小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 瘙痒
- 皮肤干燥
- 皮肤受累部位
其他诊断因素
- 红斑
- 鳞屑脱落
- 水疱
- 丘疹
- 毛周角化症
- 抓痕
- 苔藓样变
- 色素减退
危险因素
- 丝聚蛋白基因突变
- 年龄<5 岁
- 湿疹家族史
- 变应性鼻炎
- 哮喘
- 主动和被动吸烟
- 女性
- 非洲裔美国人
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- IgE水平
- 皮肤点刺试验
- 口腔食物激发试验
- 尝试饮食排除法
- 斑片试验
- 皮肤活检
治疗流程
急性发作
慢性或复发性疾病(非难治性)
难治性慢性或复发性疾病
撰稿人
作者
Adelaide A. Hebert, MD
Professor & Director of Pediatric Dermatology
Clinical Specialist
Department of Dermatology and Pediatrics
University of Texas Health Sciences Center at Houston
Houston
TX
利益声明
AAH serves on the board of the International Hyperhidrosis Society and the American Academy of Dermatology; consults for Pfizer, Galderma, LaRoche Posay, Arcutis, Incyte, Vyne, Varrica, Beiersdorf, Aslan, and Ortho Dermatologics; has undertaken or is undertaking contractual research for Pfizer, Galderma, Ortho Dermatologics, Aslan, Leo, Mayne, Arcutis, Incyte, Verrica, Novan, Brickell, and Almirall; is on the data safety monitoring boards for GSK, Regeneron, and Sanofi; and is on the speakers' bureaux for Pfizer, Almirall, and Galderma.
Kavina Patel, MD
Dermatology Clinical Research Fellow
Department of Dermatology
University of Texas Health Science Center at Houston
Houston
TX
利益声明
KP declares that she has no competing interests.
Matthew Dallo, MD
Clinical Research Fellow
Department of Dermatology
University of Texas Health Science Center at Houston
Houston
TX
利益声明
MD declares that he has no competing interests.
Eugenio G. Galindo, MD
Dermatology Clinical Research Fellow
UTHealth McGovern Medical School
Houston
TX
利益声明
EGG declares that he has no competing interests.
鸣谢
Dr Adelaide A. Hebert, Dr Kavina Patel, Dr Matthew Dallo, and Dr Eugenio G. Galindo would like to gratefully acknowledge Dr Quoc-Bao D. Nguyen, Dr Mary D. DarConte, Dr Christina M. Gelbard, and Dr Daniel A. Grabella, previous contributors to this topic.
利益声明
QNN, MDD, CMG, and DAG declare that they have no competing interests.
同行评议者
Amor Khachemoune, MD
Assistant Professor
New York University School of Medicine
NY
利益声明
AK 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
利益声明
JE declares that he has no competing interests.
鉴别诊断
- 脂溢性皮炎
- 刺激性接触性皮炎
- 过敏性接触性皮炎
更多 鉴别诊断指南
- 12 岁以下患者的特应性湿疹:诊断和管理
- 特应性皮炎的管理指南。 第二部分。 局部用药管理和治疗特应性皮炎患者
更多 指南患者教育信息
湿疹
更多 患者教育信息登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明