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使用洁面产品和保湿产品作为辅助手段治疗亚洲皮肤类型玫瑰痤疮的挑战与细微差别综述

A Review of the Challenges and Nuances in Treating Rosacea in Asian Skin Types Using Cleansers and Moisturizers as Adjuncts.

作者信息

Kulthanan Kanokvalai, Andriessen Anneke, Jiang Xian, Lee Chih-Hung, Zhang Cheng-Feng

出版信息

J Drugs Dermatol. 2023 Jan 1;22(1):45-53. doi: 10.36849/JDD.7021.

DOI:10.36849/JDD.7021
PMID:36607763
Abstract

BACKGROUND

Rosacea is primarily an inflammatory disease of facial skin associated with impaired skin barrier function. While it is commonly thought of as a Caucasian person's disease, it is likely underdiagnosed in people of color, including Asians, leading to missed and delayed diagnoses and increased morbidity. The purpose of this review is to highlight literature on rosacea in Asian people and the role of non-prescription skincare in managing rosacea.

METHODS

Four dermatologists (the panel) completed pre-meeting surveys and participated in a web meeting to discuss the role of skin care in treating rosacea in the Asia Pacific (APAC) region. The survey results were summarized, then presented during the virtual meeting. These survey results and relevant papers identified through a literature review were then discussed. This review shows the fruit of these discussions, as well as the advisors' expert opinions and experiences.

RESULTS

The panel crafted 5 consensus statements regarding the role of skin care in the treatment of rosacea in the APAC region. The most common forms of rosacea seen by the advisors are mostly erythematous and papulopustular. Among the panel, doxycycline is the most popular treatment for papulopustular rosacea. The panel prioritize gentleness when choosing skincare products for patients with rosacea.

CONCLUSIONS

In Asian patients with rosacea, adjunctive skincare is an important part of treatment, maintenance, and prescription treatment. Given the highly sensitive skin of certain Asian patients with rosacea, avoiding potentially irritating substances is crucial. J Drugs Dermatol. 2023;22(1):45-53. doi:10.36849/JDD.7021.

摘要

背景

酒渣鼻主要是一种面部皮肤炎症性疾病,与皮肤屏障功能受损有关。虽然人们通常认为这是一种白种人的疾病,但在包括亚洲人在内的有色人种中可能存在诊断不足的情况,导致漏诊和诊断延迟,以及发病率增加。本综述的目的是强调有关亚洲人酒渣鼻的文献以及非处方护肤品在酒渣鼻管理中的作用。

方法

四位皮肤科医生(专家小组)完成会前调查,并参加了一次网络会议,讨论皮肤护理在亚太地区治疗酒渣鼻中的作用。调查结果进行了总结,然后在虚拟会议上展示。然后对这些调查结果和通过文献综述确定的相关论文进行了讨论。本综述展示了这些讨论的成果,以及顾问们的专家意见和经验。

结果

专家小组就皮肤护理在亚太地区酒渣鼻治疗中的作用制定了5条共识声明。顾问们所见的最常见酒渣鼻形式大多为红斑型和丘疹脓疱型。在专家小组中,多西环素是治疗丘疹脓疱型酒渣鼻最常用的药物。在为酒渣鼻患者选择护肤品时,专家小组将温和性放在首位。

结论

在亚洲酒渣鼻患者中,辅助性皮肤护理是治疗、维持和处方治疗的重要组成部分。鉴于某些亚洲酒渣鼻患者的皮肤高度敏感,避免使用潜在刺激性物质至关重要。《药物皮肤病学杂志》。2023年;22(1):45 - 53。doi:10.36849/JDD.7021。

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