中华皮肤科杂志 ›› 2026, Vol. 59 ›› Issue (4): 327-332.doi: 10.35541/cjd.20250168

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[开放获取]    慢性手部湿疹:流行病学、疾病负担、发病机制及管理

陈雪    张建中   

  1. 北京大学人民医院皮肤科,北京  100044
  • 收稿日期:2025-03-31 修回日期:2026-02-11 发布日期:2026-04-03
  • 通讯作者: 张建中 E-mail:rmzjz@126.com

Chronic hand eczema: epidemiology, disease burden, pathogenesis, and management

Chen Xue, Zhang Jianzhong   

  1. Department of Dermatology, Peking University People's Hospital, Beijing 100044, China
  • Received:2025-03-31 Revised:2026-02-11 Published:2026-04-03
  • Contact: Zhang Jianzhong E-mail:rmzjz@126.com

摘要: 【摘要】 慢性手部湿疹是一类发生于手部的炎症性皮肤病,病程迁延、临床表现多样、病因复杂。慢性手部湿疹在普通人群中高发,尤其在从事刺激物或过敏原暴露增加的高危职业中更常见,严重影响患者社会功能、心理健康及生活质量。对慢性手部湿疹的临床分类、诊断评估颇具挑战性,目前依然存在对疾病的认知不足、对治疗的依从性不佳、主动治疗不足和患者教育不足等问题。本文对近年来慢性手部湿疹诊疗现状与挑战进行述评,以期提高临床医师对慢性手部湿疹的认识,改善患者预后。

关键词: 湿疹, 慢性手部湿疹, 诊断, 治疗, 发病机制, 疾病负担, 患者教育

Abstract: 【Abstract】 Chronic hand eczema is a type of inflammatory skin disease characterized by a prolonged course, diverse clinical manifestations, and multifactorial causes. It exhibits high prevalence in the general population, particularly among individuals in high-risk occupations with increased exposure to irritants or allergens, markedly affecting patients' social function, mental health, and quality of life. Currently, the clinical classification and diagnostic evaluation of chronic hand eczema remain challenging, compounded by persistent gaps in disease awareness, suboptimal treatment adherence, inadequate proactive therapeutic interventions, and insufficient patient education. This article synthesizes recent advances and ongoing challenges in the management of chronic hand eczema, aiming to enhance clinical recognition and optimize therapeutic decision-making to improve patient outcomes.

Key words: Eczema, Chronic hand eczema, Diagnosis, Therapy, Pathogenesis, Disease burden, Patient education

引用本文

陈雪 张建中. [开放获取]    慢性手部湿疹:流行病学、疾病负担、发病机制及管理[J]. 中华皮肤科杂志, 2026,59(4):327-332. doi:10.35541/cjd.20250168

Chen Xue, Zhang Jianzhong. Chronic hand eczema: epidemiology, disease burden, pathogenesis, and management[J]. Chinese Journal of Dermatology, 2026, 59(4): 327-332.doi:10.35541/cjd.20250168