Nair Pragya A., Saleh Haitham M., Salazar Francisco J.
Department of Dermatology, Ain Shams University
Universidad De Guadalajara
Acneiform eruptions are a group of disorders characterized by papules and pustules resembling acne vulgaris. Distinguishing between acne-like dermatoses and real acne can be difficult in clinical settings. Acneiform eruptions can display papules, pustules, nodules, and cysts, just like acne. Unlike acne, comedones are infrequent but can be seen in specific forms of acneiform eruptions. Additionally, the sudden onset, propensity to affect people of all ages, uniformity of lesions, and dispersion outside the seborrheic regions distinguish acneiform eruptions from acne. Medications, hormonal and metabolic abnormalities, drug reactions, or genetic disorders may cause acneiform eruptions. In most cases, the diagnosis is clinical, but when there is doubt, one may obtain a biopsy or culture of any discharge. Withdrawal of the suspected medication is another way to make the diagnosis. The treatment of acneiform eruptions depends on the cause. Clinicians frequently erroneously treat patients for acne and exacerbate the condition.
痤疮样发疹是一组以类似寻常痤疮的丘疹和脓疱为特征的病症。在临床环境中，区分痤疮样皮肤病和真正的痤疮可能很困难。痤疮样发疹可表现为丘疹、脓疱、结节和囊肿，与痤疮一样。与痤疮不同的是，粉刺较少见，但在特定类型的痤疮样发疹中可见。此外，痤疮样发疹起病突然、易累及各年龄段人群、皮损形态一致且分布于皮脂溢出区域以外，这些特点将其与痤疮区分开来。药物、激素和代谢异常、药物反应或遗传疾病可能导致痤疮样发疹。在大多数情况下，诊断依靠临床判断，但存疑时，可对任何排出物进行活检或培养。停用可疑药物是另一种诊断方法。痤疮样发疹的治疗取决于病因。临床医生经常错误地将患者按痤疮治疗，从而使病情加重。
