蠕形螨密度与痤疮严重程度的关系

A. Ferhatosmanoğlu, L. Selcuk, D. Arıca, Okan Kapan
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摘要

蠕形螨(D.)螨在许多皮肤病的病因学中起作用。目的:本研究旨在揭示寻常痤疮患者的痤疮严重程度(轻度、中度和重度痤疮)与蠕形螨密度之间的关系,并将其与健康人群进行比较。材料与方法:对150例寻常性痤疮患者和60例正常人进行评价。诊断为寻常痤疮的患者分为轻度、中度和重度三组。记录性别、体重指数、糖尿病史、吸烟、饮酒、饮茶和咖啡、使用润肤霜、洗面奶和遮瑕膏的频率以及皮肤类型(干性/敏感性、混合性和油性)。采用标准皮肤浅表活检法测定蠕形螨密度。结果:痤疮患者感染蠕形螨40例(26.6%),健康对照组感染蠕形螨13例(21.6%)。轻度痤疮组16例(32%)、中度痤疮组15例(30%)、重度痤疮组9例(18%)有蠕形螨感染;对照组与对照组之间的痤疮严重程度无显著差异。在痤疮患者中,25岁以上2.6倍,敏感干性皮肤型7.4倍,肥胖4.06倍增加蠕形螨感染的风险。结论:在本研究中,我们没有发现寻常痤疮患者蠕形螨的发病率增加,包括疾病严重程度。然而,我们发现蠕形螨的密度在25岁及以上的患者、肥胖患者和痤疮患者中皮肤敏感干燥的患者中增加。
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The relationship of Demodex density with acne severity
Introduction: Demodex (D.) mites play a role in the etiology of many dermatological diseases. Objectives: The aim of this study was to reveal the relationship between acne severity (mild, moderate, and severe acne) and Demodex density in patients with acne vulgaris and compare this with the healthy population. Materials and Methods: In total 150 patients with acne vulgaris and 60 healthy individuals were evaluated. Patients diagnosed with acne vulgaris were divided into three groups as mild, moderate, and severe. The gender, body mass index, history of diabetes mellitus, smoking, alcohol use, tea and coffee consumption, usage frequency of moisturizer, facial cleanser and concealer, and skin type (dry/sensitive, mixed, and oily) were recorded. Demodex density was measured by using the standard superficial skin biopsy method. Results: Demodex infestation was observed in 40 (26.6%) of the acne patients and 13 (21.6%) of the healthy control group. The Demodex infestation was observed in 16 (32%) of the mild acne group, 15 (30%) of the moderate acne group, and 9 (18%) of the severe acne group; there was no significant difference between the control group and severity of acne. In patients with acne, being over 25 years of age 2.6-fold, sensitive-dry skin type 7.4-fold, and obesity 4.06-fold increased risk of Demodex infestation. Conclusion: In this study, we did not detect an increased incidence of Demodex, including disease severity, in patients with acne vulgaris. However, we showed that the density of Demodex was increased in those aged 25 years and older, obese patients, and those with sensitive-dry skin in patients with acne.
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13
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