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[接触反应中隐匿性皮肤过敏症的概念。关于对皮肤过敏症受阻患者亚组进行临床控制的思考]

[The concept of cryptic cutaneous atopy in contact reactions. Considerations on the clinical control over the subgroup of patients with frustrated cutaneous atopy].

作者信息

Grimalt F, Romaguera C, Lecha M, Mascaro J M

机构信息

Departamento de Dermatología Médico-Quirúrgica y Venereología de la Universidad de Barcelona.

出版信息

Med Cutan Ibero Lat Am. 1988;16(3):225-30.

PMID:3059093
Abstract

Contact dermatitis, allergic or irritative, is not distributed by chance among the general population, but appears in a determined group of patients. The clinical and anamnestic picture of this group of patients (and that of their close blood relatives) is described. Clinical facts lead us to consider that group of patients as a subgroup of cutaneous atopy. The medical-legal importance which the acceptance of this type of patient could have on occupational contact dermatitis is pointed out. In contact dermatitis the factors of the person suffering the contact rather than those of the contact agents seem to be of decisive power in the response, although at the present moment, the possibility of carrying out analytical studies on the allergens and irritants is easier than on the patients who react to them.

摘要

接触性皮炎,无论是过敏性还是刺激性的,在普通人群中并非随机分布,而是出现在特定的一组患者中。描述了这组患者(及其近亲)的临床和既往病史情况。临床事实使我们将这组患者视为皮肤特应性的一个亚组。指出了接受这类患者对职业性接触性皮炎可能具有的法医学重要性。在接触性皮炎中,接触者自身的因素而非接触剂的因素似乎在反应中起决定性作用,尽管目前对变应原和刺激物进行分析研究的可能性比对其产生反应的患者进行研究的可能性更大。

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