Lyon C C, Kulkarni J, Zimerson E, Van Ross E, Beck M H
Contact Dermatitis Investigation Unit, University of Manchester Section of Dermatology, Hope Hospital, Salford, United Kingdom.
J Am Acad Dermatol. 2000 Mar;42(3):501-7. doi: 10.1016/s0190-9622(00)90227-5.
Dermatologic problems restrict the normal use of a prosthetic limb. The importance of contact dermatitis to skin morbidity in a population of amputees and the selection criteria for patch testing have not been clearly defined.
We describe the range of dermatoses seen in a population of amputees and examine the incidence, causes, and patterns of contact dermatitis.
This is a questionnaire-based, cross-sectional study of 210 amputees. Those with a skin problem were assessed by a dermatologist. Patch testing was undertaken in patients with persistent dermatitis.
A total of 34% of amputees experienced a skin problem. Lesions resulting from friction, pressure, and occlusion are common. Allergic contact dermatitis is seen in a third of patients with stump dermatitis. There are no features that distinguish allergic from irritant (chemical or physical) dermatitis.
Dermatologic problems are common in prosthetic limb users. Allergic contact dermatitis is a significant problem, and all patients with dermatitis on the residual limb should be patch tested.
皮肤问题会限制假肢的正常使用。接触性皮炎对截肢者群体皮肤发病率的影响以及斑贴试验的选择标准尚未明确界定。
我们描述截肢者群体中所见皮肤病的范围，并研究接触性皮炎的发病率、病因及模式。
这是一项基于问卷调查的对210名截肢者的横断面研究。有皮肤问题的患者由皮肤科医生进行评估。对持续性皮炎患者进行斑贴试验。
共有34%的截肢者有皮肤问题。摩擦、压力和闭塞引起的损伤很常见。三分之一的残肢皮炎患者出现过敏性接触性皮炎。没有特征可区分过敏性皮炎与刺激性（化学性或物理性）皮炎。
皮肤病问题在假肢使用者中很常见。过敏性接触性皮炎是一个重要问题，所有残肢有皮炎的患者都应进行斑贴试验。
