Sibbald R G
University of Toronto, Ontario, Canada.
Ostomy Wound Manage. 1998 Aug;44(8):68-78; discussion 77-8.
Hand eczema is a common disorder of healthcare providers. The pattern of eczema can help to distinguish endogenous (dyshidrosis, atopy) causes from exogenous (contact irritant and allergic dermatitis) and the common differential diagnoses (psoriasis, fungus infections). Appropriate strength topical steroids, moisturizers, antibacterials, and systemic agents are all used to treat hand eczema depending on the type of eczema and its severity. Patients with contact allergic eczema should be assessed for possible latex allergy.
手部湿疹是医疗工作者常见的病症。湿疹的类型有助于区分内源性(汗疱疹、特应性)病因与外源性(接触性刺激性和过敏性皮炎)病因以及常见的鉴别诊断(银屑病、真菌感染)。根据湿疹的类型及其严重程度,会使用适当强度的外用类固醇、保湿剂、抗菌剂和全身性药物来治疗手部湿疹。对于接触性过敏性湿疹患者,应评估其是否可能对乳胶过敏。