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我怀疑是真菌感染 只是ASS 上有 身上没有 时常很痒 他自己怀疑是药物过敏 但是近期还没服用过药物 英语好的进来看吧 附件DOWNLOAD 吧 ; @# ^ k/ G, M8 v1 \, n3 S
•Overview
5 z+ t) b; {+ o0 K- r$ s2 bAllergic contact dermatitis is a delayed hypersensitivity reaction (the reaction to the allergen occurs 48–72 hours after exposure). The most common allergens causing allergic contact dermatitis appear to be nickel, chromates, rubber chemicals, and neomycin (an antibacterial).+ \+ y3 B) Y6 J! J
• Nickel is found in jewelry, belt buckles, and metal closures on clothing. ! R5 z2 P) L" T- g" }* G
• Chromates are found in shoe leathers.
! P# u$ K' ~2 L• Rubber chemicals are found in gloves, balloons, and elastic in garments. ( M: O0 |' I- y8 h
• Neomycin is common in triple antibiotic first aid ointments such as Neosporin® (and generic versions of Neosporin) as well as other combination preparations with other antibacterials and corticosteroids and other topical ointments, creams, and lotions. It may also be found in eye preparations, eardrops, and some vaccines.
. Q5 l" ^7 i& {7 ^4 D8 m( k5 Y• Common allergen-containing products include cosmetics, soaps, dyes, and jewelry. $ I Q7 l2 v+ o# P! |' Y6 a
• The most frequent sensitizers in the general population are fragrance, nickel, neomycin, formaldehyde, lanolin (wool grease found in ointments and cosmetics), and a host of other common environmental chemicals. 5 V/ G* y( E0 s
• Poison ivy is a frequent cause and is discussed separately.
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Signs and Symptoms
% h+ ^ ? F4 y; `; S' M, |Allergic contact dermatitis may occur on any location of the body.
9 b. c& W% y( p, N• Scaly red to pink areas of elevation (papules and plaques) and blisters (vesicles) may be seen. Individual lesions have distinct borders and often have a geometric shape with straight edges and right angles.
* N! _3 I+ s% p: P' W7 H J) ?• Eyelid swelling is frequently seen when the allergen is unknowingly transferred from finger to lid. Affected areas are typically severely itchy. x8 U, x( C7 q$ G: O
• When the dermatitis is long-standing, the areas of elevation become thick and secondary bacterial infection is possible.
7 I; U0 o n, ?4 B; lSelf-Care Guidelines+ ]5 Q0 f; a* Y$ W3 O
• Avoid the offending agent.
8 @0 v" k7 n# \8 Y• It may be helpful to avoid common triggers, such as fragrance, lanolin, nickel, etc.
! N' E2 O9 u. @7 XWhen to Seek Medical Care
2 i Q+ K; a! L8 lSeek medical evaluation for a persistent or recurrent rash of unknown origin. Your physician may perform allergic contact patch testing. Skin biopsy is sometimes used to confirm diagnosis.2 F- j4 x: |7 m% {; L
Treatments Your Provider May Prescribe! L2 y" x: ~0 I3 f
Treatment is aimed at preventing contact with the allergen.
& G( i; J+ G" q z+ R2 L• Symptomatic control of itching may include oral antihistamines.
8 T2 H+ \9 T% {• Medium- and high-potency topical steroids may be prescribed for rashes occurring on the extremities or trunk.
( ]6 j3 D' G7 V7 x• Mild-potency topical steroids may be prescribed for thinner skin on the face and skin fold areas. ) F T* O% @/ x4 E
• In severe cases involving large body areas, a 14-day course of an oral steroid (prednisone) may be prescribed.% z0 }! S2 o3 C* Q" z, D9 t* v! m
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And see this link http://www.skinsight.com/adult/sacralHerpesSimplexVirusHSV.htm |
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