Seborrheic Dermatitis

脂溢性皮炎
  • 文章类型: Journal Article
    背景:脂溢性皮炎(SD)是一种常见的慢性炎症性皮肤病。近年来,在SD领域取得了重大进展,但是还没有文献计量学研究。本研究旨在运用文献计量学方法分析SD的研究现状和热点,进一步了解该领域的研究趋势和未来发展前景。
    方法:从WebofScience数据库中检索有关SD的核心文献,并根据出版物数量等因素使用CiteSpace和VOSviewer软件进行详细分析,国家(地区),研究机构,期刊,作者,被高度引用的论文,和关键词。
    结果:从1996年到2024年,共有1436种出版物被纳入文献计量分析。出版物数量呈逐年增长趋势。美国是这一研究领域的领先国家。加州大学系统是主要的研究机构。《国际皮肤病学杂志》是出版物数量最多的杂志。作者杨元利的出版物数量最多,而古普塔的文章“脂溢性皮炎”(2004),A.K.被引用最多。“脂溢性皮炎”是最常见的关键词。SD的主要研究热点和前沿如下:(1)SD与其他皮肤病的关系是一个热门的研究课题;(2)马拉色菌和炎症是目前SD的研究热点;(3)关注SD的抗真菌和抗炎治疗是目前该领域的前沿方向。
    结论:本研究是对SD研究现状和热点趋势的总结,这有助于临床医生和研究人员快速了解SD研究的见解和有价值的信息,为临床决策和寻找未来的研究方向提供参考。
    BACKGROUND: Seborrheic dermatitis (SD) is a common chronic inflammatory skin disease. In recent years, significant progress has been made in the field of SD, but there has been no bibliometric research yet. This study aims to use bibliometric methods to analyze the current research status and hot topics of SD, to understand further the research trends and future development prospects in this field.
    METHODS: Retrieve core literature on SD from the Web of Science database and conduct a detailed analysis using CiteSpace and VOSviewer software based on factors such as publication volume, countries (regions), research institutions, journals, authors, highly-cited papers, and keywords.
    RESULTS: From 1996 to 2024, a total of 1436 publications were included in the bibliometric analysis. The number of publications has shown an increasing trend year by year. The USA is the leading country in this field of research. The University of California System is the primary research institution. The International Journal of Dermatology is the journal with the highest number of publications. The author Yang Won Lee has the highest number of publications, while the article \"Seborrheic Dermatitis\" (2004) by Gupta, A.K. has been cited the most. \"Seborrheic dermatitis\" is the most frequently occurring keyword. The main research hotspots and frontiers in SD are as follows: (1) The relationship between SD and other skin diseases is a popular research topic; (2) Malassezia and inflammation are current research hotspots in SD; and (3) Focusing on antifungal and anti-inflammatory treatments for SD is the current frontier direction in this field.
    CONCLUSIONS: This study is a summary of the current status and hot trends of SD research, which helps clinical doctors and researchers quickly understand the insights and valuable information of SD research and provides reference for clinical decision-making and finding future research directions.
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  • 文章类型: Journal Article
    背景:脂溢性皮炎的发病机制涉及皮脂腺的脂质分泌,马拉色菌定殖,和皮肤屏障破坏的炎症反应。这些途径中的每一个都可以通过饮食来调节,肥胖,和营养补充剂。目前的治疗方案只能暂时控制病情;因此,必须认识到可改变的生活方式因素,这些因素可能在确定疾病严重程度中起作用。
    目的:本研究旨在总结已发表的关于饮食的证据,营养补充剂,酒精,肥胖,脂溢性皮炎患者的微量营养素,并为进一步研究领域提供有用的见解。
    方法:Scopus的文献检索,PubMed,和MEDLINE(Ovid接口)在1993年至2023年之间发表的英文论文于2023年4月16日进行。病例对照研究,队列研究,包括对成年参与者(>14岁)进行的5名或更多受试者的随机对照试验,病例报告,案例系列,由于证据不足,审查文件被排除在外。
    结果:共13项研究,8案件控制,3横截面,和2项随机对照试验,包括13,906例患者。脂溢性皮炎与铜显著增加相关,锰,铁,钙,和镁浓度,并显着降低血清锌和维生素D和E的浓度。坚持西方饮食与女性患者发生脂溢性皮炎的风险较高相关,水果摄入量增加与所有患者发生脂溢性皮炎的风险较低相关。益生元Triphala在8周内改善了患者满意度并降低了头皮皮脂水平。大多数研究发现经常饮酒与脂溢性皮炎之间存在关联,但BMI和肥胖与脂溢性皮炎严重程度和患病率之间的关联是混合的.
