腋窝接触性皮炎：潜在变应原和治疗的最新进展。

Axillary Contact Dermatitis: An Update on Potential Allergens and Management.

机构信息

Dr. Musicante is from The University of Tennessee Health Science Center College of Medicine, Memphis. Drs. Cohen and Milam are from the Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York.

出版信息

Cutis. 2024 Jan;113(1):35-42. doi: 10.12788/cutis.0930.

DOI:10.12788/cutis.0930

PMID:38478935

Abstract

The differential diagnosis of dermatoses in the axillae is broad. Contact dermatitis-both irritant and allergic-represents common etiologies. Axillary contact dermatitis can develop following exposure to a variety of irritants and/or allergens. Frequently implicated sources include deodorants, antiperspirants, detergents, soaps, and clothing. Fragrance, a ubiquitous ingredient within these products, as well as metals and dyes, are common causes of contact dermatitis. Clinical assessment, bedside diagnostic techniques, histopathology, and patch testing can aid in the diagnosis and help inform management directions.

摘要

腋窝部皮肤病的鉴别诊断范围很广。接触性皮炎（包括刺激性和变应性）是常见的病因。腋窝部接触性皮炎可在接触各种刺激物和/或变应原后发生。经常涉及的来源包括除臭剂、止汗剂、清洁剂、肥皂和衣物。这些产品中普遍存在的香料，以及金属和染料，是接触性皮炎的常见原因。临床评估、床边诊断技术、组织病理学和斑贴试验有助于诊断，并有助于确定治疗方向。