Qhov Tseem Ceeb - Atopic Dermatitis vs Eczema
Eczema yog ib qho mob ntawm daim tawv nqaij uas ua los ntawm cov kab mob vesicular nrog rau qib sib txawv ntawm exudates thiab scaling. Muaj ntau hom kev kho mob sib txawv ntawm eczema uas atopic dermatitis yog ib qho. Atopic dermatitis yog ib yam kab mob hauv tsev neeg, genetic complex dermatological kab mob nrog rau niam txiv muaj zog. Yog li, qhov sib txawv tseem ceeb ntawm atopic dermatitis thiab eczema yog atopic dermatitis yog ib feem ntawm cov kab mob dav dav uas tuaj nyob rau hauv qeb eczema.
Eczema yog dab tsi?
Eczema yog ib qho mob ntawm daim tawv nqaij uas ua los ntawm cov kab mob vesicular nrog rau qib sib txawv ntawm exudates thiab scaling. Vesicles yog tsim los ntawm cov edema nyob rau hauv nruab nrab ntawm lub epidermal hlwb. Muaj ntau hom eczema uas atopic dermatitis yog ib qho. Lwm hom kab mob eczema suav nrog, Tus kab mob dermatitis tuaj yeem txhais tau tias yog dermatitis precipitated los ntawm exogenous agents, feem ntau yog tshuaj. Tsis tas li ntawd, Nickel rhiab heev yog qhov ua xua ntau tshaj plaws, cuam tshuam rau 10% ntawm cov poj niam thiab 1% ntawm cov txiv neej.
Etiopathogenesis
Irritants dua li allergens feem ntau ua rau mob dermatitis. Tab sis qhov kev kho mob ntawm ob qho tib si zoo li zoo sib xws. Allergic contact dermatitis yog tshwm sim los ntawm immunologically los ntawm hom Ⅳ hypersensitivity tshua. Cov txheej txheem los ntawm kev ua kom khaus khaus ua rau dermatitis txawv, tab sis qhov cuam tshuam ncaj qha rau ntawm daim tawv nqaij ua haujlwm tsis zoo yog qhov feem ntau pom cov txheej txheem.
Cov tshuaj tiv thaiv tseem ceeb tshaj plaws cuam tshuam nrog kev sib cuag dermatitis yog;
- Abrasives ex: frictional irritancy
- Dej thiab lwm yam kua dej
- Tshuaj ex: acids thiab alkalis
Cov txiaj ntsig ntawm feem ntau ntawm cov khaus khaus yog mob ntev, tab sis muaj zog khaus ua rau necrosis ntawm cov kab mob epidermal tuaj yeem tsim cov tshuaj tiv thaiv tsis pub dhau ob peb teev. Cov kab mob dermatitis tuaj yeem tshwm sim los ntawm kev rov ua dua thiab sib xyaw ua ke rau cov dej abrasives thiab tshuaj lom neeg ntau lub hlis lossis xyoo. Qhov no feem ntau tshwm sim hauv tes. Kev cuam tshuam ntawm cov neeg uas muaj keeb kwm ntawm atopic eczema rau irritants, kom muaj kev sib cuag dermatitis yog siab.
Kev nthuav qhia kho mob
Cov kab mob dermatitis tuaj yeem cuam tshuam rau txhua qhov ntawm lub cev. Thaum dermatitis tshwm sim ntawm ib qho chaw, uas qhia txog kev sib cuag nrog ib yam khoom. Thaum tus neeg mob muaj keeb kwm ntawm Nickel allergy, nthuav tawm nrog eczema ntawm lub dab teg, uas qhia txog kev tsis haum rau lub watch pluaj buckle. Nws yog ib qho yooj yim los sau qhov ua tau los ntawm kev paub tus neeg mob txoj haujlwm, kev nyiam ua, keeb kwm thiab kev siv tshuaj pleev ib ce lossis tshuaj. Qhov chaw ib puag ncig ntawm qee cov tshuaj tsis haum yog muab hauv qab no.
