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1.
Actas Dermosifiliogr (Engl Ed) ; 111(1): 26-40, 2020 Jan 02.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-32197684

RESUMO

Hand eczema is a common condition associated with significantly impaired quality of life and high social and occupational costs. Managing hand eczema is particularly challenging for primary care and occupational health physicians as the condition has varying causes and both disease progression and response to treatment are difficult to predict. Early diagnosis and appropriate protective measures are essential to prevent progression to chronic eczema, which is much more difficult to treat. Appropriate referral to a specialist and opportune evaluation of the need for sick leave are crucial to the good management of these patients. These guidelines cover the diagnosis, prevention, and treatment of chronic hand eczema and highlight the role that primary care and occupational health physicians can play in the early management of this disease.


Assuntos
Eczema/diagnóstico , Eczema/terapia , Dermatoses da Mão/diagnóstico , Dermatoses da Mão/terapia , Algoritmos , Árvores de Decisões , Eczema/prevenção & controle , Dermatoses da Mão/prevenção & controle , Humanos
2.
Actas dermo-sifiliogr. (Ed. impr.) ; 111(1): 26-40, ene.-feb. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-191482

RESUMO

El eccema de manos es una patología frecuente con un fuerte impacto en la calidad de vida de los pacientes y un alto coste social y laboral. Su manejo por los médicos de atención primaria y de medicina del trabajo es complejo debido a la variedad de etiologías, la evolución difícilmente predecible de la enfermedad y la respuesta al tratamiento. El diagnóstico precoz y las medidas protectoras adecuadas son esenciales para evitar la cronificación, que es mucho más difícil de tratar. Una correcta derivación a un especialista y la valoración de una baja laboral en el momento adecuado resultan cruciales para un buen manejo de estos pacientes. En esta guía sobre el eccema crónico de manos analizamos el proceso diagnóstico, las medidas preventivas y los tratamientos, con especial énfasis en el papel del médico de atención primaria y de medicina del trabajo en los estados iniciales de su manejo


Hand eczema is a common condition associated with significantly impaired quality of life and high social and occupational costs. Managing hand eczema is particularly challenging for primary care and occupational health physicians as the condition has varying causes and both disease progression and response to treatment are difficult to predict. Early diagnosis and appropriate protective measures are essential to prevent progression to chronic eczema, which is much more difficult to treat. Appropriate referral to a specialist and opportune evaluation of the need for sick leave are crucial to the good management of these patients. These guidelines cover the diagnosis, prevention, and treatment of chronic hand eczema and highlight the role that primary care and occupational health physicians can play in the early management of this disease


Assuntos
Humanos , Eczema/diagnóstico , Eczema/terapia , Atenção Primária à Saúde/normas , Medicina do Trabalho/normas , Eczema/prevenção & controle , Diagnóstico Precoce , Doença Crônica/prevenção & controle , Sociedades Médicas/normas , Qualidade de Vida , Fatores de Risco , Prevenção Primária , Prevenção Secundária , Fototerapia
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