儿科慢性手湿疹:流行病学,临床表现和管理
Michael A Haft1,2, Helen H Park1,2, Stephanie S Lee1,2
1Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California.
JAAD international
|May 30, 2023
概括
儿童慢性手湿疹 (CHE) 严重影响生活质量,并导致高医疗费用. 需要进一步的研究,以制定儿科CHE (P-CHE) 的管理准则,并减少长期发病率.
科学领域:
- 皮肤病学 皮肤病学
- 儿科 儿科 儿科
- 流行病学 流行病学
背景情况:
- 慢性手湿疹 (CHE) 是一种持续的炎症性皮肤疾病,对生活质量产生重大影响.
- 儿科-CHE (P-CHE) 在儿童和青少年中普遍存在,但缺乏广泛的研究和管理指南,特别是在北美.
- 现有的P-CHE流行数据显示范围广泛,表明需要更精确的流行病学数据.
研究的目的:
- 突出P-CHE对儿童生活的重大影响,包括心理社会,教育和社会经济方面的影响.
- 为了强调北美P-CHE有限的研究和缺乏特定的管理指南.
- 强调需要对P-CHE进行进一步的研究,以开发有效的治疗实践,并尽量减少成人发病率.
主要方法:
- 关于慢性手湿疹和儿科患病率的现有文献的综述.
- 对不同年龄组的P-CHE有限的流行病学数据的分析.
- 识别潜在的促成因素,如阿托皮性皮肤炎和过敏性接触性皮肤炎.
主要成果:
- P-CHE显著影响儿童的生活质量,包括心理社会,学术,职业和社会经济领域.
- 在北美,P-CHE的公布数据非常稀缺,缺乏确立的管理协议.
- 对P-CHE的患病率估计有所不同,一些研究表明在老年青少年中高达10.0%.
结论:
- 在儿童中,P-CHE是一个重要的健康问题,其后果是深远的.
- 迫切需要专门进行研究,以了解儿童群体中P-CHE病原和关联.
- 制定标准化的方法和基于证据的指导方针对于有效的P-CHE管理和改善长期结果至关重要.
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