小结
定义
汗疱疹是累及手足的慢性皮炎。其特点是掌跖部反复出现 1-2 mm 的成批水疱，好发于指（趾）内外侧缘。[1] 成批水疱会持续 2-3 周，且不定期复发。发疹时伴随瘙痒，甚至可能先出现瘙痒。汗疱疹通常作为出汗障碍性湿疹同义的术语，但有人认为该术语应仅用于手足出现更急性更严重的大疱。[2][Figure caption and citation for the preceding image starts]: 汗疱承蒙 Spencer Holmes 医生供图；经获准使用 [Citation ends].
[Figure caption and citation for the preceding image starts]: 汗疱承蒙 Spencer Holmes 医生供图；经获准使用 [Citation ends].
[Figure caption and citation for the preceding image starts]: 汗疱承蒙 Spencer Holmes 医生供图；经获准使用 [Citation ends].
病史和体格检查
关键诊断因素
- 存在的危险因素
- 皮肤病变
- 瘙痒
其他诊断因素
- 多汗
- 再次出现皮疹
- 疼痛
危险因素
- 暴露于刺激物
- 特应性
- 金属过敏
- 多汗
- 情绪压力
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 皮肤活检
- 氢氧化钾 (KOH)
- 斑片试验
- 皮肤刮屑
治疗流程
所有患者
撰稿人
作者
Peggy A Wu, MD, MPH, FAAD
Professor of Clinical Dermatology
University of California Davis
Sacramento
CA
利益声明
PAW declares that she has received royalties for contributing to UpToDate. She is also a contributor for a National Comprehensive Cancer Network guideline although she receives no compensation for this.
Victor Huang, MD, FAAD
Associate Professor of Clinical Dermatology
Dermatology
University of California Davis
Sacramento
CA
利益声明
VH declares that he has received royalties for contributing to UpToDate and has served on an advisory board for the Opzelura in the treatment of vitiligo.
鸣谢
Dr Peggy Wu and Dr Victor Huang would like to gratefully acknowledge Dr Andrea Bershow, Dr Erin M. Warshaw and Dr Sabra M. Lofgren, previous contributors to this topic.
利益声明
AB, EMW and SML declare that they have no competing interests.
同行评议者
Kachiu Cecilia Lee, MD, MPH
Assistant Professor
Department of Dermatology
Brown Medical School
Providence
Rhode Island
利益声明
KCL declares that she has no competing interests.
Gerard Guillet, MD
Professor of Dermatology
Department of Dermatology and Allergology
University Hospital Poitiers
Poitiers
France
利益声明
GG declares that he has no competing interests.
鉴别诊断
- 手癣/足癣
- 掌跖银屑病
- 过敏性接触性皮炎
更多 鉴别诊断指南
- 手部湿疹的诊断、预防和治疗指南
更多 指南患者教育信息
皮炎
湿疹
更多 患者教育信息
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