小结
定义
脂溢性皮炎（seborrhoeic dermatitis, SD）是一种常见的炎症性皮肤病，通常表现为头皮、鼻唇间褶皱、眉间出现红斑和鳞屑，偶尔在面部中央和前胸也有分布。应激往往会促使病情恶化。[1] 在婴儿中，脂溢性皮炎可能表现为头皮鳞屑，因此被称为乳痂。[Figure caption and citation for the preceding image starts]: 脂溢性皮炎，鼻唇沟，伴有轻度鳞屑和轻度的红斑。来自Robert A. Schwartz的著作，医学博士，公共卫生学硕士，FAAD，皇家内科医师协会会员（埃丁） [Citation ends].
[Figure caption and citation for the preceding image starts]: 脂溢性皮炎，眉间可见脱屑和轻度红斑来自Robert A. Schwartz的著作，医学博士，公共卫生学硕士，FAAD，皇家内科医师协会会员（埃丁） [Citation ends].
病史和体格检查
关键诊断因素
- 头皮瘙痒
- 头皮鳞屑
- 眉间脱屑
- 鼻唇沟脱屑
- 耳后脱屑
- 白色片状
- 红斑
危险因素
- 压力
- 帕金森氏病
- HIV/AIDS
- 年龄＜3个月
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 皮肤活检
治疗流程
婴儿乳痂
局限在儿童和成人的头皮
局限在儿童和成人非头皮的区域
成人泛发性或顽固性疾病
儿童泛发性或顽固性疾病
撰稿人
作者
Camila K. Janniger, MD, FAAD, FRSPH
Clinical Professor
Dermatology
Rutgers New Jersey Medical School
Newark
NJ
利益声明
CKJ declares that she has no competing interests.
Robert A. Schwartz, MD, MPH, DSc (Hon), FAAD, FRCP (Edin)
Professor of Pathology, Professor of Pediatrics, and Professor of Medicine
Dermatology
Rutgers New Jersey Medical School
Newark
NJ
利益声明
RAS is the author of several references cited in this topic.
同行评议者
Richard Bull, BMBCh
Consultant Dermatologist
Homerton University Hospital NHS Foundation Trust
London
UK
利益声明
RB declares that he has no competing interests.
David S. Cassarino, MD, PhD
Assistant Professor
Departments of Pathology and Dermatology
UCLA
Los Angeles
CA
利益声明
DSC declares that he has no competing interests.
Abdulhafez Selim, MD, PhD
Assistant Professor
Biomedical Technology Center
King Fahd University of Petroleum and Minerals
Dhahran
Saudi Arabia
利益声明
AS declares that he has no competing interests.
Jacek Szepietowski, MD, PhD, FRCP Edin
Professor and Vice Chair
Department of Dermatology, Venereology and Allergology
University of Medicine
Wroclaw
Poland
利益声明
JS declares he has no competing interests.
鉴别诊断
- 银屑病
- 光化性角化病
- 系统性红斑狼疮 (SLE)
更多 鉴别诊断患者教育信息
皮炎
头皮屑
更多 患者教育信息
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