摘要
医源性接触性皮炎是在临床医疗工作中接触某些诊治设备、器械、药物或医疗材料所引起的皮肤炎症,可分为变应性接触性皮炎和刺激性接触性皮炎。临床可表现为皮肤红斑、丘疹、水疱、糜烂、渗液,伴瘙痒或疼痛。接触性皮炎的诱因包括医疗操作、手术准备溶液、人体内部植入装置、医用粘合剂、电极、乳胶制品、接种疫苗及医用药物等。详细的病史询问、斑贴试验、重复开放应用试验及淋巴细胞转化试验等可帮助明确诱因。治疗上除了停止接触可疑诱因,应联合外用和系统药物进行个体化治疗。
Iatrogenic contact dermatitis is the skin inflammation caused by contacting diagnosis and treatment equipment,instruments,drugs or medical materials in clinical medical work.It can be divided into allergic contact dermatitis and irritant contact dermatitis.Clinical manifestations include erythema,papule,blister,erosion,exudation with pruritus or pain.The causes of contact dermatitis include medical operation,preparation solution,implantable device,medical adhesive,electrode,latex product,vaccination and medical medicine.Detailed history inquiry,patch test,repeated open application test and lymphocyte transformation test can help to identify the allergens that cause dermatitis.In addition to discontinuing contact with suspected allergens,topical and systemic anti-inflammatory drugs should be combined for individualized treatment.
作者
王欢
宋志强
WANG Huan;SONG Zhiqiang(Department of Dermatology,Southwest Hospital,Army Military Medical University,Chongqing 400038,China)
出处
《皮肤科学通报》
2020年第2期179-184,共6页
Dermatology Bulletin
基金
陆军军医大学第一附属医院创新团队培养计划(SWH2018TD-02)。
关键词
医源性接触性皮炎
刺激性
变应性
消毒剂
植入装置
医用材料
斑贴试验
Iatrogenic contact dermatitis
Irritant
Allergic
Disinfectant
Implantable device
Medical material
Patch test
