中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (4): 360-363.doi: 10.35541/cjd.20190920

• 综述 • 上一篇    下一篇

玫瑰痤疮面部潮红与红斑新认识

李健    宋志强   

  1. 陆军军医大学西南医院皮肤科,重庆  400038
  • 收稿日期:2019-09-23 修回日期:2020-06-04 发布日期:2021-03-31
  • 通讯作者: 宋志强 E-mail:zhiqiang.song@hotmail.com
  • 基金资助:
    国家自然科学基金(81703154);陆军军医大学西南医院青年人才培养计划项目(SWH2018QNLC-03)

New insights into facial flushing and erythema in rosacea

Li Jian, Song Zhiqiang   

  1. Dermatology Department, Southwest Hospital of Army Medical University, Chongqing 400038, China
  • Received:2019-09-23 Revised:2020-06-04 Published:2021-03-31
  • Contact: Song Zhiqiang E-mail:zhiqiang.song@hotmail.com
  • Supported by:
    National Natural Science Foundation of China (81703154); Youth Talent Training Program of Southwest Hospital of Army Medical University (SWH2018QNLC-03)

摘要: 【摘要】 持续型面中部红斑与潮红是玫瑰痤疮最常见的临床表现,但对其病理机制了解甚少,并缺乏高证据等级临床研究支持。本文结合国内外研究进展及临床经验,强调将面部潮红与红斑作为独立的临床表型进行研究探讨的必要性,认为精神压力、焦虑和/或抑郁可能是其发病的使动环节。由精神因素出发,探索玫瑰痤疮面部潮红及红斑相关神经炎症与皮肤免疫及血管的关系具有潜在的临床意义。

关键词: 红斑痤疮, 潮红, 红斑, 焦虑, 精神压力, 神经炎症

Abstract: 【Abstract】 Persistent centrofacial erythema with transient flushing is the most common clinical manifestation of rosacea. However, its pathological mechanisms are poorly understood, and there is a lack of high-level evidence from clinical studies. Based on research progress and clinical experience in China and other countries, the authors emphasize the necessity that facial flushing with erythema should be investigated as an independent clinical phenotype during the study. It is believed that mental stress, anxiety and/or depression may be driving factors in the pathogenesis of facial flushing with erythema. Based on mental factors, it is of potential clinical significance to investigate the relationship of neuroinflammation involved in facial flushing and erythema with skin immunity and blood vessels in rosacea.

Key words: Rosacea, Flushing, Erythema, Anxiety, Mental stress, Neuroinflammation