u306b\u76f4\u7d50\u3059\u308b\u60c5\u5831<\/strong>\u300d\u3078\u3068\u5909\u308f\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>Bull\u2019s-eye rash \u3068\u306f\uff1f<\/strong><\/span><br>\r\n\u305d\u308c\u3067\u306f\u3053\u3053\u304b\u3089\u5177\u4f53\u7684\u306a erythema \u306e\u7a2e\u985e\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u307e\u305a\u306f <strong>Lyme disease<\/strong> \u306e\u521d\u671f\u75c5\u5909\u3068\u3057\u3066\u6709\u540d\u306a <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>erythema migrans<\/strong><\/span>\u300c<strong>\u904a\u8d70\u6027\u7d05\u6591<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><a href=\"https:\/\/www.youtube.com\/watch?v=np9rxmMF-_w\" target=\"_blank\"><strong>Lyme disease<\/strong><\/a> \u306f\u3001<span style=\"color: #fe3d45;\"><strong>deer tick<\/strong><\/span> \u3068\u547c\u3070\u308c\u308b\u30de\u30c0\u30cb\u306b\u54ac\u307e\u308c\u308b\u3053\u3068\u3067\u3001<span style=\"font-style: italic;\">Borrelia burgdorferi<\/span> \u3068\u3044\u3046 <span style=\"color: #fe3d45;\"><strong>spirochete<\/strong><\/span>\u300c<strong>\u30b9\u30d4\u30ed\u30d8\u30fc\u30bf<\/strong>\u300d\u306b\u611f\u67d3\u3057\u3066\u751f\u3058\u307e\u3059\u3002<span style=\"color: #fe3d45;\"><strong>migrans<\/strong><\/span> \u306f\u300c<strong>\u79fb\u52d5\u3057\u306a\u304c\u3089\u5e83\u304c\u308b<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u304c\u3001\u75c5\u5909\u305d\u306e\u3082\u306e\u304c\u76ae\u819a\u3092\u79fb\u52d5\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u5b9f\u969b\u306b\u306f\u3001\u7d05\u6591\u306e\u4e2d\u5fc3\u90e8\u306f\u6b21\u7b2c\u306b\u6d88\u9000\u3057\u306a\u304c\u3089\u5468\u56f2\u3078\u3068\u62e1\u5927\u3057\u3066\u3044\u304d\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3001\u3042\u305f\u304b\u3082\u75c5\u5909\u304c\u79fb\u52d5\u3057\u3066\u3044\u308b\u304b\u306e\u3088\u3046\u306b\u898b\u3048\u308b\u306e\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e <strong>erythema migrans<\/strong> \u3092\u8aac\u660e\u3059\u308b\u969b\u306b\u3088\u304f\u4f7f\u308f\u308c\u308b\u8868\u73fe\u304c\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>bull\u2019s-eye rash<\/strong><\/span> \u3067\u3059\u3002\u3053\u308c\u306f\u300c<strong>\u7684<\/strong>\uff08<strong>\u307e\u3068<\/strong>\uff09\u300d\u306e\u3088\u3046\u306b\u3001\u4e2d\u5fc3\u304c\u629c\u3051\u3066\u5468\u56f2\u304c\u8d64\u304f\u5e83\u304c\u308b\u76ae\u75b9\u3092\u610f\u5473\u3057\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>central clearing<\/strong><\/span> \u3092\u4f34\u3046 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>annular erythema<\/strong><\/span>\u300c<strong>\u74b0\u72b6\u7d05\u6591<\/strong>\u300d\u3092\u6307\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e erythema migrans \u306e skin lesion \u3092\u5148\u307b\u3069\u306e6\u3064\u306e\u8981\u7d20\u306b\u52a0\u3048\u3001\u8a3a\u65ad\u306b\u3064\u306a\u304c\u308b\u81e8\u5e8a\u7684\u306a\u610f\u5473\u3065\u3051\u3092\u6301\u3064 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>semantic qualifiers<\/strong><\/span> \u3092\u7528\u3044\u3066\u8868\u73fe\u3059\u308b\u3068\u3001\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\">The patient presents with a well-demarcated, <strong>erythematous annular patch<\/strong> measuring approximately 5 cm in diameter <strong>with central clearing<\/strong>, located on the medial aspect of the right calf at the site of a <strong>tick bite<\/strong>.