化妆品接触性皮炎的临床特点及诊治研究进展

Clinical Characteristics of Cosmetic Contact Dermatitis and Progress in Diagnosis and Treatment

摘要: 化妆品接触性皮炎(CCD)是化妆品不良反应的最主要类型，它分为刺激性接触性皮炎(ICD)和变应性接触性皮炎(ACD)。现如今随着人们对化妆品种类、功能的要求及化妆品需求量的上升，使得该病发病率逐年增加。其中面部作为最常接触化妆品的部位，故其也是最容易发生CCD的部位。另外该病发病机制较复杂，初步的诊断主要是依靠患者自述的病史及现有的临床表现，但由于人们对CCD认知的缺乏，使得从问诊阶段的病史描述不清到治疗阶段的依从性差都对诊疗工作形成了干扰。特别是对于CCD的治疗，患者自行预防才是最重要的，故该病的宣传以及相关健康教育尤为重要。本文通过从病史追踪、诱发因素、临床特点及诊断和治疗方面分析CCD发生的特点，为开展化妆品健康教育提供依据。

Abstract: Cosmetic contact dermatitis (CCD) is the most important type of cosmetic adverse reactions. It is di-vided into irritant contact dermatitis (ICD) and allergic contact dermatitis (ACD). Nowadays, with the increase of people’s requirements for the types and functions of cosmetics and the demand for cosmetics, the incidence of this disease has increased year by year. Among them, the face is the part that most often comes into contact with cosmetics, so it is also the part that is most prone to CCD. In addition, the pathogenesis of the disease is relatively complex. The initial diagnosis mainly depends on the patient’s self-reported medical history and existing clinical manifestations. However, due to people’s lack of cognition of CCD, the unclear description of the medical history in the consultation stage to the poor compliance in the treatment stage have interfere with the diagnosis and treat-ment work. Especially for the treatment of CCD, self-prevention is the most important, so the public-ity of the disease and related health education are particularly important. This article provides a basis for the development of cosmetic health education by analyzing the characteristics of CCD from the aspects of medical history tracking, inducing factors, clinical characteristics, diagnosis and treatment.