Abstract：
Acne vulgaris is a common dermatological diagnosis observed in pediatric patients with skin of color, often resulting in scarring, keloid formation, and post-inflammatory hyperpigmentation, significantly impacting their quality of life. This exploratory retrospective chart review included 77 black pediatric patients seen at a tertiary care center for acne vulgaris between 2018 and 2023. We analyzed demographics, acne descriptors, and treatment modalities. The most common acne morphology was comedonal acne (83.6%), with 71% of the patients being female. Significant age differences were observed particularly for acne at the chin and overall face. Treatment regimens commonly prescribed included combinations of adapalene and benzoyl peroxide (22%), topical antibiotics, tretinoin, and benzoyl peroxide (34%). Given the higher risk of sequelae for patients with darker skin, it is crucial to address their unique treatment needs. This study highlights the distinctive characteristics of acne in black pediatric patients and calls for further research to enhance our understanding and treatment of this population. Limitations include the lack of direct patient interactions and reliance on chart data. Further studies are needed to compare acne presentation in skin of color of other populations, refining our knowledge of acne clinical presentation, complications, and treatment modalities for diverse patient populations.
摘要：
寻常痤疮是一种常见的皮肤病学诊断，在有皮肤颜色的儿科患者中观察到，经常导致疤痕，瘢痕疙瘩形成,和炎症后色素沉着过度，显著影响他们的生活质量。这项探索性回顾性图表回顾包括2018年至2023年在三级寻常痤疮护理中心看到的77名黑人儿科患者。我们分析了人口统计，痤疮描述符，和治疗方式。最常见的痤疮形态是粉刺性痤疮（83.6%），71%的患者是女性。观察到显着的年龄差异，特别是在下巴和整个面部的痤疮。通常规定的治疗方案包括阿达帕林和过氧化苯甲酰的组合（22％），局部抗生素，维甲酸,和过氧化苯甲酰(34%)。鉴于皮肤较黑的患者有较高的后遗症风险，解决他们独特的治疗需求至关重要。这项研究强调了黑人儿科患者痤疮的独特特征，并呼吁进一步研究以增强我们对这一人群的理解和治疗。局限性包括缺乏直接的患者互动和对图表数据的依赖。需要进一步的研究来比较其他人群肤色的痤疮表现，完善我们对痤疮临床表现的认识，并发症,以及针对不同患者人群的治疗方式。
