Nipple eczema - 乳头湿疹
relevance score : -100.0%
ReferencesNipple eczema，通常被视为诊断特应性皮炎的次要因素，是乳房的常见症状。其在怀孕期间的发生率与其他年龄组相似。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, 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 通常被视为特应性皮炎的一小部分。其临床过程和表现常使其难以辨别根本原因，如刺激或过敏。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计划的 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.
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有时会在乳头周围出现皮疹。中老年人若持续出现乳头湿疹，应及时就医，因为罕见的佩吉特氏病（乳腺癌）也可导致类似症状。
○ 治疗 - 非处方药
有其他过敏史的年轻人可能出现乳头湿疹，但老年人更应看医生，以排除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帮助缓解症状。
#Hydrocortisone ointment
服用非处方抗组胺药。西替利嗪或左西替利嗪的镇痒效果优于非索非那定，但可能导致嗜睡。
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]