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Pathogenesis and diagnosis of contact dermatitis:Applications of reflectance confocal microscopy

查看全文 作  者:Jorge A Suárez-[1]Pérez;Ricardo [1]Bosch;Salvador [2,3]González;Ernesto [4]González 高影响力作者 机构地区:[1]Department of Dermatology, Virgen de la Victoria University Hospital, Spain and University of Málaga, 29010 Málaga, Spain;[2]Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10022, United States;[3]Memorial Sloan-Kettering Cancer Center, Dermatology Service, New York, NY 10022, United States;[4]Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States高影响力机构 出  处:《World Journal of Dermatology》索引2014年第3卷第3期,共5页高影响力期刊 摘  要:Contact dermatitis(CD) is the most common professional skin disease, with frequencies ranging from 24 to 170 every 100000 individuals. Approximately 20% of the United States population suffers from CD. CD can be classified according to its origin and severity. ICD stands for irritant CD, whereas ACD means allergic CD. Their clinical presentation includes acute, sub-acute and chronic eczema. Despite their different origin, ICD and ACD often present similar clinical and histologic findings. The current gold standard for diagnosis is patchtesting. However, patch-testing is being questioned in terms of validity and reproducibility, as it relies heavily on the skill of the observer. Real-time reflectance confocal microscopy is a non-invasive imaging technique that bears strong promise for the study of CD, and it enables the evaluation of cellular and subcellular changes over time with similar resolution compared to that of conventional histology. 关 键 词:DERMATITIS ALLERGIC contact ECZEMA ETIOLOGY DIAGNOSIS
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