<\/span>\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u8868\u73fe\u3059\u308b\u3053\u3068\u3067\u3001\u3053\u306e skin lesion \u304c Lyme disease \u306b\u3088\u308b erythema migrans \u3067\u3042\u308b\u3053\u3068\u3092\u3001\u8074\u304d\u624b\u30fb\u8aad\u307f\u624b\u306b\u52b9\u679c\u7684\u306b\u4f1d\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u6b21\u306b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>erythema nodosum<\/strong><\/span>\u300c<strong>\u7d50\u7bc0\u6027\u7d05\u6591<\/strong>\u300d\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306f\u76ae\u819a\u306e\u6d45\u3044\u3068\u3053\u308d\u3067\u306f\u306a\u304f\u3001\u76ae\u4e0b\u8102\u80aa\u7d44\u7e54\u306b\u708e\u75c7\u304c\u751f\u3058\u308b\u3053\u3068\u3067\u8d77\u3053\u308b\u7d05\u6591\u3067\u3059\u3002\u75c5\u5909\u304c\u76ae\u819a\u306e\u6df1\u3044\u5c64\u306b\u5b58\u5728\u3059\u308b\u305f\u3081\u3001\u5883\u754c\u306f\u4e0d\u660e\u77ad\u3067 <span style=\"color: #fe3d45;\"><strong>poorly demarcated<\/strong><\/span> \u306a\u6240\u898b\u3068\u306a\u308a\u307e\u3059\u3002\u81e8\u5e8a\u7684\u306b\u306f <span style=\"color: #fe3d45;\"><strong>painful\/tender erythematous nodules on the anterior shins<\/strong><\/span> \u3068\u3057\u3066\u8868\u73fe\u3055\u308c\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e erythema nodosum \u306f\u7279\u5b9a\u306e\u75be\u60a3\u306b\u9650\u3089\u305a\u3001\u3055\u307e\u3056\u307e\u306a<strong>\u5168\u8eab\u75be\u60a3<\/strong>\u306b\u95a2\u9023\u3057\u3066\u51fa\u73fe\u3057\u307e\u3059\u3002\u4ee3\u8868\u7684\u306a\u3082\u306e\u3068\u3057\u3066\u306f\u3001<span style=\"color: #fe3d45;\"><strong>sarcoidosis<\/strong><\/span>\u300c<strong>\u30b5\u30eb\u30b3\u30a4\u30c9\u30fc\u30b7\u30b9<\/strong>\u300d\u3001<span style=\"color: #fe3d45;\"><strong>group A streptococcal infection<\/strong><\/span>\u300c<strong>A\u7fa4\u6eb6\u9023\u83cc\u611f\u67d3<\/strong>\u300d\u3001<span style=\"color: #fe3d45;\"><strong>tuberculosis<\/strong><\/span>\u300c<strong>\u7d50\u6838<\/strong>\u300d\u3001<span style=\"color: #fe3d45;\"><strong>inflammatory bowel disease (IBD)<\/strong><\/span>\u300c<strong>\u708e\u75c7\u6027\u8178\u75be\u60a3<\/strong>\u300d\u3001\u305d\u3057\u3066 <span style=\"color: #fe3d45;\"><strong>oral contraceptive pills (OCPs)<\/strong><\/span>\u300c<strong>\u7d4c\u53e3\u907f\u598a\u85ac<\/strong>\u300d\u306a\u3069\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e erythema nodosum \u3092\u8a18\u8ff0\u3059\u308b\u5834\u5408\u3001\u5148\u307b\u3069\u306e6\u3064\u306e\u8981\u7d20\u306b\u52a0\u3048\u3066\u8a3a\u65ad\u306b\u3064\u306a\u304c\u308b\u81e8\u5e8a\u7684\u306a\u610f\u5473\u3065\u3051\u3092\u6301\u3064 semantic qualifiers \u3092\u7528\u3044\u3066\u8868\u73fe\u3059\u308b\u3068\u3001\u5178\u578b\u4f8b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\">The patient presents with multiple, <strong>poorly demarcated<\/strong>, <strong>tender erythematous nodules<\/strong> measuring 2 to 4 cm in diameter, distributed on the <strong>anterior aspects of the shins<\/strong>.\r\n<\/span><\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u300c\u30ea\u30f3\u30b4\u75c5\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f\uff1f<\/strong><\/span><br>\r\n\u6b21\u306b <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>erythema multiforme<\/strong><\/span>\u300c<strong>\u591a\u5f62\u7d05\u6591<\/strong>\u300d\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e <span style=\"color: #fe3d45;\"><strong>multiforme<\/strong><\/span> \u306f\u300c<strong>\u591a\u69d8\u306a\u5f62\u614b\u3092\u3068\u308b<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3042\u308a\u3001\u3053\u306e\u7d05\u6591\u304c\u5358\u4e00\u3067\u306f\u306a\u304f\u591a\u5f69\u306a\u5f62\u614b\u3092\u793a\u3059\u3053\u3068\u3092\u8868\u3057\u3066\u3044\u307e\u3059\u3002\u81e8\u5e8a\u7684\u306b\u7279\u306b\u91cd\u8981\u306a\u306e\u304c\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>target lesion<\/strong><\/span>\u300c<strong>\u6a19\u7684\u75c5\u5909<\/strong>\u300d \u3068\u547c\u3070\u308c\u308b\u3001\u300c<strong>\u7684<\/strong>\uff08<strong>\u307e\u3068<\/strong>\uff09\u300d\u306e\u5f62\u3092\u6a21\u3057\u305f\u7279\u5fb4\u7684\u306a\u75c5\u5909\u3067\u3059\u3002\u4e2d\u5fc3\u304b\u3089\u5916\u5074\u306b\u5411\u304b\u3063\u3066\u540c\u5fc3\u5186\u72b6\u306b\u8272\u8abf\u304c\u5909\u5316\u3059\u308b\u3053\u306e\u5f62\u614b\u306f\u3001erythema multiforme\u306b\u7279\u6709\u306e\u6240\u898b\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u591a\u304f\u306e\u5834\u5408\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>herpes simplex virus (HSV)<\/strong><\/span>\u300c<strong>\u5358\u7d14\u30d8\u30eb\u30da\u30b9\u30a6\u30a4\u30eb\u30b9<\/strong>\u300d\u611f\u67d3\u306e\u5f8c\u306b\u51fa\u73fe\u3057\u3001<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>self-limited<\/strong><\/span>\u300c<strong>\u81ea\u7136\u8efd\u5feb\u3059\u308b<\/strong>\u300d\u7d4c\u904e\u3092\u3068\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e erythema multiforme \u3092 semantic qualifiers \u3092\u7528\u3044\u3066\u8a18\u8ff0\u3059\u308b\u5834\u5408\u3001\u5178\u578b\u4f8b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\">The patient presents with well-demarcated, erythematous papules and plaques measuring 1 to 3 cm in diameter with <strong>target-shaped<\/strong> morphology, distributed on the extensor surfaces of the extremities.<\/span>\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u7d9a\u3044\u3066\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>erythema infectiosum<\/strong><\/span>\u300c<strong>\u4f1d\u67d3\u6027\u7d05\u6591<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306f\u982c\u306b\u51fa\u73fe\u3059\u308b\u9bae\u3084\u304b\u306a\u7d05\u6591\u3067\u3001\u3042\u305f\u304b\u3082\u5e73\u624b\u3067\u53e9\u304b\u308c\u305f\u3088\u3046\u306b\u898b\u3048\u308b\u3053\u3068\u304b\u3089\u3001\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>slapped-cheek rash<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u539f\u56e0\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>parvovirus B19<\/strong><\/span> \u306b\u3088\u308b\u611f\u67d3\u3067\u3001\u8efd\u3044\u767a\u71b1\u3084\u5026\u6020\u611f\u306a\u3069\u306e\u5f8c\u306b\u3001\u30a6\u30a4\u30eb\u30b9\u8840\u75c7\u304c\u6d88\u9000\u3057\u305f\u6642\u671f\u306b\u3053\u306e\u7279\u5fb4\u7684\u306a\u982c\u306e\u7d05\u6591\u304c\u51fa\u73fe\u3057\u307e\u3059\u3002\u3055\u3089\u306b\u6570\u65e5\u5f8c\u306b\u306f\u3001\u4f53\u5e79\u3084\u56db\u80a2\u306b <span style=\"color: #fe3d45;\"><strong>maculopapular rash<\/strong><\/span>\u300c<strong>\u6591\u4e18\u75b9\u6027\u767a\u75b9<\/strong>\u300d\u304c\u5e83\u304c\u308a\u3001\u6b21\u7b2c\u306b <span style=\"color: #fe3d45;\"><strong>lacy<\/strong><\/span>\u300c<strong>\u7db2\u76ee\u72b6<\/strong>\u300d\u3042\u308b\u3044\u306f <span style=\"color: #fe3d45;\"><strong>reticular<\/strong><\/span>\u300c<strong>\u7db2\u72b6<\/strong>\u300d\u3078\u3068\u5909\u5316\u3057\u307e\u3059\u3002\u624b\u638c\u3084\u8db3\u5e95\u306f\u901a\u5e38\u4fb5\u3055\u308c\u305a\u3001\u65e5\u5149\u3084\u71b1\u306b\u3088\u3063\u3066\u5897\u60aa\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e <strong>erythema infectiosum<\/strong> \u306f\u76ae\u819a\u75c5\u5909\u3067\u3042\u308b\u300c<strong>\u7d05\u6591<\/strong>\u300d\u3068\u3057\u3066\u3060\u3051\u3067\u306a\u304f\u3001\u300c<strong>\u75be\u60a3\u540d<\/strong>\u300d\u3068\u3057\u3066\u3082\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u7279\u5fb4\u7684\u306a\u982c\u306e\u6240\u898b\u304b\u3089\u65e5\u672c\u3067\u306f\u300c<strong>\u30ea\u30f3\u30b4\u75c5<\/strong>\u300d\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>fifth disease<\/strong><\/span> \u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u547c\u3073\u540d\u306f19\u4e16\u7d00\u306b\u5c0f\u5150\u306e\u767a\u75b9\u6027\u75be\u60a3\u3092\u756a\u53f7\u3067\u6574\u7406\u3057\u305f\u7d4c\u7def\u306b\u3088\u308b\u3082\u306e\u3067\u30011\u756a\u76ee\u304b\u30896\u756a\u76ee\u306e\u75be\u60a3\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u5bfe\u5fdc\u3057\u3066\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em>First