Department of Dermatology, Leicester Royal Infirmary, Leicester, LE1 5WW, UK.
Clin Dermatol. 2014 Jan-Feb;32(1):116-24. doi: 10.1016/j.clindermatol.2013.05.033.
Facial contact dermatitis is frequently encountered in medical practice in both male and female patients. Identifying the underlying cause can be challenging, and the causative agent may be overlooked if it is not considered during the assessment of a patient. The two main types of contact dermatitis are irritant contact dermatitis (ICD) and allergic contact dermatitis (ACD). The mechanisms and common causative agents vary for both ICD and ACD, but the clinical picture is often similar, particularly for chronic disease. Facial contact dermatitis can be successfully treated by avoiding the causative agent. In this review, we focus on the clinical assessment of a patient with facial contact dermatitis and the mechanisms of both ICD and ACD. Common causative agents, including emerging allergens, are discussed in detail, and suggestions are made regarding the management of patients with proven ICD or ACD of the face.
面部接触性皮炎在男性和女性患者的医学实践中经常遇到。确定潜在原因具有挑战性，如果在评估患者时没有考虑到，那么致病因子可能会被忽视。接触性皮炎主要有两种类型，即刺激性接触性皮炎（ICD）和过敏性接触性皮炎（ACD）。ICD 和 ACD 的发病机制和常见病因各不相同，但临床表现通常相似，尤其是慢性疾病。通过避免致病因子，可以成功治疗面部接触性皮炎。在这篇综述中，我们重点介绍了面部接触性皮炎患者的临床评估以及 ICD 和 ACD 的发病机制。详细讨论了常见的致病因子，包括新兴过敏原，并就已确诊的面部 ICD 或 ACD 患者的管理提出了建议。
