美国AAD痤疮指南_培训课件.pptVIP

美国AAD痤疮指南 Guidelines of Care for Acne Vulgaris 注意本指南的时效性 This report reflects the best data available at the time the report was prepared, but caution should be exercised in interpreting the data. The results of future studies may require alteration of the conclusions or recommendations set forth in this report. 发表于1990年 定义 Definition Acne vulgaris is a follicular disorder that affects susceptible pilosebaceous follicles, primarily of the face, neck, and upper trunk, and is characterized by both noninflammatory and inflammatory lesions. 1累及敏感的皮脂腺——面、颈、躯干上部——疾病 2有炎性和非炎性皮损 流行病学（1） Acne is a disease of high prevalence and affects many persons in their teen age years. Although peak prevalence may be at age 17, acne may begin as early as age 8 and is not uncommon in the 10- to 12-year-old age group in which it is often overlooked. Both sexes are affected equally, but males have, on average, greater degrees of severity. 流行病学（2） A substantial percentage of adults are affected either as a continuation of their teenage acne or its first appearance in the third or fourth decade. 流行病学（3） Most cases of acne subside and involute spontaneously and completely within a few years of their onset, but a small percentage remain active. The disease may cause considerable emotional distress because of its appearance, even when the disease has involuted if scarring has taken place. The psychosocial impact on teenagers may be devastating. 诊断 Diagnostic criteria 诊断标准 A. Clinical （一） 临床 Patient history 病史——为了进行有效的治疗 Duration, to include progression to point of maximal severity Location Seasonal variation Aggravation by stress 对女性病人 For women Premenstrual flare-up Menstrual history and pregnancy status Increase of androgen-dependent hair Thinning of scalp hair Oral contraceptives and effect on acne Hormone tests Cosmetics and moisturizers: type and frequency 治疗史 Current treatment(s): topical and systemic Of acne Of other diseases Past treatment(s): topical and systemic Of acne Of other d