Plewig G, Kligman A M
Acta Derm Venereol Suppl (Stockh). 1975;74:119-27.
A definition and classification of acneiform dermatoses is presented to distinguish these diseases from true acne. True acne is a follicular eruption which begins with a comedo, sometimes evolving into various inflammatory lesions. Members of true acne are acne vulgaris with its varieties, acne venenata, and comedonal acne due to physical agencies. Acneiform reactions begin with an inflammatory lesion, usually a papule or pustule. Comedones are uncommon and may follow pustules. Acneiform eruptions are almost always drug-induced, the commonest agents being corticosteroids and ACTH, iodides, bromides, anti-convulsive drugs, and INH. Topical treatment with VAA is indicated in every variety of true acne; VAA is helpful in acneiform dermatoses with secondary comedo formation, as for instance in steroid acne. Very satisfying results can be achieve with this regimen.
本文提出了痤疮样皮肤病的定义和分类，以将这些疾病与真性痤疮区分开来。真性痤疮是一种毛囊性皮疹，始于粉刺，有时会演变成各种炎症性损害。真性痤疮包括寻常痤疮及其变种、药物性痤疮和物理性因素引起的粉刺性痤疮。痤疮样反应始于炎症性损害，通常为丘疹或脓疱。粉刺不常见，可能出现在脓疱之后。痤疮样皮疹几乎总是由药物引起的，最常见的药物是皮质类固醇、促肾上腺皮质激素、碘化物、溴化物、抗惊厥药物和异烟肼。各种真性痤疮均适用维甲酸外用治疗；维甲酸对继发性粉刺形成的痤疮样皮肤病有帮助，例如类固醇痤疮。采用这种治疗方案可取得非常满意的效果。
