皮肤科新诊断:失禁性皮炎

A New Diagnosis in Dermatology:Incontinence Associ-ated Dermatitis

失禁相关性皮炎这一术语的提出,指由于大小便失禁使皮肤暴露于尿液或粪便所致皮肤损伤,而产生的刺激性接触性皮炎。它不同于以往皮肤科诊断,如外阴皮炎、尿布皮炎等。目前,国内皮肤科尚未普遍采用这一新疾病命名,故需要提高认识并加以重视。故本文将对其流行病学、病因危险因素、诊断鉴别诊断、评估与处理予以综述。

The term incontinence associated dermatitis(IAD)refers to skin damage resulting from incontinence-induced exposure to urine or feces.It distinguishes skin problems such as perineal dermatitis,diaper rash and many other contact dermatitis from incontinent history.It is important for dermatologist to prevent and treat IAD to avoid complications and improve patient outcomes.This review explores the current knowledge on IAD including epidemiology,risk factor,diagnosis,prevention and treatment.