Goh Chee-Leok, Wu Yan, Welsh Belinda, Abad-Casintahan Ma Flordeliz, Tseng Chung-Jen, Sharad Jaishree, Jung SungKyu, Rojanamatin Jinda, Sitohang Irma Bernadette S, Chan Hau Ngai Kingsley
National Skin Centre, Singapore, Singapore.
Department of Dermatology, Peking University First Hospital, Beijing, China.
J Cosmet Dermatol. 2023 Jan;22(1):45-54. doi: 10.1111/jocd.15519. Epub 2022 Nov 21.
Treatment, cleansing, moisturizing, and photoprotection are four major components of holistic skin care for dermatological conditions. While treatment (T) is recognized as a key component in the management of dermatological conditions, there is a lack of practical guidance on the adjunctive role of cleansing, moisturizing, and photoprotection ("CMP"). Limited patient knowledge, confusion over product selection, and lack of guidance on how to choose and use CMP skin care products (in conjunction with pharmacological therapy) are the main barriers to establishing a holistic skin care routine for dermatological conditions.
This study aimed to review current clinical evidence, identify gaps, and provide practical guidance on conceptualization and implementation of CMP routine in the management of sensitive skin due to underlying acne, atopic dermatitis, or rosacea, including conditions with idiopathic causes referred to as idiopathic sensitive skin syndrome.
An expert panel comprising of 10 dermatologists from Australia, China, Hong Kong, Taiwan, India, Indonesia, Philippines, Singapore, South Korea, and Thailand convened to develop consensus statements on holistic skin care in acne, rosacea, atopic dermatitis, and idiopathic sensitive skin syndrome using the Delphi approach.
Consensus was defined as ≥80% of panel rating statement as ≥8 or median rating of ≥8. The final statements were collated to develop consensus recommendations on holistic skin care.
A dermatologist-guided holistic skin care routine is essential to improve patient confidence and reduce confusion over product selection. The consensus recommendations presented here highlight the importance of cleansing, moisturization, and photoprotection in holistic skin care and how it can be utilized as a communication tool for physicians and patients to achieve overall better patient compliance, satisfaction, and treatment outcomes.
治疗、清洁、保湿和光防护是皮肤病整体皮肤护理的四个主要组成部分。虽然治疗（T）被认为是皮肤病管理的关键组成部分，但关于清洁、保湿和光防护（“CMP”）的辅助作用缺乏实用指南。患者知识有限、产品选择困惑以及缺乏关于如何选择和使用CMP护肤品（与药物治疗联合使用）的指导是为皮肤病建立整体皮肤护理常规的主要障碍。
本研究旨在回顾当前临床证据，识别差距，并为因潜在痤疮、特应性皮炎或玫瑰痤疮导致的敏感皮肤管理中CMP常规的概念化和实施提供实用指南，包括称为特发性敏感皮肤综合征的特发性病因情况。
一个由来自澳大利亚、中国、中国香港、中国台湾、印度、印度尼西亚、菲律宾、新加坡、韩国和泰国的10名皮肤科医生组成的专家小组召开会议，采用德尔菲法就痤疮、玫瑰痤疮、特应性皮炎和特发性敏感皮肤综合征的整体皮肤护理制定共识声明。
共识定义为≥80%的专家小组将声明评为≥8或中位数评分≥8。最终声明经过整理，形成关于整体皮肤护理的共识建议。
皮肤科医生指导的整体皮肤护理常规对于提高患者信心和减少产品选择困惑至关重要。此处提出的共识建议强调了清洁、保湿和光防护在整体皮肤护理中的重要性，以及它如何作为医生和患者的沟通工具，以实现更好的患者总体依从性、满意度和治疗效果。
