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A Comprehensive Review of Acne Vulgaris 寻常痤疮的综合综述
Pub Date : 2019-06-17 DOI: 10.15226/2378-1726/6/2/00186
Abdul Kader Mohiuddin
Acne, also known as acne vulgaris (AV), is a long-term skin disease that occurs when hair follicles are clogged with dead skin cells and oil from the skin. It is characterized by blackheads or whiteheads, pimples, oily skin, and possible scarring. An intact stratum corneum and barrier, normal natural moisturizing factor and hyaluronic acid levels, normal Aquaporin-3 (AQP3) expression (localized at the basal lateral membranes of collecting duct cells in the kidney), and balanced sebum secretion are qualities of the skin that fall in the middle of the oily–dry spectrum. Patients rarely, if ever, complain about reduced sebum production, but elevated sebum production, yielding oily skin that can be a precursor to acne, is a common complaint. Several factors are known to influence sebum production. AV is mostly triggered by Propionibacterium acnes in adolescence, under the influence of normal circulating dehydroepiandrosterone (DHEA). It is a very common skin disorder which can present with inflammatory and noninflammatory lesions chiefly on the face but can also occur on the upper arms, trunk, and back. Age, in particular, has a significant and well-known impact, as sebum levels are usually low in childhood, rise in the middle-to-late teen years, and remain stable into the seventh and eighth decades until endogenous androgen synthesis dwindles. Sebum, the oily secretion of the sebaceous glands containing wax esters, sterol esters, cholesterol, di- and triglycerides, and squalene, imparts an oily quality to the skin and is well known to play an important role in acne development. Acne can’t be prevented or cured, but it can be treated effectively. The pimples and bumps heal slowly, and when one begins to go away, others seem to crop up. Depending on its severity, acne can cause emotional distress and scar the skin. Acne may cause scarring of the skin, but generally causes no long-term health problems. In self-body image, some parts of the body including face play an important role. Existence of even a minor lesion in this part may be unpleasant for the patient and seems large. This image can cause mental disorders including depression and anxiety, low self-esteem, and decrease in social relationships. However, high levels of anxiety and depression in patients with facial acne are not related to oxidative stress, according to a study published online in the Journal of Cosmetic Dermatology
痤疮,也被称为寻常性痤疮(AV),是一种长期的皮肤疾病,发生在毛囊被皮肤上的死皮细胞和油脂堵塞时。它的特点是黑头或白头、丘疹、油性皮肤和可能的疤痕。完整的角质层和屏障,正常的天然保湿因子和透明质酸水平,正常的水通道蛋白-3 (AQP3)表达(位于肾收集管细胞的基底外侧膜),以及平衡的皮脂分泌是处于油干光谱中间的皮肤特征。患者很少抱怨皮脂分泌减少,但皮脂分泌增加,导致皮肤油性,这可能是痤疮的前兆,是一种常见的抱怨。已知有几个因素会影响皮脂的产生。AV主要是由痤疮丙酸杆菌在青春期,在正常循环脱氢表雄酮(DHEA)的影响下引发的。这是一种非常常见的皮肤病,主要表现为面部的炎症性和非炎症性病变,但也可发生在上臂、躯干和背部。年龄,尤其是,有显著和众所周知的影响,因为皮脂水平通常在儿童时期很低,在青少年中期到晚期上升,并保持稳定到第七和第八十年,直到内源性雄激素合成减少。皮脂是皮脂腺分泌的油性物质,含有蜡酯、固醇酯、胆固醇、二甘油三酯和角鲨烯,使皮肤呈油性,在痤疮的形成中起着重要作用。痤疮不能预防或治愈,但它可以有效地治疗。丘疹和肿块愈合得很慢,当一个开始消失时,其他的似乎又冒了出来。根据其严重程度,痤疮会引起情绪困扰并在皮肤上留下疤痕。痤疮可能会在皮肤上留下疤痕,但通常不会造成长期的健康问题。在自我身体形象中,包括面部在内的身体的某些部位起着重要的作用。即使在这部分存在一个很小的病变,也可能使患者感到不愉快,并且看起来很大。这种形象会导致精神障碍,包括抑郁和焦虑、自卑以及社会关系的减少。然而,根据《美容皮肤病学杂志》在线发表的一项研究,面部痤疮患者的高度焦虑和抑郁与氧化应激无关
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引用次数: 52
Osteoma cutis - Neoplasia or Paleogenetics? 皮肤骨瘤:肿瘤还是古遗传学?
