特应性皮炎临床特点与诊断标准探讨

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。

Characteristics and diagnostic criteria of atopic dermatitis

objective To explore the clinical characteristics and diagnostic criteria of atopic dermatitis. Methods The 638 cases with atopic dermatitis(AD),were selected as the research object. All patients were diagnosed in ac-cordance 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. Results The 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;ecze-ma of nipple,cheilitis,infraorbital fold,pityriasis Alba had a lower proportion. All ages of the patients with eosino-phils and IgE average were higher than normal. Conclusion Contin standard diagnostic criteria for atopic dermatitis are reasonable and practical.