{"id":15767,"date":"2026-06-01T09:00:44","date_gmt":"2026-06-01T00:00:44","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=15767"},"modified":"2026-06-26T17:13:05","modified_gmt":"2026-06-26T08:13:05","slug":"menu_87","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_87\/","title":{"rendered":"Menu 87: \u76ae\u75b9\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"<style>\r\n\r\nbody#nts-style strong {\r\n  font-weight: 600 !important;\r\n}\r\n\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\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<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c<span style=\"color: #1e90ff;\"><strong>\u76ae\u75b9\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;\">\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u3067\u8a2d\u5b9a\u3055\u308c\u3066\u3044\u308b\u75c7\u72b6\u306e\u4e2d\u3067\u3082\u3001\u300c<span style=\"color: #fe3d45;\"><strong>\u76ae\u75b9<\/strong><\/span>\u300d<span style=\"color: #fe3d45;\"><strong>rash<\/strong><\/span> \u3092\u82e6\u624b\u3068\u3057\u3066\u3044\u308b\u533b\u5b66\u751f\u306f\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u305d\u306e\u7406\u7531\u306f\u3044\u304f\u3064\u304b\u3042\u308a\u307e\u3059\u304c\u3001\u305d\u306e\u4e00\u3064\u3068\u3057\u3066\u300c<strong>\u4f3c\u305f\u3088\u3046\u306a\u8868\u73fe\u304c\u591a\u3044<\/strong>\u300d\u3053\u3068\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3053\u3067\u4eca\u6708\u306f\u3001\u3088\u304f\u4f3c\u305f\u82f1\u8a9e\u8868\u73fe\u3092\u4e2d\u5fc3\u306b\u3001\u7686\u3055\u3093\u304c\u82e6\u624b\u3068\u3057\u3084\u3059\u3044\u300c<strong>\u76ae\u75b9\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u3054\u7d39\u4ecb\u3044\u305f\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>Rash \u3068 Eruption \u306f\u3069\u3046\u9055\u3046\u306e\uff1f<\/strong><\/span><br>\r\n\u300c<strong>\u76ae\u75b9<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>rash<\/strong><\/span> \u3068\u8a00\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u300c<strong>\u76ae\u819a\u306e\u53cd\u5fdc<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3001<strong>\u53ef\u7b97\u540d\u8a5e<\/strong>\u3068\u3057\u3066\u6271\u308f\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3067\u3059\u304b\u3089\u60a3\u8005\u304c\u76ae\u75b9\u3092\u4e3b\u8a34\u3068\u3057\u3066\u53d7\u8a3a\u3057\u305f\u5834\u5408\u306b\u306f\u3001\u201cThis is a 24-year-old woman presenting with a 3-day history of <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>a<\/strong><\/span> diffuse pruritic maculopapular rash.\u201d \u3084 \u201cThis is a 7-year-old boy presenting with a 2-day history of <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>a<\/strong><\/span> vesicular rash involving the trunk and extremities.\u201d \u306e\u3088\u3046\u306b\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>a rash<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3092\u4f7f\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u76ae\u75b9\u304c\u8907\u6570\u56de\u8d77\u3053\u308b\u5834\u5408\u3084\u3001\u69d8\u3005\u306a\u7a2e\u985e\u306e\u76ae\u75b9\u3068\u306a\u308b\u5834\u5408\u306b\u306f\u3001\u201cThe medication may cause various <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>rashes<\/strong><\/span>.\u201d \u3084 \u201cChildren commonly develop <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>rashes<\/strong><\/span>.\u201d \u306e\u3088\u3046\u306b<strong>\u8907\u6570\u5f62<\/strong>\u3068\u3057\u3066\u4f7f\u308f\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u76ae\u75b9<\/strong>\u300d\u3068\u3057\u3066 <span style=\"background-color: #ffff33;color: #fe3d45;\"><strong>skin rash<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3082\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u3053\u306e rash \u81ea\u4f53\u306b\u300c\u76ae\u75b9\u300d\u3068\u3044\u3046\u610f\u5473\u304c\u3042\u308b\u306e\u3067\u3001<strong>skin rash<\/strong> \u3068\u3044\u3046\u8868\u73fe\u306f\u300c<strong>\u76ae\u819a\u306e\u767a\u75b9<\/strong>\u300d\u306e\u3088\u3046\u306a\u3001\u3084\u3084\u5197\u9577\u7684\u306a\u5370\u8c61\u3092\u4e0e\u3048\u307e\u3059\u3002\u3057\u304b\u3057\u66d6\u6627\u3055\u3092\u56de\u907f\u3059\u308b\u305f\u3081\u304b\u3001\u3053\u306e skin rash \u3068\u3044\u3046\u8868\u73fe\u306f\u4e00\u822c\u7684\u306b\u3082\u3088\u304f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e rash \u3068\u3088\u304f\u6df7\u540c\u3055\u308c\u308b\u3082\u306e\u3068\u3057\u3066 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>skin lesion<\/strong><\/span>\u300c<strong>\u76ae\u819a\u75c5\u5909<\/strong>\u300d\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u300c<strong>\u6b63\u5e38\u3067\u306f\u306a\u3044\u76ae\u819a\u6240\u898b<\/strong>\u300d\u306e\u3053\u3068\u3067\u3042\u308a\u3001\u901a\u5e38\u306f\u533b\u7642\u8005\u540c\u58eb\u3067\u4f7f\u308f\u308c\u308b\u8868\u73fe\u3067\u3059\u3002\u3067\u3059\u304b\u3089 \u201cThe <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>rash<\/strong><\/span> consists of multiple <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>skin lesions<\/strong><\/span>.