Pub Date : 2019-06-10 DOI: 10.15226/2378-1726/6/1/00185
P. Julian, I. Krasnaliev, I. Bakardzhiev
Osteoma cutis, also called multiple miliary osteoma cutis is a rarely described dermatosis, and in cases that are not associated with Albright’s hereditary osteodystrophy, osteoma cutis is being defined as a skin type of hamartoma, with mesenchymal cell differentiation in bone tissue. Levels of biochemical parameters (such as serum calcium, alkaline phosphatase and parathormones) are usually within the reference range when dermal osteomas are found. When osteoma cutis formations are X-ray detected (as it often happens when a computer tomography for dental purposes is performed) they manifest as small nodules in the skin with bone density ranging from 1 to 3mm. The very few presence in literature of osteoma cutis cases is due to the fact that the condition is usually asymptomatic and/or its scarce expression is misdiagnosed as milia, fatty hyperplasia or fatty cysts. Reported in this paper are 14 (fourteen) cases of osteoma cutis. It is discussed their occurrence is due to chronic inflammatory processes (acne), and/or pathogenic behavior of skin injuring (patomimia) that unlock suppressed genes (paleo genes) to protect the skin, that are similar to the bone tiles (osteoderms) present in many vertebrates.
皮肤骨瘤,也称为多发性军事性皮肤骨瘤,是一种很少被描述的皮肤病,在与奥尔布赖特遗传性骨营养不良无关的病例中,皮肤骨瘤被定义为一种皮肤类型的错构瘤,骨组织中存在间充质细胞分化。发现真皮骨瘤时,生化指标(如血钙、碱性磷酸酶、甲状旁激素)水平通常在参考范围内。当x射线检测到骨瘤形成时(通常在进行牙科计算机断层扫描时发生),它们表现为皮肤上的小结节,骨密度在1至3mm之间。文献中很少有骨瘤皮肤病例,这是由于这种情况通常无症状和/或其罕见表达被误诊为粟粒、脂肪增生或脂肪囊肿。本文报告14例皮肤骨瘤。讨论了它们的发生是由于慢性炎症过程(痤疮)和/或皮肤损伤的致病行为(patomimia),这些行为释放抑制基因(古基因)来保护皮肤,这与许多脊椎动物中存在的骨瓦(骨真皮)相似。
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引用次数: 0
Expression of FOXE1 in Cutaneous Squamous Cell Carcinoma FOXE1在皮肤鳞状细胞癌中的表达
Pub Date : 2019-06-03 DOI: 10.15226/2378-1726/6/1/00184
Meng Liu, Yan Zheng, Mengdi Zhang, Q. Duan, S. Xiao
Cutaneous squamous cell carcinoma (cSCC) is one of the common non-melanoma skin malignant tumors with sophisticated pathogenesis. FOXE1 is considered to be a tumor suppressor involved in the development of various tumors; however, the expression and significance of FOXE1 in cSCC remains to be investigated.
