预防皮肤炎症后色素沉着:系统综述。

IF 2.2 4区 医学 Q2 DERMATOLOGY
Kristie Mar, Mahan Maazi, Bushra Khalid, Rayan Ahmed, Ou Jia (Emilie) Wang, Touraj Khosravi-Hafshejani
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引用次数: 0

摘要

背景/目的:炎症后色素沉着(PIH)影响所有肤色,并对菲茨帕特里克皮肤类型(FST) III-VI有更高的偏好。预防措施包括干预前和干预后的方法,如防晒霜和皮质类固醇。本系统综述旨在总结有色皮肤个体的预防措施结果。方法:采用MEDLINE(自1946年起)和Embase(自1974年起)进行文献检索,并遵循系统评价和荟萃分析指南的首选报告项目。结果:14项研究共纳入369例。平均年龄38岁(n = 293),女性占72% (n = 265)。所有患者均为亚洲种族,42%为FST III型,54%为FST IV型,4%为FST v型。几乎所有病例均通过激光治疗沉淀(> 95%),面部是报告最多的部位(85%)。最成功的预防措施是单独使用防晒霜或与其他成分结合使用。局部皮质类固醇和全身氨甲环酸治疗效果较差,而冷却空气装置则加剧了PIH的发展。结论:总体而言,只有防晒霜能够持续预防PIH的发生;然而,随后的PIH的严重程度可以通过其他措施减轻。改进针对高危人群的预防战略还有相当大的空间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Prevention of Post-Inflammatory Hyperpigmentation in Skin of Colour: A Systematic Review

Prevention of Post-Inflammatory Hyperpigmentation in Skin of Colour: A Systematic Review

Background/Objectives

Post-inflammatory hyperpigmentation (PIH) impacts all skin tones with a heightened predilection for Fitzpatrick skin types (FST) III-VI. Preventative measures include pre- and post-intervention approaches, such as sunscreen and corticosteroids. This systematic review aims to summarise the preventative measure outcomes for skin of colour individuals.

Methods

A literature search was conducted using MEDLINE (from 1946) and Embase (from 1974) in adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.

Results

Of 14 studies, 369 cases were included. The mean age was 38 years (n = 293) and 72% were female (n = 265). All patients were of Asian ethnicity, and 42% were of FST III, 54% FST IV, and 4% FST V. Nearly all cases were precipitated by laser therapy (> 95%), and the face was the most reported location (85%). The most successful preventative measure was sunscreen alone or combined with other ingredients. Less successful outcomes were seen with topical corticosteroids and systemic tranexamic acid, while cooling air devices exacerbated the development of PIH.

Conclusion

Overall, only sunscreen consistently prevented the incidence of PIH; however, the severity of the ensuing PIH may be diminished with other measures. There is considerable room for improved preventative strategies for at-risk populations.

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来源期刊
CiteScore
3.20
自引率
5.00%
发文量
186
审稿时长
6-12 weeks
期刊介绍: Australasian Journal of Dermatology is the official journal of the Australasian College of Dermatologists and the New Zealand Dermatological Society, publishing peer-reviewed, original research articles, reviews and case reports dealing with all aspects of clinical practice and research in dermatology. Clinical presentations, medical and physical therapies and investigations, including dermatopathology and mycology, are covered. Short articles may be published under the headings ‘Signs, Syndromes and Diagnoses’, ‘Dermatopathology Presentation’, ‘Vignettes in Contact Dermatology’, ‘Surgery Corner’ or ‘Letters to the Editor’.
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