中华皮肤科杂志 ›› 2025, Vol. 58 ›› Issue (10): 924-929.doi: 10.35541/cjd.20250179

• 专题笔谈·儿童皮肤病 • 上一篇    下一篇

儿童特应性皮炎诊疗新思考:现状、挑战与展望

王珊    刘盈    马琳   

  1. 国家儿童医学中心  首都医科大学附属北京儿童医院皮肤科,北京  100045
  • 收稿日期:2025-04-03 修回日期:2025-08-20 发布日期:2025-09-30
  • 通讯作者: 马琳 E-mail:bch_maleen@aliyun.com
  • 基金资助:
    国家自然科学基金(82304002);北京市自然科学基金(7242051);北京市医院管理中心“登峰”人才培养计划(DFL20241201)

New perspectives on the diagnosis and treatment of atopic dermatitis in children: current status, challenges, and future directions

Wang Shan, Liu Ying, Ma Lin   

  1. Department of Dermatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
  • Received:2025-04-03 Revised:2025-08-20 Published:2025-09-30
  • Contact: Ma Lin E-mail:bch_maleen@aliyun.com
  • Supported by:
    National Natural Science Foundation of China (82304002); Beijing Natural Science Foundation (7242051); Beijing Hospitals Authority′s Ascent Plan (DFL20241201)

摘要: 【摘要】 特应性皮炎(AD)是儿童常见的慢性炎症性皮肤病,严重影响患儿生活质量。近年来,随着对AD发病机制认识的逐渐深入,药物治疗领域有了重要进展,然而其诊疗面临诸多挑战。本文系统分析中国儿童AD的诊疗现状与关键问题,包括诊断与鉴别诊断的复杂性、医患教育的不足、瘙痒管理的困难、心理健康共病的忽视、靶向药物可及性滞后及感染风险的管理等。未来发展方向包括加速靶向药物研发、推动精准医学实践及完善长期管理政策体系,以提升中国儿童AD的规范化诊疗水平,改善患儿预后。

关键词: 皮炎, 特应性, 儿童, 治疗, 靶向治疗, 精准治疗

Abstract: 【Abstract】 Atopic dermatitis (AD) is a common chronic inflammatory skin disease in children, significantly impairing their quality of life. In recent years, advances in the understanding of AD pathogenesis have led to major breakthroughs in its pharmacological treatment. However, the diagnosis and management of AD remain challenging. This article systematically analyzes the current status and key challenges in the diagnosis and treatment of pediatric AD in China, including the complexity of diagnosis and differential diagnosis, insufficient physician/patient education, difficulties in pruritus management, underrecognized psychiatric comorbidities, delayed accessibility of targeted therapies, and infection risk management. Future directions should focus on accelerating the development of targeted therapies, promoting the implementation of precision medicine, and establishing comprehensive long-term management policies, with the goal of enhancing standardized diagnosis and treatment of pediatric AD in China and improving outcomes for affected children.

Key words: Dermatitis, atopic, Children, Therapy, Targeted therapy, Precision therapy

引用本文

王珊 刘盈 马琳. 儿童特应性皮炎诊疗新思考:现状、挑战与展望[J]. 中华皮肤科杂志, 2025,58(10):924-929. doi:10.35541/cjd.20250179

Wang Shan, Liu Ying, Ma Lin. New perspectives on the diagnosis and treatment of atopic dermatitis in children: current status, challenges, and future directions[J]. Chinese Journal of Dermatology, 2025, 58(10): 924-929.doi:10.35541/cjd.20250179