Silverberg Nanette B
Icahn School of Medicine at Mt Sinai, New York, NY.
Clin Dermatol. 2017 Jul-Aug;35(4):354-359. doi: 10.1016/j.clindermatol.2017.03.007. Epub 2017 Mar 24.
Atopic dermatitis is a complex, systemic inflammatory disorder associated with a variety of clinical features. The original criteria of Hanifin and Rajka include major criteria and a list of about two dozen minor criteria however, even the minor criteria do not include some features of atopic dermatitis noted less commonly but still seen with some frequency. This contribution first reviews the common clinical appearance of atopic dermatitis in infancy, childhood, and adulthood, as well as the less typical appearances, including lichenoid atopic dermatitis; juvenile plantar dermatosis; nummular-type atopic dermatitis; follicular atopic dermatitis; alopecia of atopic dermatitis; eczema coxsackium; and psoriasiform, perineal, and lip licker's dermatitis. The clinician will be able to recognize and treat rarer forms of atopic dermatitis and incorporate this into their daily practice.
特应性皮炎是一种复杂的全身性炎症性疾病,具有多种临床特征。Hanifin和Rajka最初的标准包括主要标准和大约二十几条次要标准,然而,即使是次要标准也未涵盖特应性皮炎一些不太常见但仍有一定出现频率的特征。本文首先回顾了婴儿期、儿童期和成人期特应性皮炎的常见临床表现,以及不太典型的表现,包括苔藓样特应性皮炎、青少年足底皮炎、钱币状特应性皮炎、毛囊性特应性皮炎、特应性皮炎脱发、柯萨奇湿疹,以及银屑病样、会阴和舔唇性皮炎。临床医生将能够识别和治疗罕见形式的特应性皮炎,并将其纳入日常实践中。