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改善有色人种患者玫瑰痤疮的治疗效果:治疗和使用清洁剂及保湿剂时需注意的问题综述。

Improving Rosacea Outcomes in Skin of Color Patients: A Review on the Nuances in the Treatment and the Use of Cleansers and Moisturizers.

出版信息

J Drugs Dermatol. 2022 Jun 1;21(6):574-580. doi: 10.36849/JDD.6838.

DOI:10.36849/JDD.6838
PMID:35674765
Abstract

BACKGROUND

While rosacea is a common inflammatory condition that affects diverse populations, published data in skin of color (SOC) are limited. This review explored nuances in clinical presentation and treatment considerations in SOC patients with rosacea and the role of cleansers and moisturizers in the management of rosacea in these populations.

METHODS

A panel reviewed and discussed aspects of rosacea in SOC and possible implications for treatment and maintenance. The outcome of these discussions, coupled with the panel's expert opinion and experience was used to define draft statements. After group discussions and an online review process, the panel agreed on the inclusion and wording of five statements.

RESULTS

Studies and anecdotal clinical experience suggest that rosacea is more common in SOC populations than previously reported. The clinical presentation of rosacea across diverse skin types includes the spectrum of clinical subtypes observed in other populations; however, clinical features may be less conspicuous in individuals with higher skin phototypes and the index of suspicion may be lower in SOC populations. To avoid underdiagnosis, dermatologists should consider rosacea in the differential diagnosis of any patient presenting with a history of skin sensitivity, central facial erythema, papules, and pustules. The compromised barrier in rosacea contributes to skin sensitivity. Studies including Chinese rosacea patients showed that using a moisturizer and sunscreen negatively correlated with rosacea development.

CONCLUSIONS

The use of skincare could improve rosacea symptomatology. These products are recommended before and during prescription therapy and as part of a maintenance regimen as adjuncts. J Drugs Dermatol. 2022;21(6):574-580. doi:10.36849/JDD.6838.

摘要

背景

虽然酒渣鼻是一种常见的炎症性疾病,影响着不同人群,但在有色人种(SOC)中的相关数据有限。本综述探讨了 SOC 患者酒渣鼻临床表现和治疗注意事项的细微差别,以及清洁剂和保湿剂在这些人群中管理酒渣鼻的作用。

方法

一个小组审查并讨论了 SOC 中酒渣鼻的各个方面,以及对治疗和维持的可能影响。这些讨论的结果,加上小组的专家意见和经验,被用来定义草案声明。经过小组讨论和在线审查过程,小组同意纳入并对以下五个声明进行措辞。

结果

研究和临床经验表明,SOC 人群中酒渣鼻比以前报告的更为常见。不同皮肤类型的酒渣鼻临床表现包括在其他人群中观察到的临床亚型谱;然而,在皮肤光型较高的个体中,临床特征可能不太明显,SOC 人群中的怀疑指数可能较低。为避免漏诊,皮肤科医生应考虑将酒渣鼻纳入任何有皮肤敏感、中心面部红斑、丘疹和脓疱病史的患者的鉴别诊断中。酒渣鼻受损的屏障导致皮肤敏感。包括中国酒渣鼻患者的研究表明,使用保湿剂和防晒霜与酒渣鼻的发展呈负相关。

结论

使用护肤产品可以改善酒渣鼻的症状。这些产品建议在开始处方治疗之前和期间以及作为维持治疗方案的一部分使用。J 皮肤病药物杂志。2022;21(6):574-580.doi:10.36849/JDD.6838.

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Improving Rosacea Outcomes in Skin of Color Patients: A Review on the Nuances in the Treatment and the Use of Cleansers and Moisturizers.改善有色人种患者玫瑰痤疮的治疗效果:治疗和使用清洁剂及保湿剂时需注意的问题综述。
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A Review of the Diagnostic and Therapeutic Gaps in Rosacea Management: Consensus Opinion.
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