Hand eczema presents on the palms and soles, and may sometimes be difficult or impossible to differentiate from atopic dermatitis, allergic contact dermatitis, and psoriasis, which also commonly involve the hands.
Hand eczema 是影響手部最常見的皮膚病之一,也是與工作相關的最常見的皮膚病類型。通常情況下,皮膚科診所只會診斷出嚴重的病例,因為早期手部皮膚炎患者很少尋求幫助。輕度病例通常是在常規職業篩檢中發現的。手部濕疹可能會成為長期病症,即使在避免接觸引發濕疹的物質後也會持續存在。手部濕疹的主要危險因子包括個人或家族過敏史、暴露於潮濕環境、接觸過敏原。研究表明,女性尤其是二十多歲的年輕女性手部濕疹的盛行率較高,這可能是由於環境因素造成的。 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 是一種由多種因素引起的長期皮膚狀況。它通常與工作或日常家務有關。找到確切的原因可能很棘手。隨著時間的推移,這種疾病可能會變得足夠嚴重,導致許多患者喪失能力。大約 2-10% 的人可能會在某個時候出現手部濕疹。這似乎是工作中最常見的皮膚問題,佔所有工作相關疾病的 9-35%。 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,與 手濕疹 (hand eczema) 相關的皮膚發炎會伴隨水皰形成和明顯的搔癢,但也可能出現堅硬的老繭和疼痛的撕裂。
患者發生 手濕疹 (hand eczema) 的單一原因並不罕見:環境因素,例如過度洗手;接觸過敏原或刺激物;和遺傳傾向。
手濕疹 (hand eczema) 是一種常見疾病:研究數據表明,一般人群的一年患病率高達 10%。
○ 治療 - 非處方藥
請勿使用肥皂或洗手液。由於手掌和腳底皮膚較厚,低效非處方類固醇軟膏可能不起作用。在這種情況下,需要醫生的處方才能使用強效類固醇軟膏。
#Hydrocortisone ointment
如果症狀嚴重,每天服用非處方抗組織胺也有幫助。
#Cetirizine [Zytec]
#Diphenhydramine [Benadryl]
#LevoCetirizine [Xyzal]
#Fexofenadine [Allegra]
#Loratadine [Claritin]
如果破裂的病灶疼痛,請使用非處方抗生素。
#Bacitracin