皮肤鳞状细胞癌(cSCC)是一种常见的非黑色素瘤性皮肤恶性肿瘤,其发病机制复杂。FOXE1被认为是参与多种肿瘤发展的肿瘤抑制因子;然而,FOXE1在cSCC中的表达及其意义仍有待研究。
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引用次数: 0
Successful CO2 Laser Treatment of Facial Angiofibromas in a Female Patient with Tuberous Sclerosis: Case Report CO2激光成功治疗女性结节性硬化症面部血管纤维瘤1例
Pub Date : 2019-02-15 DOI: 10.15226/2378-1726/6/1/00183
J. Penev, I. Bakardzhiev, M. Gospodinova
Tuberous sclerosis (Morbus Bourneville-Pringle) is a rare, multisystemic,autosomal dominant disease, associated with a mutation of either of two genes TSC1 and TSC2, responsible for synthesis of proteins hamartin and tuberin - tumor growth suppressing factors, involved in cell proliferation and differentiation processes. Perhaps the most common findings of TS are angiophibromas - cutaneous manifestations of the disease, serving as clinical pointers to the diagnosis. Different methods are being used to treat facial angiofibromas with little or no success. Treatment with CO2 laser ablation can provide fruitful results in removing facial angiofibromas. Presented is a case of a 40 year-old female patient, diagnosed with tuberous sclerosis with multiple facial angiofibromas, subjected to CO2 laser ablation.
结节性硬化症(Morbus Bourneville-Pringle)是一种罕见的多系统常染色体显性疾病,与两个基因TSC1和TSC2突变有关,TSC1和TSC2负责蛋白质错构体和肿瘤生长抑制因子的合成,参与细胞增殖和分化过程。也许TS最常见的表现是血管hibromas -疾病的皮肤表现,作为临床诊断的指标。不同的方法被用来治疗面部血管纤维瘤很少或没有成功。CO2激光消融治疗面部血管纤维瘤效果显著。报告一例40岁女性患者,诊断为结节性硬化症合并多发性面部血管纤维瘤,接受CO2激光消融治疗。
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引用次数: 0
Important about the Manipulations of the Pharmaceutical Concerns, the OSMS (One Step Melanoma Surgery) and the Drug Induced Melanoma: "You Dream Things; You Say, 'Why?' But I See Things Before My Eyes; And I Say ‘Why Not?’" 重要的是对药物问题的操纵,OSMS(一步黑色素瘤手术)和药物诱导的黑色素瘤:“你做梦;你说:“为什么?”但我看到眼前的东西;我说‘为什么不呢?’”
Pub Date : 2019-02-04 DOI: 10.15226/2378-1726/6/1/00182
G. Tchernev, I. Temelkova
Approach variability in melanoma surgery is more likely to be artificially created and refers mainly to: 1) the surgical safety margins; 2) the clinician’s compliance with the patient’s choice to pre-define these margins for a better cosmetic outcome; 3) the interval within which re-excisions may be carried out; 4)discrepancy between the clinically respected and histologically established tumor resection margins; 5)as well as the lack of additional guidelines for re-excisions within the already established differences between the clinically and histologically established resection margin. These ʺinaccuraciesʺ make it difficult to implement the current guidelines and often lead to confusion. We assume that the approach variability is for sure not established and based only on the opinion of the so-called ‘expert groups’!
黑色素瘤手术的入路可变性更有可能是人为造成的,主要指:1)手术安全界限;2)临床医生是否遵从患者的选择,预先定义这些边缘,以获得更好的美容效果;3)可再次切除的时间间隔;4)临床判断的肿瘤切除边缘与组织学确定的肿瘤切除边缘存在差异;5)以及缺乏在临床和组织学上已经确定的切除边缘之间的差异范围内再切除的额外指南。这些“不准确性”使得目前的指导方针难以实施,并经常导致混乱。我们假设方法的可变性肯定不是建立的,只是基于所谓的“专家组”的意见!
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引用次数: 0
The Expression And Significance Of RIPK3 In Cutaneous Lichen Planus And The Epidemiological Analysis RIPK3在皮肤扁平苔藓中的表达、意义及流行病学分析
Pub Date : 2019-01-21 DOI: 10.15226/2378-1726/6/1/00181
Mengdi Zhang, Min Wang, Q. Duan, Yan Zheng
RIPK3 is a member of the receptor-interacting protein kinase family. The RIPK3 protein is a TNFR1-regulated transcription factor that plays an important role in cell stress caused by various factors such as pathogen infection, inflammation, cell differentiation and cell damage. When cells are exposed to external stimuli, RIPK3 activates the downstream transcription factors to cause a series of reactions that ultimately lead to cell survival or death. However, the roles of RIPK3 in lichen planus has not been reported. In this study we compared the expression of RIPK3 protein in normal skin tissue and cutaneous lichen planus lesion, and analyzed the epidemiology characteristics of the patients. It is speculated that RIPK3 may play a role in the development of cutaneous lichen planus.