\u201d \u306e\u3088\u3046\u306b\u4f7f\u3044\u5206\u3051\u308b\u3068\u899a\u3048\u3066\u304a\u304f\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002\u305d\u3057\u3066\u3053\u306e lesion \u3082<strong>\u53ef\u7b97\u540d\u8a5e<\/strong>\u3068\u3057\u3066\u6271\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">Skin lesion \u3068\u540c\u69d8\u306b\u3001rash \u3068\u6df7\u540c\u3055\u308c\u308b\u3082\u306e\u3068\u3057\u3066 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>eruption<\/strong><\/span>\u300c<strong>\u767a\u75b9<\/strong>\u300d\u304c\u3042\u308a\u307e\u3059\u3002<strong>volcanic<\/strong> <span style=\"color: #fe3d45;\"><strong>eruption<\/strong><\/span> \u304c\u300c<strong>\u706b\u5c71\u306e<\/strong><span style=\"color: #fe3d45;\"><strong>\u5674\u706b<\/strong><\/span>\u300d\u3092\u610f\u5473\u3059\u308b\u3088\u3046\u306b\u3001\u3053\u306e <span style=\"color: #fe3d45;\"><strong>eruption<\/strong><\/span> \u306b\u306f\u300c<strong>\u5674\u304d\u51fa\u308b\u3053\u3068<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081 <span style=\"color: #fe3d45;\"><strong>dermatology<\/strong><\/span>\u300c<strong>\u76ae\u819a\u79d1<\/strong>\u300d\u9818\u57df\u3067\u306f\u3001\u300c<strong>\u76ae\u75b9\u304c\u5674\u304d\u51fa\u3059\u3088\u3046\u306b\u51fa\u73fe\u3059\u308b\u3053\u3068<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3001\u3053\u306e <strong>eruption<\/strong> \u3068\u3044\u3046\u7528\u8a9e\u304c\u4f7f\u308f\u308c\u308b\u306e\u3067\u3059\u3002\u3064\u307e\u308a rash \u304c\u6bd4\u8f03\u7684\u4e00\u822c\u7684\u3067\u65e5\u5e38\u7684\u306a\u8868\u73fe\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001eruption \u306f\u3088\u308a\u533b\u5b66\u7684\u306a\u8868\u73fe\u3068\u3057\u3066\u4f7f\u308f\u308c\u308b\u50be\u5411\u304c\u3042\u308b\u306e\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u85ac\u306e\u526f\u4f5c\u7528\u3068\u3057\u3066\u76ae\u75b9\u304c\u51fa\u73fe\u3059\u308b\u3053\u3068\u3092\u300c<strong>\u85ac\u75b9<\/strong>\u300d\u3068\u8a00\u3044\u307e\u3059\u304c\u3001<strong>\u3053\u308c\u306f<\/strong>\u300c<strong>\u85ac\u3092\u98f2\u3080\u3053\u3068\u3067\u76ae\u75b9\u304c\u51fa\u73fe\u3059\u308b\u3053\u3068<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3092\u542b\u3080\u305f\u3081\u3001\u82f1\u8a9e\u3067\u306f drug rash \u3088\u308a\u3082\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>drug eruption<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u6700\u3082\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e eruption \u3082 rash \u3068\u540c\u69d8\u306b<strong>\u53ef\u7b97\u540d\u8a5e<\/strong>\u3068\u3057\u3066\u6271\u308f\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u4ee5\u4e0a\u3092\u307e\u3068\u3081\u308b\u3068\u4e0b\u8a18\u306e\u901a\u308a\u306b\u306a\u308a\u307e\u3059\u3002\u307e\u305a\u306f\u3053\u306e3\u3064\u306e\u9055\u3044\u3092\u3057\u3063\u304b\u308a\u3068\u62bc\u3055\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Rash<\/strong><\/span>\u300c<strong>\u76ae\u75b9<\/strong>\u300d\uff08\u76ae\u819a\u306e\u53cd\u5fdc\uff09<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Skin lesion<\/strong><\/span>\u300c<strong>\u76ae\u819a\u75c5\u5909<\/strong>\u300d\uff08\u6b63\u5e38\u3067\u306f\u306a\u3044\u76ae\u819a\u6240\u898b\uff09<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Eruption<\/strong><\/span>\u300c<strong>\u767a\u75b9<\/strong>\u300d\uff08\u76ae\u75b9\u304c\u5674\u304d\u51fa\u3059\u3088\u3046\u306b\u51fa\u73fe\u3059\u308b\u3053\u3068\uff09<\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u8996\u8a3a\u3067\u6c17\u3092\u3064\u3051\u308b \u201cArrangement\u201d \u3068\u306f\uff1f<\/strong><\/span><br>\r\n<a href=\"\/eigocafe\/menu_85\/\"><strong>Menu 85<\/strong><\/a> \u3067\u3082\u8a73\u3057\u304f\u8aac\u660e\u3057\u307e\u3057\u305f\u304c\u3001rash \u306e\u8a3a\u65ad\u3067\u306f <span style=\"color: #fe3d45;\"><strong>inspection<\/strong><\/span>\u300c<strong>\u8996\u8a3a<\/strong>\u300d\u306b\u304a\u3044\u3066\u300c\u76ae\u819a\u75c5\u5909\u300d\u3067\u3042\u308b skin lesions \u3092\u4e0b\u8a18\u306e\u9805\u76ee\u306b\u6cbf\u3063\u3066\u8868\u8a18\u3059\u308b\u3053\u3068\u304c\u51fa\u767a\u70b9\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\r\n<\/strong><\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"padding-bottom: 0; font-size: large;\">\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>\r\nDemarcation\u300c\u5883\u754c\u300d\r\n<\/strong><\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"padding-bottom: 0; font-size: large;\">\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><span 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;\">OSCE \u306a\u3069\u306e\u5b9f\u6280\u8a66\u9a13\u3067\u306f\u3001\u307e\u305a history taking \u3092\u884c\u3063\u3066\u304b\u3089 physical examination \u306b\u9032\u3080\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u5b9f\u969b\u306e\u76ae\u819a\u79d1\u8a3a\u7642\u3067\u306f\u3001\u8a73\u7d30\u306a\u75c5\u6b74\u8074\u53d6\u306e\u524d\u306b\u307e\u305a skin lesions \u3092 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>inspection<\/strong><\/span>\u300c<strong>\u8996\u8a3a<\/strong>\u300d\u3067\u89b3\u5bdf\u3059\u308b\u3053\u3068\u3001\u3082\u3057\u304f\u306f <span style=\"color: #fe3d45;\"><strong>inspection<\/strong><\/span> \u3068\u4e26\u884c\u3057\u3066 history taking \u304c\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u305d\u3057\u3066\u305d\u306e\u969b\u306b\u306f\u3001\u4e0a\u8a18\u306e6\u9805\u76ee\u3092\u4f7f\u3063\u3066\u8a73\u7d30\u306b skin lesions \u3092\u8a18\u8ff0\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001<strong>\u4e0b\u8a18\u306e4\u9805\u76ee\u3092\u610f\u8b58\u3059\u308b\u3053\u3068<\/strong>\u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>1.<em>\u3000<\/em>Distribution<\/strong><\/li>\r\n    <li><strong>2.<em>\u3000<\/em>Arrangement<\/strong><\/li>\r\n    <li><strong>3.<em>\u3000<\/em>Primary lesions \/ Primary morphology<\/strong><\/li>\r\n    <li><strong>4.