BACKGROUND Facial herpes is a common form of the herpes simplex virus-1 infection and usually presents as vesicles near the mouth,nose,and periocular sites.In contrast,we observed a new facial symptom of herpes on the...BACKGROUND Facial herpes is a common form of the herpes simplex virus-1 infection and usually presents as vesicles near the mouth,nose,and periocular sites.In contrast,we observed a new facial symptom of herpes on the entire face without vesicles.CASE SUMMARY A 33-year-old woman with a history of varicella infection and shingles since an early age presented with sarcoidosis of the entire face and neuralgia without oral lesions.The patient was prescribed antiviral treatment with valacyclovir and acyclovir cream.One day after drug administration,facial skin lesions and neurological pain improved.Herpes simplex without oral blisters can easily be misdiagnosed as pimples upon visual examination in an outpatient clinic.CONCLUSION As acute herpes simplex is accompanied by neuralgia,prompt diagnosis and prescription are necessary,considering the pathological history and health conditions.展开更多
Objective: To observe the clinical efficacy of acupoint injection plus medication in treating recurrent facial dermatitis(RFD). Methods: Fifty-eight patients with RFD were randomized into a treatment group and a contr...Objective: To observe the clinical efficacy of acupoint injection plus medication in treating recurrent facial dermatitis(RFD). Methods: Fifty-eight patients with RFD were randomized into a treatment group and a control group, 29 in each. The treatment group was intervened by acupoint injection with BCG-PSN plus oral administration of Fexofenadine Hydrochloride, and the control group was by Fexofenadine Hydrochloride only. The clinical efficacies were compared between the two groups, and a follow-up study was conducted to investigate the recurrence rate. Results: The total effective rate was 96.6% in the treatment group versus 65.5% in the control group, and the difference was statistically significant(P<0.01). Of the cured and improved patients in the treatment group, the recurrence rates were 10.7%, 25.0%, and 32.1% respectively 3 months, 6 months, and 12 months after treatment, versus 31.6%, 36.8%, and 73.7% in the control group, and the differences were statistically significant(P<0.05). Conclusion: Acupoint injection plus medication is an effective method in treating RFD.展开更多
Objective:To compare the therapeutic effects of three different external wet compress methods on facial hormone dependent dermatitis(FCAD),and to provide reference for clinical treatment of FCAD.Methods:From June 2016...Objective:To compare the therapeutic effects of three different external wet compress methods on facial hormone dependent dermatitis(FCAD),and to provide reference for clinical treatment of FCAD.Methods:From June 2016 to June 2019,160 FCAD patients in our dermatology clinic were selected and divided into three groups according to random number table:the first group was treated with Compound Cortex Phellodendri liquid coating,the second group was treated with collagen paste dressing,and the third group was treated with 0.9%sodium chloride injection solution.Apply 8 layers of gauze or cold compress directly to the skin lesions for 4 weeks in each group.Results:After 4 weeks of treatment,no adverse reactions were found.The effective rates of the first group,the second group,and the third group were 72.22%,62.26%and 41.51%,respectively.Compared with the third group,the effective rate of the first group and the second group was significantly higher,and there was statistical significance between the groups(x2=10.294,x2=4.573,P<0.05);but there was no significant statistical difference between the first group and the second group(x2=1.205,P>0.05).Conclusion:Compound Cortex Phellodendri coating is suitable for FCAD patients with severe inflammation,collagen paste dressing is suitable for FCAD patients with mild to moderate inflammatory reaction and pigmentation,and 0.9%sodium chloride injection is suitable for patients with mild facial flushing and swelling.Clinical treatment should be selected according to the patient's condition and rash characteristics.展开更多
文摘BACKGROUND Facial herpes is a common form of the herpes simplex virus-1 infection and usually presents as vesicles near the mouth,nose,and periocular sites.In contrast,we observed a new facial symptom of herpes on the entire face without vesicles.CASE SUMMARY A 33-year-old woman with a history of varicella infection and shingles since an early age presented with sarcoidosis of the entire face and neuralgia without oral lesions.The patient was prescribed antiviral treatment with valacyclovir and acyclovir cream.One day after drug administration,facial skin lesions and neurological pain improved.Herpes simplex without oral blisters can easily be misdiagnosed as pimples upon visual examination in an outpatient clinic.CONCLUSION As acute herpes simplex is accompanied by neuralgia,prompt diagnosis and prescription are necessary,considering the pathological history and health conditions.
