When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

湿疹

最后审阅: 23 Jun 2024
最后更新: 04 Apr 2023

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
完整详情

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
完整详情

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
完整详情

诊断性检查

首要检查

  • 临床诊断
完整详情

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
完整详情

治疗流程

急症处理

急性发作

持续性治疗

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.

  • 湿疹 images
  • 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
  • padlock-locked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