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[日光性痤疮]

[Solar acne].

作者信息

Padilha-Gonçalves A, Alvimar Ferreira J

出版信息

Med Cutan Ibero Lat Am. 1977;5(4):271-4.

PMID:152828
Abstract

Acne solaris a form of acne that appears and relapses after sun exposure, is almost always itchy and is preferably localized on the upper anterior chest, the deltoid regions and the shoulders. The use of greasy or oily sun protectors helps in the obstructions of the follicular openings, which is seen in the tissue sections, presumably initiated by sun irradiation causing initially hyperkeratosis. The essential lesion is a small hemispheric or conic erythematous papule which may show a yellow point in its top. True comedos are not seen and compression after punction provokes the appearance of a yellow mass-essentially keratinic and sebaceous. The usual treatment of acne vulgaris is useful specially if a topical corticosteroid is associated. The systemic use of corticosteroids usually worsens the disease.

摘要

日光性痤疮是痤疮的一种形式,在日晒后出现并复发,几乎总是伴有瘙痒,且好发于胸前上部、三角肌区和肩部。使用油腻或油性防晒剂会导致毛囊开口堵塞,这在组织切片中可见,推测是由阳光照射最初引起角质化过度所致。基本损害是一个小的半球形或圆锥形红斑丘疹,顶部可能有一个黄点。看不到真正的粉刺,刺破后挤压会出现黄色物质——主要是角质和皮脂。寻常痤疮的常规治疗是有效的,特别是联合外用糖皮质激素时。全身使用糖皮质激素通常会使病情恶化。

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