CAJ | 학술논문

目的：探讨苏州地区黄褐斑患者的临床特点。方法：对笔者医院2013年3月-2014年3月确诊的216例黄褐斑患者的临床资料进行分析，并与中国不同地区的研究结果进行比较。结果：216例黄褐斑患者，男女之比为1：20.6，30～39岁多见，皮肤类型以混合性皮肤、Ⅳ型皮肤为多，皮损部位以面上部较多见，伴发局部毛细血管扩张(38.9%)、颧部褐青色痣（31.5%）、日光性黑子（30.6%）、脂溢性角化（25.0%）、痤疮（17.1%）及雀斑（13.0%）等皮损，可能的致病因素主要为紫外线照射、内分泌因素、神经精神因素、美容不当、遗传因素等。结论：黄褐斑的发生与发展可能与多种内外因素相关，黄褐斑的某些临床特点可能存在着地域差异。
목적：탐토소주지구황갈반환자적림상특점。방법：대필자의원2013년3월-2014년3월학진적216례황갈반환자적림상자료진행분석，병여중국불동지구적연구결과진행비교。결과：216례황갈반환자，남녀지비위1：20.6，30～39세다견，피부류형이혼합성피부、Ⅳ형피부위다，피손부위이면상부교다견，반발국부모세혈관확장(38.9%)、권부갈청색지（31.5%）、일광성흑자（30.6%）、지일성각화（25.0%）、좌창（17.1%）급작반（13.0%）등피손，가능적치병인소주요위자외선조사、내분비인소、신경정신인소、미용불당、유전인소등。결론：황갈반적발생여발전가능여다충내외인소상관，황갈반적모사림상특점가능존재착지역차이。
Objective To investigate the clinical features of patients with melasma in Suzhou. Methods The clinical data of 216 patients with melasma in our hospital from March 2013 to March 2014 were analyzed and compared with those seen in other areas in China. Results The male-to-female ratio in the patients was 1:20.6,with the age of most patients was found to be between 30-39 years.It was more common in mixed skin and Fitzpatrick skin types IV,with upper face distribution.Of the patients,38.9% had local telangiectasis,31.5% had nevus fusco-caeruleus zygomaticus,30.6%had solar lentigo,25.0%had seborrheic keratosis,17.1% had acne and 13.0% had freckles.The main risk factors of Melasma might include ultraviolet irradiation,endocrine factors,neuropsychic factors, improper use of aesthetic methods and genetic factors. Conclusion Various endogenous and exdogenous factors may be related to the occurrence and development of Melasma.Some clinical features of melasma might be different in different geographical areas.