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青春期后痤疮女性的血浆脂质谱异常。

Abnormal plasma lipids profile in women with post-adolescent acne.

作者信息

Romańska-Gocka Krystyna, Woźniak Magdalena, Kaczmarek-Skamira Elżbieta, Zegarska Barbara

机构信息

Department of Cosmetology and Esthetic Dermatology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.

出版信息

Postepy Dermatol Alergol. 2018 Dec;35(6):605-608. doi: 10.5114/ada.2018.77612. Epub 2018 Nov 13.

Abstract

INTRODUCTION

Acne vulgaris is a multifactorial chronic inflammatory disease that is increasingly recognized in adult women.

AIM

To investigate a relationship between plasma lipids profile and acne in women and a correlation between selected clinical features of acne (severity, age of onset, location of lesions and the presence of comedones) and lipids profile.

MATERIAL AND METHODS

Sixty-four adult women with post-adolescent acne and 20 healthy controls were included in the study. Plasma total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) levels were determined in all the subjects.

RESULTS

Adult women with acne had statistically significantly increased levels of TC, TG and LDL-C compared to healthy controls ( < 0.05). The level of HDL-C did not differ between the two groups. There was no relationship between higher levels of TC, TG and LDL-C and a clinical picture of acne.

CONCLUSIONS

Acne in adult women is likely to be associated with increased levels of TC, TG and LDL-C. This abnormality seems to be important in the pathogenesis of adult acne and could be a result of high fatty acid diet. Performing a lipid profile examination in women with acne should be taken into account when screening patients and followed by appropriate dietary recommendations.

摘要

引言

寻常痤疮是一种多因素慢性炎症性疾病,在成年女性中越来越受到关注。

目的

研究成年女性血浆脂质谱与痤疮之间的关系,以及痤疮的某些临床特征(严重程度、发病年龄、皮损部位和粉刺的存在情况)与脂质谱之间的相关性。

材料与方法

本研究纳入了64名青春期后患有痤疮的成年女性和20名健康对照者。测定了所有受试者的血浆总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)水平。

结果

与健康对照者相比,患有痤疮的成年女性的TC、TG和LDL-C水平在统计学上显著升高(<0.05)。两组之间的HDL-C水平没有差异。TC、TG和LDL-C水平升高与痤疮的临床表现之间没有关系。

结论

成年女性痤疮可能与TC、TG和LDL-C水平升高有关。这种异常在成年痤疮的发病机制中似乎很重要,可能是高脂肪酸饮食的结果。在对痤疮患者进行筛查时,应考虑对其进行脂质谱检查,并随后给出适当的饮食建议。

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本文引用的文献

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Treatment of adult female acne: a new challenge.成年女性痤疮的治疗:一项新挑战。
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Acne patients frequently associated with abnormal plasma lipid profile.痤疮患者常伴有血浆脂质谱异常。
J Dermatol. 2015 Mar;42(3):296-9. doi: 10.1111/1346-8138.12761. Epub 2015 Jan 13.
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Acne in women.女性痤疮。
Br J Dermatol. 2015 Jul;172 Suppl 1:20-6. doi: 10.1111/bjd.13638.
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Arch Dermatol Res. 2014 Oct;306(8):683-8. doi: 10.1007/s00403-014-1482-6. Epub 2014 Jun 21.
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Postadolescent acne in females.女性青春期后痤疮
Skin Pharmacol Physiol. 2014;27 Suppl 1:3-8. doi: 10.1159/000354887. Epub 2013 Nov 13.
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Acne: Diet and acnegenesis.痤疮:饮食与痤疮发生
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