Scarlet face: The human face is not only the “stage” for the performance of the seven emotions, but also the “window” reflecting the diseases in the body. Therefore, it is an important and easy way to detect diseases at an early stage.
The face of scarlet fever is flushed with blood and the skin around the mouth and nose is obviously pale. This is a symptom of scarlet fever, which is an acute rash whistling infectious disease caused by a group A, type B, hemolytic streptococcus, known in Chinese medicine as “rotten throat gua”, and occurs mainly in winter and spring. Any age can be affected, but babies between the ages of 2 and 8 are most likely to be infected.
Causes
Scarlet fever is an acute respiratory tract infection caused by group A hemolytic streptococcal infection. It is characterized clinically by fever, pharyngitis, a diffuse bright red rash, and marked flaking after the rash has subsided. A small number of patients develop heart, kidney and joint damage due to allergic reactions. It is more common in children under 10 years old.
Gua Sha is an acute seasonal disease caused by the feeling of Gua Sha poisonous epidemic evil. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The disease can occur throughout the year, but it is more common in winter and spring. The disease can occur at any age, especially in children aged 2-8 years.
Differential diagnosis
Differential diagnosis of scarlet fever facies.
1. Acute face: flushed face, happy and restless, painful expression, a manifestation of acute fever, such as lobar pneumonia, malaria, etc .
2, bitter smile face: tetanus is a neurological syndrome caused by Clostridium tetani toxin. The patient’s local or general muscle paroxysmal or tonic spasm, because the face and neck muscles are often involved, the teeth closed and “bitter smile face” as the characteristic performance.
3, mucinous edema face: the characteristic face of hypothyroidism in adulthood. In Chinese medicine, it is considered to be a deficiency of spleen qi and kidney yang; in Western medicine, it is mostly seen in hypothyroidism. This face can also be seen in desmoidosis and hypopituitarism.
4, chronic face: gray or pale face, gaunt face, dull gaze. Commonly seen in chronic wasting diseases, such as liver cirrhosis, malignant tumors, severe tuberculosis, etc.
5, measles face: both eyes slightly red and afraid of light, increased secretions in the eyes, nasal obstruction, accompanied by fever and cough, etc.
6, anemic face: pale and dull face, pale eyelids, lips and tongue, tired and weak expression.
7, dementia face: large head and short neck, small eye fissures, deep and wide flat nose, nasal hypertrophy, large and wide tongue and often sticking out of the mouth, common in patients with cretinism.
8, typhoid face: indifferent expression, unresponsive, inactive state. Mostly suffering from intestinal typhoid, encephalitis, cerebral crest myelitis and other high fever debilitated patient’s face.
9, cachexia face: face extremely thin, yellowish, poor skin elasticity, mostly seen in patients with chronic wasting diseases, such as tuberculosis, advanced cancer, etc.
10, mask face: facial expression dull, as if wearing a mask, commonly seen in patients with encephalitis, tremulous paralysis.
11, liver disease face: gray face, cheeks thinning, nose forehead and cheeks with brown pigmentation.
12, acromegaly face: head enlargement, facial lengthening, large and forward protruding jaw, two bone bulge, ear and nose enlargement, lip and tongue thickening, common in patients with pituitary tumors.
13, hemifacial spasm face: half of the facial muscles paroxysmal irregular twitching, sometimes only manifested as all-seeing spasm or corner of the mouth twitching, common in patients with facial nerve palsy sequelae and trigeminal neuralgia, central nervous disorder.
14, hyperthyroidism face: facial muscle thinning, protruding eyes, shining eyes with frightened expression, eye fissure enlargement and less blinking, accompanied by happy and restless, irritable performance is common in patients with proptosis hyperthyroidism. The expression is a startled face, easily stimulated by various small sounds from outside and shows a very frightened appearance; bulging eyes, similar to goldfish eyes; excitement and restlessness, irritability and anger. This is a typical manifestation of abnormal hyperthyroidism.
The face is flushed with blood and the skin around the mouth and nose is pale.