化妆品接触性皮炎

Cosmetic Contact Dermatitis

化妆品接触性皮炎(cosmetic contact dermatitis,CCD)临床较常见,最初的诊断应基于患者病史和皮炎分布特点。面部接触各种化妆品的机会最多,因此面部皮炎是CCD的常见表现,尤其是眼睑、侧面部、面中部、面部泛发性皮炎。其它表现如颈部、腋窝、外阴皮炎等都有其独特的致病因素。一旦怀疑本病,应根据经验向患者推荐低致敏性护肤品,同时斑贴试验明确致敏原。致敏原的确定可以帮助患者获取安全使用的产品,患者的健康教育可降低再次致敏的可能性。

Cosmetic contact dermatitis is common and should be initially diagnosed on the basis of patient history and the distribution of the dermatitis.The face is easily exposed to all kinds of cosmetics,so facial dermatitis is a typical manifestation of cosmetic contact dermatitis.In particular,the eyelids dermatitis,lateral facial dermatitis,central facial dermatitis and generalized facial dermatitis are frequently involved.Other manifestations such as neck dermatitis,axilla dermatitis and vulvar dermatitis have their own unique causes.Once the diagnosis is suspected,recommendations for low allergenicity products should be implemented until patch testing is performed.Identification of allergens can help patients to obtain safe products for use,and patient health education can reduce the possibility of re-sensitization.