菲茨帕特里克皮肤类型 V-VI 中常见的脂溢性皮炎花瓣状。

TongFan Wu, Timothy C Frommeyer, Craig A Rohan, Jeffrey B Travers
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引用次数: 0

摘要

背景:脂溢性皮炎(SD)是一种炎症性疾病,在头皮、面部和身体褶皱等皮脂腺丰富的部位呈丘疹鳞屑状形态。瓣状皮炎是一种不常见的表现,多见于深色皮肤(菲茨帕特里克皮肤类型 V-VI)的患者。这种 SD 可表现为粉红色或色素减退的多环状凝聚环或鳞屑性斑疹和斑块,出现在 SD 的典型部位,可与红斑狼疮等其他疾病相似。在皮肤病学教科书中,深色皮肤类型的比例严重失调,有关花瓣状 SD 的文献也很少。本病例展示了一名非裔美国患者的花瓣状 SD 表现,为该人群中有限的皮肤病文献做出了贡献:一名 25 岁的非裔美国女性,有轻度化脓性扁桃体炎和哮喘病史,面部、头皮和胸部出现无症状的色素减退性皮疹。她被诊断为花瓣状 SD,并接受了酮康唑洗发水每周一次、酮康唑乳膏每天 1-2 次、2.5% 氢化可的松软膏每天两次的治疗。在治疗后六周的随访中,患者的皮疹明显好转:结论:花瓣状 SD 常见于深肤色患者。虽然常见的 SD 治疗方法对这种形式的 SD 很有效,但应特别考虑非裔美国人的皮肤类型、护肤习惯和发型。本病例报告展示了 Fitzpatrick V-VI 型皮肤患者如何出现这种不常见的皮肤病,以及成功的治疗过程。
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Uncommon Petaloid Form of Seborrheic Dermatitis Seen in Fitzpatrick Skin Types V-VI.

Background: Seborrheic dermatitis (SD) is an inflammatory disease that has a papulosquamous morphology in areas rich in sebaceous glands such as the scalp, face, and body folds. Petaloid SD is an uncommon presentation found in patients with dark skin (Fitzpatrick Skin type V-VI). This form of SD can appear as pink or hypopigmented polycyclic coalescing rings or scaly macules and patches in the typical areas SD appears, which can mimic other conditions including lupus erythematosus. There is significant disproportion in the representation of darker skin types in dermatological textbooks and scarce literature on petaloid SD. This case demonstrates the presentation of the petaloid SD in an African American patient to contribute to the limited literature on dermatological conditions within this population.

Case report: A 25-year-old African American female with a history of mild hidradenitis suppurativa and asthma who presented with asymptomatic hypopigmented rashes throughout her face, scalp, and chest. She was diagnosed with the petaloid form SD and treated with ketoconazole shampoo once weekly, ketoconazole cream 1-2x daily, and hydrocortisone 2.5% ointment twice daily as needed. At six-week post-treatment follow-up, the patient's rashes significantly improved.

Conclusions: The petaloid form of SD is commonly experienced in dark-skinned patients. While common treatments for SD are effective in this form of SD, special consideration of skin types, skincare habits, and haircare in the African American population should be explored. This case report demonstrates how this uncommon skin condition presents in patients of Fitzpatrick skin type V-VI and a successful treatment course.

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