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.. 1.
6 (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 . dermatitis (irritant allergic)
7 T-cell lymphoma deficiency diseases dermatitis 5 7,8 o skin prick test patch test o specific IgE o (oral challenge) o 5 8 ( Appendix II) 1.
8 2. 3. 4. 5. 6. 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.
9 ( ) ( ) ( ) 7,8 specific IgE 8 7 7 4.
10 ( 5) (Appendix VI) 5-10 (emollient) (anti-septic) (2a, A)