    结论:这篇综述揭示了需要进一步研究的特定有希望的研究领域,包括评估血清锌的介入研究的需要,维生素D,和补充维生素E治疗脂溢性皮炎。西方饮食的负面影响,酒精使用,肥胖,水果消费的好处是众所周知的;然而,为了充分了解它们与脂溢性皮炎的具体关系,需要进一步的队列研究或介入研究.
    背景:PROSPEROCRD42023417768;https://tinyurl.com/bdcta893。
    BACKGROUND: Pathogenesis of seborrheic dermatitis involves lipid secretion by sebaceous glands, Malassezia colonization, and an inflammatory response with skin barrier disruption. Each of these pathways could be modulated by diet, obesity, and nutritional supplements. Current treatment options provide only temporary control of the condition; thus, it is essential to recognize modifiable lifestyle factors that may play a role in determining disease severity.
    OBJECTIVE: This study aimed to summarize published evidence on diet, nutritional supplements, alcohol, obesity, and micronutrients in patients with seborrheic dermatitis and to provide useful insights into areas of further research.
    METHODS: A literature search of Scopus, PubMed, and MEDLINE (Ovid interface) for English language papers published between 1993 and 2023 was conducted on April 16, 2023. Case-control studies, cohort studies, and randomized controlled trials with 5 or more subjects conducted on adult participants (>14 years) were included, case reports, case series, and review papers were excluded due to insufficient level of evidence.
    RESULTS: A total of 13 studies, 8 case-control, 3 cross-sectional, and 2 randomized controlled trials, involving 13,906 patients were included. Seborrheic dermatitis was correlated with significantly increased copper, manganese, iron, calcium, and magnesium concentrations and significantly lower serum zinc and vitamin D and E concentrations. Adherence to the Western diet was associated with a higher risk for seborrheic dermatitis in female patients and an increased consumption of fruit was associated with a lower risk of seborrheic dermatitis in all patients. The prebiotic Triphala improved patient satisfaction and decreased scalp sebum levels over 8 weeks. Most studies find associations between regular alcohol use and seborrheic dermatitis, but the association between BMI and obesity on seborrheic dermatitis severity and prevalence is mixed.
    CONCLUSIONS: This review sheds light on specific promising areas of research that require further study, including the need for interventional studies evaluating serum zinc, vitamin D, and vitamin E supplementation for seborrheic dermatitis. The negative consequences of a Western diet, alcohol use, obesity, and the benefits of fruit consumption are well known; however, to fully understand their specific relationships to seborrheic dermatitis, further cohort or interventional studies are needed.
    BACKGROUND: PROSPERO CRD42023417768; https://tinyurl.com/bdcta893.
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  • 文章类型: Journal Article
    观察性研究表明,循环白细胞计数(WBC)与痤疮和牛皮癣等炎症性皮肤病之间存在很强的关联。然而,这种关系的因果关系尚不清楚.我们进行了双向双样本孟德尔随机化(MR)分析,以研究白细胞与炎症性皮肤病之间的潜在因果关系。循环白细胞计数,嗜碱性粒细胞计数,白细胞计数,淋巴细胞计数,嗜酸性粒细胞计数,和嗜中性粒细胞计数数据从血细胞联盟(BCX)获得。炎症性皮肤病的数据,包括痤疮,特应性皮炎(AD),化脓性汗腺炎(HS),牛皮癣,和脂溢性皮炎(SD),是从FinnGen财团R10获得的。主要分析利用方差逆加权(IVW)以及MR-Egger等其他方法,加权模式,和加权中位数估计器。为了评估工具变量之间的异质性,采用了Cochran的Q检验,而MR-Egger截距和MR-PRESSO用于测试水平多效性。IVW显示单核细胞计数升高与银屑病风险降低显著相关(OR=0.897,95%CI:0.841-0.957,P=0.001,FDR=0.016)。此外,嗜酸性粒细胞计数增加与AD风险增加有因果关系(OR=1.188,95%CI:1.093~1.293,P=0.000,FDR=0.002).未发现炎症性皮肤病与循环白细胞计数之间的因果关系。总之,本研究提供的证据表明,单核细胞计数增加与银屑病发病风险降低相关,嗜酸性粒细胞计数增加与AD发病风险增加之间存在因果关系.这些发现有助于我们理解特定白细胞计数在炎症性皮肤病发展中的潜在因果作用。
