Department of Dermatology and Allergology, Klinikum Bayreuth, Bayreuth, Germany.
Enddarmpraxis im, Franziskus Carré, Münster, Germany.
J Dtsch Dermatol Ges. 2020 Jun;18(6):648-657. doi: 10.1111/ddg.14125. Epub 2020 May 29.
Perianal dermatitis (anal eczema, perianal eczema) is one of the most common proctological conditions. It may occur as a sequela or a presenting symptom of various proctological, dermatological, allergic or pathogen-induced disorders. The three main types of anal eczema are irritant-toxic, atopic and allergic contact dermatitis. Adequate and successful treatment requires a comprehensive diagnostic workup to determine disease etiology and includes treatment/elimination of causative factors as well as nonpharmacological interventions (avoidance of aggravating factors). In addition, adjuvant topical anti-inflammatory and/or specific symptomatic treatment may be required. The present guidelines contain recommendations for the diagnostic and therapeutic management of perianal dermatitis. Target users of these guidelines are clinicians in the fields of dermatology and proctology, as well as all other specialties involved in the management of patients with perianal dermatitis, both in hospital and office-based settings.
肛周皮炎（肛门湿疹、肛周湿疹）是最常见的肛肠疾病之一。它可能是各种肛肠疾病、皮肤病、过敏或病原体引起的疾病的后遗症或首发症状。肛门湿疹的三种主要类型是刺激性/毒性、特应性和过敏性接触性皮炎。充分和成功的治疗需要全面的诊断性检查以确定疾病的病因，包括治疗/消除致病因素以及非药物干预（避免加重因素）。此外，可能需要辅助局部抗炎和/或特定对症治疗。本指南包含了肛周皮炎的诊断和治疗管理建议。这些指南的目标用户是皮肤科和肛肠科的临床医生，以及所有其他涉及肛周皮炎患者管理的专业人员，包括在医院和诊所环境中。
