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"lead": " воспалительная реакция кожи, возникающая в ответ на прямое воздействие раздражающих веществ (щелочей, кислот, моющих средств, растворителей, хлорной извести и т. п.).",
"description": "Не заразное кожное заболевание",
"etiology": "<p>Простой дерматит возникает от действия химических (концентрированные кислоты, щелочи), физических (высокая или <a href=\"/symptom/ponizhennaya_temperatura_32-35/\" title=\"Перейти на страницу симптома Пониженная температура 32-35°\">низкая температура</a>, лучевое воздействие), механических (давление, трение) и биологических факторов.</p>",
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"diagnostics": "<p>Диагноз простого контактного дерматита устанавливается дерматологом по характерным клиническим проявлениям и четко прослеживающейся связи возникновения симптомов с воздействием на кожу раздражающего вещества. При подозрении на аллергический характер контактного дерматита необходима консультация аллерголога и проведение накожных аллергических проб. Появление признаков гнойного воспаления говорит о инфицированности места поражения и является показанием для бакпосева отделяемого с обязательным составлением антибиотикограммы.</p>",
"treatment": "<p align=\"justify\">Основной принцип лечения — это определение и устранение причины появления простого контактного дерматита.</p>\r\n<p align=\"justify\">Эритематозный дерматит обычно не требует лечения и самостоятельно проходит при устранении причинного фактора. Для уменьшения симптомов воспаления возможно применение противовоспалительных присыпок или кремов. При буллезном варианте производят прокалывание крупных пузырей без удаления их покрышки. Для профилактики вторичного инфицирования смазывают область пузырей раствором перманганата калия или анилиновых красителей. В лечении некротического дерматита применяют заживляющие мази.</p>\r\n<p align=\"justify\">В тяжелых случаях острого простого контактного дерматита возможно местное применение глюкокортикоидных мазей и системное назначение малых доз кортикостероидов. Присоединение вторичной инфекции является показанием для проведения антибиотикотерапии.</p>",
"prevention": "<p>При хроническом варианте дерматита рекомендовано регулярное использование смягчающих мазей и кремов, при поражении рук — применение защитных перчаток.</p>",
"clinical_picture": "<p align=\"justify\">Клиническая дерматология выделяет острые и хронические формы простого контактного дерматита. В зависимости от характера вещества, воздействующего на кожу, и индивидуальных особенностей проницаемости эпидермиса может развиться один из трех вариантов острого контактного дерматита: эритематозный, буллезный или некротический.</p>\r\n<p align=\"justify\">Эритематозный дерматит проявляется покраснением и отеком контактировавшего с раздражителем участка кожи. Болезненность и <a href=\"/symptom/zud/\" title=\"Перейти на страницу симптома Зуд\">зуд</a> выражены слабо. Возможна <a href=\"/symptom/izmeneniya_struktury_kozhi/\" title=\"Перейти на страницу симптома Изменения структуры кожи\">сухость кожи</a> и появление на ней трещин.</p>\r\n<p align=\"justify\">Буллезный вариант простого контактного дерматита представлен пузырями различного размера, наполненными прозрачной жидкостью. Пузыри появляются на гиперемированном фоне и лопаются с образованием эрозий. Характерна болезненность, чувство жара или жжения.</p>\r\n<p align=\"justify\">Некротический дерматит возникает при воздействии едких веществ и характеризуется образованием изъязвлений, поверхность которых покрыта струпом. Выражен болевой синдром. После того, как происходит заживление язв, на коже остаются рубцы.</p>\r\n<p align=\"justify\">Хроническая форма простого контактного дерматита развивается при многократном воздействии слабого раздражителя. Наиболее часто поражается кожа рук. Заболевание, как правило, связано с использованием средств бытовой химии или профессиональной деятельностью. Хронический дерматит характеризуется усилением рисунка кожи, застойной гиперемией, инфильтрацией, сухостью кожи и гиперкератозом. В некоторых случаях наблюдаются атрофические процессы в коже. Субъективные ощущения слабо выражены и мало беспокоят больного.</p>",
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},
"code": "L24",
"name": "Простой раздражительный [irritant] контактный дерматит",
"icd_name": "Простой раздражительный [irritant] контактный дерматит",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