    Observational studies have shown a strong association between circulating white blood cell counts (WBC) and inflammatory skin diseases such as acne and psoriasis. However, the causal nature of this relationship is unclear. We performed a two-way two-sample Mendelian randomization (MR) analysis to investigate potential causal relationships between leukocytes and inflammatory skin diseases. The circulating white blood cell count, basophil cell count, leukocyte cell count, lymphocyte cell count, eosinophil cell count, and neutrophil cell count data were obtained from the Blood Cell Consortium (BCX). The data for inflammatory skin disorders, including acne, atopic dermatitis (AD), hidradenitis suppurativa (HS), psoriasis, and seborrheic dermatitis (SD), were obtained from the FinnGen Consortium R10. The primary analysis utilized inverse variance weighting (IVW) along with additional methods such as MR-Egger, weighted mode, and weighted median estimator. To assess heterogeneity among instrument variables, Cochran\'s Q test was employed, while MR-Egger intercept and MR-PRESSO were used to test for horizontal pleiotropy. IVW demonstrated that an elevated monocyte count was significantly associated with a decreased risk of psoriasis (OR = 0.897, 95% CI: 0.841-0.957, P = 0.001, FDR = 0.016). Additionally, an increased eosinophil count was causally associated with a higher risk of AD (OR = 1.188, 95% CI: 1.093-1.293, P = 0.000, FDR = 0.002). No inverse causal relationship between inflammatory skin disease and circulating white blood cell count was found. In conclusion, this study provides evidence that increased monocyte count is associated with a reduced risk of psoriasis and that there is a causal relationship between increased eosinophil counts and an increased risk of AD. These findings help us understand the potential causal role of specific white blood cell counts in the development of inflammatory skin diseases.
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  • 文章类型: Journal Article
    在所有初级保健就诊的约三分之一中讨论了皮肤病学问题。这篇综述讨论了初级保健机构中常见皮肤病诊断的治疗方法,强调新的和新兴的治疗方法。Topical,口服,和常见形式的脱发的注射治疗,面部皮疹,特应性皮炎,牛皮癣,脂溢性皮炎,和淤滞性皮炎将进行讨论,以帮助增加处方的舒适度,并提醒提供者对皮肤科医生使用的更密集治疗的常见副作用或并发症。
    Dermatologic concerns are discussed in about a third of all primary care visits. This review discusses treatments for common dermatologic diagnoses addressed in primary care settings, with an emphasis on new and emerging treatments. Topical, oral, and injectable treatment of common forms of alopecia, facial rashes, atopic dermatitis, psoriasis, seborrheic dermatitis, and stasis dermatitis will be discussed to help increase comfort in prescribing and alert providers to common side effects or complications of more intensive treatments used by dermatologists.
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  • 文章类型: Journal Article
    据推测,由于重叠的症状和独特的临床表现,女性头皮过敏性接触性皮炎(ACD)通常被误认为是其他疾病。
    本研究回顾了头皮ACD的潜在漏诊和误诊,并探索了提高诊断准确性的方法。
    这项研究进行了广泛的文献综述,以确定诊断挑战,常见的误诊,和头皮ACD的诊断方法,专注于标准与有针对性的补丁测试技术。
    头皮ACD,常因类似症状误诊为脂溢性皮炎,有非典型的表现,如头发稀疏,脱发,和影响邻近区域的红斑性病变。毛管镜可以帮助区分头皮ACD,确定其细白色鳞片的斑片状分布,与脂溢性皮炎的黄色鳞屑相反。标准化的补丁测试进一步有助于诊断错误,一项研究报告,83%的标准斑贴试验阴性的患者在使用个人产品时呈阳性。个体化斑贴检测在识别致敏原和准确诊断头皮ACD方面更有效。
    这是一项回顾性审查。
    一些因素导致头皮ACD对脂溢性皮炎等疾病的误诊。女性个性化和标准化补丁测试之间ACD检测率的显着差异强调了在诊断测试中使用患者特定产品的重要性。将头皮ACD更容易融入一个人的差异,采用个性化的贴片测试,和考虑邻近的症状区域都是提高女性头皮ACD诊断准确性的关键因素。
    UNASSIGNED: It is hypothesized that scalp allergic contact dermatitis (ACD) in women is commonly mistaken for other disorders due to overlapping symptoms and unique clinical presentations.
