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口罩痘:新冠疫情时代的一种新型痤疮变体

Maskne: A New Acne Variant in Covid-19 Era.

作者信息

Rathi Sanjay K, Dsouza Jeanne Maria

机构信息

Dr. Rathi's Skin Clinic, Siliguri, West Bengal, India.

KMC, Manipal, Karnataka, India.

出版信息

Indian J Dermatol. 2022 Sep-Oct;67(5):552-555. doi: 10.4103/ijd.ijd_1054_21.

Abstract

"Maskne" has been one of the negative spinoffs of the universally acceptable and effective role of face mask in containing the ongoing pandemic of SARS-CoV-2 virus or COVID 19. Several factors contribute to its aetiopathogenesis including heat, humidity, mechanical friction and microbiome dysbiosis in a complex interplay under the occlusive area of the mask. Clinically, the morphology is not very different from acne vulgaris with comedones and inflammatory acne, but in a characteristic distribution over a roughly circular area of face covered by mask. Since the use of face masks is likely to continue in the near future, measures like wearing a comfortably fitting mask of appropriate fabric, using disposable masks, increasing mask-free period when at safer places, avoiding unnecessary use of personal care products over the occluded skin, proper and gentle cleaning of the affected areas, intermittent mopping off of the excessive sebum and sweat and use of specific, topical and systemic therapy could help in its resolution.

摘要

“口罩痘”是口罩在全球范围内被广泛接受并有效防控严重急性呼吸综合征冠状病毒2(SARS-CoV-2)或新冠病毒19疫情过程中产生的负面副作用之一。其发病机制涉及多个因素,包括热量、湿度、机械摩擦以及在口罩遮盖区域内微生物群落失调等复杂的相互作用。临床上,其形态与寻常痤疮的粉刺和炎性痤疮并无太大差异,但具有特征性分布,集中在口罩覆盖的大致圆形面部区域。鉴于在不久的将来佩戴口罩的情况可能会持续,采取如佩戴质地合适、佩戴舒适的口罩,使用一次性口罩,在安全场所增加不戴口罩的时长,避免在口罩遮盖皮肤区域过度使用个人护理产品,对受影响区域进行适当温和的清洁,间歇性擦拭过多的皮脂和汗液,以及采用特定的局部和全身治疗等措施,有助于解决这一问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e442/9971751/5ec907273ba0/IJD-67-552-g001.jpg

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