sebaceous glands

皮脂腺
  • 文章类型: Journal Article
    寻常痤疮仍然是最常见和有问题的皮肤病之一。最近,已开发出具有特定水吸收特性的分数1927nmthu激光,这可能对痤疮的治疗感兴趣。
    九个连续的韩国科目,6名女性和3名男性,年龄从13岁到33岁,出现炎性和非炎性痤疮的混合物。基线临床摄影,进行图像分析和病变计数.1927nm激光(FTL)在5名受试者中进行了6次治疗,在4名受试者中进行了5次治疗,会议之间4周。评估治疗期间的疼痛。在最后一次治疗后32周,独立研究者全球评估(IGA)在基线时对痤疮的病变计数和严重程度进行分级,最终评估采用5分制.对数据进行统计分析。
    所有9名受试者均完成了研究,炎性和非炎性病变的显着减少(P值分别为0.0012和0.0081),最终评估时的总体病变计数为60%至97.1%。IGA中的痤疮等级平均下降1.67(范围为1至3级)。在接受6次治疗的受试者和接受5次治疗的受试者之间,病变计数或痤疮等级没有显着差异(P=0.7695)。治疗期间报告轻度疼痛,受试者或研究者均未报告不良事件.
    本研究中使用的参数的FTL导致完整角质层下受影响的毛囊和皮脂腺的上部破裂,从而破坏或破坏了致病的痤疮猪杆菌。表面控制凝血另外诱导卵泡重塑和组织再生,可能导致炎性和非炎性痤疮病变的明显结果。
    UNASSIGNED: Acne vulgaris remains one of the most common and problematic dermatological conditions. Recently, a fractional 1927 nm thulium laser has been developed with specific water absorption characteristics which may be of interest in the treatment of acne.
    UNASSIGNED: Nine consecutive Korean subjects, 6 females and 3 males, ages ranging from 13 to 33 yr, presented with a mixture of inflammatory and noninflammatory acne. Baseline clinical photography, image analysis and lesion counts were performed. A fractional 1927 nm thulium laser (FTL) delivered 6 treatment sessions in 5 subjects and 5 sessions in 4 subjects, 4 weeks between sessions. Pain during treatment was assessed. At 32 weeks after the last treatment session, an independent Investigator Global Assessment (IGA) performed lesion counts and graded the severity of the acne at baseline and the final assessment on a quintile scale. Data were analyzed statistically.
    UNASSIGNED: All 9 subjects completed the study with significant reductions in the inflammatory and noninflammatory lesions (P values 0.0012 and 0.0081, respectively) with overall lesion counts at the final assessment ranging from 60% to 97.1%, and acne grades in the IGA dropping by an average of 1.67 (range 1 to 3 grades). There was no significant difference in lesion counts or acne grades between the subjects who had 6 treatments and those who had 5 (P = 0.7695). Mild pain was reported during treatment, and no adverse events were reported by either the subjects or investigator.
    UNASSIGNED: The FTL at the parameters used in the present study caused disruption to the upper portion of the affected follicles and sebaceous glands under an intact stratum corneum, thereby destroying or damaging the causative Cutibacterium acnes. The superficial controlled coagulation additionally induced follicular remodeling and tissue regeneration, potentially contributing to the noticeable results in inflammatory and noninflammatory acne lesions.
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  • 文章类型: Journal Article
    背景:皮脂腺炎(SA)是一种靶向皮脂腺的免疫介导的疾病。睑板腺功能障碍是一种影响睑板腺的疾病,具有炎症特征。皮脂腺和睑板腺共享解剖学,生理和胚胎学的相似性。目前尚不清楚SA犬的睑板腺受累。
    目的:评估受SA影响的犬的睑板腺,并将其与健康犬进行比较。
    方法:纳入18只狗。从临床记录中回顾性鉴定出9只SA犬,并代表病例组。九个健康,前瞻性地将符合品种和年龄的犬纳入对照组.
