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
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 has received research grants paid to UTHealth McGovern Medical School Houston from Pfizer, GSK, Dermavant, Arcutis, and Novan; has received honoraria from Pfizer, Verrica, and Novan; and is on the data safety monitoring boards for GSK, Ortho Dermatologics, and Regeneron-Sanofi.
Alexander Jafari, MD
Dermatology Clinical Research Fellow
Department of Dermatology
University of Texas Health Science Center at Houston
Houston
TX
利益声明
AJ declares that he 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.
鸣谢
Dr Adelaide A. Hebert, Alexander Jafari, and Dr Matthew Dallo would like to gratefully acknowledge Dr Eugenio G. Galindo, 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
EGG, QBDN, 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
- 成人特应性皮炎光疗和全身治疗管理指南
- 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
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