Merk H F
Hautklinik des Universitätsklinikums, Rheinisch-Westfälischen Technischen Hochschule, Aachen.
Z Arztl Fortbild Qualitatssich. 1997 Sep;91(6):507-17.
The skin is very often the target organ of allergic reactions. This may be explained by many immunological competent cells in this organ such as the Langerhans cell, mast cells, lymphocytes, neutrophils and eosinophils. This is especially true for the antigen-presenting Langerhans cell. Therefore in many cases, the skin is a signalling organ for allergic reactions. Examples include food allergy which precipitates with sign and symptoms of skin diseases in about 45% and drug allergy to beta-lactam-antibiotics in about 90%. Also the skin serves as test organ in allergic diseases of other organs such as rhinitis allergica or asthma. Examples include Reibtest, prick-, intracutaneous-, scratch- and patch test. Therefore it is no surprise, that allergic diseases of the skin are the most often diagnosed skin diseases such as urticaria, angioedema, vasculitis, contact dermatitis and atopic dermatitis. At these diseases, their diagnose and therapy and especially the promising progress in research with regard to these diseases which has been obtained during the last years will be focussed in this review.
皮肤常常是过敏反应的靶器官。这可以用该器官中许多具有免疫活性的细胞来解释,比如朗格汉斯细胞、肥大细胞、淋巴细胞、中性粒细胞和嗜酸性粒细胞。对于呈递抗原的朗格汉斯细胞来说尤其如此。因此在许多情况下,皮肤是过敏反应的信号器官。例如,约45%的食物过敏会引发皮肤疾病的体征和症状,约90%的对β-内酰胺抗生素的药物过敏也是如此。皮肤还可作为其他器官过敏性疾病(如过敏性鼻炎或哮喘)的试验器官。例子包括划痕试验、点刺试验、皮内试验、划痕试验和斑贴试验。因此,皮肤过敏性疾病是最常被诊断出的皮肤疾病,如荨麻疹、血管性水肿、血管炎、接触性皮炎和特应性皮炎,这也就不足为奇了。在这些疾病中,本文将重点关注它们的诊断和治疗,尤其是过去几年在这些疾病研究方面取得的有前景的进展。