    方法:两组均接受皮肤病学检查,Schirmer撕裂试验-1(STT-1),撕裂弯月面高度(TMH),裂隙灯生物显微镜,干涉测量(INT)和非接触红外显微成像(NIM)。
    结果:三分之一的SA犬呈现上皮下晶体混浊。在TMH(p=0.944)和STT-1值(p=0.066)的组间没有观察到显着差异。与对照组相比,SA组的INT(p=0.016)和NIM等级(p=0.010)明显较高和较低,分别。INT值随着年龄的增长而下降(η=0.930),而NIM得分(η=0.935)增加。
    结论:临床相关性:SA犬的上皮下晶体混浊可能反映了泪膜质量降低。在没有标准化方法的情况下,INT和NIM被证明是检查睑板腺的非侵入性和有用的方法。与对照犬相比,SA犬表现出较薄的泪腺脂质层和更严重的睑板腺异常,这似乎随着年龄的增长而进步。
    BACKGROUND: Sebaceous adenitis (SA) is an immune-mediated disease targeting the sebaceous glands. Meibomian gland dysfunction is a disease affecting meibomian glands with inflammatory features. Sebaceous and meibomian glands share anatomical, physiological and embryological similarities. The involvement of meibomian glands in dogs with SA is currently unknown.
    OBJECTIVE: To evaluate meibomian glands in dogs affected by SA and compare them with healthy dogs.
    METHODS: Eighteen dogs were enrolled. Nine dogs with SA were retrospectively identified from clinical records and represented the case group. Nine healthy, breed- and age-matched dogs were prospectively enrolled in the control group.
    METHODS: Both groups underwent dermatological examination, Schirmer tear test-1 (STT-1), tear meniscus height (TMH), slit-lamp biomicroscopy, interferometry (INT) and noncontact infrared meibography (NIM).
    RESULTS: One third of SA dogs presented subepithelial crystalline opacities. No significant difference between groups was observed in TMH (p = 0.944) and STT-1 values (p = 0.066). INT (p = 0.016) and NIM grades (p = 0.010) were significantly higher and lower in the SA group compared to the control group, respectively. INT values decreased with age (η = 0.930), while NIM scores (η = 0.935) increased.
    CONCLUSIONS: Clinical Relevance: Subepithelial crystalline opacities in SA dogs might reflect a reduced tear film quality. In the absence of standardised methods, INT and NIM proved to be noninvasive and useful methods to examine meibomian glands. Dogs with SA showed a thinner lacrimal lipid layer and more severe meibomian gland abnormalities than control dogs, which seemed to progress with age.
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  • 文章类型: Journal Article
    皮肤干细胞(SCs)在支持组织稳态中起关键作用。几种类型的SC负责维持和再生皮肤组织。这些包括膨出的SCs和其他存在于毛囊间表皮中的SCs,漏斗,地峡,皮脂腺,和汗腺。皮肤SC的出现在胚胎发生期间开始,其中多能SCs来自各种前体群体。这些早期事件为将驻留在成人皮肤中的多种SC池奠定了基础,随时准备响应组织修复和再生的需求。分子线索网络调节皮肤SC行为,平衡静止,自我更新,和差异化。这种微妙平衡的破坏会导致SC耗尽,伤口愈合受损,和病理状况,如皮肤癌。本综述探讨了管理发展的复杂机制,激活,和皮肤SCs的分化,揭示驱动其命运决定和皮肤稳态的分子信号通路。解开这些分子驱动因素的复杂性不仅增强了我们对皮肤生物学的基本知识,而且还有望开发新的策略来调节皮肤SC命运,用于再生医学应用。最终使皮肤疾病和损伤患者受益。
    Skin stem cells (SCs) play a pivotal role in supporting tissue homeostasis. Several types of SCs are responsible for maintaining and regenerating skin tissue. These include bulge SCs and others residing in the interfollicular epidermis, infundibulum, isthmus, sebaceous glands, and sweat glands. The emergence of skin SCs commences during embryogenesis, where multipotent SCs arise from various precursor populations. These early events set the foundation for the diverse pool of SCs that will reside in the adult skin, ready to respond to tissue repair and regeneration demands. A network of molecular cues regulates skin SC behavior, balancing quiescence, self-renewal, and differentiation. The disruption of this delicate equilibrium can lead to SC exhaustion, impaired wound healing, and pathological conditions such as skin cancer. The present review explores the intricate mechanisms governing the development, activation, and differentiation of skin SCs, shedding light on the molecular signaling pathways that drive their fate decisions and skin homeostasis. Unraveling the complexities of these molecular drivers not only enhances our fundamental knowledge of skin biology but also holds promise for developing novel strategies to modulate skin SC fate for regenerative medicine applications, ultimately benefiting patients with skin disorders and injuries.
