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痤疮瘢痕形成的病理生理学、诊断、预防和教育:第一部分。

Acne scarring-pathophysiology, diagnosis, prevention and education: Part I.

机构信息

Cooper University Hospital and Cooper Medical School of Rowan University, Camden, New Jersey.

Cooper University Hospital and Cooper Medical School of Rowan University, Camden, New Jersey.

出版信息

J Am Acad Dermatol. 2024 Jun;90(6):1123-1134. doi: 10.1016/j.jaad.2022.04.021. Epub 2022 Jul 2.

Abstract

Acne scarring is common and can occur even with effective acne management. In addition, patients with acne scarring suffer from significant psychosocial morbidity, including depression and suicidality. Despite the availability and advancement of therapeutic modalities, treatment for acne scarring is not always optimized and often overlooked in patients with acne encounters. Using acne scarring assessment tools and identifying specific acne scar subtypes allows for a tailored therapeutic approach. Part I of this continuing medical education series covers the pathophysiology and morphology of textural and pigmented acne scars, scarring assessment tools, and medical treatment options. The principles reviewed will aid in approaching and initiating acne scar treatment in the outpatient setting.

摘要

痤疮瘢痕很常见,即使痤疮得到有效管理,也可能会发生。此外,痤疮瘢痕患者会遭受严重的心理社会病痛,包括抑郁和自杀倾向。尽管有多种治疗方法可用且不断进步,但痤疮瘢痕的治疗并非总是得到优化,而且在痤疮患者就诊中经常被忽视。使用痤疮瘢痕评估工具并确定特定的痤疮瘢痕亚型,可以采用针对性的治疗方法。本继续医学教育系列的第一部分涵盖了纹理和色素性痤疮瘢痕的发病机制和形态、瘢痕评估工具以及医学治疗选择。回顾的原则将有助于在门诊环境中处理和开始痤疮瘢痕治疗。

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