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痤疮治疗挑战 - 拉丁美洲专家共识建议。

Acne treatment challenges - Recommendations of Latin American expert consensus.

机构信息

Universidade Federal de São Paulo, São Paulo, SP, Brazil; Sociedade Brasileira de Dermatologia, São Paulo, SP, Brazil.

Iberolatin-American College of Dermatology (CILAD), Panamá City, Panama.

出版信息

An Bras Dermatol. 2024 May-Jun;99(3):414-424. doi: 10.1016/j.abd.2023.09.001. Epub 2024 Feb 23.

Abstract

BACKGROUND

Acne is a chronic inflammatory disorder of the pilosebaceous unit that is associated with a negative impact on quality of life, causing anxiety, depression, and poor self-esteem. The treatment of acne is not simple and presents some new challenges. This article addresses important issues faced by dermatologists on their daily, some of them specific for Latin America.

OBJECTIVE

To discuss daily practice recommendations when managing acne patients.

METHODS

A literature review was conducted by a group of eight experts with extensive experience in the field of acne. The results of the data review were presented at an initial kick-off meeting to align the consensus topics. Two e-surveys using the Delphi methodology and an interim group webinar meeting were held.

RESULTS

The expert panel reached a consensus on all proposed key statements, providing scientific support to help dermatologists and healthcare providers make acne management decisions on topics that can be challenging in the everyday practice of dermatology, such as the characteristics of Generation Z or the importance of the maintenance phase of adult acne treatment.

CONCLUSION

This article provides current recommendations for managing acne patients. The high level of agreement achieved based on the latest evidence supports the best acne therapeutic choices in both established topics and new important issues that have emerged in recent years, such as the impact of social media, Generation Z characteristics, and transgender male patient specifics.

摘要

背景

痤疮是一种累及毛囊皮脂腺单位的慢性炎症性疾病,其对生活质量有负面影响,导致焦虑、抑郁和自尊心差。痤疮的治疗并不简单,还存在一些新的挑战。本文讨论皮肤科医生在日常工作中面临的一些重要问题,其中一些问题是拉丁美洲特有的。

目的

讨论管理痤疮患者的日常实践建议。

方法

一组在痤疮领域有丰富经验的 8 名专家进行了文献回顾。数据审查结果在首次启动会议上提出,以协调共识主题。进行了两次德尔菲法电子调查和一次中期小组网络研讨会。

结果

专家小组就所有提出的关键陈述达成了共识,为皮肤科医生和医疗保健提供者提供了科学支持,帮助他们就皮肤科日常实践中具有挑战性的主题做出痤疮管理决策,例如 Z 世代的特征或成人痤疮治疗维持阶段的重要性。

结论

本文提供了管理痤疮患者的最新建议。基于最新证据达成的高度共识支持了既定主题和近年来出现的新重要问题的最佳痤疮治疗选择,例如社交媒体的影响、Z 世代的特征以及跨性别男性患者的具体情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d82/11074621/f6b636c2d26b/gr1.jpg

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