严重痤疮,以囊肿和结节为特征,会显著影响患者的自我形象和生活质量[1]。在中国,严重痤疮的一线治疗通常包括口服异维A酸,局部过氧化苯甲酰,和口服或局部抗生素[2]。然而,出于对安全的担忧,不建议哺乳期妇女口服异维A酸和抗生素,在这一人群中,痤疮的治疗面临挑战,并经常导致情绪困扰。虽然光动力疗法在不愿意服用口服药物的患者中显示出有效性[3],哺乳期严重痤疮的治疗仍然是一个复杂的问题,研究有限。在这个独特的案例中,火针结合光动力疗法已成功用于解决哺乳期患者的严重痤疮。治疗后,患者经历了囊肿的清除,结节,还有脓疱,以及抑郁症状的改善,产生重大成果。然而,这种联合方法的有效性和安全性值得通过临床试验进一步研究.
Severe acne, characterized by cysts and nodules, can significantly impact a patient\'s self-image and quality of life [1]. In China, first-line treatments for severe acne typically include oral isotretinoin, topical benzoyl peroxide, and oral or topical antibiotics [2]. However, due to concerns about safety, oral isotretinoin and antibiotics are not recommended for lactating women, posing challenges in treating acne in this population and often leading to emotional distress. While photodynamic therapy has shown effectiveness in patients unwilling to take oral medications [3], treating severe acne during lactation remains a complex issue with limited research available. In this unique
case, fire needle combined with photodynamic therapy was successfully utilized to address severe acne in a lactating patient. Following treatment, the patient experienced clearance of cysts, nodules, and pustules, as well as an improvement in depressive symptoms, yielding significant outcomes. Nevertheless, the efficacy and safety of this combined approach warrant further investigation through clinical trials.