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对盐肤木(漆树)的变应性接触性皮炎:一种秋季流行病。

Allergic contact dermatitis to Toxicodendron succedaneum (rhus tree): an autumn epidemic.

作者信息

Rademaker M, Duffill M B

机构信息

Department of Dermatology, Waikato Hospital, Hamilton.

出版信息

N Z Med J. 1995 Apr 12;108(997):121-3.

PMID:7739818
Abstract

AIMS

To document all cases of allergic contact dermatitis (phytodermatitis) due to contact with Toxicodendron succedaneum (rhus tree) presenting to a dermatology clinic during 1993.

METHOD

Case-note review of all cases of phytodermatitis attributed to exposure to rhus tree seen during 1993 in a dermatology clinic.

RESULTS

Twenty cases of phytodermatitis to T succedaneum were reviewed. Eight patients were females and 12 males with a bimodal age distribution (ten children under age of 15 yr, five adults between 35-45 yr of age). Younger patients presented with facial dermatitis reflecting facial contact whilst playing under rhus trees. Older patients presented largely with a dermatitis affecting the upper limbs reflecting contact whilst gardening (usually pruning). Fifteen out of twenty presented during the months of March through May (ie. autumn), with the remainder presenting in summer (Dec-Feb). The majority of patients required systemic steroids to settle the intense dermatitis.

CONCLUSIONS

Phytodermatitis to T succedaneum is not uncommon in New Zealand, particularly during the autumn months. The clinical presentation varies according to the patient's activity.

摘要

目的

记录1993年期间就诊于皮肤科诊所的所有因接触日本漆树(盐肤木)而导致的过敏性接触性皮炎(植物性皮炎)病例。

方法

对1993年在皮肤科诊所见到的所有归因于接触漆树的植物性皮炎病例进行病例记录回顾。

结果

回顾了20例日本漆树所致的植物性皮炎病例。8例为女性,12例为男性,年龄分布呈双峰型(10名15岁以下儿童,5名35 - 45岁的成年人)。较年轻患者表现为面部皮炎,这反映了在漆树下玩耍时面部接触;年龄较大患者主要表现为影响上肢的皮炎,这反映了园艺活动(通常是修剪)时的接触。20例中有15例在3月至5月(即秋季)就诊,其余在夏季(12月至2月)就诊。大多数患者需要使用全身性类固醇来缓解严重的皮炎。

结论

在新西兰,日本漆树所致的植物性皮炎并不罕见,尤其是在秋季。临床表现因患者的活动而异。

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