Daim duab 01: Ib puag ncig qhov chaw ntawm qee yam ua xua.
Los ntawm theem nrab 'auto sensitization' kis, kev tsis haum tshuaj tiv thaiv kab mob tuaj yeem qee zaum ua dav dav. Cov tshuaj tiv thaiv yees duab yog tshwm sim los ntawm kev ua kom cov tshuaj pleev ib ce lossis kev tswj hwm tus neeg saib xyuas los ntawm ultraviolet hluav taws xob.
Kev tswj hwm
Kev tswj kev tiv thaiv kab mob dermatitis tsis yog ib qho yooj yim vim muaj ntau thiab feem ntau sib tshooj uas tuaj yeem koom nrog hauv ib kis. Lub hom phiaj tseem ceeb tshaj plaws yog kev txheeb xyuas qhov ua rau muaj kev ua xua lossis ua rau khaus. Patch test yog tshwj xeeb tshaj yog muaj txiaj ntsig zoo rau cov kab mob dermatitis ntawm lub ntsej muag, tes, thiab ko taw. Nws pab txheeb xyuas cov allergens koom nrog. Kev cais tawm ntawm qhov ua txhaum cai ntawm ib puag ncig yog qhov tsim nyog rau kev tshem tawm cov kab mob dermatitis.
Tab sis qee qhov ua xua xws li Nickel lossis colophony nyuaj rau tshem tawm. Ntxiv mus, nws yog tsis yooj yim sua kom tshem tawm irritants. Kev sib cuag ntawm irritants thaum lub sij hawm tej hauj lwm yog inevitable. Cov khaub ncaws tiv thaiv thiab cov chaw ntxhua khaub ncaws kom qhuav tuaj yeem txo qhov kev sib cuag nrog cov tshuaj tiv thaiv zoo li no. Qhov thib ob los tiv thaiv kev ntsuas, cov neeg mob tuaj yeem siv cov tshuaj steroids hauv kev sib cuag dermatitis.
YEczema Herpeticum
Cov menyuam yaus uas muaj kab mob atopic dermatitis muaj kev pheej hmoo siab dua ntawm kev tsim kab mob herpes, kis kab mob uas yuav ua rau muaj kev phom sij rau lub neej.
Nummular Eczema
npib cov kab mob tshwm sim ntawm lub cev thiab ob txhais ceg
Page's Disease of the Breast
kab mob qog noj ntshav nyob ib ncig ntawm lub txiv mis thiab cov poj niam areola uas feem ntau yog vim muaj kab mob hauv qab
Lichen Simplex
Qhov no yog tus yam ntxwv los ntawm kev tsim ntawm thaj chaw thaj chaw ntawm lichens vim yog rubbing
Neurodermatitis
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YAsteatotic Dermatitis
Ua rau cov neeg laus tshwj xeeb ntawm ob txhais ceg
Stasis Eczema
Cov no tshwm sim hauv thaj chaw ntawm venous congestion
Atopic Dermatitis yog dab tsi?
Atopic dermatitis tuaj yeem txhais tau tias yog tsev neeg, kev sib txuas ntawm cov kab mob dermatological uas muaj zog rau niam txiv. Tus mob no cuam tshuam nrog lwm yam kab mob atopic thiab feem ntau pib qis dua 2 xyoos. Txawm hais tias tus kab mob pathophysiology tsis to taub tag nrho, qhov txawv txav ntawm daim tawv nqaij barrier muaj nuj nqi ua ke nrog kev txawv txav ntawm ob qho tib si adaptive thiab innate tiv thaiv zoo li tseem ceeb.
