小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 皮肤病变
其他诊断因素
- 皮肤触痛
- 抑郁、社会孤立
- 全身性症状
危险因素
- 年龄 12~24 岁
- 遗传易感性
- 油性皮肤/皮脂生成增加
- 内分泌系统疾病
- 饮食因素
- 女性性别/雌激素
- 肥胖/胰岛素抵抗
- 雄激素增多症
- 药物治疗
- 接触卤化物
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 激素评估
- 细菌培养
治疗流程
与激素无关（非妊娠）
激素相关性（非妊娠女性）
妊娠
撰稿人
作者
Robert P. Dellavalle, MD, PhD, MSPH
Professor of Dermatology and Public Health
University of Colorado School of Medicine
Colorado School of Public Health
Chief, Dermatology Service
US Department of Veterans Affairs
Eastern Colorado Health Care System
Aurora
CO
利益声明
RD has been an Observational Health Data Sciences and Informatics investigator of global antibiotic use for acne. He has received royalties from UpToDate. RD was the PI on Pfizer Pharmaceutical independent research grants to the University of Colorado for development of open access patient decision aids.
Torunn E. Sivesind, MD
Dermatology Research Fellow
University of Colorado School of Medicine
Aurora
CO
利益声明
TS receives fellowship funding from the Pfizer Global Medical Grant Dermatology Fellowship 2020 (PI: R.P. Dellavalle), and serves on the Medical Advisory Board of Antedotum Inc.
鸣谢
Professor Dellavalle and Dr Sivesind would like to gratefully acknowledge Dr Sarah Shangraw, Dr Mark Naftanel, Dr Yolanda Rosi Helfrich, and Dr Amanda Howland, previous contributors to this topic.
利益声明
SS, MN, YRH, and AH declare that they have no competing interests.
同行评议者
Gina Taylor, MD
Resident
Department of Dermatology
SUNY Downstate Medical Center
New York
NY
利益声明
GT declares that she has no competing interests.
Gillian Murphy, MD, FRCPI, FRCP, Edin
Consultant Dermatologist
Dermatology
Beaumont Hospital
Dublin
Ireland
利益声明
Not disclosed.
鉴别诊断
- 颈项部瘢痕疙瘩性痤疮
- 痤疮样药疹
- 氯痤疮
更多 鉴别诊断指南
- 寻常痤疮：管理
- 2019 年中华皮肤病学会痤疮指南
更多 指南患者教育信息
痤疮
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