过敏原特异性IgE检测在特应性皮炎中的临床应用专家共识(2024版)  

Expert consensus on the clinical application of allergen-specific IgE tests in atopic dermatitis (2024 edition)

作　　者：中华医学会皮肤性病学分会 中国康复医学会皮肤性病学分会 中国医师协会皮肤科医师分会 张建中 马琳 高兴华[2] 刘萍[3] 马琳[4] 田晶[4] 张建中[3] 张丽[2] Chinese Society of Dermatology;Dermatology and Venereology Branch of Chinese Association of Rehabilitation Medicine;China Dermatologist Association;Zhang Jianzhong;Ma Lin;Gao Xinghua

机构地区：[1]不详 [2]中国医科大学附属第一医院 [3]北京大学人民医院 [4]首都医科大学附属北京儿童医院

出　　处：《中华皮肤科杂志》2024年第6期493-502,共10页Chinese Journal of Dermatology

摘　　要：特应性皮炎(AD)是一种慢性复发性、炎症性皮肤病,严重影响患者的生活质量,且发病率逐年上升。过敏原作为AD的诱发因素之一,可导致AD复发或加重。过敏原特异性免疫球蛋白E(sIgE)检测通过识别过敏原,可指导对AD的长期管理。关于sIgE检测在AD临床实践中的应用,目前尚存在多方面的问题。本共识基于目前国内外指南和相关研究证据,总结了AD患者进行sIgE检测的临床价值,并在患者选择、检测方法和检测项目选择、结果解读及注意事项等方面给出了9条推荐意见,为sIgE检测在我国AD诊疗中的临床应用提供统一指导原则。Atopic dermatitis(AD)is a chronic,relapsing,inflammatory skin disease that seriously affects patients'quality of life,and its incidence has shown an increasing trend in recent years.As one of the triggering factors of AD,allergens can lead to the recurrence or exacerbation of AD.Allergen-specific IgE(sIgE)tests can guide the long-term management of AD patients by identifying allergens.There are still many problems regarding the application of sIgE tests in AD clinical practice.Based on current Chinese and international guidelines and relevant research evidence,this consensus summarizes the clinical value of sIgE tests for AD patients and provides 9 recommendations on patient selection,selection of test methods and items,result interpretation,and some considerations,providing the standard principles for the application of sIgE tests in the diagnosis and treatment of AD in clinical practice in China.

关 键 词：皮炎 特应性 变应原 免疫球蛋白E 过敏原特异性免疫球蛋白E 专家共识 

分 类 号：R758.2[医药卫生—皮肤病学与性病学]