Burkhart C G, Burkhart C N, Lehmann P F
Department of Medicine, Medical College of Ohio, Toledo, USA.
Postgrad Med J. 1999 Jun;75(884):328-31. doi: 10.1136/pgmj.75.884.328.
Acne vulgaris is a self-limiting skin disorder seen primarily in adolescents, whose aetiology appears to be multifactorial. The four main aetiological factors are hypercornification of the pilosebaceous duct, increased sebum production, colonization with Propionibacterium acnes, and subsequently the production of inflammation. Considerable investigation has addressed the immunologic reaction to extracellular products produced by the acne-causing organism, P acnes. The immunologic response involves both humoral and cell-mediated pathways. Further research should clarify the role of complement, cytotoxins, and neutrophils in this acne-forming response.
寻常痤疮是一种主要见于青少年的自限性皮肤病,其病因似乎是多因素的。四个主要病因是皮脂腺导管过度角化、皮脂分泌增加、痤疮丙酸杆菌定植以及随后产生炎症。大量研究关注了对致痘微生物痤疮丙酸杆菌产生的细胞外产物的免疫反应。免疫反应涉及体液和细胞介导途径。进一步的研究应阐明补体、细胞毒素和中性粒细胞在这种痤疮形成反应中的作用。