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成年女性痤疮:临床实践指南

Adult female acne: a guide to clinical practice.

作者信息

Bagatin Edileia, Freitas Thais Helena Proença de, Rivitti-Machado Maria Cecília, Machado Maria Cecilia Rivitti, Ribeiro Beatriz Medeiros, Nunes Samanta, Rocha Marco Alexandre Dias da

机构信息

Department of Dermatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo (SP), Brazil.

Program of Post-Graduation in Translational Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo (SP), Brazil.

出版信息

An Bras Dermatol. 2019 Jan-Feb;94(1):62-75. doi: 10.1590/abd1806-4841.20198203.

DOI:10.1590/abd1806-4841.20198203
PMID:30726466
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6360964/
Abstract

BACKGROUND

Acne in women is often associated with anxiety and depression, and may persist from adolescence as well as manifest for the first time in adulthood. Genetic and hormonal factors contribute to its etiopathogenesis, and maintenance treatment is required, usually for years, due to its clinical evolution.

OBJECTIVE

To develop a guide for the clinical practice of adult female acne.

METHODS

A team of five experts with extensive experience in acne conducted a literature review of the main scientific evidence and met to discuss the best practices and personal experiences to develop a guide containing recommendations for the clinical practice of adult female acne.

RESULTS

The group of specialists reached consensus on the main guidelines for clinical practice, providing detailed recommendations on clinical picture, etiopathogenesis, laboratory investigation and treatment of adult female acne.

CONCLUSION

Different from teenage acne, adult female acne presents some characteristics and multiple etiopathogenic factors that make its management more complex. This guide provides recommendations for best clinical practices and therapeutic decisions. However, the authors consider that additional studies are needed in order to provide more evidence for adult female acne to be better understood.

摘要

背景

女性痤疮常与焦虑和抑郁相关,可能自青春期持续存在,也可能在成年期首次出现。遗传和激素因素参与其发病机制,由于其临床演变过程,通常需要数年的维持治疗。

目的

制定一份成年女性痤疮临床实践指南。

方法

由五位在痤疮领域有丰富经验的专家组成的团队对主要科学证据进行了文献综述,并开会讨论最佳实践和个人经验,以制定一份包含成年女性痤疮临床实践建议的指南。

结果

专家小组就临床实践的主要指南达成共识,为成年女性痤疮的临床表现、发病机制、实验室检查和治疗提供了详细建议。

结论

与青少年痤疮不同,成年女性痤疮具有一些特点和多种致病因素,这使得其管理更加复杂。本指南为最佳临床实践和治疗决策提供了建议。然而,作者认为需要进行更多研究,以便为更好地理解成年女性痤疮提供更多证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ca/6360964/fc9e5b8dc8ed/abd-94-01-0062-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ca/6360964/8a5a1ec7137c/abd-94-01-0062-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ca/6360964/c3a8575e147a/abd-94-01-0062-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ca/6360964/fc9e5b8dc8ed/abd-94-01-0062-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ca/6360964/8a5a1ec7137c/abd-94-01-0062-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ca/6360964/c3a8575e147a/abd-94-01-0062-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ca/6360964/fc9e5b8dc8ed/abd-94-01-0062-g03.jpg

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