解读寻常痤疮:对发病机制、治疗方式、诊断及最新进展的见解

Decoding Acne Vulgaris: Insights into Pathogenesis, Treatment Modalities, Diagnosis and Recent Advancements.

作者信息

Guleria Priyanka, Joshi Shiana, Parmar Shivika, Sharma Tarun, Chaudhary Archana, Kumar Pravin, Ashawat Mahendra Singh

机构信息

Department of Pharmaceutics, Laureate Institute of Pharmacy, VPO- Kathog, Kangra, H.P, 176031, India.

出版信息

Recent Adv Inflamm Allergy Drug Discov. 2025;19(1):18-30. doi: 10.2174/0127722708312980240718093537.

Abstract

BACKGROUND

Acne vulgaris, an alternative term for acne, is a persistent inflammatory skin condition affecting the pilosebaceous unit. Its development involves a combination of factors, including increased sebum production, changes in keratinization leading to comedone formation, colonization of hair follicles by Propionibacterium acnes (P. acnes), and the release of inflammatory mediators in the vicinity of the pilosebaceous unit.

OBJECTIVE

This review provides a concise overview of acne, covering its pathogenesis, epidemiology, diagnosis, treatment options, and recent advancements involved in acne.

DISCUSSION

Various therapeutic approaches, encompassing topical, systemic, combination, and hormonal treatments, are employed to address acne. Prolonged use of synthetic medications is common in acne therapy, but their potential for severe side effects prompts a preference for herbal- based treatments. Herbal remedies utilizing extracts of natural origin are considered safer due to their lower toxicity and reduced likelihood of adverse drug reactions. Recent advancements, particularly in personalized medicine and microbiome research have enhanced our understanding and opened new avenues for more effective management.

CONCLUSION

Decoding acne vulgaris has provided insights into its pathogenesis, treatment modalities, diagnostics, and recent advancements. Integrating synthetic and herbal treatments, personalized medicine, microbiome research, and advanced modeling techniques offer promising acne management strategies.

摘要

背景

寻常痤疮是痤疮的另一种说法,是一种影响毛囊皮脂腺单位的持续性炎症性皮肤病。其发病涉及多种因素,包括皮脂分泌增加、导致粉刺形成的角质化改变、痤疮丙酸杆菌在毛囊中的定植以及毛囊皮脂腺单位附近炎症介质的释放。

目的

本综述简要概述了痤疮,涵盖其发病机制、流行病学、诊断、治疗选择以及痤疮相关的最新进展。

讨论

治疗痤疮采用了多种治疗方法,包括局部治疗、全身治疗、联合治疗和激素治疗。在痤疮治疗中,长期使用合成药物很常见,但它们严重副作用的可能性促使人们更倾向于基于草药的治疗方法。利用天然提取物的草药疗法因其较低的毒性和较低的药物不良反应可能性而被认为更安全。最近的进展,特别是在个性化医学和微生物组研究方面,加深了我们的理解,并为更有效的管理开辟了新途径。

结论

对寻常痤疮的解读为其发病机制、治疗方式、诊断方法和最新进展提供了见解。综合合成治疗和草药治疗、个性化医学、微生物组研究和先进的建模技术提供了有前景的痤疮管理策略。

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