Nipple eczema - 乳头湿疹
https://en.wikipedia.org/wiki/Breast_eczema
☆ 德国 Stiftung Warentest 2022 年的结果显示,消费者对 ModelDerm 的满意度仅略低于付费远程医疗咨询。 relevance score : -100.0%
References
Correlation of nipple eczema in pregnancy with atopic dermatitis in Northern India: a study of 100 cases 31777355 NIH
Nipple eczema 通常被视为诊断特应性皮炎的次要因素,是乳房常见症状。其在怀孕期间的发生与其他年龄组相似。无论是否患有特应性皮炎,患者的临床特征都保持相似。
Nipple eczema, although considered to be a minor diagnostic criteria for diagnosis of AD, is one of the most common clinical presentations of AD in the breast. Nipple eczema in pregnancy follows a similar pattern as in other age groups. The clinical profile of patients is similar in cases with and without atopic dermatitis.
Nipple Eczema: A Diagnostic Challenge of Allergic Contact Dermatitis 24966651 NIH
Nipple eczema 通常被视为特应性皮炎的一个小分支。其临床表现和病程常使人难以辨别根本原因,是刺激还是过敏。因此,将过敏性接触性皮炎视为重要因素至关重要。我们的研究显示,在接受斑贴测试并遵循避免措施的 9 名患者中,有 5 名出现了显著改善,复发次数也明显减少。总之,在处理 nipple eczema 时,尤其是当其累及双侧乳头或向周围皮肤蔓延时,必须将过敏性接触性皮炎列为主要考虑因素。
Nipple eczema, considered mostly as a minor manifestation of atopic dermatitis, may have unknown causes. However, its clinical course and pattern often make it difficult to differentiate its underlying causes such as irritation or sensitization. Nevertheless, allergic contact dermatitis must be considered an important cause of nipple eczema. We found considerable clinical improvements and reduced recurrence in 5 of the 9 patients who had positive patch tests and followed an avoidance-learning program. In conclusion, allergic contact dermatitis should be considered first in the differential diagnosis of nipple eczema, especially in patients showing bilateral lesions and lesions extending into the periareolar skin.
有特应性皮炎的患者在乳头周围也可能出现皮疹。中老年人若持续出现乳头湿疹,应及时咨询医生,因为罕见的乳腺癌——佩吉特氏病,可能导致此类症状。
○ 治疗 - 非处方药
有其他过敏史的年轻人可能出现乳头湿疹,但老年人应就医,因为他们可能罹患佩吉特氏病等恶性疾病。用肥皂清洗病变部位并无帮助,反而可能使情况恶化。
非处方类固醇软膏可能有助于缓解症状。
#Hydrocortisone ointment
服用非处方抗组胺药。西替利嗪或左西替利嗪比非索非那定更有效,但会使您昏昏欲睡。
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]