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儿童轻度至中度特应性皮炎的病理生理学和治疗管理。

Pathophysiology and Management of Mild to Moderate Pediatric Atopic Dermatitis.

出版信息

J Pediatr Health Care. 2018 Mar-Apr;32(2):S2-S12. doi: 10.1016/j.pedhc.2017.10.002.

Abstract

Atopic dermatitis (AD), or eczema, is a chronic inflammatory skin condition characterized by relapsing pruritic and dry, scaly lesions. AD affects 10% to 20% of children in the United States and significantly affects the quality of life of patients and their families. Primary care providers (PCPs) are often the first point of contact for the management of AD symptoms. As many as 70% of patients with mild to moderate disease can be managed by a PCP, underscoring the need for these providers to understand basic AD pathophysiology and current standards of care. This article will discuss the basic principles of AD diagnosis and management that PCPs need to optimize patient care, including AD pathogenesis, appropriate use of currently available topical therapies, basic skin care practices, and patient/caregiver counseling points. This article is sponsored by Spire Learning and supported by an educational grant from Pfizer Inc.

摘要

特应性皮炎(AD),又称湿疹,是一种慢性炎症性皮肤病,其特征为反复发作的瘙痒和干燥、鳞屑性皮损。AD 在美国影响 10%至 20%的儿童,极大地影响了患者及其家属的生活质量。初级保健提供者(PCP)通常是管理 AD 症状的第一接触点。多达 70%的轻度至中度疾病患者可由 PCP 管理,这凸显了这些提供者需要了解 AD 病理生理学的基本知识和当前的护理标准。本文将讨论 PCP 优化患者护理所需的 AD 诊断和管理的基本原则,包括 AD 的发病机制、当前可用的局部治疗方法的合理使用、基本的皮肤护理实践以及患者/护理人员的咨询要点。本文由 Spire Learning 赞助,并得到辉瑞公司的教育资助。

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