基金support of Lishui Central Hospital of Zhejiang Province
文摘Objective: To observe the clinical efficacy of acupoint injection plus medication in treating recurrent facial dermatitis(RFD). Methods: Fifty-eight patients with RFD were randomized into a treatment group and a control group, 29 in each. The treatment group was intervened by acupoint injection with BCG-PSN plus oral administration of Fexofenadine Hydrochloride, and the control group was by Fexofenadine Hydrochloride only. The clinical efficacies were compared between the two groups, and a follow-up study was conducted to investigate the recurrence rate. Results: The total effective rate was 96.6% in the treatment group versus 65.5% in the control group, and the difference was statistically significant(P<0.01). Of the cured and improved patients in the treatment group, the recurrence rates were 10.7%, 25.0%, and 32.1% respectively 3 months, 6 months, and 12 months after treatment, versus 31.6%, 36.8%, and 73.7% in the control group, and the differences were statistically significant(P<0.05). Conclusion: Acupoint injection plus medication is an effective method in treating RFD.
文摘Objective:To compare the therapeutic effects of three different external wet compress methods on facial hormone dependent dermatitis(FCAD),and to provide reference for clinical treatment of FCAD.Methods:From June 2016 to June 2019,160 FCAD patients in our dermatology clinic were selected and divided into three groups according to random number table:the first group was treated with Compound Cortex Phellodendri liquid coating,the second group was treated with collagen paste dressing,and the third group was treated with 0.9%sodium chloride injection solution.Apply 8 layers of gauze or cold compress directly to the skin lesions for 4 weeks in each group.Results:After 4 weeks of treatment,no adverse reactions were found.The effective rates of the first group,the second group,and the third group were 72.22%,62.26%and 41.51%,respectively.Compared with the third group,the effective rate of the first group and the second group was significantly higher,and there was statistical significance between the groups(x2=10.294,x2=4.573,P<0.05);but there was no significant statistical difference between the first group and the second group(x2=1.205,P>0.05).Conclusion:Compound Cortex Phellodendri coating is suitable for FCAD patients with severe inflammation,collagen paste dressing is suitable for FCAD patients with mild to moderate inflammatory reaction and pigmentation,and 0.9%sodium chloride injection is suitable for patients with mild facial flushing and swelling.Clinical treatment should be selected according to the patient's condition and rash characteristics.
文摘目的:探讨荆防方加减联合红黄光及重组牛碱性成纤维细胞生长因子(rb-bFGF)凝胶治疗面部糖皮质激素依赖性皮炎(Facial corticosteroid addictive dermatitis,FCAD)的效果。方法:根据治疗方法不同将2022年2月-2023年8月笔者医院的90例FCAD患者分为对照组和观察组,各45例。对照组使用红黄光照射治疗,观察组同时使用荆防方治疗。对比两组的临床疗效、症状评分、皮肤屏障功能、血清炎症因子水平、不良反应。结果:观察组的有效率(91.11%)高于对照组(73.33%)(P<0.05),观察组治疗后潮红、瘙痒、干燥脱屑、灼热疼痛的症状评分均低于对照组(P<0.05),观察组治疗后的皮脂含量、皮肤角质层含水量(Cuticle water conten,WCSC)高于对照组,经皮肤水分流失量(Transcutaneous water loss,TEWL)低于对照组(P<0.05),观察组治疗后的干扰素-γ(INF-γ)、免疫球蛋白-E(IgE)、白细胞介素-4(IL-4)水平均低于对照组(P<0.05),两组不良反应比较,差异无统计学意义(P>0.05)。结论:荆防方加减联合红黄光及rb-bFGF凝胶治疗FCAD的效果显著,能够减轻患者的症状,提高皮肤屏障功能,改善炎症状态。
