黄褐斑的化学剥脱术：印度色素沉着专家组的综述及共识性建议
Chemical Peels in Melasma: A Review with Consensus Recommendations by Indian Pigmentary Expert Group.
作者信息
Sarkar Rashmi, Arsiwala Shehnaz, Dubey Neha, Sonthalia Sidharth, Das Anupam, Arya Latika, Gokhale Narendra, Torsekar R G, Somani V K, Majid Imran, Godse Kiran, Ravichandran G, Singh Mohan, Aurangabadkar Sanjeev, Salim T, Shah Swapnil, Sinha Surabhi
机构信息
Dermatology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
Consultant Dermatologist, Saifee Hospital, Prince Aly Khan Hospital, Mumbai, India.
出版信息
Indian J Dermatol. 2017 Nov-Dec;62(6):578-584. doi: 10.4103/ijd.IJD_490_17.
Abstract
Melasma is a notorious dermatosis, often resistant to treatment. Chemical peeling constitutes an acceptable option of management of melasma (of any type and duration). In this article, as a group of experts from Pigmentary Disorders Society (PDS) in collaboration with South Asian Pigmentary Forum (SPF), we have tried to elaborate the various chemical peeling agents for the treatment of melasma. Besides, we have reviewed the indications, mechanism of action, rationality and the detailed procedure of peeling. The evidence in favor of various peeling agents have been summarized as well.
摘要
黄褐斑是一种难治的皮肤病，常常对治疗有抵抗性。化学剥脱术是治疗黄褐斑（任何类型和病程）的一种可接受的方法。在本文中，作为色素紊乱协会（PDS）与南亚色素沉着论坛（SPF）合作的一组专家，我们试图详细阐述用于治疗黄褐斑的各种化学剥脱剂。此外，我们还回顾了其适应证、作用机制、合理性及详细的剥脱步骤。同时也总结了支持各种剥脱剂的证据。
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本文引用的文献
1
Chemical peels for melasma in dark-skinned patients.针对深色皮肤患者黄褐斑的化学剥脱术
J Cutan Aesthet Surg. 2012 Oct;5(4):247-53. doi: 10.4103/0974-2077.104912.
2
A single-blinded comparative study between the use of glycolic acid 70% peel and the use of topical nanosome vitamin C iontophoresis in the treatment of melasma.一项 70%甘醇酸换肤术和局部纳米体维生素 C 电渗疗法治疗黄褐斑的单盲对照研究。
J Cosmet Dermatol. 2012 Mar;11(1):65-71. doi: 10.1111/j.1473-2165.2011.00599.x.
3
Comparative study of trichloroacetic acid versus glycolic acid chemical peels in the treatment of melasma.三氯乙酸与甘醇酸化学焕肤治疗黄褐斑的对比研究。
Indian J Dermatol Venereol Leprol. 2010 Jul-Aug;76(4):447. doi: 10.4103/0378-6323.66602.
4
A study comparing chemical peeling using modified Jessner's solution and 15% trichloroacetic Acid versus 15% trichloroacetic acid in the treatment of melasma.一项比较使用改良杰斯纳溶液和15%三氯乙酸进行化学剥脱与单纯使用15%三氯乙酸治疗黄褐斑的研究。
Indian J Dermatol. 2009;54(1):41-5. doi: 10.4103/0019-5154.48985.
5
Chemical peeling--glycolic acid versus trichloroacetic acid in melasma.化学剥脱术——黄褐斑治疗中乙醇酸与三氯乙酸的比较
Indian J Dermatol Venereol Leprol. 2001 Mar-Apr;67(2):82-4.
6
The therapeutic value of glycolic acid peels in dermatology.乙醇酸焕肤术在皮肤科的治疗价值。
Indian J Dermatol Venereol Leprol. 2003 Mar-Apr;69(2):148-50.
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Combined trichloroacetic acid peel and topical ascorbic acid versus trichloroacetic acid peel alone in the treatment of melasma: a comparative study.三氯乙酸联合外用抗坏血酸与单纯三氯乙酸治疗黄褐斑的比较研究
J Cosmet Dermatol. 2007 Jun;6(2):89-94. doi: 10.1111/j.1473-2165.2007.00302.x.
8
Lactic acid chemical peels as a new therapeutic modality in melasma in comparison to Jessner's solution chemical peels.与杰斯纳溶液化学换肤相比，乳酸化学换肤作为黄褐斑的一种新治疗方式。
Dermatol Surg. 2006 Dec;32(12):1429-36. doi: 10.1111/j.1524-4725.2006.32352.x.
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Clinical and instrumental evaluation of skin improvement after treatment with a new 50% pyruvic acid peel.新型50%丙酮酸皮肤剥脱术后皮肤改善情况的临床及仪器评估
Dermatol Surg. 2006 Apr;32(4):526-31. doi: 10.1111/j.1524-4725.2006.32106.x.
10
Whitening effect of salicylic acid peels in Asian patients.水杨酸焕肤对亚洲患者的美白效果。
Dermatol Surg. 2006 Mar;32(3):372-5; discussion 375. doi: 10.1111/j.1524-4725.2006.32075.x.
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