头部脓肿性穿掘性毛囊周围炎的研究进展

Progress of perifolliculitis capitis abscedens et suffodiens scalp

头部脓肿性穿掘性毛囊周围炎是少见的头皮慢性化脓性皮肤病,其病因及发病机制不清,与毛囊闭锁、细菌感染、免疫因素、性激素、吸烟和肥胖等多种因素相关。其可与多种疾病表现相似或相伴发,目前治疗较为困难,包括抗生素、维A酸、生物制剂、光动力、激光和手术等。本病顽固难愈,对患者生活质量造成严重损害,为更好的防治该病,该文对其病因、发病机制、并发症、鉴别诊断和治疗作一系统性的综述。

Perifolliculitis capitis abscedens et suffodiens scalp is a rare chronic suppurative skin disease, its etiology and pathogenesis are unclear, with follicular atresia, bacterial infection, immune factors, a variety of factors, sex hormones, smoking and obesity related. It is similar or accompanied with a variety of diseases, the treatment is more difficult, including antibiotics, vitamin A acid, biological agents, photodynamic, laser and surgery. The disease is stubborn and refractory, which is harm to patients' quality of life, in order to prevent and cure the disease, the paper reviewed its etiology, pathogenesis, complications, differential diagnosis and treatment.