Gerny H
Ther Umsch. 1989 Feb;46(2):118-22.
The treatment of acne vulgaris depends on its causes. The focal point of its etiopathogenesis is the raised sebum production, but a major part is also played by the proliferative and retentive hyperkeratosis in the infra-infundibulum and the proliferation of acne bacteria. Since the clinical syndrome of acne consists of many factors, combined treatment is always required. Besides from treating the seborrhoea, the hyperkeratosis and the inflammatory alterations, it is very important to provide psychological guidance for the patient. We discuss the individual active substances and explain their application and side effects. Thanks to the new powerful active substances which have been available in the last few years to the therapist, he is in a position of successfully treating over 90% of patients suffering from acne thanks to individually adapted and differentiated treatment; but this also forces him to assimilate his knowledge continuously to the newest standard.
寻常痤疮的治疗取决于其病因。其发病机制的重点是皮脂分泌增加,但毛囊漏斗下部的增殖性和潴留性角化过度以及痤疮丙酸杆菌的增殖也起主要作用。由于痤疮的临床症状由多种因素组成,因此总是需要联合治疗。除了治疗皮脂溢、角化过度和炎症性改变外,为患者提供心理指导也非常重要。我们讨论了各种活性物质,并解释了它们的应用及副作用。得益于过去几年治疗师可获得的新型强效活性物质,通过个体化调整和差异化治疗,他能够成功治疗超过90%的痤疮患者;但这也迫使他不断将自己的知识更新至最新标准。