    UNASSIGNED: This study reviews the potential underdiagnosis and misdiagnosis of scalp ACD and explores ways to improve diagnostic accuracy.
    UNASSIGNED: This study conducted an extensive literature review to identify diagnostic challenges, common misdiagnoses, and diagnostic approaches for scalp ACD, focusing on standard versus targeted patch testing techniques.
    UNASSIGNED: Scalp ACD, often misdiagnosed as seborrheic dermatitis due to similar symptoms, has atypical presentations such as hair thinning, hair loss, and erythematous lesions affecting neighboring regions. Trichoscopy can help distinguish scalp ACD, identifying its patchy distribution of thin white scales, in contrast to the yellow scaling of seborrheic dermatitis. Standardized patch testing further contributes to diagnostic errors, with a study reporting 83% of patients who tested negative with standardized patch tests were positive when using their personal products. Individualized patch testing is more effective in identifying causative allergens and accurately diagnosing scalp ACD.
    UNASSIGNED: It is a retrospective review.
    UNASSIGNED: Several factors contribute to scalp ACD\'s misdiagnosis for conditions such as seborrheic dermatitis. The significant discrepancy in ACD detection rates between personalized and standardized patch tests in women emphasizes the importance of using patient-specific products in diagnostic testing. Incorporating scalp ACD more readily into one\'s differential, employing individualized patch testing with trichoscopy, and accounting for neighboring symptomatic areas are all crucial elements in improving diagnostic accuracy for scalp ACD in women.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    描述脂溢性皮炎是一种常见的皮肤病,影响所有年龄段的患者,种族,和皮肤色素沉着。皮疹经常影响头皮,耳朵,中央的脸。个体的潜在皮肤色素沉着可能会影响这种疾病的表现。我们介绍了不同年龄个体的脂溢性皮炎的几例,性别,和皮肤色素沉着。
    Description Seborrheic dermatitis is a common dermatologic disease affecting patients of all ages, ethnicities, and skin pigmentations. The rash often affects the scalp, ears, and central face. The underlying skin pigmentation of the individual may affect how this disease presents. We present several cases of seborrheic dermatitis in individuals of varying ages, genders, and skin pigmentations.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    脂溢性皮炎(SD)是全球高度流行的皮肤病。这种情况表现为双峰表现,通常被认为是两种亚型:成人/青少年脂溢性皮炎(ASD)和婴儿脂溢性皮炎(ISD)。尽管ASD和ISD普遍存在,潜在的致病机制仍然存在不确定性,危险因素,和疾病的适当分类。这篇叙述性综述总结了目前对流行病学的理解,介绍,和表皮屏障功能障碍等致病因素,脂质异常,ASD和ISD的皮肤微生物组。元素,如免疫反应,神经内分泌因素,和遗传学在这些疾病的状态也进行了调查。在我们的审查中,我们重点介绍了文献中存在的ASD和ISD之间的共同特征和差异,并讨论了探索这些疾病状态的未来研究的潜在途径。我们的目标是为ASD和ISD的医学话语做出贡献,并提高人们对围绕这些条件进行额外研究的必要性的认识。最终通知更好的靶向治疗向前发展。
    Seborrheic dermatitis (SD) is a highly prevalent dermatological condition globally. The condition demonstrates bimodal presentation with what is commonly thought to be two subtypes: adult/adolescent seborrheic dermatitis (ASD) and infantile seborrheic dermatitis (ISD). Despite the common prevalence of ASD and ISD, there remains uncertainty around the underlying pathogenetic mechanisms, risk factors, and appropriate classification of the disease(s). This narrative review summarizes the current understanding of the epidemiology, presentation, and pathogenetic factors like epidermal barrier dysfunction, lipid abnormalities, and cutaneous microbiome for ASD and ISD. Elements such as immune responsiveness, neuroendocrine factors, and genetics in these disease states are also investigated. Throughout our review, we highlight shared features and discrepancies between ASD and ISD that are present in the literature and discuss potential avenues for future research that explore these disease states. We aim to contribute to the medical discourse on ASD and ISD and increase awareness of the need for additional research around these conditions, ultimately informing better targeting of therapeutics moving forward.
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