Acne, also known as acne vulgaris, is a long-term skin condition that occurs when dead skin cells and oil from the skin clog hair follicles. Typical features of the condition include blackheads or whiteheads, pimples, oily skin, and possible scarring. It primarily affects skin with a relatively high number of oil glands, including the face, upper part of the chest, and back.
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Acne vulgaris 是一种常见的皮肤病,会影响患者的身体和情感。常见的并发症之一是痤疮疤痕的形成。当皮肤的愈合过程受到干扰时,就会出现这些疤痕。痤疮疤痕主要有两种类型:萎缩性疤痕 (ice pick, rolling, boxcar scars) 和肥厚性疤痕或疤痕疙瘩,后者较少见。 Acne vulgaris is a common skin condition that can affect patients both physically and emotionally. One common complication is the development of acne scars. These scars occur when the skin's healing process is disrupted. There are two main types of acne scars: atrophic scars (ice pick, rolling, boxcar scars) and hypertrophic or keloid scars, which are less common.
萎缩性痤疮疤痕源于胶原蛋白流失,是最常见的痤疮疤痕类型(约占所有痤疮疤痕的 75%)。
肥厚性疤痕并不常见,其特点是胶原蛋白含量增加,表现为坚硬且隆起的疤痕。与肥厚性疤痕不同,瘢痕疙瘩甚至可以在原有边界之外形成新的疤痕组织。痤疮引起的瘢痕疙瘩常见于胸部和下巴。
○ 治疗
每月进行 5‑10 次病灶内类固醇注射可改善肥厚性疤痕,但萎缩性疤痕需要更长的治疗周期。
#Hypertrophic scar - Triamcinolone intralesional injection
#Ice pick scar - TCA peeling (CROSS technique)
#Rolling scar - Laser resurfacing by Erbium laser or fractional laser