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关于酸类、类固醇和激酶抑制剂在治疗毛发角化病中作用的叙述性综述

A Narrative Review on the Role of Acids, Steroids, and Kinase Inhibitors in the Treatment of Keratosis Pilaris.

作者信息

Reddy Shreya, Brahmbhatt Hetal

机构信息

Biochemistry, Creighton University, Omaha, USA.

Psychiatry, Mercy General Hospital, Sacramento, USA.

出版信息

Cureus. 2021 Oct 20;13(10):e18917. doi: 10.7759/cureus.18917. eCollection 2021 Oct.

Abstract

Keratosis pilaris is a common and benign genetic skin disorder that results in patches of rough bumps on the skin, with varying degrees of reddening and inflammation. These bumps in the skin are caused by the dead skin cells that plug the hair follicles. Keratosis pilaris often manifests in small, hard bumps on the legs and arms. A common treatment method for many acne conditions, including keratosis pilaris, is acid, which has shown promise in recent years. This review examines the use and success of multiple types of acids, steroids, and kinase inhibitors in clinical and non-clinical settings to treat and understand keratosis pilaris. In the treatment of keratosis pilaris, acid primarily works by breaking down the dead skin cells that clog the hair follicles. Some types of steroids have anti-inflammatory properties that have proven useful in minimizing the appearance of acne. Kinase inhibitors control important skin cell functions, such as cell signaling, metabolism, division, and survival, which undoubtedly affect the appearance of skin as a whole. The known impact of acid, steroids, and kinase inhibitors on keratosis pilaris is underestimated and should be given more attention by healthcare industry leaders.

摘要

毛发角化病是一种常见的良性遗传性皮肤病,会导致皮肤上出现一片片粗糙的小疙瘩,并伴有不同程度的发红和炎症。皮肤中的这些小疙瘩是由堵塞毛囊的死皮细胞引起的。毛发角化病常表现为腿部和手臂上出现小而硬的疙瘩。包括毛发角化病在内的许多痤疮病症的一种常见治疗方法是使用酸类物质,近年来这种方法已显示出前景。本综述研究了多种酸类、类固醇和激酶抑制剂在临床和非临床环境中用于治疗毛发角化病以及了解该病症方面的应用和成效。在治疗毛发角化病时,酸类物质主要通过分解堵塞毛囊的死皮细胞来发挥作用。某些类型的类固醇具有抗炎特性,已证明有助于减少痤疮的外观。激酶抑制剂控制着重要的皮肤细胞功能,如细胞信号传导、新陈代谢、分裂和存活,这无疑会影响整个皮肤的外观。酸类、类固醇和激酶抑制剂对毛发角化病的已知影响被低估了,医疗行业领导者应给予更多关注。

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