<em>\u3000<\/em>Secondary lesions \/ Secondary changes<\/strong><\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\">\u307e\u305a\u306f <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>distribution<\/strong><\/span>\u300c<strong>\u76ae\u75b9\u304c\u3069\u3053\u306b\u5206\u5e03\u3057\u3066\u3044\u308b\u304b<\/strong>\u300d\u3092\u78ba\u8a8d\u3057\u3066\u3044\u304d\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305f\u3068\u3048\u3070 <span style=\"color: #fe3d45;\"><strong>psoriasis<\/strong><\/span>\u300c<strong>\u4e7e\u766c<\/strong>\uff08<strong>\u304b\u3093\u305b\u3093<\/strong>\uff09\u300d\u3067\u306f elbows \u3084 knees \u306e <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>extensor surfaces<\/strong><\/span>\u300c<strong>\u4f38\u5074<\/strong>\u300d\u306b\u75c5\u5909\u304c\u591a\u304f\u898b\u3089\u308c\u307e\u3059\u3057\u3001<span style=\"color: #fe3d45;\"><strong>atopic dermatitis<\/strong><\/span> \/ <span style=\"color: #fe3d45;\"><strong>eczema<\/strong><\/span>\u300c<strong>\u30a2\u30c8\u30d4\u30fc\u6027\u76ae\u819a\u708e<\/strong>\u300d\u3067\u306f <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>flexural areas<\/strong><\/span>\u300c<strong>\u5c48\u5074<\/strong>\u300d\u306b\u5206\u5e03\u3059\u308b\u3053\u3068\u304c\u5178\u578b\u7684\u3067\u3059\u3002\u305d\u3057\u3066 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>generalized distribution<\/strong><\/span>\u300c<strong>\u5168\u8eab\u6027\u5206\u5e03<\/strong>\u300d\u306f\u3001<span style=\"color: #fe3d45;\"><strong>drug eruption<\/strong><\/span>\u300c<strong>\u85ac\u75b9<\/strong>\u300d\u3092\u793a\u5506\u3059\u308b\u91cd\u8981\u306a\u6240\u898b\u3067\u3082\u3042\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u306e\u305f\u3081 distribution \u306b\u95a2\u3057\u3066\u306f\u3001\u201c<span style=\"color: #fe3d45;\"><strong>Where did the rash first appear?<\/strong><\/span>\u201d \u306e\u3088\u3046\u306a\u8cea\u554f\u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u6b21\u306b\u91cd\u8981\u306a\u306e\u304c <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>arrangement<\/strong><\/span> \u3067\u3059\u3002\u3053\u308c\u306f\u300c<strong>\u500b\u3005\u306e\u76ae\u819a\u75c5\u5909\u304c\u3069\u306e\u3088\u3046\u306b\u914d\u5217\u3057\u3066\u3044\u308b\u304b<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305f\u3068\u3048\u3070 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>linear arrangement<\/strong><\/span>\u300c<strong>\u7dda\u72b6\u914d\u5217<\/strong>\u300d\u3067\u3042\u308c\u3070 <span style=\"color: #fe3d45;\"><strong>allergic contact dermatitis<\/strong><\/span>\u300c<strong>\u30a2\u30ec\u30eb\u30ae\u30fc\u6027\u63a5\u89e6\u76ae\u819a\u708e<\/strong>\u300d\u3092\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>grouped arrangement<\/strong><\/span>\u300c<strong>\u96c6\u7c07\u6027<\/strong>\uff08<strong>\u3057\u3085\u3046\u305e\u304f\u305b\u3044<\/strong>\uff09<strong>\u914d\u5217<\/strong>\u300d\u3067\u3042\u308c\u3070 <span style=\"color: #fe3d45;\"><strong>herpes simplex<\/strong><\/span>\u300c<strong>\u5358\u7d14\u30d8\u30eb\u30da\u30b9<\/strong>\u300d\u306a\u3069\u3092\u8003\u3048\u307e\u3059\u3002\u307e\u305f <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>dermatomal arrangement<\/strong><\/span>\u300c<strong>\u76ae\u7bc0\u6027\u914d\u5217<\/strong>\u300d\u3067\u3042\u308c\u3070 <span style=\"color: #fe3d45;\"><strong>herpes zoster<\/strong><\/span> \/ <span style=\"color: #fe3d45;\"><strong>shingles<\/strong><\/span>\u300c<strong>\u5e2f\u72b6\u75b1\u75b9<\/strong>\u300d\u304c\u91cd\u8981\u306a\u9451\u5225\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u306e\u305f\u3081 arrangement \u306b\u95a2\u3057\u3066\u306f\u3001\u201c<span style=\"color: #fe3d45;\"><strong>Did the lesions appear in a line or in clusters?<\/strong><\/span>\u201d \u306e\u3088\u3046\u306a\u8cea\u554f\u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066 inspection \u306b\u304a\u3044\u3066\u6700\u3082\u91cd\u8981\u3068\u3082\u8a00\u3048\u308b\u306e\u304c\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>primary lesions<\/strong><\/span> \/ <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;\">\u4f8b\u3048\u3070 <span style=\"color: #fe3d45;\"><strong>psoriasis<\/strong><\/span>\u300c<strong>\u4e7e\u766c<\/strong>\u300d \u3067\u306f <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>papules<\/strong><\/span> <span style=\"color: #fe3d45;\"><strong>and<\/strong><\/span> <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>plaques<\/strong><\/span> \u304c\u5178\u578b\u7684\u3067\u3059\u3057\u3001<span style=\"color: #fe3d45;\"><strong>varicella<\/strong><\/span>\u300c<strong>\u6c34\u75d8<\/strong>\u300d\u3067\u306f <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>vesicles<\/strong><\/span> \u304c\u4e3b\u4f53\u306b\u306a\u308a\u307e\u3059\u3002\u307e\u305f <span style=\"color: #fe3d45;\"><strong>urticaria<\/strong><\/span>\u300c<strong>\u8541\u9ebb\u75b9<\/strong>\u300d\u3067\u306f\u3001\u5f37\u3044 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>pruritus<\/strong><\/span>\u300c<strong>\u63bb\u75d2<\/strong>\uff08<strong>\u305d\u3046\u3088\u3046<\/strong>\uff09\u300d\u3092\u4f34\u3046 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>wheal<\/strong><\/span> \u304c\u4e3b\u4f53\u3068\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u306e\u305f\u3081 primary lesions \u3092\u78ba\u8a8d\u3059\u308b\u969b\u306b\u306f\u3001\u201c<span style=\"color: #fe3d45;\"><strong>Did the rash start as flat spots or raised bumps?<\/strong><\/span>\u201d \u306e\u4ed6\u306b\u3082\u3001 \u201c<span style=\"color: #fe3d45;\"><strong>Does it itch?<\/strong><\/span>\u201d \u3068\u3044\u3046\u8cea\u554f\u3082\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u6700\u5f8c\u306b\u91cd\u8981\u306a\u306e\u304c <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>secondary lesions<\/strong><\/span> \/ <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>secondary changes<\/strong><\/span>\u300c<strong>\u4e8c\u6b21\u75c5\u5909\u30fb\u4e8c\u6b21\u5909\u5316<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306f primary lesions \u306b\u5bfe\u3059\u308b <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>scratching<\/strong><\/span>\u300c<strong>\u63bb\u7834<\/strong>\uff08<strong>\u305d\u3046\u306f<\/strong>\uff09\u300d\u3084 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>chronic inflammation<\/strong><\/span>\u300c<strong>\u6162\u6027\u708e\u75c7<\/strong>\u300d\u306a\u3069\u306e\u4e8c\u6b21\u7684\u306a\u53cd\u5fdc\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u5909\u5316\u3067\u3059\u3002\u305f\u3068\u3048\u3070 