中华皮肤科杂志 ›› 2002, Vol. 35 ›› Issue (1): 38-39.

• 论著 • 上一篇    下一篇

特应性皮炎临床特点和诊断标准的探讨

魏明辉, 田润梅, 余碧娥   

  1. 复旦大学附属华山医院皮肤科, 上海200040
  • 收稿日期:2001-02-23 出版日期:2002-02-15 发布日期:2002-02-15

Studies on the Clinical Features and Diagnostic Criteria for Atopic Dermatitis

WEI Minghui, TIAN Runmei, YU Bie   

  1. Department of Dermatology, Hua Shan Hospital, Fu Dan University, Shanghai 200040, China
  • Received:2001-02-23 Online:2002-02-15 Published:2002-02-15

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摘要： 目的 探讨康克非和田润梅提出的特应性皮炎(AD)诊断标准(简称康田标准)的适用性。方法 用康田标准对917例经Hanifin和Rajka诊断标准(简称HR标准)确诊的AD患者进行诊断,并分析AD患者的遗传过敏史及其临床特点。结果 888例AD患者符合康田标准,占96.84%.有个人或家族过敏史者占83.21%.婴儿期AD患者面部皮炎的发生率高于儿童期和青少年、成人期,而其干皮症、鱼鳞病、毛周角化、眶周黑晕的发生率又低于儿童期和青少年、成人期。结论 遗传过敏史是AD诊断中的一个重要因素。康田标准是一个合理实用的诊断标准,值得推广使用。

关键词: 皮炎,特应性, 遗传过敏史, 诊断标准

Abstract: Objective To explore whether the Kang Kefei and Tian Runmei's diagnostic criteria (K-T criteria) is suitable for atopic dermatitis(AD). Methods 917 AD patients, whose diagnosis had been made with the Hanifin and Rajka criteria (H-R criteria) previously, were redignosed by K-T criteria. Their atopic history, and clinical fealures were analysed, too. Results 888 out of 917 patients(96.84%) were consistent with K-T criteria.763 patients (83.21%) had personal or family atopic history. The frequency of facial dermatitis was higher in infantile AD group than that in childhood AD group, adolescence AD group, and adult group. Whereas,the frequency of xerosis,ichthyosis,keratosis pilaris and orbital darkening was lower in infantile AD group than those in other groups. Conclusion Atopic history is an important factor in the diagnosisof AD. K-T criteria is practical and of value in the diagnosis of AD.

Key words: Dermatitis,atopic, Atopic history, Diagnostic criteria