Yan Albert C
Section of Dermatology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Adolesc Med Clin. 2006 Oct;17(3):613-37; abstract x-xi. doi: 10.1016/j.admecli.2006.06.014.
Acne vulgaris is a nearly universal phenomenon among adolescents in the western world and continues to remain problematic for a significant proportion of adults. During adolescence, emotional and physical changes must be successfully integrated into the emerging sense of self, and skin disorders such as acne, which alter that self-image, may engender distressing feelings of embarrassment, shame, and disgust. While most patients eventually achieve spontaneous remission, approximately one quarter of teenagers will show evidence of permanent acne scarring by 18 years of age. This article reviews current information regarding the pathophysiology, clinical manifestations, differential diagnosis, and therapy of the adolescent patient who has acne, and emphasizes recent advances in acne management.
寻常痤疮在西方世界的青少年中几乎普遍存在，并且在相当一部分成年人中仍然是个问题。在青春期，情绪和身体变化必须成功融入正在形成的自我意识中，而诸如痤疮之类改变自我形象的皮肤疾病，可能会引发尴尬、羞耻和厌恶等痛苦情绪。虽然大多数患者最终会自发缓解，但到18岁时，约四分之一的青少年会出现永久性痤疮瘢痕的迹象。本文综述了有关患有痤疮的青少年患者的病理生理学、临床表现、鉴别诊断和治疗的当前信息，并强调了痤疮管理方面的最新进展。
