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[尿布皮炎]

[Diaper dermatitis].

作者信息

Fölster-Holst R, Buchner M, Proksch E

机构信息

Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland.

出版信息

Hautarzt. 2011 Sep;62(9):699-708; quiz 709. doi: 10.1007/s00105-011-2223-9.

Abstract

Diaper dermatitis is one of the most common skin diseases during infancy and childhood. It is a type of irritant contact eczema resulting from a complex interaction between urine and feces under occlusive conditions in combination with the hyperhydration of the stratum corneum, pressure and friction under the diaper. These conditions pave the way for Candida albicans infection, which is often associated with diaper dermatitis. The anogenital region can be involved by a variety of dermatoses, so a precise skin examination, detailed history and sometimes histologic examination are needed for a precise diagnosis. Therapeutically, frequent diaper changes and adequate skin care are most important.

摘要

尿布皮炎是婴幼儿期最常见的皮肤病之一。它是一种刺激性接触性湿疹,由尿液和粪便在闭塞条件下与角质层过度水合、尿布下的压力和摩擦之间的复杂相互作用引起。这些情况为白色念珠菌感染创造了条件,白色念珠菌感染常与尿布皮炎相关。肛门生殖器区域可被多种皮肤病累及,因此需要进行精确的皮肤检查、详细的病史询问,有时还需要组织学检查以做出准确诊断。在治疗方面,频繁更换尿布和适当的皮肤护理最为重要。

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