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  • 文章类型: Journal Article
    痤疮是一种慢性炎症性皮肤病,具有广泛的影响,涉及诸如痤疮丙酸杆菌(P.痤疮)感染和皮脂分泌过多。目前的痤疮治疗受到耐药性的挑战。基于5-氨基酮戊酸(ALA)的光动力疗法(PDT)已广泛应用于临床治疗痤疮,然而,其作用机制尚待阐明。在这项研究中,通过构建痤疮丙酸杆菌感染的小鼠耳朵模型,我们发现ALA-PDT在体内和体外抑制痤疮丙酸杆菌的增殖,显著改善耳朵肿胀,阻断了慢性炎症过程.体外,ALA-PDT抑制SZ95细胞的脂质分泌,调节脂质合成和代谢相关基因的表达。Further,我们发现ALA-PDT通过诱导线粒体应激和氧化应激导致SZ95细胞DNA损伤和凋亡。总之,我们的研究证明了ALA-PDT治疗痤疮的巨大优势,并揭示其机制可能与ALA-PDT阻断慢性炎症和抑制脂质分泌有关.
    Acne is a chronic inflammatory skin disease with wide-ranging effects, involving factors such as Propionibacterium acnes (P. acnes) infection and sebum hypersecretion. Current acne treatments are challenged by drug resistance. 5-aminolaevulinic acid (ALA) -based photodynamic therapy (PDT) has been widely used in the clinical treatment of acne, however, the mechanism of its action remains to be elucidated. In this study, by constructing a mice ears model of P. acnes infection, we found that ALA-PDT inhibited the proliferation of P. acnes in vivo and in vitro, significantly ameliorated ear swelling, and blocked the chronic inflammatory process. In vitro, ALA-PDT inhibited lipid secretion and regulated the expression of lipid synthesis and metabolism-related genes in SZ95 cells. Further, we found that ALA-PDT led to DNA damage and apoptosis in SZ95 cells by inducing mitochondrial stress and oxidative stress. Altogether, our study demonstrated the great advantages of ALA-PDT for the treatment of acne and revealed that the mechanism may be related to the blockade of chronic inflammation and the suppression of lipid secretion by ALA-PDT.
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  • 文章类型: Journal Article
    寻常痤疮是一种复杂的疾病,涉及影响毛囊皮脂腺的因素。痤疮病理的主要表现是粉刺的发展,通常与5α-二氢睾酮(5α-DHT)和胰岛素活性引起的皮脂过度产生有关。Ozenoxacin是一种局部喹诺酮,对痤疮杆菌具有有效的抗菌活性(C.痤疮)。它通常用于治疗与这种细菌相关的痤疮;然而,其对皮脂腺内皮脂生产的影响尚不清楚。在这项研究中,使用胰岛素和5α-DHT分化的仓鼠皮脂细胞检查了奥替诺沙星对皮脂产生的影响。奥替诺沙星显示了脂滴形成和三酰甘油(TG)生产的剂量依赖性抑制,这是皮脂的主要组成部分。此外,它抑制了二酰基甘油酰基转移酶1,硬脂酰辅酶A去饱和酶1和perilipin-1mRNA的表达,涉及皮脂合成的所有重要因素,以剂量依赖的方式。此外,奥替诺沙星降低了雷帕霉素复合物1(mTORC1)的机制/哺乳动物靶标下游磷酸化40S核糖体蛋白S6水平,不改变Akt的磷酸化,mTORC1的上游调节剂,在胰岛素和5α-DHT处理的仓鼠皮脂细胞中。有趣的是,纳地沙星,但不是克林霉素,表现出类似的皮脂生产抑制,尽管与奥替诺沙星相比效力较低。此外,在仓鼠的耳廓皮肤上局部使用含有2%奥替诺沙星的洗剂不会影响皮脂腺的大小或表皮厚度。值得注意的是,它减少了皮肤表面的TG含量。该结果为奥替诺沙星的皮脂抑制特性提供了新的见解,表明其在控制微生物生长和调节皮脂产生以治疗痤疮方面的潜在功效。
    Acne vulgaris is a complex condition involving factors that affect the pilosebaceous unit. A primary manifestation of acne pathology is the development of comedones, often linked to the overproduction of sebum resulting from 5α-dihydrotestosterone (5α-DHT) and insulin activity. Ozenoxacin is a topical quinolone that exhibits potent antibacterial activity against Cutibacterium acnes (C. acnes). It is commonly used to treat acne associated with this bacterium; however, its effect on sebum production within the sebaceous glands remains unclear. In this study, the effects of ozenoxacin on sebum production were examined using insulin- and 5α-DHT-differentiated hamster sebocytes. Ozenoxacin showed a dose-dependent inhibition of lipid droplet formation and triacylglycerol (TG) production, which is a major component of sebum. In addition, it suppressed the expression of diacylglycerol acyltransferase 1, stearoyl-CoA