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.
Acne vulgaris 是一种常见的皮肤疾病,会影响患者的身体健康和情绪。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。痤疮疤痕主要分为两类:萎缩性疤痕 (ice pick, rolling, boxcar scars) 和肥厚性疤痕或疤痕疙瘩,后者相对少见。 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.
萎缩性痤疮疤痕是由于胶原蛋白流失所致,是最常见的痤疮疤痕类型(约占所有痤疮疤痕的 75%)。
肥厚性疤痕相对少见,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,瘢痕疙瘩可在原有边界之外形成额外的疤痕组织。痤疮导致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。然而,凹陷性疤痕的治疗需要更长时间。
#Hypertrophic scar - Triamcinolone intralesional injection
#Ice pick scar - TCA peeling (CROSS technique)
#Rolling scar - Laser resurfacing by Erbium laser or fractional laser