儿科慢性手湿疹的模式:以原因和管理为重点的系统性审查
Katie C Y Yeung1, Joshua Lowe2, Jessica S S Ho3
1Division of Dermatology, University of Ottawa, Ottawa, ON, Canada.
Journal of cutaneous medicine and surgery
|February 26, 2025
概括
儿童慢性手湿疹 (CHE) 越来越多地被报告,通常是由于过敏接触性皮肤炎引起的,这种皮肤炎常见于粘液等常见物品. 通过补丁测试和删除来识别触发因素是解决问题的关键.
科学领域:
- 皮肤病学 皮肤病学
- 儿科过敏 儿科过敏
- 接触性皮肤炎是什么
背景情况:
- 慢性手湿疹 (CHE) 在成年人中很普遍,通常与职业有关.
- 儿科CHE病例的发病率不断上升,需要了解独特的儿科触发因素.
- 区分儿科CHE与其他皮肤病对于有效管理至关重要.
研究的目的:
- 系统地审查和识别儿科慢性手湿疹的原因和特征.
- 分析诊断为CHE的儿童常见的触发因素和过敏原.
- 为了比较儿科CHE触发器与通常在成年人群中看到的触发器.
主要方法:
- 按照PRISMA框架进行系统审查.
- 包括18岁以下患者的病例报告,没有混诊断.
- 使用诸如'湿疹', '皮肤炎', 'pompholyx', 'dyshidrosis' 和 '接触过敏' 等术语进行全面的搜索.
主要成果:
- 确定了62例儿科CHE病例,平均年龄为10.9岁.
- 过敏性接触性皮肤炎是主要原因 (71%),粘液是常见的触发因素.
- 甲基chloroisothiazolinone/甲基isothiazolinone (MCI/MI) 是常见的过敏原,并且在53%的病例中,触发器的去除消除了症状.
结论:
- 儿科CHE模式与成人不同,在诊断中强调休和学校活动史.
- 与粘液相关的暴露显著导致儿科CHE病例的增加.
- 早期识别,补丁检测和快速触发器移除对于管理儿科CHE至关重要.
相关概念视频
Hand hygiene
3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.1K
Skin Diseases and Disorders
2.8K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
2.8K
Chronic Pancreatitis II: Collaborative Care
56
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
56
Skin Cancer
3.0K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
3.0K
Chronic Bowel Disorders: Introduction
378
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
378
Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.5K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.5K


