Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil.
Int J Dermatol. 2019 Feb;58(2):131-143. doi: 10.1111/ijd.14153. Epub 2018 Jul 24.
Color differences in skin are due to the amount and distribution of epidermal melanin. The number of melanocytes is almost the same in all skin types, but higher phototypes exhibit more melanocytes, which produce more melanin and melanosomes that are individually distributed throughout the keratinocyte layers. This characteristic ensures a natural, significant photoprotection in darker skins. Asians are a population with various skin phototypes, ranging from type III to IV Fitzpatrick's classification in Chinese and Japanese to type IV and V in Indian and Pakistani people. Asian skin tends to present postinflammatory hyperpigmentation, melasma, lentigines and freckles, nevus of Ota, and Hori nevus. The main skin diseases reported in Asians are acne, atopic dermatitis, and viral infections. Wrinkles and skin thickness, early signs of aging in Caucasians, are less evident in Asian skin. However, pigmentary changes occur earlier. Additionally, this ethnic population is increasing worldwide. The aim of this study is to show the importance of studying the characteristics of Asian skin for the better management of skin diseases in this population, which are being increasingly observed in doctor's offices. Based on a broad review of the medical literature, we report the characteristics of Asian skin, as well as some dyschromias and common skin disorders in this ethnic group. The objective of the article is to study the characteristics of Asian skin and differences in relation to other ethnic groups to achieve improved clinical and cosmetic management of diseases and other skin disorders. This article will discuss the concept of beauty in different ethnic groups, treatments with lasers and other light sources, and cosmiatric treatments in Asian skin. An extensive review of the literature was performed using the databases Scielo and Bireme, from Medline and Lilacs sources, over the last 50 years. The keywords used were as follows: Asian skin, ethnic skin, melanin. Due to the peculiarities of each ethnic group, this article demonstrates the importance of studying the characteristics of Asian skin to elucidate improved cosmiatric approaches for these patients.
皮肤颜色的差异归因于表皮黑色素的含量和分布。黑素细胞的数量在所有皮肤类型中几乎相同,但较高的光型表现出更多的黑素细胞,这些黑素细胞产生更多的黑色素和黑色素体,这些黑色素体均匀分布在角质形成细胞层中。这一特征确保了较深肤色下自然而显著的光保护。亚洲人群具有不同的皮肤光型,从中国人和日本人的菲茨帕特里克分类的 III 型到 IV 型,到印度人和巴基斯坦人的 IV 型和 V 型。亚洲皮肤容易出现炎症后色素沉着过度、黄褐斑、雀斑、太田痣和黑子痣。亚洲人报告的主要皮肤疾病是痤疮、特应性皮炎和病毒感染。皱纹和皮肤厚度是白种人衰老的早期迹象,在亚洲皮肤中则不太明显。然而,色素变化发生得更早。此外,这一人种在全球范围内的数量正在增加。本研究旨在展示研究亚洲皮肤特征的重要性,以便更好地管理该人群中的皮肤疾病,这些疾病在医生的诊室中越来越常见。通过对医学文献的广泛回顾,我们报告了亚洲皮肤的特征,以及该人群中一些色素紊乱和常见的皮肤疾病。本文的目的是研究亚洲皮肤的特征以及与其他种族群体的差异,以实现对疾病和其他皮肤疾病的更好的临床和美容管理。本文将讨论不同种族群体的美丽概念、激光和其他光源的治疗以及亚洲皮肤的美容治疗。使用了 Scielo 和 Bireme 数据库、Medline 和 Lilacs 来源,对过去 50 年来的文献进行了广泛的回顾。使用的关键词如下:亚洲皮肤、种族皮肤、黑色素。由于每个种族群体的特殊性,本文展示了研究亚洲皮肤特征的重要性,以阐明针对这些患者的更好的美容方法。
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