Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- occupational history of exposure
- history of atopic dermatitis
- previous episodes of similar dermatitis
- acute onset
- affecting hands and face
- affecting sun-exposed skin
- sparing of non-exposed areas of skin
- pruritus
- burning
- erythema
- vesicles and bullae
- urticaria
- lichenoid lesions
- corrosion or ulceration
- pustules and acneiform lesions
Другие диагностические факторы
- scaling
- lichenification
- social history of exposure
- persistence of symptoms
- crusting
- erythema multiforme
- cellulitic lesions
- leukoderma
- hypopigmentation/depigmentation
- hyperpigmentation
- purpura
- miliaria
- alopecia
- granulomatous lesions
Факторы риска
- occupation with frequent exposure to water or caustic material
- atopic dermatitis
Диагностические исследования
Исследования, которые показаны в первую очередь
- patch testing
Исследования, проведение которых нужно рассмотреть
- repeated open application test (ROAT) or provocative use test (PUT)
- skin biopsy
Алгоритм лечения
irritant contact dermatitis
allergic contact dermatitis (ACD)
contact dermatitis
Составители
Авторы
JiaDe Yu, MD, FAAD
Assistant Professor of Adult and Pediatric Dermatology
Director of Contact and Occupational Dermatology
Department of Dermatology
Massachusetts General Hospital
Harvard Medical School
Boston
MA
Раскрытие информации
JY was on the board for the American Contact Dermatitis Society from 2019-2022 (term ended and unpaid). JY has received a career development grant from the Dermatology Foundation and research grants from the Pediatric Dermatology Research Alliance and the American Contact Dermatitis Society. JY has received honorarium from the National Eczema Association for consultant work as part of its SEAL of approval project, and is on the editorial board for the Pediatric Dermatology journal and the Dermatitis journal.
Выражение благодарностей
Dr JiaDe Yu would like to gratefully acknowledge Dr Gerard Guillet, Dr David M. Ozog, and Dr Snehal Desai, previous contributors to this topic.
Раскрытие информации
GG, DMO, and SD declare that they have no competing interests.
Рецензенты
Christen Mowad, MD
Assistant Professor
Department of Dermatology
Geisinger Medical Center
Danville
PA
Раскрытие информации
CM declares that he has no competing interests.
John English, MBBS, FRCP
Consultant Dermatologist
Department of Dermatology
Queen's Medical Centre
Nottingham University Hospitals
Nottingham
UK
Раскрытие информации
JE declares that he has no competing interests.
Отличия
- Atopic dermatitis
- Nummular eczema
- Dyshidrotic eczema
Больше ОтличияРекомендации
- Pediatric allergic contact dermatitis. Part I: Clinical features and common contact allergens in children
- Pediatric allergic contact dermatitis. Part 2: Patch testing series, procedure, and unique scenarios
Больше РекомендацииЛифлеты для пациента
Dermatitis
Больше Лифлеты для пациента
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