Meunier L, Meynadier J
Clinique de Dermatologie, Hôpital Saint-Charles, Montpellier.
Presse Med. 1991 Dec 14;20(43):2208-11.
Ageing of the skin results from the synergistic effects of intrinsic, genetically determined factors and extrinsic factors the most important of which is chronic exposure to sunlight. The cumulative effects of ultraviolet radiations are responsible for specific dermo-epidermal alterations (actinodermatitis) with its two main manifestations: actinic elastosis characterized by accumulation of dystrophic fibres in the dermis, and lesions of senile keratosis which may become carcinomas. The so-called "premature ageing of the skin" can be alleviated by cosmetic treatments, photoprotective measures and vitamin A derivatives; regular applications of retinoic acid (vitamin A acid, tretinoin) can result in partial regression of actinodermatitis.
皮肤老化是由内在的、基因决定的因素与外在因素协同作用导致的,其中最重要的外在因素是长期暴露在阳光下。紫外线辐射的累积效应会导致特定的真皮-表皮改变(光化性皮炎),其主要有两种表现形式:光化性弹性组织变性,其特征是真皮中营养不良性纤维的积累;以及老年角化病病变,这种病变可能会发展成癌症。所谓的“皮肤过早老化”可以通过美容治疗、光防护措施和维生素A衍生物来缓解;定期涂抹维甲酸(维生素A酸、维甲酸)可使光化性皮炎部分消退。