0
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"periodicity": 1,
"slug": "l24_prostoy_razdrazhitelnyy_irritant_kontaktnyy_dermatit",
"lead": " воспалительная реакция кожи, возникающая в ответ на прямое воздействие раздражающих веществ (щелочей, кислот, моющих средств, растворителей, хлорной извести и т. п.).",
"description": "Не заразное кожное заболевание",
"etiology": "<p>Простой дерматит возникает от действия химических (концентрированные кислоты, щелочи), физических (высокая или <a href=\"/symptom/ponizhennaya_temperatura_32-35/\" title=\"Перейти на страницу симптома Пониженная температура 32-35°\">низкая температура</a>, лучевое воздействие), механических (давление, трение) и биологических факторов.</p>",
"pathogenesis": "",
"diagnostics": "<p>Диагноз простого контактного дерматита устанавливается дерматологом по характерным клиническим проявлениям и четко прослеживающейся связи возникновения симптомов с воздействием на кожу раздражающего вещества. При подозрении на аллергический характер контактного дерматита необходима консультация аллерголога и проведение накожных аллергических проб. Появление признаков гнойного воспаления говорит о инфицированности места поражения и является показанием для бакпосева отделяемого с обязательным составлением антибиотикограммы.</p>",
"treatment": "<p align=\"justify\">Основной принцип лечения — это определение и устранение причины появления простого контактного дерматита.</p>\r\n<p align=\"justify\">Эритематозный дерматит обычно не требует лечения и самостоятельно проходит при устранении причинного фактора. Для уменьшения симптомов воспаления возможно применение противовоспалительных присыпок или кремов. При буллезном варианте производят прокалывание крупных пузырей без удаления их покрышки. Для профилактики вторичного инфицирования смазывают область пузырей раствором перманганата калия или анилиновых красителей. В лечении некротического дерматита применяют заживляющие мази.</p>\r\n<p align=\"justify\">В тяжелых случаях острого простого контактного дерматита возможно местное применение глюкокортикоидных мазей и системное назначение малых доз кортикостероидов. Присоединение вторичной инфекции является показанием для проведения антибиотикотерапии.</p>",
"prevention": "<p>При хроническом варианте дерматита рекомендовано регулярное использование смягчающих мазей и кремов, при поражении рук — применение защитных перчаток.</p>",
"clinical_picture": "<p align=\"justify\">Клиническая дерматология выделяет острые и хронические формы простого контактного дерматита. В зависимости от характера вещества, воздействующего на кожу, и индивидуальных особенностей проницаемости эпидермиса может развиться один из трех вариантов острого контактного дерматита: эритематозный, буллезный или некротический.</p>\r\n<p align=\"justify\">Эритематозный дерматит проявляется покраснением и отеком контактировавшего с раздражителем участка кожи. Болезненность и <a href=\"/symptom/zud/\" title=\"Перейти на страницу симптома Зуд\">зуд</a> выражены слабо. Возможна <a href=\"/symptom/izmeneniya_struktury_kozhi/\" title=\"Перейти на страницу симптома Изменения структуры кожи\">сухость кожи</a> и появление на ней трещин.</p>\r\n<p align=\"justify\">Буллезный вариант простого контактного дерматита представлен пузырями различного размера, наполненными прозрачной жидкостью. Пузыри появляются на гиперемированном фоне и лопаются с образованием эрозий. Характерна болезненность, чувство жара или жжения.</p>\r\n<p align=\"justify\">Некротический дерматит возникает при воздействии едких веществ и характеризуется образованием изъязвлений, поверхность которых покрыта струпом. Выражен болевой синдром. После того, как происходит заживление язв, на коже остаются рубцы.</p>\r\n<p align=\"justify\">Хроническая форма простого контактного дерматита развивается при многократном воздействии слабого раздражителя. Наиболее часто поражается кожа рук. Заболевание, как правило, связано с использованием средств бытовой химии или профессиональной деятельностью. Хронический дерматит характеризуется усилением рисунка кожи, застойной гиперемией, инфильтрацией, сухостью кожи и гиперкератозом. В некоторых случаях наблюдаются атрофические процессы в коже. Субъективные ощущения слабо выражены и мало беспокоят больного.</p>",
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"image_alt": "Контактный дерматит",
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