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 是一種常見的皮膚病,會影響患者的身體和情緒。一種常見的併發症是痤瘡疤痕的形成。當皮膚的癒合過程受到干擾時,就會出現這些疤痕。痤瘡疤痕主要有兩種類型:萎縮性疤痕 (ice pick, rolling, boxcar scars) 和肥厚性疤痕或疤痕疙瘩,後者較不常見。 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.
萎縮性痤瘡疤痕來自膠原蛋白的流失,是最常見的痤瘡疤痕類型(約佔所有痤瘡疤痕的 75%)。
肥厚性疤痕並不常見,其特徵是膠原蛋白含量增加。肥厚性疤痕是堅硬且隆起的疤痕。與肥厚性疤痕不同,疤痕疙瘩甚至可以在原來的邊界之外形成疤痕組織。痤瘡引起的瘢瘤通常發生在胸部和下巴。
○ 治療
每月間隔 5-10 次病灶內類固醇注射可改善肥厚性疤痕。然而,凹陷疤痕需要更長的治療時間。
#Hypertrophic scar - Triamcinolone intralesional injection
#Ice pick scar - TCA peeling (CROSS technique)
#Rolling scar - Laser resurfacing by Erbium laser or fractional laser