冬去春来,春季是皮肤病的多发季节。随着气温的逐渐升高,大地万物复苏,由于昆虫和花粉的增多,天气多风干燥,及人们外出踏青游玩等户外活动增多等原因,使许多人在这个季节易患上皮肤病。比如,湿疹皮炎、荨麻疹、多形性日光疹及日光性皮炎,还有春季上呼吸道感染疾病增加导致银屑病的发生或加重等。
皮炎、湿疹是皮肤病中的多发病、常见病,进入春季,百花盛开,柳絮漫天,各种过敏原也多了起来,特别容易发作。其发病形态为多形性、弥漫性红斑丘疹,分布对称,急性者有渗出,慢性者则有浸润肥厚。病程不规则,常反复发作,瘙痒剧烈。春季皮炎湿疹的防治,要避免刺激局部,尽可能地避免用手搔抓局部,也不要用热水或肥皂水清洗局部,避免接触植物的花粉及食用一些刺激性食物,如葱、姜、蒜、浓茶、咖啡、酒类及其他容易引起过敏的食物,如鱼、虾等海味,慎用激素类药物,出现不适症状及时到正规专业性较强的医疗单位就诊,确诊后实行整体标本兼治。
荨麻疹也是春季常发的一种皮肤病,预防荨麻疹首先要远离过敏源,随着春天的到来,气候转暖,鲜花盛开,各种花粉、真菌等微生物及植物花絮、尘螨等“粉墨登场”,对于一些体质特殊的人群就成为引起过敏的“祸首”。主要临床表现为全身出现大小不等的风团,剧痒难忍,搔抓后皮疹增多,持续数分钟至数小时后消退。往往反复或成批出现,此起彼伏。春季荨麻疹的预防很重要,易过敏的人群应适当减少户外活动,避免近距离接触花草树木;尽量避免上呼吸道感染,以减少感染和服用药物引发的荨麻疹;此外不要到长期无人出入的仓库,以减少过敏机会。家中不养宠物,患儿不玩毛绒玩具。一旦发生荨麻疹等,应及时到医院就诊,以免延误病情。
多形性日光疹和日光性皮炎也常见于春季,春暖花开,阳光逐渐增强,人们在户外的活动逐渐增多,外出踏青采食一些易引起光敏感的蔬菜或野菜,一些特殊体质的人对紫外线过度敏感,易患上多形日光疹或日光性皮炎。经常暴露在阳光下的脸、颈、手臂等部位会出现丘疹、红斑、水疱、脱屑等,而且还伴有瘙痒。防御多形日光疹和日光性皮炎的最好办法就是具有该体质的患者春季尽可能减少外出,不要采食易光敏感的蔬菜和野菜,一定要外出的话,做好防晒工作,外出时涂抹具有良好阻挡紫外线作用的防晒霜,撑遮阳伞。一旦患了多形日光疹,应及时到专业医院诊治。
此外,春季要注意预防感冒等上呼吸道感染疾病导致银屑病的发生或加重。银屑病俗称牛皮癣,是一种常见反复发作的皮肤顽症,临床表现以皮肤上出现丘疹及斑块,上覆以银白色鳞屑为主。因其皮损厚硬,状如牛皮,所以又有“牛皮癣”的俗称;根据皮损和临床表现可以分为寻常型、关节病型、脓胞型、红皮症型四种类型。由于身体素质、感染、寒冷、潮湿、心理、环境、病灶、外伤等诸多因素引起,迁延难愈,易给患者造成严重的思想压力和精神负担。感冒等上呼吸道感染疾病可诱导银屑病的发生或加重。尤其对于儿童银屑病患者,由于孩子的体质比较弱,各方面发育还不健全,在春季很容易受凉出现感冒、咽喉感染,从而引发银屑病,作为父母需要引起特别注意。所以在牛皮癣好发的春季,一定要在加强预防措施,增强机体对细菌、病毒的免疫力。春季是上呼吸道感染易发季节,尤其是扁桃体发炎,预防银屑病复发。如果出现病情加重的症状,一定要及时到正规医院就诊。
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