desaturase-1, and perilipin-1 mRNA, all important factors involved in sebum synthesis, in a dose-dependent manner. Moreover, ozenoxacin decreased phosphorylated 40S ribosomal protein S6 levels downstream of the mechanistic/mammalian target of rapamycin complex 1 (mTORC1), without altering the phosphorylation of Akt, an upstream regulator of mTORC1, in both insulin- and 5α-DHT-treated hamster sebocytes. Interestingly, nadifloxacin, but not clindamycin, exhibited a similar suppression of sebum production, albeit with lesser potency compared with ozenoxacin. Furthermore, a topical application of a 2% ozenoxacin-containing lotion to the auricle skin of hamsters did not affect the size of the sebaceous glands or epidermal thickness. Notably, it decreased the amount of TG on the skin surface. The results provide novel insights into the sebum-inhibitory properties of ozenoxacin, indicating its potential efficacy in controlling microbial growth and regulating sebum production for acne management.
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  • 文章类型: Journal Article
    牛皮会导致极度瘙痒,相关的压力是动物福利问题,由于牛的生产力下降和驱虫成本而导致经济损失。这项研究调查了绒毛膜螨的原因,C.牛和C.texanus,优先侵染尾根区域(rTR),并进行组织学和生化分析,重点是宿主气味的挥发性成分,这些成分是寄生节肢动物侵染的起点。皮肤样本取自rTR,外侧腹部,和中央按摩师,后两者被指定为比较地点。二维和三维组织学分析测量每单位体积的皮脂腺和汗腺百分比。q-PCR分析了ALDH1A1和LOC785756的表达水平,它们是与挥发性气味化合物相关的基因,这些化合物可作为壁虱的驱避性和有吸引力的信使。免疫组织化学用抗雄激素结合蛋白β样(ABPβ样)染色三个部位,由LOC785756,抗体编码。三维分析表明,与其他区域相比,rTR中的皮脂腺趋于更连续,并且存在更大的质量。LOC785756在rTR中的表达程度显著增高,免疫组织化学显示皮脂腺中存在ABPβ样,rTR中存在强阳性信号。这些结果表明,C.bovis/texanus选择性地感染rTR,因为皮肤有发达的皮脂腺,包括大量ABPβ样,充当螨引诱剂。
    Cattle mange causes extreme itchiness, and the associated stress is an animal welfare concern that leads to economic losses due to decreased cattle productivity and deworming costs. This study investigated the reason why Chorioptic mites, C. bovis and C. texanus, preferentially infest the tail root region (rTR) and performed histological and biochemical analysis focusing on the volatile components of host odors that serve as the starting point for infestation of parasitic arthropods. Skin samples were taken from the rTR, lateral abdominal, and central masseteric, with the latter two designated as comparison sites. The two and three-dimensional histological analysis measured each sebaceous and sweat gland percentage per unit volume. The q-PCR analyzed the expression levels of ALDH1A1 and LOC785756, which are genes associated with volatile odoriferous compounds that serve as repellency and attractive messengers for ticks. Immunohistochemistry stained three sites with anti-androgen binding protein beta-like (ABPβ-like), encoded by LOC785756, antibody. The three-dimensional analysis showed that sebaceous glands in the rTR tend to be more continuous and existed in larger masses than in other regions. The expression level of LOC785756 was significantly higher in the rTR, and immunohistochemistry revealed the presence of ABPβ-like in the sebaceous gland with strong positive signals in the rTR. These results suggest that C. bovis/texanus selectively infests the rTR because that skin has well-developed sebaceous glands, including a large amount of ABPβ-like, which acts as a mite attractant.
