CAJ | 학술논문

目的：调查分析崇明地区颜面再发性皮炎的病因及影响因素，为制定防治策略提供依据。方法对入选的174例颜面再发性皮炎患者通过填写调查表，结合斑贴试验、血清总IgE浓度测定、过敏原筛查（酶联免疫印迹法）和嗜酸性粒细胞绝对计数的检测结果，综合分析该病的发病原因和影响因素。结果颜面再发性皮炎的发病原因依次为环境和季节、不明原因、化妆品护肤品、食物和药物因素。患者的发病年龄、性别和季节分布差异有统计学意义（ P＜0.05）。血清总IgE、嗜酸性粒细胞绝对计数、斑贴试验、过敏原筛查可呈阳性反应。结论崇明地区颜面再发性皮炎以中青年女性多见，春秋季节发病最多，斑贴试验、血清总IgE浓度测定、过敏原筛查和嗜酸性粒细胞绝对计数检测对面部皮炎的诊断具有一定价值。
목적：조사분석숭명지구안면재발성피염적병인급영향인소，위제정방치책략제공의거。방법대입선적174례안면재발성피염환자통과전사조사표，결합반첩시험、혈청총IgE농도측정、과민원사사（매련면역인적법）화기산성립세포절대계수적검측결과，종합분석해병적발병원인화영향인소。결과안면재발성피염적발병원인의차위배경화계절、불명원인、화장품호부품、식물화약물인소。환자적발병년령、성별화계절분포차이유통계학의의（ P＜0.05）。혈청총IgE、기산성립세포절대계수、반첩시험、과민원사사가정양성반응。결론숭명지구안면재발성피염이중청년녀성다견，춘추계절발병최다，반첩시험、혈청총IgE농도측정、과민원사사화기산성립세포절대계수검측대면부피염적진단구유일정개치。
Objective To analyze the pathogenic and influencing factors of facial recurrent dermatitis in Chongming area , to provide the basis for developing of strategies , prevention and treatment .Methods Question-naires were employed to analyze the etiology and the influence factors of 174 recurrent facial dermatitis patients .The results of patch test , serum total IgE concentration test , allergen screening test and absolute eosinophil count test were used as important references .Results The inducements of facial recurrent dermatitis were in order of environment and seasonal factors , unexplained factors , cosmetics skin care products factors , food and drug factors .The distribu-tion differences of patients in age , sex and season had statistical significance ( P<0.05 ) .The total serum IgE deter-mination, the absolute eosinophil count determination , patch test and allergen screening can be positive .Conclusion In Chongming area , young and middle-aged women are more likely to suffer from the facial recurrent dermatitis , espe-cially in spring and autumn.The patch test, total serum IgE concentration determination , allergen screening and the absolute eosinophil count test are of certain value in the diagnosis and treatment of facial dermatitis .