Qhov Tseem Ceeb Qhov Sib Txawv - Atopic Dermatitis vs Hu Rau Tus Kab Mob Dermatitis
Lo lus dermatitis yog siv los piav txog ib pawg ntawm cov kab mob ntawm daim tawv nqaij. Lo lus eczema yog lwm lo lus uas yog synonymous nrog tib yam mob. Cov kab mob dermatitis tuaj yeem muab faib ua ob pawg xws li endogenous thiab exogenous dermatitis. Atopic dermatitis yog ib qho piv txwv ntawm endogenous dermatitis, thiab hu rau dermatitis yog ib qho piv txwv ntawm exogenous dermatitis. Tiv tauj dermatitis tuaj yeem txhais tau tias yog dermatitis precipitated los ntawm exogenous agents, feem ntau yog tshuaj. Atopic dermatitis tuaj yeem txhais tau tias yog tsev neeg, caj ces nyuaj dermatological teeb meem nrog rau niam txiv muaj zog. Qhov no yog qhov sib txawv tseem ceeb ntawm atopic dermatitis thiab hu rau dermatitis. Erythema, daim tawv nqaij hloov pauv xws li dryness, scaling, thiab pruritus yog cov kev kho mob uas muaj feem xyuam nrog qhov kev txiav txim no.
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
- xab npum, rhaub dej, ntaub npuag
- Teeb hauv cov menyuam yaus
- Kev ntxhov siab hnyav thiab kev ntxhov siab
Tshuaj Kho Mob
Kev nthuav qhia kho mob sib txawv tuaj yeem pom 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
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- Pom cov vesicles me
- Kev txiav txim siab
- tawv 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
Daim duab 01: Kaw ntawm Atopic Dermatitis
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.
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
Tus kab mob dermatitis yog dab tsi?
Tus kab mob dermatitis tuaj yeem txhais tau tias yog dermatitis precipitated los ntawm exogenous agents, feem ntau yog tshuaj. Nickel rhiab heev yog qhov tshwm sim ntawm kev tsis haum tshuaj, cuam tshuam rau 10% ntawm cov poj niam thiab 1% ntawm cov txiv neej.
Etiopathogenesis
Cov kab mob dermatitis feem ntau tshwm sim los ntawm kev ua xua ntau dua li ua xua. 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 ntawm tes. Qhov cuam tshuam rau kev sib cuag dermatitis yog siab yog tias cov tib neeg muaj keeb kwm ntawm atopic eczema rau irritants.
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, nws qhia txog kev sib cuag nrog qee yam khoom. Thaum tus neeg mob muaj keeb kwm ntawm Nickel allergy tshwm sim nrog eczema ntawm lub dab teg, qhov no qhia txog kev ua xua rau lub watch strap buckle. Nws yog ib qho yooj yim los sau qhov ua tau los ntawm kev paub tus neeg mob txoj haujlwm, kev nyiam ua, yav dhau los 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.
| Allergen | Source |
| Chromate | YCement, tanned tawv |
| Cob alt | YPrimer xim, tiv thaiv corrosive |
| Colophony | YGlue, plasticizer, nplaum daim kab xev, kua roj vanish, polish |
| Epoxy resins | Adhesive, plastics, moldings |
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.
Daim duab 02: Tiv Thaiv Kab Mob Dermatitis
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 yuav tsum tau hnav, kev ntxhua khaub ncaws kom txaus thiab ziab yuav tsum tau muab txhawm rau txhawm rau txo qis kev sib cuag nrog cov khaus khaus. Qhov thib ob los tiv thaiv kev ntsuas, cov neeg mob tuaj yeem siv cov tshuaj steroids hauv kev sib cuag dermatitis.
Dab tsi yog qhov zoo sib xws ntawm Atopic Dermatitis thiab Tiv Thaiv Kab Mob Dermatitis?
Atopic dermatitis thiab hu rau dermatitis yog inflammatory dermatological mob
Qhov txawv ntawm Atopic Dermatitis thiab Tiv Thaiv Kab Mob Dermatitis yog dab tsi?
Atopic Dermatitis vs Tiv tauj Dermatitis |
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| Atopic dermatitis tuaj yeem txhais tau tias yog tsev neeg, caj ces nyuaj dermatological teeb meem nrog rau niam txiv muaj zog. | Kev sib cuag dermatitis tuaj yeem txhais tau tias yog dermatitis precipitated los ntawm exogenous agents, feem ntau yog tshuaj. |
| Monomers siv hauv Kev Tsim Khoom | |
| Atopic dermatitis yog ib hom kab mob endogenous dermatitis. | Cov kab mob dermatitis yog ib hom kab mob exogenous dermatitis. |
| khoom | |
| Tsis muaj zog genetic predisposition. | Yuav muaj genetic predisposition. |
Summary – Atopic Dermatitis vs Contact Dermatitis
Cov kab mob dermatitis thiab atopic dermatitis yog ob yam kab mob ntawm daim tawv nqaij uas feem ntau ntsib hauv kev teeb tsa kho mob. Qhov sib txawv ntawm kev sib cuag dermatitis thiab atopic dermatitis tuaj yeem txheeb xyuas los ntawm tus neeg mob keeb kwm. Kev zam kom tsis txhob raug rau qhov ua xua lossis ua xua yog qhov tseem ceeb ntawm kev tswj hwm.
Download PDF Version of Atopic Dermatitis vs Contact Dermatitis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Atopic Dermatitis thiab Tiv Thaiv Kab Mob Dermatitis.
