特应性皮炎临床特点与诊断标准探讨

王华

(宝鸡市中医医院，陕西 宝鸡 721000)

摘要：目的探讨特应性皮炎的临床特点与诊断标准。方法选择特应性皮炎患者638例，均符合HR的相关诊断，统计所有患者对于康田标准的符合率，观察其遗传过敏情况、伴随体征以及嗜酸性粒细胞、血清IgE情况。结果经过HR确诊为特应性皮炎的638例患者中符合康田标准者618例,总符合率为96.87%,符合率随着年龄段的增长而增高。在过敏史中个人过敏史随着年龄增长而发病率增加，家族过敏史中超过12岁者明显增多。在临床症状中干皮症、掌纹症、面部皮炎所占比例最高，乳头湿疹、唇炎、眶下皱褶、白色糠疹所占比例较低。各年龄阶段的患者嗜酸性粒细胞与IgE的均值均高于正常值。结论康田标准对于特应性皮炎的诊断标准合理实用。

关键词：特应性皮炎；康田标准；诊断标准

DOI:10.13463/j.cnki.cczyy.2015.06.067

中图分类号：R751文献标志码：A

文章编号：2095-6258(2015)06-1279-03

作者简介：王华(1981-)，女，硕士，主治医师，主要从事中医外科学研究。

收稿日期:(2015-10-19)

Characteristics and diagnostic criteria of atopic dermatitis

WANG Hua

(Baoji TCM medical，Baoji 721000, Shanxi Province, China)

Abstract：ObjectiveTo explore the clinical characteristics and diagnostic criteria of atopic dermatitis. MethodsThe 638 cases with atopic dermatitis (AD), were selected as the research object. All patients were diagnosed in accordance with relevant HR. The coincidence rates of Contin standards of all patients were computed. Genetic allergic condition, accompany symptoms, eosinophilic granulocyte and serum IgE of the patients were observed. ResultsThe 618 patients accord Contin standards in the 638 AD patients by HR diagnosed, and the total coincidence rate was

96.87%, the coincidence rate increased as the growth of the age. In the aspect of allergy, personal allergic history was increased with the increasing age, family allergic history increased significantly for patients over the age of 12. In the aspect of clinical symptoms, xeroderma, palmprint disease and facial dermatitis had the highest proportion; eczema of nipple, cheilitis, infraorbital fold, pityriasis Alba had a lower proportion. All ages of the patients with eosinophils and IgE average were higher than normal. ConclusionContin standard diagnostic criteria for atopic dermatitis are reasonable and practical.

Keywords：atopic dermatitis; kangtian standard; diagnostic criteria

特应性皮炎，又称异位性皮炎、湿疹性皮炎，目前临床上对于特应性皮炎的诊断主要根据个人和家族的特应性病史以及皮损的特点，临床应用的是Hanifin和Rajka提出的HR标准[1]。这个标准是做为特应性皮炎诊断的金标准而存在，但是在应用的过程中也有其他学者对其各项指标进行重新评价，康克非和田润梅于1986年所提出的康田标准是在HR基础之上结合国内资料进行的修订，为了验证康田标准的准确性，笔者进行了本次研究。……