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诊断有色人种的特应性皮炎。

Diagnosing Atopic Dermatitis in Skin of Color.

机构信息

Department of Dermatology, Johns Hopkins University School of Medicine.

Department of Dermatology, Johns Hopkins University School of Medicine.

出版信息

Dermatol Clin. 2023 Jul;41(3):417-429. doi: 10.1016/j.det.2023.02.003. Epub 2023 Apr 12.

Abstract

Atopic dermatitis (AD) is a pruritic inflammatory skin disease that disproportionately affects skin of color patients. African American, Asian, and Hispanic patients carry disproportionate disease burdens, with increased prevalence, disease severity, and health care utilization. AD has a unique clinical presentation in skin of color patients, often with greater extensor involvement, dyspigmentation, and papular and lichenified presentations. Erythema is also more difficult to appreciate and can result in an underappreciation of disease severity in skin of color patients. In this review, we highlight the important manifestations of AD across all skin types, including nuances in treatment.

摘要

特应性皮炎(AD)是一种瘙痒性炎症性皮肤病, disproportionately 影响有色人种患者的皮肤。非裔美国人、亚洲人和西班牙裔患者承担着不成比例的疾病负担,患病率、疾病严重程度和医疗保健利用率都有所增加。AD 在皮肤色素沉着患者中有独特的临床表现,常伴有更大的伸展部位受累、色素沉着、丘疹和苔藓样表现。红斑也更难察觉,这可能导致对皮肤色素沉着患者疾病严重程度的低估。在这篇综述中,我们强调了 AD 在所有皮肤类型中的重要表现,包括治疗中的细微差别。

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