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>scale<\/strong><\/span>\u300c<strong>\u9c57\u5c51<\/strong>\uff08<strong>\u308a\u3093\u305b\u3064<\/strong>\uff09\u300d\u306f <span style=\"color: #fe3d45;\"><strong>excessive keratin<\/strong><\/span> \u3092\u53cd\u6620\u3057\u3066\u3044\u307e\u3059\u3057\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>crust<\/strong><\/span>\u300c<strong>\u75c2\u76ae<\/strong>\uff08<strong>\u304b\u3072<\/strong>\uff09\u300d\u306f <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>dried exudate<\/strong><\/span> \u3092\u610f\u5473\u3057\u307e\u3059\u3002\u307e\u305f <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>excoriation<\/strong><\/span>\u300c<strong>\u63bb\u7834\u75d5<\/strong>\uff08<strong>\u305d\u3046\u306f\u3053\u3093<\/strong>\uff09\u300d\u306f <span style=\"color: #fe3d45;\"><strong>acute scratching<\/strong><\/span> \u306b\u3088\u3063\u3066\u751f\u3058\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>lichenification<\/strong><\/span>\u300c<strong>\u82d4\u766c\u5316<\/strong>\uff08<strong>\u305f\u3044\u305b\u3093\u304b<\/strong>\uff09\u300d\u306f <span style=\"color: #fe3d45;\"><strong>chronic scratching<\/strong><\/span> \u306b\u3088\u308b\u76ae\u819a\u80a5\u539a\u3092\u610f\u5473\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u306e\u305f\u3081 secondary lesions \u3092\u78ba\u8a8d\u3059\u308b\u969b\u306b\u306f\u3001\u201c<span style=\"color: #fe3d45;\"><strong>Have you been scratching the area frequently?<\/strong><\/span>\u201d \u306e\u3088\u3046\u306a\u8cea\u554f\u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b rash \u306e\u8a3a\u5bdf\u306b\u304a\u3044\u3066\u306f\u3001\r\n<\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>1.<em>\u3000<\/em>Distribution<\/strong><\/li>\r\n    <li><strong>2.<em>\u3000<\/em>Arrangement<\/strong><\/li>\r\n    <li><strong>3.<em>\u3000<\/em>Primary lesions \/ Primary morphology<\/strong><\/li>\r\n    <li><strong>4.<em>\u3000<\/em>Secondary lesions \/ Secondary changes<\/strong><\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\">\u306e4\u9805\u76ee\u3092\u610f\u8b58\u3057\u306a\u304c\u3089\u3001inspection \u3068 history taking \u3092\u9032\u3081\u3066\u3044\u304f\u3053\u3068\u304c\u52b9\u679c\u7684\u3068\u8a00\u3048\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u300c\u8541\u9ebb\u75b9\u304c\u51fa\u305f\u300d\u306e\u81ea\u7136\u306a\u82f1\u8a9e\u8868\u73fe\u306f\uff1f<\/strong><\/span><br>\r\n\u3067\u306f\u3053\u3053\u304b\u3089\u983b\u5ea6\u304c\u9ad8\u3044\u76ae\u75b9\u3067\u3042\u308b\u300c<strong>\u8541\u9ebb\u75b9<\/strong>\uff08<strong>\u3058\u3093\u307e\u3057\u3093<\/strong>\uff09\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u8541\u9ebb\u75b9<\/strong>\u300d\u306e\u533b\u5b66\u82f1\u8a9e\u306f <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>urticaria<\/strong><\/span> \u3067\u3001\u767a\u97f3\u306f\u300c\u30a2\u30fc\u30c6\u30a3<strong>\u30b1<\/strong>\u30a1\u30ea\u30a2\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e urticaria \u306f\u3001\u533b\u5b66\u7684\u306b\u306f <span style=\"color: #fe3d45;\"><strong>transient, pruritic, superficial wheal-and-flare reaction<\/strong><\/span>\u300c<strong>\u4e00\u904e\u6027\u3067\u63bb\u75d2\u6027\u3092\u4f34\u3046\u8868\u5728\u6027\u306e\u81a8\u75b9\u53cd\u5fdc<\/strong>\u300d\u3068\u3057\u3066\u8aac\u660e\u3055\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e urticaria \u306e\u4e00\u7a2e\u3068\u3057\u3066\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>dermographism<\/strong><\/span>\u300c<strong>\u76ae\u819a\u63cf\u8a18\u75c7<\/strong>\uff08<strong>\u3072\u3075\u3073\u3087\u3046\u304d\u3057\u3087\u3046<\/strong>\uff09\u300d\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f <span style=\"color: #fe3d45;\"><strong>physical urticaria<\/strong><\/span>\u300c<strong>\u7269\u7406\u6027\u8541\u9ebb\u75b9<\/strong>\u300d\u306e\u4e00\u7a2e\u3067\u3042\u308a\u3001\u76ae\u819a\u3092\u8efd\u304f\u63bb\u3044\u305f\u308a\u5727\u8feb\u3057\u305f\u308a\u3059\u308b\u3068\u3001\u305d\u306e\u523a\u6fc0\u306b\u6cbf\u3063\u3066\u7dda\u72b6\u306e wheal\u300c\u81a8\u75b9\u300d\u304c\u51fa\u73fe\u3059\u308b\u75c5\u614b\u3067\u3059\u3002\u307e\u308b\u3067\u76ae\u819a\u306b\u6587\u5b57\u3092\u66f8\u3051\u308b\u3088\u3046\u306b\u898b\u3048\u308b\u3053\u3068\u304b\u3089\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>skin writing<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e urticaria \u3068\u3088\u304f\u6df7\u540c\u3055\u308c\u308b\u3082\u306e\u3068\u3057\u3066\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>angioedema<\/strong><\/span>\u300c<strong>\u8840\u7ba1\u6027\u6d6e\u816b<\/strong>\u300d\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u3061\u3089\u306f <span style=\"color: #fe3d45;\"><strong>transient, non-pruritic, deep swelling<\/strong><\/span>\u300c<strong>\u4e00\u904e\u6027\u3067\u3001\u63bb\u75d2\u3092\u3042\u307e\u308a\u4f34\u308f\u306a\u3044\u6df1\u90e8\u306e\u816b\u8139<\/strong>\u300d\u3068\u8aac\u660e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3053\u306e wheal-and-flare \u3068\u3044\u3046\u8868\u73fe\u306f\u3001\u76ae\u75b9\u4e2d\u592e\u306b\u73fe\u308c\u308b wheal\u300c\u81a8\u75b9\u300d\u3068\u305d\u306e\u5468\u56f2\u306e flare\u300c\u767a\u8d64\u300d\u3092\u610f\u5473\u3059\u308b\u3082\u306e\u3067\u3001USMLE \u306e\u554f\u984c\u3067\u3082\u983b\u51fa\u306e\u8868\u73fe\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u306e\u305f\u3081 angioedema \u3067\u306f\u3001lips, eyelids, \u3084 tongue \u306a\u3069\u306b urticaria \u3088\u308a\u3082\u5f37\u3044\u816b\u8139\u3092\u8a8d\u3081\u307e\u3059\u3002\u307e\u305f urticaria \u3068\u7570\u306a\u308a\u3001<strong>pruritus<\/strong>\u300c<strong>\u63bb\u75d2<\/strong>\u300d<strong>\u304c\u76ee\u7acb\u305f\u306a\u3044<\/strong>\u3053\u3068\u3082\u7279\u5fb4\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u306e urticaria \u306f\u533b\u5b66\u7528\u8a9e\u3067\u3042\u308a\u3001\u65e5\u5e38\u4f1a\u8a71\u3067\u306f\u4e00\u822c\u7684\u306b <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>hives<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u8541\u9ebb\u75b9\u304c\u51fa\u305f<\/strong>\u300d\u3068\u8868\u73fe\u3059\u308b\u5834\u5408\u306b\u306f\u3001\u201cI <span style=\"color: #fe3d45;\"><strong>got<\/strong><\/span> hives.