手湿疹中外诊疗指南概述

doi:10.3760/cma.j.issn.0412-4030.2019.01.018

中华皮肤科杂志 ›› 2019, Vol. 52 ›› Issue (1): 53-56.doi: 10.3760/cma.j.issn.0412-4030.2019.01.018

手湿疹中外诊疗指南概述

余艺昕¹ 杨斌²

¹南方医科大学第一临床医学院皮肤科，广州 510000； ²南方医科大学皮肤病医院皮肤科 510000

收稿日期:2018-05-29 修回日期:2018-08-22 发布日期:2019-01-02
通讯作者: 杨斌 E-mail:yangbin101@hotmail.com

A review of Chinese and foreign guidelines for the diagnosis and treatment of hand eczema

Yu Yixin¹, Yang Bin²

¹Department of Dermatology, The First School of Clinical Medicine, Southern Medical University, Guangzhou 510000, China; ²Department of Dermatology, Dermatology Hospital of Southern Medical University, Guangzhou 510000, China

Received:2018-05-29 Revised:2018-08-22 Published:2019-01-02
Contact: Yang Bin E-mail:yangbin101@hotmail.com

摘要/Abstract

摘要： 【摘要】手湿疹是一类发生在手部的皮炎湿疹类疾病，其病因复杂、病程长、易复发，治疗较为困难。按病因可分为过敏性接触性皮炎、刺激性接触性皮炎、特应性手部湿疹三大类；按形态学可分为角化型、水疱型、指头炎、钱币状湿疹等类型。手湿疹的治疗应以防护和修复为主，在此基础上使用外用激素药膏及钙调磷酸酶抑制剂治疗。本病为皮肤科常见病，但目前国内相关研究较为缺乏。本文综述了多项国外手湿疹指南及国内诊疗标准，重点讨论临床分型、诊断以及治疗原则，旨在为国内手部湿疹诊疗工作提供参考。

关键词: 湿疹, 手, 诊断, 治疗, 指南

Abstract: 【Abstract】 Hand eczema is a group of dermatitis and eczematous disorders on the hands. Complex etiology, long disease duration and frequent recurrence are the main features of hand eczema, which cause the difficulties in its treatment. According to the etiology, hand eczema can be classified to 3 types: allergic contact dermatitis, irritant contact dermatitis and atopic hand eczema. According to the morphology, hand eczema can be classified into several types, such as hyperkeratotic hand eczema, vesicular hand eczema, pulpitis and nummular hand eczema. Hand eczema is mainly managed with prevention as well as protection and repair of skin barrier. Besides the above general management, topical glucocorticoid agents and calcineurin inhibitors can be used. Hand eczema is a common disease in dermatology, while at present, related researches are lacking in China. Thus, this review summarizes several foreign guidelines on hand eczema and related Chinese diagnosis and treatment standards, and clinical classification, diagnosis and treatment principles are discussed emphatically, so as to provide a reference for diagnosis and treatment of hand eczema in China.

Key words: Eczema, Hand, Diagnosis, Therapy, Guidelines

中图分类号:

余艺昕杨斌. 手湿疹中外诊疗指南概述[J]. 中华皮肤科杂志, 2019,52(1):53-56. doi:10.3760/cma.j.issn.0412-4030.2019.01.018

Yu Yixin, Yang Bin. A review of Chinese and foreign guidelines for the diagnosis and treatment of hand eczema[J]. Chinese Journal of Dermatology, 2019, 52(1): 53-56.doi:10.3760/cma.j.issn.0412-4030.2019.01.018

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手湿疹中外诊疗指南概述

A review of Chinese and foreign guidelines for the diagnosis and treatment of hand eczema

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