RIPK3是受体相互作用蛋白激酶家族的一员。RIPK3蛋白是tnfr1调控的转录因子,在病原体感染、炎症、细胞分化、细胞损伤等多种因素引起的细胞应激中发挥重要作用。当细胞受到外界刺激时,RIPK3激活下游转录因子,引起一系列反应,最终导致细胞存活或死亡。然而,RIPK3在扁平地衣中的作用尚未见报道。本研究比较了RIPK3蛋白在正常皮肤组织和扁平苔藓病变组织中的表达,并分析了患者的流行病学特征。推测RIPK3可能在皮肤扁平苔藓的发生发展中发挥作用。
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引用次数: 0
Supplementation with Ovoderm® Reduces the Clinical Signs of Skin Aging. A Double-Blind, Placebo-Controlled Study 补充Ovoderm®减少皮肤老化的临床症状。一项双盲、安慰剂对照研究
Pub Date : 2018-08-30 DOI: 10.15226/2378-1726/5/2/00180
A. Aguirre, E. Gil-Quintana, Manuel La Nuez
Human skin physiology changes during the course of life involving age-related changes in skin appearance. It has been suggested that eggshell membrane, a natural ingredient containing collagen, hyaluronic acid, elastine, among others, can be used for improving skin. However, there are limited clinical studies using eggshell membrane as a dietary supplement to study skin health. The efficacy of Ovoderm®, an oral supplement from eggshell membrane, on skin biophysical parameters related to cutaneous aging was evaluated.
人的皮肤生理变化在生命过程中涉及与年龄相关的皮肤外观变化。有人建议,含有胶原蛋白、透明质酸、弹性蛋白等天然成分的蛋壳膜可以用来改善皮肤。然而,使用蛋壳膜作为膳食补充剂来研究皮肤健康的临床研究有限。Ovoderm®是一种从蛋壳膜中提取的口服补充剂,它对皮肤老化相关的生物物理参数的影响进行了评估。
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引用次数: 1
Treatment Patterns, And Effectivness of Anti- Leishmaniasis Agents for Patients with Cutaneous Leishmaniasis at Boru Meda Hospital, South Wollo, North East Ethiopia, 2017/18 2017/18埃塞俄比亚东北部南沃罗Boru Meda医院皮肤利什曼病患者抗利什曼病药物的治疗模式和疗效
Pub Date : 2018-06-25 DOI: 10.15226/2378-1726/5/2/00179
Tsehai Seife, Alie Ayal, Mastewal Misganaw, F. T. Zewdu
Cutaneous leishmaniasis is one of the endemic and neglected diseases known to exist in Ethiopian highlands. However, a neglected tropical disease overshadowed by lack of effective anti-leishmaniasis agent in Ethiopia. Thus, high number of population is faced for various degree of socio-economical and psychosocial morbidity. Hence, this study was initiated and conducted from July-February, 2017/18 to assess the patterns and effectiveness of different types of anti-leishmaniasis agents in Boru Meda Hospital, Dessie District.
皮肤利什曼病是已知存在于埃塞俄比亚高地的一种地方病和被忽视的疾病。然而,由于在埃塞俄比亚缺乏有效的抗利什曼病药物,这是一种被忽视的热带病。因此,大量人口面临着不同程度的社会经济和心理疾病。因此,本研究于2017/18年7月至2月启动并进行,以评估Dessie区Boru Meda医院不同类型抗利什曼病药物的模式和有效性。
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引用次数: 0
期刊
Journal of Clinical Research in Dermatology
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