手部皮炎：罕见表现。

Hand dermatitis: uncommon presentations.

作者信息

Bauer Andrea

机构信息

Department of Dermatology and Allergology, University Hospital, Friedrich-Schiller-University Jena, 07743 Jena, Germany.

出版信息

Clin Dermatol. 2005 Sep-Oct;23(5):465-9. doi: 10.1016/j.clindermatol.2005.01.011.

DOI:10.1016/j.clindermatol.2005.01.011

PMID:16179180

Abstract

Hand dermatitis is a common diagnosis seen in dermatologic and general practice. It can present with typical morphology, but uncommon manifestations are possible. This review reports on common and uncommon presentations of irritant and allergic hand dermatitis focusing on uncommon localizations, time course, and morphology such as follicular, pustular, bullous, ulcerous, exudative erythema multiforme-like, purpuric, lichenoid, pigmented, and depigmented skin lesions. Clinical diagnosis can be challenging. Even histopathology is not always very helpful. Thorough evaluation of the patient's history and investigation of clinical morphology are the cornerstones of diagnosis.

摘要

手部皮炎是皮肤科和普通科常见的诊断疾病。它可表现为典型形态，但也可能出现不常见的表现。本综述报告了刺激性和过敏性手部皮炎的常见和不常见表现，重点关注不常见的部位、病程和形态，如毛囊性、脓疱性、大疱性、溃疡性、渗出性多形红斑样、紫癜性、苔藓样、色素沉着性和色素脱失性皮肤病变。临床诊断可能具有挑战性。即使组织病理学也并非总是很有帮助。对患者病史进行全面评估并对临床形态进行检查是诊断的基石。