Nojima Mai, Ticknor Iesha L, Sazegar Payam
Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, USA.
Kaiser Permanente San Diego Medical Center, San Diego, CA, USA.
Perm J. 2024 Sep 16;28(3):177-179. doi: 10.7812/TPP/24.043. Epub 2024 Aug 9.
The majority of dermatitis cases in adults result from chronic or relapsing atopic dermatitis in childhood. Adult-onset atopic dermatitis, also known as idiopathic chronic eczematous eruption of aging (CEEA), is a phenomenon seen in adults 50 years and older with no prior history of atopic dermatitis. CEEA is often a diagnosis of exclusion after ruling out more serious causes of dermatitis including bullous pemphigoid (BP), allergic conditions, and hematologic malignancies. This report details the case of a 67-year-old woman with no history of atopy who presented with a persistent, eczematous dermatitis not responsive to traditional therapy, consistent with CEEA, but was later identified as BP.
大多数成人的皮炎病例源于儿童时期的慢性或复发性特应性皮炎。成人发病的特应性皮炎，也称为老年性特发性慢性湿疹样皮疹（CEEA），是一种在50岁及以上且无特应性皮炎既往史的成年人中出现的现象。CEEA通常是在排除了包括大疱性类天疱疮（BP）、过敏性疾病和血液系统恶性肿瘤等更严重的皮炎病因后作出的排除性诊断。本报告详细介绍了一名67岁无特应性病史的女性病例，该患者出现持续性湿疹性皮炎，对传统治疗无反应，符合CEEA，但后来被确诊为BP。
