Wollina U
Klinik für Dermatologie und Allergologie, Städtisches Klinikum Dresden, Akademisches Lehrkrankenhaus der TU Dresden, Friedrichstr. 41, 01067, Dresden, Deutschland.
Z Rheumatol. 2020 Dec;79(10):1025-1032. doi: 10.1007/s00393-020-00814-2.
The skin is the primary interface between the body and the environment. It is exposed to a variety of external physical factors to which it must respond in a dynamic manner. In the following review such cutaneous reactions to physical damage are discussed under the aspects of rheumatological differential diagnoses. In particular, circumscribed hyperpigmentation and hyperkeratosis, reactive patterns to cold, with or without humidity, and lightning are presented. Most of these disorders do not need extensive laboratory investigations or imaging techniques. Knowledge of such cutaneous disease symptoms due to physical damage prevents overdiagnostics and possible overtreatment.
皮肤是人体与环境之间的主要界面。它暴露于各种外部物理因素中，必须以动态方式做出反应。在以下综述中，将从风湿病鉴别诊断的角度讨论皮肤对物理损伤的反应。特别介绍了局限性色素沉着和角化过度、对寒冷（有无湿度）以及闪电的反应模式。这些疾病大多不需要广泛的实验室检查或成像技术。了解因物理损伤导致的此类皮肤疾病症状可避免过度诊断和可能的过度治疗。
