痤疮样皮疹的疾病特征及鉴别诊断

IF 3.4 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY
E. Parać, B. Špiljak, L. Lugović-Mihić, Z. Bukvić Mokos
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引用次数: 1

摘要

“痤疮样皮疹”一词包括各种类似寻常痤疮的皮肤状况。虽然在临床环境中经常观察到痤疮样皮肤病和真正的痤疮,但区分两者可能很有挑战性。与痤疮相似,痤疮样皮疹的病变可能表现为丘疹、脓疱、结节和囊肿。然而,与痤疮相反,粉刺并不常见,但在某些类型的痤疮样皮疹中仍然可以观察到。此外,痤疮样皮疹可以根据其突然发作、在所有年龄组中发生的倾向、病变的单一外观以及在脂溢区域以外的分布来区分。痤疮样皮疹的发展不能归因于单一的潜在机制;然而,可能涉及患者年龄、感染、职业、习惯、化妆品和药物等多种因素。观察到的病变可能对标准痤疮治疗没有反应,因此必须根据确定的病原体制定治疗策略。以下综述旨在概述痤疮样皮疹的不同实体,并呈现将其与真正痤疮区分开来的特征。本文讨论了成年人群中的痤疮样皮疹、类似痤疮的传染病以及暴露于化学和物理制剂引起的痤疮样疹。了解这类皮肤病的临床表现、病理生理学和流行病学对于准确诊断和提供适当的护理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acne-like Eruptions: Disease Features and Differential Diagnosis
The term “acne-like eruptions” encompasses a variety of skin conditions resembling acne vulgaris. While both acne-like dermatoses and true acne are frequently observed in clinical settings, differentiating between the two might be challenging. Similar to acne, the lesions of acne-like eruptions may exhibit papules, pustules, nodules, and cysts. However, contrary to acne, comedones are uncommon but may still be observed in certain types of acne-like eruptions. Moreover, acne-like eruptions can be differentiated from acne based on their sudden onset, the propensity to occur across all age groups, the monomorphic appearance of lesions, and the distributions extending outside the seborrheic regions. The development of acne-like eruptions cannot be attributed to a single underlying mechanism; nevertheless, various factors such as patient age, infections, occupation, habits, cosmetics, and medications may be involved. The observed lesions may not respond to standard acne therapy, necessitating that treatment strategies are tailored in accordance with the identified causative agents. The following review aims to outline distinct entities of acne-like eruptions and present features that set them apart from true acne. Acne-like eruptions in the adult population, infectious diseases resembling acne, and acne-like eruptions resulting from exposure to chemical and physical agents are addressed in this paper. An understanding of the clinical presentation, pathophysiology, and epidemiology of this group of dermatoses is pivotal for a precise diagnosis and provision of appropriate care.
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来源期刊
Cosmetics
Cosmetics Medicine-Surgery
CiteScore
5.20
自引率
12.10%
发文量
108
审稿时长
8 weeks
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