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痒疹、瘙痒性毛囊炎和妊娠性特应疹:事实与争议。

Prurigo, pruritic folliculitis, and atopic eruption of pregnancy: Facts and controversies.

作者信息

Roth Maria Magdalena, Cristodor Patricia, Kroumpouzos George

机构信息

Clinic Balear, Mallorca, Spain.

Timisoara University of Medicine and Pharmacy Victor Babes, Timisoara, Romania.

出版信息

Clin Dermatol. 2016 May-Jun;34(3):392-400. doi: 10.1016/j.clindermatol.2016.02.012. Epub 2016 Feb 13.

Abstract

Prurigo (PP) and pruritic folliculitis of pregnancy (PFP) are poorly characterized entities. Traditionally classified under specific dermatoses of pregnancy, they were reclassified under a new umbrella entity, atopic eruption of pregnancy (AEP), which also includes atopic dermatitis (AD) that can worsen or present for the first time in pregnancy. Still, several aspects of AEP have not been adequately elucidated. It needs to be clarified whether it is the intrinsic ("nonallergic" or "atopiform dermatitis") or extrinsic (immunoglobulin E-associated) AD that is affected by pregnancy. Future studies need to examine the postpartum prognosis of AD that develops for the first time during gestation. A revision of diagnostic criteria of AEP will allow a more accurate estimate of its prevalence, as well as clarification of the relationship between AD and specific dermatoses, such as PP and PFP. In this context, this review discusses the history, epidemiologic data, clinicopathologic features, and management of these entities.

摘要

痒疹(PP)和妊娠瘙痒性毛囊炎(PFP)是特征描述不足的疾病。它们传统上归类于妊娠特异性皮肤病,现被重新归类到一个新的总括性疾病——妊娠特应性皮疹(AEP)之下,AEP还包括在孕期可能加重或首次出现的特应性皮炎(AD)。然而,AEP的几个方面尚未得到充分阐明。需要明确受妊娠影响的是内在性(“非过敏性”或“类特应性皮炎”)还是外在性(免疫球蛋白E相关)AD。未来的研究需要考察孕期首次发生的AD的产后预后情况。修订AEP的诊断标准将有助于更准确地估计其患病率,并明确AD与PP和PFP等特定皮肤病之间的关系。在此背景下,本综述讨论了这些疾病的历史、流行病学数据、临床病理特征及治疗方法。

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