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  • 文章类型: Journal Article
    目的:寻常痤疮的几种治疗方案因其相关不良反应而受到限制。一种创新的方法涉及在使用选择性光热解破坏毛囊之前将光吸收纳米颗粒引入皮脂腺毛囊中。我们旨在研究将金和铂纳米颗粒引入皮脂腺毛囊的有效方法,并确定有效破坏这些毛囊的合适激光设备和参数。
    方法:我们使用猪皮肤作为实验模型。我们比较了thu激光的功效,超声,和手动按摩,并评估了在皮脂腺毛囊附近递送纳米颗粒的最佳方法。随后,使用1064nm波长的掺钕钇铝石榴石(Nd:YAG)激光诱导选择性光热解。我们比较了不同的参数,以确定Nd:YAG激光的最佳脉冲持续时间和通量。使用苏木精和伊红(H&E)染色评估皮脂腺毛囊的渗透和破坏程度,并进行了数值评估。
    结果:H&E染色显示,长脉冲Nd:YAG激光照射后,使用thu激光和超声电泳的组合有效地破坏了皮脂腺毛囊,破坏率超过50%。这些结果对于Nd:YAG激光的长脉冲持续时间和高通量是有效的。
    结论:这项研究表明,通过微通道和超声电泳的组合,可以通过金和铂纳米颗粒的混合物有效地破坏皮脂腺毛囊,随后是1064nm长脉冲高通量Nd:YAG激光引起的选择性热损伤。
    OBJECTIVE: Several treatment options for acne vulgaris are limited by their associated adverse effects. An innovative approach involves introducing light-absorbing nanoparticles into sebaceous follicles before destroying the follicles using selective photothermolysis. We aimed to investigate efficient methods for introducing gold and platinum nanoparticles into sebaceous follicles and to identify suitable laser equipment and parameters for the effective destruction of these follicles.
    METHODS: We used porcine skin as the experimental model. We compared the efficacies of a thulium laser, ultrasound, and manual massage and evaluated the optimal method for delivering nanoparticles in close proximity to sebaceous follicles. Subsequently, a 1064-nm-wavelength neodymium-doped yttrium aluminum garnet (Nd: YAG) laser was employed to induce selective photothermolysis. We compared different parameters to identify the optimal pulse duration and fluence of the Nd: YAG laser. The extent of penetration and destruction of sebaceous follicles was assessed using hematoxylin and eosin (H&E) staining, and a numerical evaluation was conducted.
    RESULTS: H&E staining showed that irradiation with a long-pulsed Nd: YAG laser following a combination of thulium laser and sonophoresis effectively destroyed sebaceous follicles, with destruction rates exceeding 50%. These results were valid with a long pulse duration and a high fluence of the Nd: YAG laser.
    CONCLUSIONS: This study demonstrated that sebaceous follicles can be effectively destroyed through a mixture of gold and platinum nanoparticle delivery by a combination of microchanneling and sonophoresis, followed by selective thermal damage induced by a 1064-nm long-pulsed high-fluence Nd: YAG laser.
