ad和湿疹的诊断标准.pdf

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ad和湿疹的诊断标准

英文回答:

Diagnosingatopicdermatitis(AD)canbechallengingas

thereisnospecifictestforit.Instead,doctorsrelyon

acombinationofclinicalevaluation,medicalhistory,and

physicalexaminationtomakeadiagnosis.Thereareseveral

criteriathatarecommonlyusedtodiagnoseAD:

1.Itchyskin:ADischaracterizedbyintenseitching,

whichisoftenthefirstsymptomexperiencedbypatients.

Theitchingcanbesevereandcaninterferewithdaily

activitiesandsleep.

2.Eczematousrash:ADisassociatedwithadistinctive

rashthattypicallyappearsinthefoldsoftheskin,such

astheelbows,knees,neck,andwrists.Therashisusually

red,dry,andscaly,andcansometimesoozeorbecome

crusty.

3.Chronicorrecurrentnature:ADisachronic

condition,meaningitpersistsoveralongperiodoftime.

Itoftenflaresupperiodically,withsymptomsworsening

duringcertainseasonsorinresponsetotriggerslike

stressorallergens.

4.Personalorfamilyhistoryofatopy:ADispartofa

groupofallergicconditionsknownasatopy.Individuals

withADoftenhaveapersonalorfamilyhistoryofother

atopicdiseases,suchasasthma,hayfever,orfood

allergies.

5.Ageofonset:ADtypicallybeginsinchildhood,with

mostcasesdevelopingbeforetheageof5.However,itcan

alsooccurinadults,especiallyiftheyhaveahistoryof

ADinchildhood.

Inadditiontothesecriteria,doctorsmayalsoperform

apatchtestorskinbiopsytoruleoutotherskin

conditionsthatmaymimicAD.However,thesetestsarenot

alwaysnecessaryfordiagnosis.

ItsimportanttonotethatthediagnosisofADis

basedonacombinationofthesecriteria,andnosingle

symptomortestresultaloneissufficienttoconfirmthe

diagnosis.Athoroughevaluationbyahealthcare

professionalisessentialtoaccuratelydiagnoseADand

differentiateitfromotherskinconditions.

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