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แนวทางการดูแลรักษาโรคผื่นภูมิแพ้ผิวหนัง (Atopic Dermatitis)

( atopic dermatitis ).

การจ าแนกความรุนแรงของโรค อาจใช้ EASI (The Eczema Area and Severity Index), Rajka and Lengeland: Grading of severity of atopic dermatitis และ SCORAD (The scoring of atopic

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  Atopic, Dermatitis, Eczema, Atopic dermatitis

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Transcription of แนวทางการดูแลรักษาโรคผื่นภูมิแพ้ผิวหนัง (Atopic Dermatitis)

1 ( atopic dermatitis ).

2 2 ( atopic dermatitis )

3 2554 ( 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 )

5 Hanifin (2001) ( 1) ichthyosis (pityriasis alba) (keratosis pilaris) (palmar hyperlinearity) 4 1 ( atopic Dermatitis) 6 2.. ( ) 1. 2. i.

6 (extensor involvement) ii. (flexor involvement) iii.. 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.

7 4. accentuation lichenification prurigo . dermatitis (irritant allergic) T-cell lymphoma deficiency diseases dermatitis 5 7.

8 8 o skin prick test patch test o specific IgE o (oral challenge) o 5 8 ( Appendix II) 1.

9 2. 3. 4. 5. 6. Primary prevention Secondary prevention 6 1. 2.

10 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.


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