资源描述：
《最新皮炎与湿疹19PPT课件.ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、皮炎与湿疹19皮炎与湿疹 DermatitisandEczema接触性皮炎contactdermatitis湿疹eczema特应性皮炎atopicdermatitis自身敏感性皮炎autosensitizationdermatitis接触性皮炎 ContactDermatitis概述：1、Contactdermatitis是人体皮肤和粘膜接触某些物质后，在接触部位发生急性或慢性炎症反应2、低浓度引起contactdermatitis的物质为致敏物3、高浓度引起contactdermatitis的物质为刺激物(二）亚急性和慢性接触性皮炎subacuteandchroniccontactd
2、ermatitis1、lowerdoseandhyposensitivestimulatingallergenarouse2、repeatcontactallergenforlongtime，oracrossallergy,multipleallergytransform3、subacutelesion:erythema,papule,andborderlinenotclear4、chroniclesion:lightproliferatiopn,lichenification,特殊类型的接触性皮炎Specialcontactdermatitis:1.尿布皮炎Diaperdermati
3、tis:2.漆性皮炎Dermatitisrhus:3.化状品皮炎Cosmeticdermatitis:诊断diagnosis1.Diseasehistory:contactallergen2.Lesionappearance:therearelesionsincludingerythema,papuleandpapulevesicleonthelocalcontactingplace.3.Patchtest:toconfirmdiagnosis.治疗Therapy急性期：红肿无渗出用洗剂（炉甘石洗剂）；有渗出用3%硼酸溶液湿敷。亚急性期：有渗出用溶液湿敷，及激素乳剂，氧化锌糊；无渗出用
4、激素乳剂，或氧化锌油。慢性期：用激素软膏。尿布皮炎：可外用氧化锌油湿疹 EczemaAetiologyandpathogenesis:1.Internalfactors:(1)chronicinfect(2)localobstructionofbloodcirculation（3）nerveandinspiritfactor（4）inheritfactor2.Externalfactors:(1)food:fish,egg,meat(2)vegetable:flower(3)microorganism:acarid(4)chemistry:cosmetic,synthesisfibe
5、r临床表现 clinicappearance（一）急性性湿疹acuteeczema:1、lesionscharacteristic：erythema、papule、papulevesicle，anderosion、effusion,lesionsarepolymorphism,lesionborderlineisnotclear.2、lesionssymmetricallydistributeontheface,ear,hands,feet,armandleg,evenallbody.3、severeitch（二）亚急性湿疹subacuteeczema:1、lesionscharact
6、eristic：littlepapuleandpapulevesicle，aswellasscale,lightlichenification,lesionborderlineisnotclear.2、manylesionscomefromacuteeczemalesions.3、severeitch（三）慢性湿疹chroniceczema:1、lesioncharacteristic:therearepapule,excoriation,scaleonthebaseofdarkerythema,andlichenificationonthelesion,pigmentexchange
7、2、lesionssymmetricallydistributeonthehand,feet,breast,vulvae,anusandotherplace3、patienthaslongdiseasehistory,recrudescetimeaftertimeSomekindsoflocaleczema:1.手部湿疹Handeczema2.乳房湿疹Breasteczema3.外阴、阴囊和肛门湿疹Pudendumandcrissumeczem
