Zug K A, Palay D A, Rock B
Section of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Surv Ophthalmol. 1996 Jan-Feb;40(4):293-306. doi: 10.1016/s0039-6257(96)82004-2.
Distinguishing the cause of itching, red eyelids is often difficult. Pruritic, inflamed eyelids can reflect various etiologies and are a common clinical presentation to the office of a dermatologist or ophthalmologist. In this article, five of the more common causes of eyelid dermatitis (atopic dermatitis, contact dermatitis, contact urticaria, rosacea, seborrhea, and psoriasis) are reviewed in detail, with particular emphasis on the ocular and periocular features. Clinical clues, historical features, and patch testing in cases of eczematous eyelid dermatitis aid in differential diagnosis. In addition, pathogenesis and treatment are reviewed.
区分引起眼睑瘙痒、发红的原因往往很困难。瘙痒、发炎的眼睑可能反映多种病因,是皮肤科医生或眼科医生诊所常见的临床表现。本文详细回顾了眼睑皮炎(特应性皮炎、接触性皮炎、接触性荨麻疹、酒渣鼻、脂溢性皮炎和银屑病)的五种较常见病因,特别强调眼部和眼周特征。湿疹性眼睑皮炎病例中的临床线索、病史特征和斑贴试验有助于鉴别诊断。此外,还对发病机制和治疗方法进行了综述。