小结
定义
汗疱疹是累及手足的一种相对常见慢性皮炎。其特点为手掌、足底和手指侧缘上的复发性 1~2 mm 小水疱。小水疱持续 2~3 周，但恢复的时间间隔不等。瘙痒伴随着发疹，甚至可能先于它们。汗疱疹往往是与出汗不良性皮炎同义使用的一个术语，但其能够更好地用于描述手足上的较为急性和严重的大疱性出疹疾病。[1][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
- 疥疮检测
治疗流程
所有患者
撰稿人
作者
Andrea Bershow, MD
Assistant Professor
Dermatology
University of Minnesota
Minneapolis
MN
利益声明
AB declares that she has no competing interests.
鸣谢
Dr Andrea Bershow would like to gratefully acknowledge Dr Erin M. Warshaw and Dr Sabra M. Lofgren, previous contributors to this topic. EMW and SML declare that they have no competing interests.
同行评议者
Gina Taylor, MD
Resident
Department of Dermatology
SUNY Downstate Medical Center
New York
NY
利益声明
GT declares that she has no competing interests.
Laura Korb Ferris, MD, PhD
Assistant Professor
Department of Dermatology
University of Pittsburgh Medical Center
Pittsburgh
PA
利益声明
LKF declares that she has no competing interests.
Maria Tsoukas, MD, PhD
Assistant Professor of Medicine
Section of Dermatology
Department of Medicine
University of Chicago
IL
利益声明
MT 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
Dermatitis
Eczema
更多 患者教育信息
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