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剥脱并发症综述。

Review in peeling complications.

作者信息

Costa Izelda Maria Carvalho, Damasceno Patrick Silva, Costa Mariana Carvalho, Gomes Keila Gabrielle Pati

机构信息

Department of Dermatology, HUB, University of Brasilia, Brasilia, Brazil.

出版信息

J Cosmet Dermatol. 2017 Sep;16(3):319-326. doi: 10.1111/jocd.12329. Epub 2017 Mar 27.

Abstract

Chemical peeling, a procedure wherein a chemical agent is applied to the skin to cause controlled destruction followed by regeneration and remodeling, is a dynamic tool for the treatment of acne, pigmentation issues, and photoaging [Journal of cutaneous and aesthetic surgery vol. 5 (2012) 254-260]. The results and complications are related to the depth of the procedure, with deeper peels producing more marked results and higher rates of complications. Complications are more likely with darker skin types, certain peeling agents, and sun exposure after treatment [Journal of cutaneous and aesthetic surgery vol. 5 (2012) 254-260]. They can range from minor irritations and uneven pigmentation to permanent scarring. In extremely uncommon cases, the complications can be life-threatening. This knowledge is essential to prevent, reduce, and eliminate the occurrence of complications [Cirurgia dermatológica em consultório. São Paulo: Atheneu; 2009]. Swelling, pain, persistent erythema, pruritus, allergic reactions, folliculitis/acne, infection, herpes recurrence, hypopigmentation and hyperpigmentation, demarcation lines, and scarring are some of the complications that will be discussed in this article. The first step in preventing complications is to identify the patients at risk. By doing so, complications can be anticipated, prevented, and, if they still occur, treated as early as possible.

摘要

化学剥脱术是一种将化学制剂应用于皮肤,引起可控性破坏,随后进行再生和重塑的治疗方法,是治疗痤疮、色素沉着问题和光老化的有效手段[《皮肤与美容外科杂志》第5卷(2012年)254 - 260页]。其效果和并发症与剥脱深度相关,剥脱越深,效果越显著,但并发症发生率也越高。肤色较深的人群、某些剥脱剂以及治疗后日晒更容易引发并发症[《皮肤与美容外科杂志》第5卷(2012年)254 - 260页]。并发症范围从轻微刺激和色素沉着不均到永久性瘢痕形成不等。在极为罕见的情况下,并发症可能危及生命。了解这些知识对于预防、减少和消除并发症的发生至关重要[《皮肤科门诊手术》。圣保罗:雅典娜出版社;2009年]。肿胀、疼痛、持续性红斑、瘙痒、过敏反应、毛囊炎/痤疮、感染、疱疹复发、色素减退和色素沉着、分界线以及瘢痕形成等都是本文将讨论的并发症。预防并发症的第一步是识别有风险的患者。通过这样做,可以预测、预防并发症,并且如果并发症仍然发生,可以尽早进行治疗。

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