Nipple eczema - 乳頭濕疹
https://en.wikipedia.org/wiki/Breast_eczema
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References
Correlation of nipple eczema in pregnancy with atopic dermatitis in Northern India: a study of 100 cases 31777355 NIH
Nipple eczema 通常被視為診斷性異位性皮膚炎的次要因素,也是乳房常見的症狀。其在懷孕期間的發生率與其他年齡層相似。無論是否合併異位性皮膚炎,患者的臨床表現皆相近。
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 通常被視為異位性皮膚炎的一小部分。其臨床過程和表現常使其難以區分根本原因,例如刺激或過敏。將過敏性接觸性皮膚炎視為重要因素至關重要。我們的研究顯示,在接受斑貼測試並遵循避免計畫的 9 名患者中,有 5 名出現顯著改善且復發次數減少。總之,處理 nipple eczema 時,特別是當它影響雙側乳頭或延伸至周圍皮膚時,必須將過敏性接觸性皮膚炎列為主要考量。
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.
有些患有異位性皮膚炎的人在乳頭周圍會出現皮疹。中老年人若持續出現乳頭濕疹,應諮詢醫師,因為罕見的佩吉特氏症可能導致此症狀。
○ 治療 - 非處方藥
年輕人若有其他過敏史,可能會出現乳頭濕疹;但老年人應就醫,因為可能與佩吉特病等惡性疾病相關。僅用肥皂清洗病變部位無助於改善,反而可能使情況惡化。
非處方類固醇軟膏可能有助於緩解症狀。
#Hydrocortisone ointment
服用非處方抗組織胺。西替利嗪或左西替利嗪比非索非那定更有效,但會使您昏昏欲睡。
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]