儿科痤疮面面观：如何使用清洁剂和保湿剂定制非处方痤疮治疗和护肤方案。

The Many Faces of Pediatric Acne: How to Tailor Nonprescription Acne Treatment and Skincare Using Cleansers and Moisturizers.

出版信息

J Drugs Dermatol. 2022 Jun 1;21(6):602-612. doi: 10.36849/JDD.6872.

Abstract

BACKGROUND

Acne vulgaris (acne) is a common, complex, multifactorial disorder. Various expressions of acne in childhood can be categorized by age, severity, and pubertal status.

OBJECTIVE

To improve pediatric acne patients’ outcomes, various expressions of pediatric acne to educate and tailor nonprescription acne treatment and skincare using cleansers and moisturizers were defined and discussed.

METHODS

An expert panel of pediatric dermatologists and dermatologists reviewed and discussed nonprescription acne treatment and skincare literature. The results from the literature searches were used together with the panel’s expert opinion and experience to adopt various expressions of pediatric acne and prevention, treatment, and maintenance of the condition using nonprescription acne treatment and skincare.

RESULTS

The panel agreed on sixteen acne patient profiles addressing various age categories of pediatric acne: neonatal acne: birth to ≤ 8 weeks; infantile acne: 8 weeks to ≤1 year; mid-childhood acne: 1 year to <7 years; preadolescent acne: ≥7 to 12 years; adolescent acne: ≥12 to 19 years or after menarche for girls. Nonprescription acne treatment and skincare products containing lipids such as ceramides play an important role in monotherapy, adjunctive, and maintenance treatment; however, their role in pediatric acne is not well defined and requires more studies.

CONCLUSION

Pediatric acne deserves more attention from healthcare providers treating children regarding differential diagnosis, treatment, and maintenance using nonprescription acne treatment and skincare. J Drugs Dermatol. 2022;21(6):602-612. doi:10.36849/JDD.6872.

摘要

背景

寻常痤疮（痤疮）是一种常见的、复杂的、多因素的疾病。儿童时期各种不同表现的痤疮可根据年龄、严重程度和青春期状态进行分类。

目的

为了改善儿科痤疮患者的治疗效果，本文对儿科痤疮的各种表现进行了定义和讨论，以便对患者进行教育，并针对非处方痤疮治疗和皮肤护理产品（如清洁剂和保湿剂）进行调整。

方法

一组儿科皮肤科医生和皮肤科医生专家小组审查并讨论了非处方痤疮治疗和皮肤护理的文献。文献检索的结果与专家组的专家意见和经验一起，用于采用各种儿童痤疮的表现形式，并使用非处方痤疮治疗和皮肤护理产品来预防、治疗和维持该疾病。

结果

专家组就十六种痤疮患者的特征达成了一致意见，这些特征涉及到不同年龄段的儿童痤疮：新生儿痤疮：出生至 ≤ 8 周；婴儿痤疮：8 周至 ≤ 1 岁；中期儿童痤疮：1 岁至 <7 岁；青春期前痤疮：≥7 至 12 岁；青少年痤疮：≥12 至 19 岁或女孩月经初潮后。含有类脂如神经酰胺的非处方痤疮治疗和皮肤护理产品在单一疗法、辅助治疗和维持治疗中起着重要作用；然而，它们在儿童痤疮中的作用尚未得到很好的定义，需要更多的研究。