心理干预联合复方甘草酸苷治疗斑秃疗效观察

斑秃（alopecia areata,AA）是一种局限性斑片状脱发,可自行缓解,也可复发。130岁前发病的患者占66%,40岁以后发病者仅占20%。2斑秃的病因及发病机制十分复杂,一般认为与自身免疫、遗传因素及心理因素密切相关。研究发现心理因素是诱发及加重病情的首要原因,3目前斑秃的治疗主要以药物及物理治疗为主,心理干预治疗斑秃疗效评估的文章较少,笔者采用心理干预联合复方甘草酸苷治疗斑秃,取得了较好效果,现报道如下。

怎么就聪明“绝顶”了

<正>从枝叶繁茂到草木凋零,脱发者常以聪明'绝顶'掩饰头顶寥寥无几的尴尬。头发虽是身体的'附属品',但在这个看脸的时代,若保住了头发,'顶'上添花,谁还需要那'酸黄瓜理论'呢。快节奏、单调重复、生存压力……现代生活像洪水猛兽般推着人们往前赶路。'亚健康'成为现代人的不可摆脱的健康问题。脱发,是表现之一。而且,越来越年轻化。擅长看脱发病的国医大师禤国维,在前不久的一次关于中医防治脱发的讲座中,深有感触地说,如今20岁~35岁的年轻人逐渐成为脱发的'主力军',年轻人脱发越来越常见。

脓肿性穿掘性头部毛囊周围炎

Perifolliculitis capitis abscedens et suffodiens (PCAS) is rare chronic, suppurative and inflammatory scalp disease. Its aetiology and pathogenesis is not completely understood. The treatment is usually difficult and often disappointing. We report a case of 29-year-old male who presented with tender, fluctuant nodules and abscesses,with draining pus and patchy alopecia on his scalp for 3 years. A skin biopsy from scalp lesions revealed features that are characteristic of perifolliculitis. Initially, the patient was treated with periodic incision and drainage of the scalp abscesses. The answer was very poor. When admitted to our department, isotretinoin was started at daily dose of 30 mg, because initially his cholesterol and triglyceride levelswere mildly increased. When dose was reduced to 10 mg the levels of cholesterol and triglyceride remained normal. A response to treatment was excellent and rapid. The treatment of PCAS represents usually difficulties and frustration for both the patient and the physician. A long course of isotretinoin can be considered as one of the most effective treatment for PCAS.

脱发治疗研究进展

脱发是皮肤科中的常见病、多发病,包括脂溢性脱发、斑秃、早秃等。笔者就近年来中西医对脱发机理治疗等方面的研究进行总结归纳,并通过对研究现状的剖析,提出一些见解,以期对脱发的研究有所裨益。1脱发机理研究现状1.1现代医学对脱发的机理研究一般认为斑秃是一种发生于毛囊的常见慢性炎症性疾病,呈局限性非癍痕性斑片状脱发,与遗传、免疫、细菌和真菌等病源微生物感染、内分泌紊乱、营养不良、血管机能障碍、精神紧张等因素有关。

对针灸科误诊引发的思考

临床上发生的误诊,存在技术性误诊和主观性误诊。前者可称为难以避免的误诊,后者则属于＂低水平＂的误诊,即可以避免的误诊。本文对就诊我科的2例患者诊治过程进行分析及思考,提出些许建议。病案1：患者,女,24岁,未婚,以＂脱发1年余＂为主诉于2013年8月17日就诊于我科。患者半年前期末考试结束后出现右枕部头发脱落,约直径2cm的圆形区域。