Exacerbating Factors
- Kab mob
- Teeb hauv cov menyuam yaus
- Kev ntxhov siab hnyav thiab kev ntxhov siab
Tshuaj Kho Mob
Muaj kev nthuav qhia kev kho mob sib txawv hauv atopic dermatitis. Feem ntau peb tuaj yeem pom erythematous, khaus, scaly thaj ua rau thaj ua rau thaj tsam ntawm lub luj tshib, hauv caug, pob taws, dab teg thiab ib ncig ntawm caj dab. Lwm yam kev kho mob uas tshwm sim hauv atopic dermatitis yog;
- Pom cov vesicles me
- Kev txiav txim siab
- tawv nqaij tawv (lichenification)
- Pigmentary hloov ntawm daim tawv nqaij
- Ntawm daim tawv nqaij creases ntawm xib teg
- Qu, 'zoo li ntses' scaling ntawm daim tawv nqaij
Kev tshawb nrhiav
Keeb kwm thiab kev kho mob tshwj xeeb yog qhov tseem ceeb hauv kev kuaj mob atopic dermatitis. Cov kev tshawb pom hauv chav kuaj xws li nce tag nrho cov ntshav IgE, allergen-specific IgE, thiab me eosinophilia tuaj yeem pom hauv kwv yees li 80% ntawm cov neeg mob.
Daim duab 02: Cov Qauv ntawm Atopic Dermatitis
Kev tswj hwm
- Kev Kawm thiab piav qhia
- Kev zam ntawm kev ua xua thiab khaus khaus
- da dej roj / xab npum hloov
- Siv tshuaj kho mob ntawm steroids thiab immunomodulators
- Emollients
- Siv cov kev kho mob ntxiv xws li tshuaj tua kab mob hauv qhov ncauj, sedating antihistamines thiab bandaging
- Phototherapy
- Kev kho mob ntawm qhov ncauj ciclosporin thiab qhov ncauj prednisolone
Dab tsi zoo sib xws ntawm Atopic Dermatitis thiab Eczema?
- Pruritus yog ib qho tshwm sim hauv feem ntau ntawm cov kab mob eczema nrog rau atopic dermatitis.
- Tsis tas li ntawd, feem ntau ntawm cov kab mob eczema yog exacerbated los ntawm ntau yam xws li kab mob, xab npum, da dej npuas, ntaub ntaub, teething rau cov menyuam yaus, kev ntxhov siab thiab kev ntxhov siab, miv thiab dev dander
Qhov txawv ntawm Atopic Dermatitis thiab Eczema yog dab tsi?
Atopic dermatitis yog ib tsev neeg, genetic complex dermatological teeb meem nrog ib tug muaj zog leej niam lub zog thaum eczema yog ib tug inflammatory mob ntawm daim tawv nqaij yam ntxwv los ntawm cov pab pawg neeg ntawm vesicular lesions nrog ib tug sib txawv degree ntawm exudates thiab scaling. Qhov no yog qhov sib txawv tseem ceeb ntawm Atopic Dermatitis thiab Eczema. Tsis tas li ntawd, muaj qhov muaj zog genetic predisposition nyob rau hauv atopic dermatitis whereas tej zaum yuav muaj los yog tsis yog ib tug genetic predisposition nyob rau hauv eczema. Nov yog lwm qhov sib txawv ntawm Atopic Dermatitis thiab Eczema.
Tsis tas li ntawd, cov hauv qab no qhia txog qhov sib txawv ntawm Atopic Dermatitis thiab Eczema piv.
Summary – Atopic Dermatitis vs Eczema
Eczema yog ib qho mob ntawm daim tawv nqaij uas ua los ntawm cov kab mob vesicular nrog rau qib sib txawv ntawm exudates thiab scaling. Muaj ntau hom kab mob eczema xws li stasis eczema, asteatotic eczema, thiab lwm yam. Atopic dermatitis kuj yog ib qho txawv ntawm eczema uas tuaj yeem txhais tau tias yog ib qho mob ntawm daim tawv nqaij uas muaj cov kab mob vesicular nrog rau qib sib txawv ntawm exudates thiab scaling.. Yog li, tis yog qhov txawv ntawm Atopic Dermatitis thiab Eczema.
Download the PDF Atopic Dermatitis vs Eczema
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline lub hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Atopic dermatitis thiab Eczema
