特应性皮炎的皮疹及并发症在不同年龄段的变化  

The Changes of Skin Lesions and Concomitant Symptoms with Atopic Dermatitis in Different Age

作　　者：刘启亮 吴红缨[2] 孙婷婷 邱媛媛 

机构地区：[1]解放军一六三医院,湖南长沙410003 [2]中日友好医院,北京100083

出　　处：《中国皮肤性病学杂志》2014年第7期701-702,共2页The Chinese Journal of Dermatovenereology

摘　　要：目的探讨特应性皮炎（AD）的皮疹及并发症在不同年龄阶段的变化。方法分析242例AD临床资料，按不同年龄分组进行比较和分析，〈3岁为婴儿期、3～10岁为儿童期、〉10岁为青少年期。结果婴儿期主要表现为急性及亚急性湿疹样皮疹，好发于头面部；儿童期主要表现为亚急性及慢性湿疹样皮疹，好发于躯干及四肢，常累及肘窝和膪窝；青少年期大多数表现为慢性苔藓样皮疹，好发于四肢屈侧，肘窝和胭窝尤其显著。并发症中寻常型鱼鳞病、毛周角化症和白色糠疹的发病率儿童期和青少年期明显高于婴儿期，而弥漫性头皮屑和耳下裂纹的发病率则婴儿期明显高于儿童期及青少年期。结论AD皮疹的类型、好发部位及其并发症随着年龄的增长而逐渐出现变化。Objective To study the changes of skin lesions and concomitant symptoms with atopic dermatitis （AD） in different age. Methods Two hundred and forty-two AD cases were divided into three groups;Infancy： 〈 3 years; Childhood： from 3 to 10 years;Adolescence： 〉 10years. According to the different age groups,the clinical materials were studied and compared. Results The main symptoms of infancy were acute and subacute eczema- tous lesions, commonly distributing on the face and scalp. Childhood, subacute and chronic eczematous lesions were predominant, mostly distributing on the trunk and limbs, commonly affecting antecubital and popliteal areas. Adolescence, the chronic lichenoid lesions were more present, predominantly distributing on the flexural surface of limbs, especially affecting antecubital and popliteal areas. Among concomitant symptoms, the incidence of ichthyosis vulgaris, keratosis pilaris and pityriasis alba in childhood and adolescence was significantly higher than these,in infancy,whereas the incidence of the chronic scalp scaling and infra-auricular fissures in infancy was obviously higher than those in childhood and adolescence. Conclusion The types , distribution of skin lesion and concomitant symptoms of AD patients gradually changes with age increasing.

关 键 词：特应性皮炎 皮疹 并发症 

分 类 号：R758.2[医药卫生—皮肤病学与性病学]