Updates in the understanding and treatments of skin & hair disorders in women of color.
Updates in the understanding and treatments of skin & hair disorders in women of color.
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DOI：
10.1016/j.ijwd.2017.02.006
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发表时间：
2017-03-01
影响因子：
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通讯作者：
Callender, Valerie D
中科院分区：
文献类型：
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作者：
Lawson, Christina N;Hollinger, Jasmine;Callender, Valerie D
有色人种是一个多样化和不断扩大的群体。特别是，有色人种女性代表了越来越多的经常寻求皮肤病护理的患者。痤疮、黄褐斑和脱发是该患者人群中最常见的皮肤病。了解皮肤和毛发基础科学的差异对于满足其独特需求至关重要。尽管缺乏关于肤色种族和民族差异的结论性数据，但确实存在某些生物学差异，这些差异影响了色素沉着皮肤中几种皮肤疾病的疾病表现。虽然有色人种女性痤疮的总体发病机制和治疗方法与高加索男性和女性相似，但皮肤较暗的个体更容易出现痤疮引起的皮肤异常，这可能难以控制。黄褐斑是一种获得性色素性疾病，常见于皮肤较深的女性，与紫外线（UV）辐射、遗传因素和激素影响密切相关。最后，某些头发护理做法和发型在非洲裔妇女中是独特的，这可能导致在这一人群中看到的特定类型的脱发，如牵引性脱发、结节性脱发和中央离心性瘢痕性脱发（CCCA）。
Skin of color comprises a diverse and expanding population of individuals. In particular, women of color represent an increasing subset of patients who frequently seek dermatologic care. Acne, melasma, and alopecia are among the most common skin disorders seen in this patient population. Understanding the differences in the basic science of skin and hair is imperative in addressing their unique needs. Despite the paucity of conclusive data on racial and ethnic differences in skin of color, certain biologic differences do exist, which affect the disease presentations of several cutaneous disorders in pigmented skin. While the overall pathogenesis and treatments for acne in women of color are similar to Caucasian men and women, individuals with darker skin types present more frequently with dyschromias from acne, which can be difficult to manage. Melasma is an acquired pigmentary disorder seen commonly in women with darker skin types and is strongly associated with ultraviolet (UV) radiation, genetic factors, and hormonal influences. Lastly, certain hair care practices and hairstyles are unique among women of African descent, which may contribute to specific types of hair loss seen in this population, such as traction alopecia, trichorrhexis nodosa and central centrifugal cicatricial alopecia (CCCA).