小结
定义
病史和体格检查
关键诊断因素
- 职业暴露史。
- 特应性皮炎病史
- 类似皮炎的先前发作
- 急性发作
- 累及手部和脸部
- 累及日光照射的皮肤
- 不累及未暴露皮肤部位
- 瘙痒
- 烧灼感
- 红斑
- 囊泡和大疱
- 荨麻疹
- 苔藓样病变
- 腐蚀或溃疡
- 脓疱和痤疮样病变
其他诊断因素
- 鳞屑脱落
- 苔藓样变
- 社交暴露史
- 症状的持续性
- 结痂皮
- 多形性红斑
- 蜂窝织炎病变
- 白斑病
- 色素减退/色素脱失
- 色素过度沉着
- 紫癜
- 粟粒疹
- 脱发
- 肉芽肿病变
危险因素
- 频繁接触水或苛性材料的职业
- 特应性皮炎
诊断性检查
首要检查
- 斑片试验
需考虑的检查
- 反复开放应用试验 (ROAT) 或刺激物使用试验 (PUT)
- 皮肤活检
治疗流程
刺激性接触性皮炎
过敏性接触性皮炎 (ACD)
接触性皮炎
撰稿人
作者
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
利益声明
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.
鸣谢
Dr JiaDe Yu would like to gratefully acknowledge Dr Gerard Guillet, Dr David M. Ozog, and Dr Snehal Desai, previous contributors to this topic.
利益声明
GG, DMO, and SD declare that they have no competing interests.
同行评议者
Christen Mowad, MD
Assistant Professor
Department of Dermatology
Geisinger Medical Center
Danville
PA
利益声明
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
利益声明
JE declares that he has no competing interests.
鉴别诊断
- 特应性皮炎
- 钱币状湿疹
- 汗疱
更多 鉴别诊断指南
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