\u201d \u3084 \u201cI <span style=\"color: #fe3d45;\"><strong>developed<\/strong><\/span> hives.\u201d \u306e\u3088\u3046\u306a\u8868\u73fe\u304c\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002\u305f\u3060\u300c<strong>\u8541\u9ebb\u75b9\u304c\u6025\u306b\u73fe\u308c\u3066\u5e83\u304c\u3063\u305f<\/strong>\u300d\u3068\u3044\u3046\u30cb\u30e5\u30a2\u30f3\u30b9\u3092\u8fbc\u3081\u3066\u300c<strong>\u8541\u9ebb\u75b9\u304c\u51fa\u305f<\/strong>\u300d\u3068\u8868\u73fe\u3059\u308b\u969b\u306b\u306f\u3001\u201cI <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>broke out in<\/strong><\/span> hives.\u201d \u306e\u3088\u3046\u306b <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>break out in<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u304c\u983b\u7528\u3055\u308c\u307e\u3059\u3002\u60a3\u8005\u3055\u3093\u3068\u306e\u4f1a\u8a71\u3067\u306f\u3088\u304f\u4f7f\u308f\u308c\u308b\u8868\u73fe\u3067\u3059\u306e\u3067\u3001\u77e5\u3089\u306a\u304b\u3063\u305f\u65b9\u306f\u662f\u975e\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u306d\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>Abrasion \u3068 Laceration \u306f\u3069\u3046\u9055\u3046\u306e\uff1f<\/strong><\/span><br>\r\n\u76ae\u819a\u79d1\u9818\u57df\u3067\u306f\u65e5\u672c\u8a9e\u306b\u3082\u82f1\u8a9e\u306b\u3082\u96e3\u89e3\u306a\u8868\u73fe\u304c\u6570\u591a\u304f\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u300c<strong>\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong>\u300d\u3067\u306f\u3001\u3053\u308c\u307e\u3067\u306b\u30823\u56de\u306b\u5206\u3051\u3066\u69d8\u3005\u306a<strong>\u76ae\u819a\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u3092\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u4e0b\u8a18\u3092\u672a\u8aad\u306e\u65b9\u306f\u662f\u975e\u3054\u89a7\u304f\u3060\u3055\u3044\u3002\r\n<\/span><\/p>\r\n\r\n<p><strong><span style=\"font-size: large;\">\u300c<a href=\"\/eigocafe\/menu_10\/\">Menu 10: \u76ae\u819a\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/a>\u300d<br>\r\n\u300c<a href=\"\/eigocafe\/menu_84\/\">Menu 84: \u6eb6\u9023\u83cc\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/a>\u300d<br>\r\n\u300c<a href=\"\/eigocafe\/menu_85\/\">Menu 85: \u7d05\u6591\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/a>\u300d\r\n<\/span><\/strong><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u4eca\u56de\u306f\u6700\u5f8c\u306b\u3001\u65e5\u672c\u306e\u533b\u5b66\u751f\u3084\u533b\u5e2b\u304c\u6df7\u540c\u3057\u3084\u3059\u3044\u76ae\u819a\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u6bd4\u8f03\u3057\u306a\u304c\u3089\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u307e\u305a\u306f\u4e0b\u8a18\u3092\u898b\u3066\u3001\u305d\u308c\u305e\u308c\u306e\u9055\u3044\u304c\u308f\u304b\u308b\u304b\u8003\u3048\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002\r\n<\/span><\/p>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Wheal vs Papule<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Scale vs Crust<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Scab vs Eschar<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Excoriation vs Lichenification<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Abrasion vs Laceration<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Induration vs Edema<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Erosion vs Ulcer<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Fissure vs Fistula<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong>Petechiae vs Purpura vs Ecchymosis<\/li>\r\n<\/ul>\r\n\r\n<p><span style=\"font-size: large;\">\u3044\u304b\u304c\u3067\u3057\u305f\u304b\uff1f\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u4e00\u3064\u305a\u3064\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 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>wheal<\/strong><\/span>\u300c<strong>\u81a8\u75b9<\/strong>\u300d\u3068 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>papule<\/strong><\/span>\u300c<strong>\u4e18\u75b9<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u5148\u307b\u3069 <span style=\"color: #fe3d45;\"><strong>urticaria<\/strong><\/span> = transient, pruritic, superficial <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>wheal<\/strong><\/span>-and-flare reaction \u3068\u3054\u7d39\u4ecb\u3057\u305f\u3088\u3046\u306b\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>wheal<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>transient swelling<\/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\u308c\u306b\u5bfe\u3057\u3066 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>papule<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>persistent solid elevation<\/strong><\/span> \u3067\u3059\u3002\u708e\u75c7\u7d30\u80de\u6d78\u6f64\u3084\u7d44\u7e54\u5897\u6b96\u306b\u3088\u3063\u3066\u5f62\u6210\u3055\u308c\u308b\u305f\u3081\u3001wheal \u306e\u3088\u3046\u306b\u77ed\u6642\u9593\u3067\u6d88\u3048\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\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>scale<\/strong><\/span>\u300c<strong>\u9c57\u5c51<\/strong>\uff08<strong>\u308a\u3093\u305b\u3064<\/strong>\uff09\u300d\u3068 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>crust<\/strong><\/span>\u300c<strong>\u75c2\u76ae<\/strong>\uff08<strong>\u304b\u3072<\/strong>\uff09\u300d\u306e\u9055\u3044\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>scale<\/strong><\/span> \u306f excessive keratin \u306b\u3088\u308b <span style=\"color: #fe3d45;\"><strong>keratin