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  • 文章类型: Journal Article
    大麻二酚(CBD),它来自大麻,正在获得认可,因为它的抗炎和脂质调节特性可用于治疗痤疮。我们进行了定量评估CBD对痤疮相关细胞途径的影响的实验。将SEB-1皮脂腺细胞和HaCaT角质形成细胞暴露于各种CBD浓度。CBD对细胞活力表现出浓度依赖性影响,并显著降低SEB-1活力;此外,它诱导细胞凋亡,并且在较高浓度下凋亡面积显着增加。此外,CBD显着减少促炎细胞因子,包括CXCL8,IL-1α,和IL-1β。此外,它通过调节AMPK-SREBP-1途径抑制脂质合成,并有效减少过度角质化相关蛋白角蛋白16。同时,CBD刺激弹性蛋白的合成,胶原蛋白1和胶原蛋白3。这些发现强调了CBD治疗痤疮的潜力,因为它具有抗炎作用,凋亡,和脂质抑制作用。值得注意的是,Akt/AMPK-SREBP-1通路的调节揭示了一种新的和有希望的机制,可以解决痤疮的发病机制。
    Cannabidiol (CBD), which is derived from hemp, is gaining recognition because of its anti-inflammatory and lipid-modulating properties that could be utilized to treat acne. We conducted experiments to quantitatively assess the effects of CBD on acne-related cellular pathways. SEB-1 sebocytes and HaCaT keratinocytes were exposed to various CBD concentrations. CBD exhibited a concentration-dependent impact on cell viability and notably reduced SEB-1 viability; furthermore, it induced apoptosis and a significant increase in the apoptotic area at higher concentrations. Additionally, CBD remarkably reduced pro-inflammatory cytokines, including CXCL8, IL-1α, and IL-1β. Additionally, it inhibited lipid synthesis by modulating the AMPK-SREBP-1 pathway and effectively reduced hyperkeratinization-related protein keratin 16. Simultaneously, CBD stimulated the synthesis of elastin, collagen 1, and collagen 3. These findings emphasize the potential of CBD for the management of acne because of its anti-inflammatory, apoptotic, and lipid-inhibitory effects. Notably, the modulation of the Akt/AMPK-SREBP-1 pathway revealed a novel and promising mechanism that could address the pathogenesis of acne.
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  • 文章类型: Journal Article
    Fordyce颗粒,有时被称为Fordyce点,是异常的皮脂腺,不痛苦,表现出淡黄色或白色色调的升高的病变,直径为1至3毫米,并在口腔内显现。同样,这些颗粒也可以在阴道区域和口腔内看到。
    本研究的主要目的是评估Fordyce颗粒与在Qassim大学牙科诊所寻求牙科护理的个体的皮肤类型之间的潜在关联。
    当前的横断面研究是在Qassim大学的牙科诊所进行的,样本包括87名诊断为Fordyce颗粒的患者。这项研究由参与者的异质性样本组成,包括所有性别的个人,年龄从18岁到85岁不等。该研究包括对几个解剖区域的综合评估,以确定Fordyce颗粒的存在。该检查是由经过校准的单个检查者进行的。此外,参与者的皮肤类型是使用鲍曼皮肤分型系统问卷建立的。收集的数据随后通过使用SPSS软件利用统计学方法进行分析。在P<0.05时建立预设的显著性水平。
    使用Fordyce颗粒的研究参与者的皮肤类型分布为油性皮肤(51.3%),皮肤干燥(47.9%),敏感肌肤(49.3%),和抗性皮肤(56.3%)。研究结果表明,两个变量之间无统计学意义的相关性,即皮肤类型和Fordyce颗粒的存在。油性皮肤的P值增加了0.941,干性皮肤的P值增加了0.785。
    在当前研究中,皮肤类型与Fordyce颗粒之间没有关系。
    UNASSIGNED: Fordyce granules, sometimes referred to as Fordyce dots, are aberrant sebaceous glands that present as diminutive, non-painful, elevated lesions exhibiting a yellowish or whitish hue, measuring 1 to 3 mm in diameter, and manifesting inside the oral cavity. Likewise, these particles may also be seen in the vaginal region and inside the oral cavity.
    UNASSIGNED: The primary objective of the current study is to evaluate the potential association between Fordyce granules and the skin type of individuals who seek dental care at the Dental Clinics of Qassim University.
    UNASSIGNED: The current cross-sectional research was undertaken at the Dental Clinics of Qassim University, with a sample of 87 patients diagnosed with Fordyce\'s granules. The research consisted of a heterogeneous sample of participants, including individuals of all genders, ranging in age from 18 to 85 years. The study included a comprehensive evaluation of several anatomical regions to identify the existence of Fordyce\'s granules. This examination was conducted by a single examiner who had undergone calibration. Additionally, the participants\' skin types were established using the Baumann Skin Typing System questionnaire. The data that was gathered was afterward analyzed utilizing statistical methods via the use of SPSS software. A pre-set significance level was established at P < 0.05.
