种族/民族差异与痤疮：对有色人种痤疮患者的治疗和皮肤护理建议的影响。

Racial/Ethnic Variations in Acne: Implications for Treatment and Skin Care Recommendations for Acne Patients With Skin of Color.

出版信息

J Drugs Dermatol. 2021 Jul 1;20(7):716-725. doi: 10.36849/JDD.6169.

PMID:34232006

Abstract

BACKGROUND

Acne vulgaris is among the most common dermatologic diagnoses observed, including skin color (SOC) populations. This project sought to help clarify the existing published data and provide consensus statements on acne presentation, prevention, treatment, and maintenance in SOC populations to help improve patient outcomes.

METHODS

Six SOC dermatologists convened for a virtual meeting and used a modified Delphi process to address: 1) Are there racial/ethnic differences in the clinical presentation and sequela of acne? 2) Are there racial/ethnic differences in the therapeutic endpoint of acne treatment and patient expectations? 3) Is there a need for specialized approaches to therapeutic options and skincare in acne patients with SOC? The results of a literature review and the outcome of discussions, coupled with the panel's expert opinion and experience, are intended for health care providers caring for acne patients and clinician-researchers.

RESULTS

Racial/ethnic differences in the clinical presentation, sequelae, and desired treatment outcomes for acne have been reported. Notwithstanding limitations in the number, size, and methodologies of studies to date, the available data suggest that strategies that improve outcomes in acne patients with SOC include: Early initiation and maintenance of treatment regimens and careful consideration of tolerability of active ingredients, vehicles, and dosing. Using pH-balanced, non-irritating cleansers and non-comedogenic ceramides containing moisturizers help minimize irritation or dryness.

CONCLUSIONS

There a need for specialized approaches to therapeutic options and skincare in acne patients with SOC. OTC skincare products are recommended before and during prescription therapy and as part of a maintenance regimen. J Drugs Dermatol. 2021;20(7):716-725. doi:10.36849/JDD.6169 THIS ARTICLE HAD BEEN MADE AVAILABLE FREE OF CHARGE. PLEASE SCROLL DOWN TO ACCESS THE FULL TEXT OF THIS ARTICLE WITHOUT LOGGING IN. NO PURCHASE NECESSARY. PLEASE CONTACT THE PUBLISHER WITH ANY QUESTIONS.

摘要

背景

痤疮是最常见的皮肤科诊断之一，包括肤色（SOC）人群。本项目旨在帮助澄清现有的已发表数据，并就 SOC 人群中痤疮的表现、预防、治疗和维持提供共识声明，以帮助改善患者的治疗效果。

方法

六名 SOC 皮肤科医生举行了一次虚拟会议，并使用改良 Delphi 流程来解决以下问题：1）痤疮的临床表现和后遗症是否存在种族/民族差异？2）痤疮治疗的治疗终点和患者期望是否存在种族/民族差异？3）SOC 痤疮患者是否需要特殊的治疗选择和皮肤护理方法？文献回顾的结果和讨论的结果，再加上小组的专家意见和经验，旨在为治疗痤疮患者的医疗保健提供者和临床研究人员提供参考。

结果

已报道了痤疮的临床表现、后遗症和理想治疗结果的种族/民族差异。尽管迄今为止研究的数量、规模和方法存在局限性，但现有数据表明，改善 SOC 中痤疮患者治疗效果的策略包括：早期开始并维持治疗方案，并仔细考虑活性成分、载体和剂量的耐受性。使用 pH 值平衡、无刺激性的清洁剂和含有非致粉刺的保湿剂的非粉刺性 ceramides 有助于最大限度地减少刺激或干燥。

结论

SOC 中痤疮患者需要特殊的治疗选择和皮肤护理方法。建议在处方治疗前和治疗期间以及维持治疗方案中使用 OTC 皮肤护理产品。J 皮肤病学杂志。2021;20(7):716-725。doi:10.36849/JDD.6169 本文已免费提供。请向下滚动以访问本文的全文，而无需登录。无需购买。如有任何疑问，请与出版商联系。