Hand eczema - 手湿疹
石鹸や洗剤の使用を減らすことが治療には重要です。
relevance score : -100.0%
ReferencesHand eczema は、手に影響を与える最も一般的な皮膚疾患のひとつであり、職業上の皮膚疾患の中でも最も一般的です。初期の手皮膚炎では患者が診療を求めることがほとんどなく、通常、皮膚科クリニックで診断されるのは重症例のみです。軽症の症例は、定期的な職業検査で発見されることが多いです。手湿疹は慢性化し、原因物質との接触を避けても症状が残ることがあります。手湿疹の主な危険因子には、個人または家族のアトピー歴、湿った環境への曝露、アレルゲンとの接触などが含まれます。研究では、特に20代の女性において手湿疹の有病率が高く、環境要因が関与していると示唆されています。
Hand eczema, one of the most common skin conditions affecting the hands, is also the most common type of skin disease related to work. Typically, only severe cases are diagnosed in dermatology clinics, as patients seldom seek help for early hand dermatitis. Mild cases are usually identified during routine occupational screenings. Hand eczema can become a long-lasting condition, persisting even after avoiding contact with the substance that triggers it. Key risk factors for hand eczema include a personal or family history of atopy, exposure to wet conditions, and contact with allergens. Studies show a higher prevalence of hand eczema among women, especially younger women in their twenties, likely due to environmental factors.
Hand eczema, one of the most common skin conditions affecting the hands, is also the most common type of skin disease related to work. Typically, only severe cases are diagnosed in dermatology clinics, as patients seldom seek help for early hand dermatitis. Mild cases are usually identified during routine occupational screenings. Hand eczema can become a long-lasting condition, persisting even after avoiding contact with the substance that triggers it. Key risk factors for hand eczema include a personal or family history of atopy, exposure to wet conditions, and contact with allergens. Studies show a higher prevalence of hand eczema among women, especially younger women in their twenties, likely due to environmental factors.
Hand eczema(手湿疹) は、さまざまな要因で引き起こされる慢性的な皮膚疾患です。多くの場合、仕事や日常の家事が関与していますが、正確な原因を特定するのは難しいことがあります。放置すると症状が悪化し、患者の生活に支障をきたすことがあります。約 2〜10% の人が生涯のある時点で Hand eczema(手湿疹) を発症するとされ、職場で最も一般的な皮膚トラブルの一つで、全仕事関連皮膚疾患の 9〜35% を占めています。
Hand eczema is often a chronic, multifactorial disease. It is usually related to occupational or routine household activities. Exact etiology of the disease is difficult to determine. It may become severe enough and disabling to many of patients in course of time. An estimated 2-10% of population is likely to develop hand eczema at some point of time during life. It appears to be the most common occupational skin disease, comprising 9-35% of all occupational diseases and up to 80% or more of all occupational contact dermatitis.
Hand eczema is often a chronic, multifactorial disease. It is usually related to occupational or routine household activities. Exact etiology of the disease is difficult to determine. It may become severe enough and disabling to many of patients in course of time. An estimated 2-10% of population is likely to develop hand eczema at some point of time during life. It appears to be the most common occupational skin disease, comprising 9-35% of all occupational diseases and up to 80% or more of all occupational contact dermatitis.
通常、手湿疹 (Hand eczema) に伴う皮膚炎症は水疱の形成と強いかゆみを伴いますが、固形のたこや痛みを伴う裂傷が生じることもあります。
患者の手湿疹 (Hand eczema) の発症原因が1つだけであることはまれです。主な要因は、過剰な手洗いなどの環境要因、アレルゲンや刺激物との接触、そして遺伝的素因です。
手湿疹 (Hand eczema) は一般的な疾患で、研究データによると一般人口の1年間の有病率は最大で10%に達します。
○ 治療 ― OTC医薬品
石鹸や手指消毒剤の使用は避けてください。手のひらや足の裏は皮膚が厚いため、低効力の市販ステロイド軟膏では効果が不十分なことがあります。その場合、強力なステロイド軟膏を使用するには医師の処方が必要です。
#Hydrocortisone ointment
症状がひどい場合は、OTC 抗ヒスタミン薬を毎日服用することも効果的です。
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]
ひび割れた病変に痛みがある場合は、市販の抗生物質を塗ります。
#Bacitracin