07Eczema.pptVIP

Eczema湿疹 Medical student teaching Zhao Hengguang Senior resident 住院医师 Eczema Overview Definition Etiology and pathogenesis Symptoms Diagnosis Treatments Overview Eczema is an allergic condition that affects the skin. Eczema is a very common condition, and it affects all races and ages, including young infants. About 1%-2% of adults have eczema, and as many as 20% of children are affected. Eczema can be triggered by just about anything coming in contact with the skin. For some, the disease will improve with time. For others, however, eczema is a chronic or recurrent disorder. 概述 湿疹是一种影响到皮肤过敏性疾病。湿疹是一种很常见的疾病，它影响到所有种族和年龄，包括婴幼儿。约1％-2％的成年人患有湿疹，多达20％的儿童受到影响。湿疹可以触发。 Eczema is tendency to recur and persistence 湿疹有复发和持久性的倾向 course of disease in eczema Eczema is described as a “pruritic papulovesicular process瘙痒的丘疹水疱性的过程, which in its acute phase is associated with erythema and edema, while some of its papulovesicular feature is retained and dominated by thickening增厚占主导地位, lichenification and scaling苔癣化和 鳞片剥落in chronic phase.” Eczema is easy to recur复发. Definition Greek word ekzein ,meaning“boil out”. Ackerman pointed out that “eczema”is a descriptive term描述性的词语 and a group of diseases. As a pruritic papulovesicular process: acute phase with erythema and edema; chronic phase by thickening, lichenification and scaling. Histologically, spongiosis海绵状结构(epidermis) and inflammatory infiltrate炎性细胞浸润(dermis) are hallmark特点 of all eczematous eruption. Etiology and pathogenesis The exact cause of eczema is not known. many factors are involved in eczema, which include internal and external factors, and so eczema is induced by interaction of many internal and external factors由许多内部和外部因素的相互作用引起. Internal factors chronic infection, block of blood circulation, change of endocrine and metabolism, hereditary tendency to allergies so on External factors food, inhaled substances, chemical materials, animal hair and fur skin皮毛 so on People with eczema do have the IgE