disease: Measles\/Rubeola\u300c\u9ebb\u75b9\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em>Second disease: Scarlet fever\u300c\u7329\u7d05\u71b1\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em>Third disease: Rubella\u300c\u98a8\u75b9\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em>Fourth disease: Dukes disease\u300c\u73fe\u5728\u306f\u72ec\u7acb\u3057\u305f\u75be\u60a3\u3068\u3057\u3066\u306f\u5426\u5b9a\u3055\u308c\u3066\u3044\u308b\u6982\u5ff5\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Fifth disease<\/strong><\/span>: Erythema infectiosum\u300c\u4f1d\u67d3\u6027\u7d05\u6591\u300d<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Sixth disease<\/strong><\/span>: Roseola infantum\u300c\u7a81\u767a\u6027\u767a\u75b9\u300d<\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3046\u3061\u3001\u73fe\u5728\u3067\u3082\u540d\u79f0\u3068\u3057\u3066\u4f7f\u308f\u308c\u3066\u3044\u308b\u306e\u306f\u3001<span style=\"color: #fe3d45;\"><strong>fifth disease<\/strong><\/span> \u3068 <span style=\"color: #fe3d45;\"><strong>sixth disease<\/strong><\/span> \u306e2\u3064\u306e\u307f\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e erythema infectiosum \u3092 semantic qualifiers \u3092\u7528\u3044\u3066\u8a18\u8ff0\u3059\u308b\u5834\u5408\u3001\u5178\u578b\u4f8b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\">The patient presents with well-demarcated, <strong>bright erythematous patches on both cheeks<\/strong>, followed by a nonpruritic <strong>maculopapular rash<\/strong> on the trunk and extremities that later develops a <strong>lacy<\/strong> pattern.<\/span>\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u6700\u5f8c\u306b\u3054\u7d39\u4ecb\u3059\u308b erythema \u304c <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>erythema marginatum<\/strong><\/span>\u300c<strong>\u8f2a\u72b6\u7d05\u6591<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306f\u300c<a href=\"https:\/\/stg.c-mec.jp\/eigocafe\/menu_84\/\"><strong>Menu 84: \u6eb6\u9023\u83cc\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/a>\u300d\u3067\u3054\u7d39\u4ecb\u3057\u305f\u3088\u3046\u306b\u3001<span style=\"color: #fe3d45;\"><strong>rheumatic fever<\/strong><\/span>\u300c<strong>\u30ea\u30a6\u30de\u30c1\u71b1<\/strong>\u300d\u306b\u7279\u5fb4\u7684\u306a\u7d05\u6591\u3067\u3059\u3002<span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>serpiginous rash<\/strong><\/span>\u300c<strong>\u86c7\u884c\u72b6\u767a\u75b9<\/strong>\u300d\u3068\u5f62\u5bb9\u3055\u308c\u3001\u75d2\u307f\u3092\u4f34\u308f\u306a\u3044\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002<span style=\"color: #fe3d45;\"><strong>serpent<\/strong><\/span> \u306f\u300c<strong>\u86c7\u306e<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u304c\u3001\u305d\u3053\u304b\u3089\u6d3e\u751f\u3057\u305f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>serpiginous<\/strong><\/span> \u306f\u300c<strong>\u86c7\u306e\u3088\u3046\u306b\u3046\u306d\u3046\u306d\u3068\u3057\u3066\u3044\u308b<\/strong> = <strong>\u86c7\u884c\u3057\u3066\u3044\u308b<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306e\u8868\u73fe\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e erythema marginatum \u3092 semantic qualifiers \u3092\u7528\u3044\u3066\u8a18\u8ff0\u3059\u308b\u5834\u5408\u3001\u5178\u578b\u4f8b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\">The patient presents with well-demarcated, erythematous <strong>serpiginous patches<\/strong> of variable size with central clearing, distributed on the trunk and proximal extremities.