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[2001年的酒渣鼻]

[Rosacea in the year 2001].

作者信息

Thissen M R, Neumann H A

机构信息

Academisch Ziekenhuis, afd. Dermatologie, Postbus 5800, 6202 AZ Maastricht.

出版信息

Ned Tijdschr Geneeskd. 2001 Sep 15;145(37):1778-82.

Abstract

Rosacea is a chronic skin disorder of the face. Initially erythema and telangiectasia develop, followed at a later stage by papules and papulopustules. Females between 30 and 50 years of age are most affected. Pathogenesis is not clearly understood. Finally rhinophyma and persistent lymphoedema can develop. It can be difficult to distinguish acne vulgaris, seborrheic eczema, perioral dermatitis and lupus erythematosus from rosacea. Treatment of first choice consists of topically or systemically applied antibiotics. More severe cases can be treated with isotretinoin. Erythema and telangiectasia respond well to treatment with vascular lasers.

摘要

酒渣鼻是一种面部慢性皮肤疾病。起初会出现红斑和毛细血管扩张,随后在后期会出现丘疹和丘疹脓疱。30至50岁的女性受影响最为严重。其发病机制尚不清楚。最终可能会发展为鼻赘和持续性淋巴水肿。将寻常痤疮、脂溢性皮炎、口周皮炎和红斑狼疮与酒渣鼻区分开来可能会很困难。首选治疗方法包括局部或全身应用抗生素。更严重的病例可用异维A酸治疗。红斑和毛细血管扩张对血管激光治疗反应良好。

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