flaking<\/strong><\/span>\u300c<strong>\u89d2\u8cea\u306e\u5265\u96e2<\/strong>\u300d\u3067\u3059\u3002\u4e7e\u71e5\u3057\u305f\u89d2\u8cea\u304c\u307d\u308d\u307d\u308d\u843d\u3061\u308b\u72b6\u614b\u3067\u3042\u308a\u3001<span style=\"color: #fe3d45;\"><strong>psoriasis<\/strong><\/span>\u300c<strong>\u4e7e\u766c<\/strong>\u300d\u3084 <span style=\"color: #fe3d45;\"><strong>atopic dermatitis<\/strong><\/span> \/ <span style=\"color: #fe3d45;\"><strong>eczema<\/strong><\/span>\u300c<strong>\u30a2\u30c8\u30d4\u30fc\u6027\u76ae\u819a\u708e<\/strong>\u300d\u306a\u3069\u3067\u3088\u304f\u898b\u3089\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u4e00\u65b9\u3067 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>crust<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>dried fluid<\/strong><\/span>\u300c<strong>\u4e7e\u71e5\u3057\u305f\u6ef2\u51fa\u6db2<\/strong>\u300d\u3067\u3059\u3002serum, blood, pus \u306a\u3069\u304c\u4e7e\u71e5\u3057\u3066\u5f62\u6210\u3055\u308c\u305f\u3082\u306e\u3067\u3042\u308a\u3001 \u201choney-colored <span style=\"color: #fe3d45;\"><strong>crust<\/strong><\/span>\u201d \u3068\u8a00\u3048\u3070\u3001<span style=\"color: #fe3d45;\"><strong>impetigo<\/strong><\/span>\u300c<strong>\u4f1d\u67d3\u6027\u81bf\u75c2\u75b9\u30fb\u3068\u3073\u3072<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e crust \u3068\u95a2\u9023\u3057\u3066\u899a\u3048\u3066\u304a\u304d\u305f\u3044\u306e\u304c\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>scab<\/strong><\/span>\u300c<strong>\u304b\u3055\u3076\u305f<\/strong>\u300d\u3068 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>eschar<\/strong><\/span>\u300c<strong>\u9ed2\u8272\u58ca\u6b7b\u7d44\u7e54<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>scab<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>healing blood clot<\/strong><\/span>\u300c<strong>\u6cbb\u7652\u904e\u7a0b\u306e\u8840\u9905<\/strong>\u300d\u306e\u3053\u3068\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u300c<strong>\u304b\u3055\u3076\u305f\u3092\u89e6\u3089\u306a\u3044\u3067\uff01<\/strong>\u300d\u3068\u8a00\u3044\u305f\u3044\u5834\u5408\u306b\u306f\u3001\u201c<strong>Don\u2019t pick at your scab!<\/strong><\/span>\u201d \u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306b\u5bfe\u3057\u3066 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>eschar<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>dead tissue<\/strong><\/span>\u300c<strong>\u58ca\u6b7b\u7d44\u7e54<\/strong>\u300d\u306e\u3053\u3068\u3067\u3059\u3002<span style=\"color: #fe3d45;\"><strong>scrub typhus<\/strong><\/span>\u300c<strong>\u30c4\u30c4\u30ac\u30e0\u30b7\u75c5<\/strong>\u300d\u3067\u306f fever, erythema, <span style=\"color: #fe3d45;\"><strong>eschar<\/strong><\/span>, and severe headache \u306e\u7d44\u307f\u5408\u308f\u305b\u304c\u91cd\u8981\u306a pattern recognition \u3068\u3057\u3066\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u63bb\u75d2\u6027\u75be\u60a3\u3067\u983b\u51fa\u306a\u306e\u304c <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>excoriation<\/strong><\/span>\u300c<strong>\u63bb\u7834\u75d5<\/strong>\uff08<strong>\u305d\u3046\u306f\u3053\u3093<\/strong>\uff09\u300d\u3068 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>lichenification<\/strong><\/span>\u300c<strong>\u82d4\u766c\u5316<\/strong>\uff08<strong>\u305f\u3044\u305b\u3093\u304b<\/strong>\uff09\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>excoriation<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>superficial scratch marks from acute scratching<\/strong><\/span>\u300c<strong>\u6025\u6027\u306e\u63bb\u7834\u306b\u3088\u308b\u8868\u5728\u6027\u306e\u5f15\u3063\u304b\u304d\u50b7<\/strong>\u300d\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>lichenification<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>thickened skin with accentuated lines from chronic scratching<\/strong><\/span>\u300c<strong>\u6162\u6027\u7684\u306a\u63bb\u7834\u306b\u3088\u308b\u76ae\u819a\u80a5\u539a\u3068\u76ae\u6e9d\u306e\u5f37\u8abf<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u3002\u3064\u307e\u308a excoriation \u306f\u300c<strong>\u75d2\u304f\u3066\u63bb\u3044\u305f\u50b7<\/strong>\u300d\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001lichenification \u306f\u300c<strong>\u305a\u3063\u3068\u63bb\u3044\u3066\u3044\u3066\u539a\u304f\u306a\u3063\u305f\u76ae\u819a<\/strong>\u300d\u306e\u3053\u3068\u306a\u306e\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u5916\u50b7\u3067\u306f <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>abrasion<\/strong><\/span>\u300c<strong>\u64e6\u904e\u50b7<\/strong>\uff08<strong>\u3055\u3063\u304b\u3057\u3087\u3046<\/strong>\uff09\u300d\u3068 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>laceration<\/strong><\/span>\u300c<strong>\u88c2\u5275<\/strong>\uff08<strong>\u308c\u3063\u305d\u3046<\/strong>\uff09\u300d\u306e\u533a\u5225\u3082\u91cd\u8981\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u3061\u3089\u306e\u533a\u5225\u306f\u5358\u7d14\u3067\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>abrasion<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>superficial friction injury<\/strong><\/span>\u300c<strong>\u8868\u5728\u6027\u306e\u6469\u64e6\u640d\u50b7<\/strong>\u300d\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>laceration<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>deep tear injury<\/strong><\/span>\u300c<strong>\u6df1\u3044\u88c2\u50b7<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u7d9a\u3044\u3066 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>induration<\/strong><\/span>\u300c<strong>\u786c\u7d50<\/strong>\u300d\u3068 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>edema<\/strong><\/span>\u300c<strong>\u6d6e\u816b<\/strong>\u300d\u306e\u9055\u3044\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>induration<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>hard