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急性根尖周炎[1]是口腔科常见病,发生于牙根尖周围的局限性炎症,以剧烈的持续性自发痛和叩击痛为特征。因发病急,咬合牙齿疼痛明显,能够确定患牙的位置,诊断明确,一般情况下不容易被误诊。但该患者在本院皮肤科误诊为带状疱疹治疗一周后,疼痛不能缓解转入我科就诊。病例报告如下。1病历摘要患者李某,男,72岁,主诉前右上前牙疼痛9d。曾到私人牙科诊所就诊,接诊医生检查后诊断为右上3根尖炎。通过治疗,疼痛没有缓解,反而加重,出现右眶下区肿胀,皮肤上出现许多红色的疹子。患者再次来到私人诊所,原来接诊的医生说治不了,让患者到医院诊治。患者来到我院皮肤科。医生观察病人面部情况后,诊断为带状疱疹,予以抗病毒及
Acute periapical periodontitis [1] is a common disease of the stomatology that occurs in the localized inflammation of the apical apex and is characterized by severe persistent spontaneous pain and percussion pain. Because of acute onset, bite teeth obvious pain, to determine the location of teeth, the diagnosis is clear, under normal circumstances is not easy to be misdiagnosed. However, the patient dermatology misdiagnosed as shingles in hospital one week later, the pain can not be relieved into our department. Case report is as follows. 1 patient summary Lee patients, male, 72 years old, complained of the right upper anterior tooth pain 9d. Have visited a private dental clinic, the doctor diagnosed as the top right three pointed inflammation. Through treatment, the pain did not ease, but aggravated, there swelling of the right infraorbital area, there are many red rashes on the skin. The patient again came to a private clinic, the original doctor said that can not be treated, so that patients to the hospital for treatment. Patients came to our hospital dermatology. The doctor observed the patient’s facial condition, the diagnosis of shingles, to be anti-virus and