Dermatitler
Özet
Egzama; eritem, ödem, skuamlanma, eksüdasyon, kuruluk ve kaşıntı ile karakterize inflamatuvar deri hastalıklarını kapsayan genel bir terimdir. Farklı yaş gruplarında görülebilen egzamalar; etiyopatogenez, klinik görünüm, yerleşim ve seyir açısından farklı özellikler gösteren çeşitli alt tiplerden oluşur. Bu bölümde atopik dermatit, seboreik dermatit, kontakt dermatit, numuler dermatit, staz dermatiti, dizhidrotik egzama ve asteatotik egzamanın epidemiyolojik özellikleri, etiyopatogenezi, klinik bulguları, tanı ve ayırıcı tanısı ile tedavi yaklaşımları ele alınmıştır. Tanı çoğunlukla ayrıntılı anamnez ve klinik değerlendirmeye dayanmakta, gerekli olgularda ek tanısal incelemelerden yararlanılmaktadır. Tedavide temel yaklaşım; tetikleyici faktörlerden kaçınma, deri bariyerinin desteklenmesi ve uygun topikal tedavilerin uygulanmasıdır. Tanısal belirsizlik, şiddetli veya yaygın hastalık, sık tekrarlama ve birinci basamak tedavisine yetersiz yanıt durumlarında dermatoloji uzmanına yönlendirme önerilmektedir.
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