swelling<\/strong><\/span>\u300c<strong>\u786c\u3044\u816b\u8139<\/strong>\u300d\u3067\u3059\u3002\u708e\u75c7\u3084\u7dda\u7dad\u5316\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u305f\u3081\u3001\u89e6\u8a3a\u3067\u306f <span style=\"color: #fe3d45;\"><strong>firm<\/strong><\/span>\u300c<strong>\u5f3e\u529b\u304c\u3042\u3063\u3066\u786c\u3044<\/strong>\u300d\u3042\u308b\u3044\u306f <span style=\"color: #fe3d45;\"><strong>hard<\/strong><\/span>\u300c<strong>\u5f3e\u529b\u304c\u306a\u304f\u3066\u786c\u3044<\/strong>\u300d\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<strong>cellulitis<\/strong>\u300c<strong>\u8702\u7aa9\u7e54\u708e<\/strong>\u300d\u3084 <strong>inflammatory breast cancer<\/strong>\u300c<strong>\u708e\u75c7\u6027\u4e73\u764c<\/strong>\u300d\u306a\u3069\u3067\u91cd\u8981\u306a\u6240\u898b\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306b\u5bfe\u3057\u3066 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>edema<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>soft swelling<\/strong><\/span>\u300c<strong>\u67d4\u3089\u304b\u3044\u816b\u8139<\/strong>\u300d\u3067\u3059\u3002\u4f53\u6db2\u8caf\u7559\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u305f\u3081\u3001<span style=\"color: #fe3d45;\"><strong>boggy<\/strong><\/span>\u300c<strong>\u3076\u3088\u3076\u3088\u3057\u305f<\/strong>\u300d\u3042\u308b\u3044\u306f <span style=\"color: #fe3d45;\"><strong>pitting<\/strong><\/span>\u300c<strong>\u5727\u8feb\u3059\u308b\u3068\u3078\u3053\u3080<\/strong>\u300d\u3068\u5f62\u5bb9\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\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>erosion<\/strong><\/span>\u300c<strong>\u3073\u3089\u3093<\/strong>\u300d\u3068 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>ulcer<\/strong><\/span>\u300c<strong>\u6f70\u760d<\/strong>\u300d\u306e\u9055\u3044\u3067\u91cd\u8981\u306a\u306e\u306f <strong>depth<\/strong>\u300c<strong>\u6df1\u3055<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>erosion<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>loss of the epidermis<\/strong><\/span>\u300c<strong>\u8868\u76ae\u306e\u307f\u306e\u6b20\u640d<\/strong>\u300d\u3067\u3059\u3002\u305d\u306e\u305f\u3081 <span style=\"color: #fe3d45;\"><strong>heals without scarring<\/strong><\/span>\u300c<strong>\u7622\u75d5\u3092\u6b8b\u3055\u305a\u306b\u6cbb\u7652\u3059\u308b<\/strong>\u300d\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306b\u5bfe\u3057\u3066 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>ulcer<\/strong><\/span> \u306f <span style=\"color: #fe3d45;\"><strong>loss of the epidermis and dermis or deeper<\/strong><\/span>\u300c<strong>\u771f\u76ae\u4ee5\u4e0a\u306e\u6df1\u90e8\u306b\u53ca\u3076\u6b20\u640d<\/strong>\u300d\u3067\u3059\u3002\u305d\u306e\u305f\u3081 <span style=\"color: #fe3d45;\"><strong>heals with scarring<\/strong><\/span>\u300c<strong>\u7622\u75d5\u3092\u6b8b\u3057\u3066\u6cbb\u7652\u3059\u308b<\/strong>\u300d\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u307e\u305f\u7db4\u308a\u304c\u4f3c\u3066\u3044\u308b <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>fissure<\/strong><\/span>\u300c<strong>\u4e80\u88c2<\/strong>\u300d \u3068 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>fistula<\/strong><\/span>\u300c<strong>\u763b\u5b54<\/strong>\uff08<strong>\u308d\u3046\u3053\u3046<\/strong>\uff09\u300d \u306e\u9055\u3044\u3082\u91cd\u8981\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>fissure<\/strong><\/span> \u306f\u300c<strong>\u4e80\u88c2<\/strong> = <strong>\u88c2\u3051\u76ee<\/strong>\u300d\u3067\u3059\u304c\u3001<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>fistula<\/strong><\/span>\u300c<strong>\u763b\u5b54<\/strong>\u300d\u306f <span style=\"color: #fe3d45;\"><strong>tract connecting two surfaces<\/strong><\/span>\u300c<strong>\u4e8c\u3064\u306e\u8868\u9762\u3092\u4ea4\u901a\u3059\u308b\u7570\u5e38\u306a\u7ba1<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u305d\u306e\u305f\u3081 <span style=\"color: #fe3d45;\"><strong>anal fistula<\/strong><\/span>\u300c<strong>\u75d4\u763b<\/strong>\u300d\u3084 <span style=\"color: #fe3d45;\"><strong>enterocutaneous fistula<\/strong><\/span>\u300c<strong>\u8178\u7ba1\u76ae\u819a\u763b<\/strong>\u300d\u306a\u3069\u3067\u4f7f\u308f\u308c\u307e\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u6700\u5f8c\u306b\u91cd\u8981\u306a\u306e\u304c\u3001<strong>\u51fa\u8840\u6591<\/strong>\u306b\u95a2\u3059\u308b3\u3064\u306e\u8868\u73fe\u3067\u3059\u3002\u51fa\u8840\u6591\u306f <span style=\"color: #fe3d45;\"><strong>non-blanching<\/strong><\/span>\u300c<strong>\u5727\u8feb\u3057\u3066\u3082\u9000\u8272\u3057\u306a\u3044<\/strong>\u300d\u3068\u3044\u3046\u7279\u5fb4\u304c\u3042\u308a\u3001\u300c<strong>\u7d05\u6591<\/strong>\u300d\u3067\u3042\u308b <span style=\"color: #fe3d45;\"><strong>erythema<\/strong><\/span> \u3068\u306e\u9055\u3044\u306b\u306a\u308a\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>petechiae<\/strong><\/span>\u300c<strong>\u70b9\u72b6\u51fa\u8840<\/strong>\u300d\u306f <span style=\"color: #fe3d45;\"><strong>small non-blanching hemorrhages (<2 mm)<\/strong><\/span>\u300c<strong>2 mm \u672a\u6e80\u306e\u5c0f\u51fa\u8840\u6591<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>purpura<\/strong><\/span>\u300c<strong>\u7d2b\u6591<\/strong>\u300d\u306f <span style=\"color: #fe3d45;\"><strong>medium-sized non-blanching hemorrhages (2\u201310 mm)<\/strong><\/span>\u300c<strong>\u4e2d\u7b49\u5927\u306e\u51fa\u8840\u6591<\/strong>\u300d\u3067\u3059\u3002\r\n<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066 <span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>ecchymosis<\/strong><\/span>\u300c<strong>\u6591\u72b6\u51fa\u8840<\/strong>\u300d\u306f <span style=\"color: #fe3d45;\"><strong>large non-blanching hemorrhages (>10 