<\/span>\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f\u3088\u3046\u306b\u3001\u305d\u308c\u305e\u308c\u306e erythema \u306f\u7279\u5fb4\u7684\u306a\u5f62\u614b\u3092\u6301\u3061\u3001\u7279\u5b9a\u306e\u75be\u60a3\u3068\u5bc6\u63a5\u306b\u95a2\u9023\u3057\u3066\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u308c\u3089\u3092 \u201c<strong>the language of dermatology<\/strong>\u201d \u3067\u3042\u308b6\u3064\u306e\u8981\u7d20\u306b\u52a0\u3048\u3001\u8a3a\u65ad\u3092\u793a\u5506\u3059\u308b semantic qualifiers \u3092\u610f\u8b58\u3057\u3066\u8868\u73fe\u3059\u308b\u3053\u3068\u3067\u3001\u7279\u5b9a\u306e\u75be\u60a3\u3092\u60f3\u8d77\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u306b\u306a\u308b\u306e\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3055\u3066\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f erythema \u306e\u7a2e\u985e\u3068\u305d\u306e\u7279\u5fb4\u7684\u306a semantic qualifiers\u3001\u305d\u3057\u3066\u95a2\u9023\u75be\u60a3\u3092\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Erythema migrans<\/strong><\/span>: annular lesion with central clearing\/bull\u2019s-eye rash \u2192 <span style=\"color: #fe3d45;\"><strong>Lyme disease<\/strong><\/span><\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Erythema nodosum<\/strong><\/span>: tender nodules on the shins \u2192 <span style=\"color: #fe3d45;\"><strong>systemic conditions<\/strong><\/span> (sarcoidosis, GAS, TB, IBD, OCPs)<\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Erythema multiforme<\/strong><\/span>: target lesions \u2192 <span style=\"color: #fe3d45;\"><strong>post-HSV infection<\/strong><\/span><\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Erythema infectiosum<\/strong><\/span>: slapped-cheek rash \u2192 <span style=\"color: #fe3d45;\"><strong>parvovirus B19 infection\/fifth disease<\/strong><\/span><\/li>\r\n    <li><strong>\u2022<\/strong><em>\u3000<\/em><span style=\"color: #fe3d45;\"><strong>Erythema marginatum<\/strong><\/span>: serpiginous rash \u2192 <span style=\"color: #fe3d45;\"><strong>rheumatic fever<\/strong><\/span><\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u3001\u8aad\u8005\u306e\u7686\u3055\u307e\u304c\u3053\u306e\u9023\u8f09\u3067\u53d6\u308a\u4e0a\u3052\u3066\u307b\u3057\u3044\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3057\u3066\u3044\u307e\u3059\u3002<a href=\"https:\/\/55auto.biz\/mec-form\/regires.php?tno=275\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u3088\u308a\u3054\u5e0c\u671b\u306e\u30c8\u30d4\u30c3\u30af\u3092\u81ea\u7531\u306b\u8a18\u8f09\u3057\u3066\u304a\u9001\u308a\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p style=\"text-align: right;\">\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000<br class=\"sp\">\u62bc\u5473 \u8cb4\u4e4b<\/p>","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\u3002 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u9802\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u7d05\u6591\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3067\u3059\u3002 \u300c\u76ae\u75b9\u300dskin rash \u306e\u4e2d\u3067\u3082\u300c\u7d05","protected":false},"author":15,"featured_media":15642,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-15641","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/15641","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=15641"}],"version-history":[{"count":1,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/15641\/revisions"}],"predecessor-version":[{"id":15643,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/15641\/revisions\/15643"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/15642"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=15641"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=15641"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=15641"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}