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Black-spot poison ivy: a rare phenomenon.

机译:黑斑常春藤:一种罕见的现象。

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摘要

PURPOSE: To provide an overview of the clinical presentation, diagnosis, management, and treatment with advanced practice nursing implications of black-spot poison ivy phenomenon. DATA SOURCES: Case presentation and comprehensive literature review on black-spot poison ivy. CONCLUSIONS: Black-spot poison ivy is a rare phenomenon and usually poses a diagnostic challenge. It usually presents after exposure to a higher concentration of uroshiol on Toxicodendron plants. Patients present with black-spot deposits on the epidermis with underlying poison ivy dermatitis. The black deposits cannot be washed off the skin and are followed by itchy blisters. They eventually peel off and the skin heals without scarring. IMPLICATIONS FOR PRACTICE: An understanding of the pathophysiology, clinical presentation, treatment, and management of this rare phenomenon is important for the nurse practitioner (NP) to be able to make an accurate diagnosis and initiate appropriate treatment without delay. The NP's recognition and differentiation of it from other skin disorders including melanoma is paramount.
机译:目的:概述黑点常春藤现象的临床表现,诊断,管理和治疗,并提供先进的实践护理。数据来源:有关黑斑常春藤的病例介绍和综合文献综述。结论:黑点常春藤是一种罕见的现象,通常会带来诊断上的挑战。它通常在暴露于毒典龙植物上的较高浓度的漆酚后出现。患者在表皮上出现黑点沉积物,并伴有潜在的常春藤皮炎。黑色的沉淀物不能从皮肤上洗掉,然后会发痒。它们最终会剥落,并且皮肤会愈合而不会留下疤痕。实践的意义:对这种罕见现象的病理生理学,临床表现,治疗和管理的了解,对于护士执业医师(NP)能够准确诊断并立即进行适当治疗很重要。 NP对它与其他皮肤疾病(包括黑素瘤)的识别和区分是至关重要的。

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