mm)<\/strong><\/span>\u300c<strong>\u5927\u578b\u306e\u51fa\u8840\u6591<\/strong>\u300d\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\u3088\u304f\u4f3c\u305f\u76ae\u819a\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u3082\u3046\u4e00\u5ea6\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<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Rash<\/strong><\/span>\u300c<strong>\u76ae\u75b9<\/strong>\u300d\uff08\u76ae\u819a\u306e\u53cd\u5fdc\uff09<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Skin lesion<\/strong><\/span>\u300c<strong>\u76ae\u819a\u75c5\u5909<\/strong>\u300d\uff08\u6b63\u5e38\u3067\u306f\u306a\u3044\u76ae\u819a\u6240\u898b\uff09<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Eruption<\/strong><\/span>\u300c<strong>\u767a\u75b9<\/strong>\u300d\uff08\u76ae\u75b9\u304c\u5674\u304d\u51fa\u3059\u3088\u3046\u306b\u51fa\u73fe\u3059\u308b\u3053\u3068\uff09<\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Urticaria<\/strong><\/span>\/<span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Hives<\/strong><\/span>\u300c<strong>\u8541\u9ebb\u75b9<\/strong>\u300d= transient, <strong>pruritic<\/strong>, <strong>superficial<\/strong> wheal-and-flare reaction<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Angioedema<\/strong><\/span>\u300c<strong>\u8840\u7ba1\u6027\u6d6e\u816b<\/strong>\u300d= transient, <strong>non-pruritic<\/strong>, <strong>deep<\/strong> swelling<\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Wheal<\/strong><\/span>\u300c<strong>\u81a8\u75b9<\/strong>\u300d= <strong>transient<\/strong> swelling<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Papule<\/strong><\/span>\u300c<strong>\u4e18\u75b9<\/strong>\u300d= <strong>persistent<\/strong> solid elevation<\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Scale<\/strong><\/span>\u300c<strong>\u9c57\u5c51<\/strong>\uff08<strong>\u308a\u3093\u305b\u3064<\/strong>\uff09\u300d= keratin flaking<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Crust<\/strong><\/span>\u300c<strong>\u75c2\u76ae<\/strong>\uff08<strong>\u304b\u3072<\/strong>\uff09\u300d= dried exudate<\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Scab<\/strong><\/span>\u300c<strong>\u304b\u3055\u3076\u305f<\/strong>\u300d= healing <strong>blood clot<\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Eschar<\/strong><\/span>\u300c<strong>\u9ed2\u8272\u58ca\u6b7b\u7d44\u7e54<\/strong>\u300d= <strong>necrotic tissue<\/strong><\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Excoriation<\/strong><\/span>\u300c<strong>\u63bb\u7834\u75d5<\/strong>\uff08\u305d\u3046\u306f\u3053\u3093\uff09\u300d= <strong>superficial<\/strong> scratch marks from <strong>acute<\/strong> scratching<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Lichenification<\/strong><\/span>\u300c<strong>\u82d4\u766c\u5316<\/strong>\uff08\u305f\u3044\u305b\u3093\u304b\uff09\u300d= <strong>thickened skin<\/strong> with accentuated lines from <strong>chronic<\/strong> scratching<\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Abrasion<\/strong><\/span>\u300c<strong>\u64e6\u904e\u50b7<\/strong>\uff08\u3055\u3063\u304b\u3057\u3087\u3046\uff09\u300d= <strong>superficial<\/strong> friction injury<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Laceration<\/strong><\/span>\u300c<strong>\u88c2\u5275<\/strong>\uff08\u308c\u3063\u305d\u3046\uff09\u300d= <strong>deep<\/strong> tear injury<\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Induration<\/strong><\/span>\u300c<strong>\u786c\u7d50<\/strong>\u300d= <strong>hard<\/strong> swelling<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Edema<\/strong><\/span>\u300c<strong>\u6d6e\u816b<\/strong>\u300d= <strong>soft<\/strong> swelling<\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Erosion<\/strong><\/span>\u300c<strong>\u3073\u3089\u3093<\/strong>\u300d= loss of the <strong>epidermis without scarring<\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Ulcer<\/strong><\/span>\u300c<strong>\u6f70\u760d<\/strong>\u300d= loss of the <strong>epidermis and dermis or deeper with scarring<\/strong><\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Fissure<\/strong><\/span>\u300c<strong>\u4e80\u88c2<\/strong>\u300d= superficial linear <strong>crack<\/strong><\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Fistula<\/strong><\/span>\u300c<strong>\u763b\u5b54<\/strong>\uff08\u308d\u3046\u3053\u3046\uff09\u300d= <strong>tract<\/strong> connecting two surfaces<\/li>\r\n<\/ul>\r\n\r\n<ul class=\"list-indent\" style=\"font-size: large;\">\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Petechiae<\/strong><\/span>\u300c<strong>\u70b9\u72b6\u51fa\u8840<\/strong>\u300d= <strong>small<\/strong> non-blanching hemorrhages (<2 mm)<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Purpura<\/strong><\/span>\u300c<strong>\u7d2b\u6591<\/strong>\u300d= <strong>medium-sized<\/strong> non-blanching hemorrhages (2\u201310 mm)<\/li>\r\n    <li><strong>\u2022<em>\u3000<\/em><\/strong><span style=\"background-color: #ffff33; color: #fe3d45;\"><strong>Ecchymosis<\/strong><\/span>\u300c<strong>\u6591\u72b6\u51fa\u8840<\/strong>\u300d= <strong>large<\/strong> non-blanching hemorrhages (>10 mm)<\/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\u76ae\u75b9\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3067\u3059\u3002 \u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u3067\u8a2d\u5b9a","protected":false},"author":15,"featured_media":15768,"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-15767","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\/15767","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=15767"}],"version-history":[{"count":2,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/15767\/revisions"}],"predecessor-version":[{"id":15814,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/15767\/revisions\/15814"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/15768"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=15767"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=15767"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=15767"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}