| 56例新生儿痤疮临床分析 |
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| 引用本文： | 葛宏松,周洁,曹婷婷,冉颖,董瑛,张成.56例新生儿痤疮临床分析[J].中国麻风皮肤病杂志,2019,35(7):404-405. |
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| 作者姓名： | 葛宏松 周洁 曹婷婷 冉颖 董瑛 张成 |
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| 作者单位： | 安徽医科大学儿科临床学院（安徽省儿童医院）皮肤科，合肥，230032 |
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| 摘 要： | 目的：了解新生儿痤疮的临床特点，提高医生对该病的认识。方法：对近一年来我院皮肤科确诊的新生儿痤疮进行问卷调查，并对资料进行回顾性分析。结果：共收集患儿56例，其中男41例(73.21%)，女15例(26.79%)，平均发病年龄为(16.15±3.28)天，平均病程（10.0±1.32）天。炎性丘疹和脓疱47例(83.93%)，是最常见的皮损；部位均累及面颊，其中合并额头眉弓部16例。17例患儿伴发湿疹10例，血管瘤2例，无色素痣2例，太田痣1例。纯母乳喂养41例(73.2％)。47例患儿父母一方或双方有痤疮病史，14例父母或姊妹患有特应性皮炎史。21例患者曾在外院诊断为湿疹，其中16例给予糖皮质激素治疗。结论：新生儿痤疮皮损好发于面部，出生后2周至3周发病，大多数为轻度炎性丘疹和脓疱，大部分患儿父母亲在青春期有痤疮发病史。临床上易误诊为湿疹。
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| 关 键 词： | 新生儿痤疮 流行病学 |
Clinical analysis of 56 cases with neonatal acne |
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| GE Hongsong,ZHOU Jie,CAO Tingting,RAN Ying,DONG Ying,ZHANG Cheng.Clinical analysis of 56 cases with neonatal acne[J].China Journal of Leprosy and Skin Diseases,2019,35(7):404-405. |
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| Authors: | GE Hongsong ZHOU Jie CAO Tingting RAN Ying DONG Ying ZHANG Cheng |
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| Affiliation: | Department of pediatrics, Anhui Medical University (Anhui Provincial Children‘s Hospital), Hefei 230032, China |
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| Abstract: | Objective: To analyze the clinical characteristics of neonatal acne to better understand the disease. Methods: A questionnaire survey was conducted on the patients with neonatal acne and the data was analyzed retrospectively. Results: A total of 56 cases of neonatal acne were collected, including 41 males (73.21%) and 15 females (26.79%). The average age at onset was (16.15±3.28) days, and the average course of the disease was (10.0 ±1.32) days. Inflammatory papules and pustules (83.93%) were the most common lesions in 47 cases. Cheek involvement was seen in all the 56 cases, including involvement of brow arch in 16 cases. One of the parents had a history of acne in 47 cases and parents or sister had a history of atopic dermatitis in 14. Other diseases in the family history included eczema in 10 patients, hemangioma in 2, amelanotic nevus in 2 and Ota nevusa in one. Out of the 21 cases misdiagnosed as eczema,16 cases were treated with topical steroid. Conclusion: Neonatal acne often occurs on face, 2 to 3 weeks after birth. Most of the lesions are mild inflammatory papules. Many parents of the patients have an acne history in adolescence. Misdiagnosis is quietly common. |
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| Keywords: | neonatal acne epidemiology |
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