Classification of hand eczema: clinical and aetiological types. Based on the guideline of the Danish Contact Dermatitis Group
| Autor: | Bo Lasthein Andersen, Knud Kaaber, Ove Kristensen, Jens Thormann, Anne Danielsen, Jeanne D. Johansen, Marianne Hald, Torkil Menné, Berit I. Kristensen, Niels K. Veien, Christian Avnstorp, Grete Laurberg |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Allergy medicine.medical_specialty Adolescent Denmark Eczema Hand Dermatoses Dermatology Severity of Illness Index Young Adult Sex Factors immune system diseases Severity of illness otorhinolaryngologic diseases medicine Humans Immunology and Allergy skin and connective tissue diseases Allergic contact dermatitis Aged Aged 80 and over business.industry Guideline Middle Aged Patch Tests medicine.disease Cross-Sectional Studies Hand eczema Dermatitis Allergic Contact Practice Guidelines as Topic Quality of Life Etiology Irritant contact dermatitis Dermatitis Irritant Female business Contact dermatitis |
| Zdroj: | Contact Dermatitis. 65:13-21 |
| ISSN: | 0105-1873 |
| DOI: | 10.1111/j.1600-0536.2011.01911.x |
| Popis: | Background. No generally accepted classification scheme for hand eczema exists. The Danish Contact Dermatitis Group recently developed a guideline defining common clinical types and providing criteria for aetiological types. Objectives. To test the concepts of this guideline in a group of hand eczema patients. Methods. Seven hundred and ten hand eczema patients were included from seven dermatology clinics in Denmark. The hand eczema was classified into one of five clinical types, with standard photographs as reference. The severity was scored by the physician, who also made a final aetiological diagnosis. Results. Irritant contact dermatitis was most frequent in chronic, dry fissured hand eczema (44.3%), pulpitis (41.7%), and nummular hand eczema (40.9%), whereas allergic contact dermatitis dominated in vesicular types of hand eczema, with recurrent (35%) and few (24.2%) eruptions. Hyperkeratotic palmar hand eczema was the only clinical type that constituted a distinct subgroup; it was found most frequently in older men and had the strongest relationship, although not significant, with non-specific dermatitis. Conclusions. The relationship between clinical type of hand eczema and aetiological diagnosis fitted with general experience, but no simple relationship was found. This emphasizes that patch testing and exposure analysis are mandatory. Hyperkeratotic palmar hand eczema was identified as a distinct clinical subtype. |
| Databáze: | OpenAIRE |
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