中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (11): 937-942.doi: 10.35541/cjd.20210578

• 指南与共识 • 上一篇    下一篇

皮炎湿疹类疾病规范化诊断术语专家共识

中华医学会皮肤性病学分会免疫学组    中国医师协会皮肤科医师分会指南制定与规范委员会   

  1. 中华医学会皮肤性病学分会免疫学组    中国医师协会皮肤科医师分会指南制定与规范委员会
  • 收稿日期:2021-08-10 修回日期:2021-09-14 发布日期:2021-11-01
  • 通讯作者: 宋志强；顾恒； 高兴华 E-mail:zhiqiang.song@hotmail.com; guheng@ aliyun.com; gaobarry@hotmail.com

Expert consensus on standardized diagnostic terminology of dermatitis and eczematous diseases

Immunology Group, Chinese Society of Dermatology; Guideline Formulation and Standardization Committee, China Dermatologist Association#br# #br#   

  1. Immunology Group, Chinese Society of Dermatology; Guideline Formulation and Standardization Committee, China Dermatologist Association

  • Received:2021-08-10 Revised:2021-09-14 Published:2021-11-01
  • Contact: Song Zhiqiang; Gu Heng; Gao Xinghua E-mail:zhiqiang.song@hotmail.com; guheng@ aliyun.com; gaobarry@hotmail.com

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摘要： 【摘要】 针对皮炎湿疹类疾病在概念、分类和诊断术语等方面的混乱现状，中华医学会皮肤性病学分会免疫学组、中国医师协会皮肤科医师分会指南制定与规范委员会组织专家按照德尔菲法原则对皮炎湿疹类疾病的诊断现状及存在问题进行讨论，提出7条规范化诊断建议，主要包括：①“皮炎”和“湿疹” 是疾病的类别名称而非具体诊断术语；②临床遇到湿疹性皮损时，应积极寻找其临床特征和/或实验室特点，按照特应性皮炎、接触性皮炎和其他皮炎进行分类诊断；③建议暂时保留“湿疹”这一术语，并只用作以湿疹性皮损为表现但尚不能给出确定诊断的、暂时性和描述性诊断用词。本共识旨在推动皮炎湿疹类疾病诊断术语的规范化、同质化，为更好地进行疾病管理、流行病学研究和开展个体化治疗和预防奠定基础。

关键词: 皮炎, 湿疹, 诊断, 名词规范化, 共识

Abstract: 【Abstract】    In view of the confusion about the concept, classification and diagnostic terminology of dermatitis and eczematous diseases, the Immunology Group of Chinese Society of Dermatology and the Guideline Formulation and Standardization Committee of China Dermatologist Association organized experts to discuss current status and existing problems of diagnosis of dermatitis and eczematous diseases according to the Delphi method. Seven suggestions on standardized diagnosis were put forward, mainly including: （1） "dermatitis" and "eczema" are the category names of diseases rather than specific diagnostic terms; （2） when eczematous skin lesions are encountered clinically, doctors should actively look for relevant clinical and/or laboratory characteristics, and classify and diagnose them according to the terms or categories atopic dermatitis, contact dermatitis and other dermatitis; （3） the term "eczema" is recommended to be retained at present, and can only serve as a temporary and descriptive diagnostic term for eczematous skin lesions which cannot be definitely diagnosed for the time being. This consensus aims to promote the standardization and homogenization of diagnostic terms for dermatitis and eczematous diseases, and lay a foundation for improving disease management, epidemiological research and individualized treatment and prevention.

Key words: Dermatitis, Eczema, Diagnosis, Term standardization, Consensus