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
- 全身性症状
危险因素
- 年龄 12~24 岁
- 遗传易感性
- 油性皮肤/皮脂分泌增加
- 药物治疗
- 男性化激素治疗
- 内分泌系统疾病
- 饮食因素
- 男性(青春期痤疮)
- 女性(成年期痤疮)
- 肥胖/胰岛素抵抗
- 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
National Dermatology Program Director
US Department of Veterans Affairs
Eastern Colorado Health Care System
Aurora
CO
利益声明
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.
Torunn E. Sivesind, MD
Dermatology Research Instructor and Fellow
University of Colorado Anschutz School of Medicine
Aurora
CO
利益声明
TES has received fees for serving as a medical advisor to Antedotum Inc. and receives fellowship funding from Pfizer. TES serves as an editorial board member-at-large for the Journal of Medical Internet Research Dermatology.
Madeline Adelman, MD
Dermatology Research Fellow
University of Colorado Anschutz School of Medicine
Aurora
CO
利益声明
MA receives fellowship funding from the Pfizer Global Medical Grant.
Ramiro Rodriguez, MD
Dermatology Fellow
University of Colorado Anschutz Medical Campus
Aurora
CO
利益声明
鸣谢
Professor Dellavalle, Dr Sivesind, Dr Adelman, and Dr Rodriguez would like to gratefully acknowledge 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.
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
- 高雄激素青少年的筛查和管理
更多 指南患者教育信息
痤疮
更多 患者教育信息- 登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明