Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, España.
Servicio de Dermatología, Hospital Universitario Fundación Jiménez Díaz, Madrid, España.
Actas Dermosifiliogr (Engl Ed). 2020 Jan 2;111(1):26-40. doi: 10.1016/j.ad.2019.04.005.
Hand eczema is a common condition associated with significantly impaired quality of life and high social and occupational costs. Managing hand eczema is particularly challenging for primary care and occupational health physicians as the condition has varying causes and both disease progression and response to treatment are difficult to predict. Early diagnosis and appropriate protective measures are essential to prevent progression to chronic eczema, which is much more difficult to treat. Appropriate referral to a specialist and opportune evaluation of the need for sick leave are crucial to the good management of these patients. These guidelines cover the diagnosis, prevention, and treatment of chronic hand eczema and highlight the role that primary care and occupational health physicians can play in the early management of this disease.
手部湿疹是一种常见的疾病，会显著降低生活质量，并导致较高的社会和职业成本。由于手部湿疹的病因多种多样，疾病的进展和对治疗的反应都难以预测，因此基层医疗保健医生和职业健康医生在治疗手部湿疹时面临着特别大的挑战。早期诊断和适当的防护措施对于防止疾病进展为慢性湿疹至关重要，因为慢性湿疹更难治疗。适当向专家转诊以及适时评估请病假的必要性，对于这些患者的良好管理至关重要。本指南涵盖了慢性手部湿疹的诊断、预防和治疗，并强调了基层医疗保健医生和职业健康医生在早期管理这种疾病方面可以发挥的作用。
