小结
定义
病史和体格检查
关键诊断因素
- skin lesions
其他诊断因素
- skin tenderness
- systemic complaints
危险因素
- adolescence or young adult
- genetic predisposition
- oily skin/increased sebum production
- use of certain drugs
- use of masculinizing hormone therapy
- endocrine disorders
- dietary factors
- female sex
- obesity/insulin resistance
- halogenated aromatic hydrocarbons exposure
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- clinical diagnosis
გასათვალისწინებელი კვლევები
- hormonal evaluation
- bacterial culture
მკურნალობის ალგორითმი
mild acne: nonpregnant
moderate to severe acne or acne resistant to standard treatment: nonpregnant
pregnant
კონტრიბუტორები
ავტორები
Robert P. Dellavalle, MD, PhD, MSPH
Professor of Dermatology and Public Health
University of Minnesota Dermatology Department
National Dermatology Program Director
US Department of Veterans Affairs
Minneapolis
MN
გაფრთხილება:
RPD has received editorial stipends (Journal of Medical Internet Research Dermatology (JMIR Dermatology)), royalties (UpToDate), and expenses reimbursement (Cochrane). RPD is an editor-in-chief of JMIR Dermatology, a joint coordinating editor for Cochrane Skin, a dermatology section editor for UpToDate, a social media editor for JAAD, and a coordinating editor representative on the Cochrane Council. He is a Cochrane Council Co-Chair, and serves as the National Dermatology Program Director for the US Department of Veteran Affairs.
Torunn E. Sivesind, MD
Dermatology Resident Physician
University of Colorado Anschutz School of Medicine
Aurora
CO
გაფრთხილება:
TES previously received fellowship funding from Pfizer and the National Institute of Health; TES previously served as an editorial board member-at-large for the Journal of Medical Internet Research Dermatology.
მადლიერება
Professor Dellavalle and Dr Sivesind would like to gratefully acknowledge Dr Madeline Adelman, Dr Romerio Rodriguez, Dr Sarah Shangraw, Dr Mark Naftanel, Dr Yolanda Rosi Helfrich, and Dr Amanda Howland, previous contributors to this topic. The authors would like to thank Dr John Barbieri for his review of the topic. JB has received consulting fees from Dexcel Pharma.
გაფრთხილება:
SS, MN, YRH, and AH declare that they have no competing interests. MA has received fellowship funding from the Pfizer Global Medical Grant, RR receives fellowship funding from the National Institute of Health.
რეცენზენტები
Gina Taylor, MD
Resident
Department of Dermatology
SUNY Downstate Medical Center
New York
NY
გაფრთხილება:
GT declares that she has no competing interests.
Gillian Murphy, MD, FRCPI, FRCP, Edin
Consultant Dermatologist
Dermatology
Beaumont Hospital
Dublin
Ireland
გაფრთხილება:
Not disclosed.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
წყაროები
ძირითადი სტატიები
National Institute for Health and Care Excellence. Acne vulgaris: management. Dec 2023 [internet publication].სრული ტექსტი
Reynolds RV, Yeung H, Cheng CE, et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2024 May;90(5):1006.e1-30.სრული ტექსტი აბსტრაქტი
Thiboutot DM, Dréno B, Abanmi A, et al. Practical management of acne for clinicians: an international consensus from the Global Alliance to Improve Outcomes in Acne. J Am Acad Dermatol. 2018 Feb;78(2 suppl 1):S1-23;e1. აბსტრაქტი
გამოყენებული სტატიები
ამ თემაში მოხსენიებული წყაროების სრული სია ხელმისაწვდომია მომხმარებლებისთვის, რომლებსაც აქვთ წვდომა BMJ Best Practice-ის ყველა ნაწილზე.
დიფერენციული დიაგნოზები
- Acne keloidalis nuchae
- Acneiform eruptions
- Chloracne
მეტი დიფერენციული დიაგნოზებიგაიდლაინები
- Guidelines of care for the management of acne vulgaris
- Acne vulgaris: management
მეტი გაიდლაინებიპაციენტის ბროშურები
Acne
მეტი პაციენტის ბროშურებიშედით სისტემაში ან გამოიწერეთ BMJ Best Practice
ამ მასალის გამოყენება ექვემდებარება ჩვენს განცხადებას