Кожный зуд у детей является мультидисциплинарной проблемой и чаще всего развивается в рамках атопического дерматита. Выраженный кожный зуд сопровождает крапивницу, герпетиформный дерматит Дюринга, мастоцитоз, экзему, а также инфекционные заболевания (чесотка, педикулез, укусы насекомых) и аутоиммунные болезни. Приведены схемы обследования пациентов, дифференциальная диагностика и методы терапии кожного зуда при разных заболеваниях.
Ключевые слова: кожный зуд, детский возраст, диагностика, терапия.
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Skin itch in children is a multidisciplinary problem. Itchy rush most often develops within the scope of atopic dermatitis and frequently accompanies such conditions as urticaria, dermatitis herpetiformis Duhring, mastocytosis, eczema, as well as infectious diseases (scabies, pediculosis, insect bites) and autoimmune disorders. The article deals with algorithms for pediatric patients’ examination, differential diagnostics and treatment methods of children’s skin itch in various medical conditions.
1. Lammert F, Marschall HU, Glantz A et al. Intrahepatic cholestasis of pregnancy: molecular pathogenesis, diagnosis and management. J Hepatol 2000; 33: 1012–21.
2. Ambros-Rudolph CM, Glatz M, Trauner M et al. The importance of serum bile acid level analysis and treatment with ursodeoxycholic acid in intrahepatic cholestasis of pregnancy. A case series from Central Europe. Arch Dermatol 2007; 143: 757–62.
3. Pruritus in pregnancy and childhood – do we really consider all relevant differential
diagnoses? Eur J Dermatol 2005; 15: 320–31.
4. Wahlgren CF, Scheynius A, Hägermark O. Antipruritic effect of oral cyclosporin A in atopic dermatitis. Acta Derm Venereol 1990; 70 (4): 323–9.
5. Al-Fares SI, Vaughan Jones S, Black MM. The specific dermatoses of pregnancy: a reappraisal. J Eur Acad Dermatol Venereol 2001; 15: 197–206.
6. Roger D, Vaillant L, Fignon A et al. Specific pruritic dermatoses of pregnancy. A prospective study of 3192 pregnant women. Arch Dermatol 1994; 130: 734–9.
7. Sener AB, Kusen E, Seckin NC et al. Postmenopausal vulvar pruritus. Colposcopic Diagnosis and Treatment. JPMA 1995; 45: 315–7.
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1. Lammert F, Marschall HU, Glantz A et al. Intrahepatic cholestasis of pregnancy: molecular pathogenesis, diagnosis and management. J Hepatol 2000; 33: 1012–21.
2. Ambros-Rudolph CM, Glatz M, Trauner M et al. The importance of serum bile acid level analysis and treatment with ursodeoxycholic acid in intrahepatic cholestasis of pregnancy. A case series from Central Europe. Arch Dermatol 2007; 143: 757–62.
3. Pruritus in pregnancy and childhood – do we really consider all relevant differential
diagnoses? Eur J Dermatol 2005; 15: 320–31.
4. Wahlgren CF, Scheynius A, Hägermark O. Antipruritic effect of oral cyclosporin A in atopic dermatitis. Acta Derm Venereol 1990; 70 (4): 323–9.
5. Al-Fares SI, Vaughan Jones S, Black MM. The specific dermatoses of pregnancy: a reappraisal. J Eur Acad Dermatol Venereol 2001; 15: 197–206.
6. Roger D, Vaillant L, Fignon A et al. Specific pruritic dermatoses of pregnancy. A prospective study of 3192 pregnant women. Arch Dermatol 1994; 130: 734–9.
7. Sener AB, Kusen E, Seckin NC et al. Postmenopausal vulvar pruritus. Colposcopic Diagnosis and Treatment. JPMA 1995; 45: 315–7.
Авторы
В.П.Адаскевич*
Витебский государственный медицинский университет. 210023, Беларусь, Витебск, пр-т Фрунзе, д. 27
*uladas@hotmail.com
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U.P.Adaskevich*
Vitebsk State Medical University. 210023, Belarus, Vitebsk, pr-t Frunze, d. 27
*uladas@hotmail.com