    UNASSIGNED: The distribution of skin types among the study participants with Fordyce\'s granules were found to be oily skin (51.3%), dry skin (47.9%), sensitive skin (49.3%), and resistant skin (56.3%). The results of the research showed that there was no statistically significant correlation between the two variables, i.e. skin type and the presence of Fordyce\'s granules. This conclusion is supported by the increased P values of 0.941 for those with oily skin and 0.785 for individuals with dry skin.
    UNASSIGNED: No relation between skin type and Fordyce\'s granules in the current study.
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  • 文章类型: Journal Article
    寻常痤疮(AV),皮脂腺中的皮脂产生过多和痤疮杆菌增殖,显着影响身心健康。最近的治疗进展集中在皮脂腺的选择性光热解。这篇综述评估了两种创新疗法:1726nm激光和纳米粒子辅助激光治疗。我们使用主要术语“寻常痤疮”或“痤疮”和“激光”对PubMed和Embase进行了全面搜索,\"\"光热疗法,\"\"纳米粒子,\"\"治疗,“或”1726nm激光。“纳入标准是在同行评审的期刊上以英文发表的文章,重点是通过针对皮脂腺来治疗AV,产生11项研究。金纳米粒子,与800纳米激光一起使用,1064-nmNd:YAG激光器,或光气动装置,和铂纳米粒子与1450纳米二极管激光,显示痤疮病变的严重程度和数量显着改善,安全,患者满意度。1726nm激光治疗也显示出相当大的损伤减少和耐受性,具有最小的副作用,如红斑和水肿。它的效率归功于它的简短,有效靶向皮脂腺的高功率脉冲,提供精确的治疗与更少的副作用相比,低功率脉冲。使用纳米粒子辅助激光治疗或1726nm激光的选择性光热分解为传统AV治疗提供了有希望的替代方案,展示疗效和高患者满意度。1726纳米激光流线治疗,但涉及新的设备成本,虽然纳米粒子辅助疗法很好地整合到现有的设置中,但依赖于外部药物,不适合某些过敏。未来的研究应包括长期研究和比较分析。治疗方式的选择应考虑患者的喜好,成本影响,以及特定疗法的可用性。
    Acne vulgaris (AV), characterized by excessive sebum production and Cutibacterium acnes proliferation in the sebaceous glands, significantly impacts physical and psychological health. Recent treatment advancements have focused on selective photothermolysis of sebaceous glands. This review evaluates two innovative therapies: the 1726-nm laser and nanoparticle-assisted laser treatments. We conducted a comprehensive search of PubMed and Embase using the primary terms \"acne vulgaris\" or \"acne\" AND \"laser,\" \"photothermal therapy,\" \"nanoparticles,\" \"treatment,\" or \"1726 nm laser.\" Inclusion criteria were articles published in English in peer-reviewed journals that focused on treating AV through targeting the sebaceous glands, yielding 11 studies. Gold nanoparticles, used with 800-nm laser, 1064-nm Nd: YAG laser, or photopneumatic device, and platinum nanoparticles with 1450-nm diode laser, showed notable improvements in severity and number of acne lesions, safety, and patient satisfaction. The 1726-nm laser treatments also showed considerable lesion reduction and tolerability, with minimal side effects such as erythema and edema. Its efficiency is credited to its short, high-power pulses that effectively target sebaceous glands, offering precise treatment with fewer side effects compared to lower-power pulses. Selective photothermolysis using nanoparticle-assisted laser therapy or the 1726-nm laser offers a promising alternative to conventional AV treatments, showcasing efficacy and high patient satisfaction. The 1726-nm laser streamlines treatment but involves new equipment costs, while nanoparticle-assisted therapy integrates well into existing setups but relies on external agents and is unsuitable for certain allergies. Future research should include long-term studies and comparative analyses. The choice of treatment modality should consider patient preferences, cost implications, and availability of specific therapies.
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