Transcription of แนวทางการดูแลรักษาโรคผื่นภูมิแพ้ผิวหนัง (Atopic Dermatitis)
1 ( atopic dermatitis ).
2 2 ( atopic dermatitis ) 2554
3 ( atopic dermatitis / atopic eczema)1 2 2 (intrinsic non IgE associated) (extrinsic IgE associated) IgE skin prick test (asthma) (allergic rhinitis) 3-5 (prevalence) 6-7 (ISAAC Phase III) 13-14.
4 2518 ..2540-2541 3 1. - - - - - (airborne allergen) (eczema) Hanifin (2001) ( 1)
5 ichthyosis (pityriasis alba) (keratosis pilaris) (palmar hyperlinearity) 4 1 ( atopic Dermatitis) 6 2.. ( ) 1. 2. i. (extensor involvement) ii. (flexor involvement) iii.
6 1. (early age of onset) 2. IgE (IgE reactivity) 3. (xerosis) . ( ) vascular responses facial pallor, white dermographism delayed blanch response pilaris hyperlinear palms ichthyosis 3. 4. accentuation lichenification prurigo.
7 dermatitis (irritant allergic) T-cell lymphoma deficiency diseases dermatitis 5 7,8 o skin prick test patch test o specific IgE o (oral challenge)
8 O 5 8 ( Appendix II) 1. 2. 3. 4. 5. 6.
9 Primary prevention Secondary prevention 6 1. 2. EASI (The Eczema Area and Severity Index), Rajka and Lengeland: Grading of severity of atopic dermatitis SCORAD (The scoring of atopic dermatitis ) (Appendix III, IV, V) SCORAD 50 specific IgE 3.
10 ( ) ( ) ( ) 7,8 specific IgE 8
