連日高溫不只體感溫度破表，連皮膚都出現「酒糟危肌」，醫師表示，今年因酒糟求診的人數也增加3成！一名30歲的蔡小姐，飽受皮膚泛紅、雙頰遍佈丘疹的困擾長達八年以上，過去遍尋各大中西醫看診，更不惜砸大錢買保養品，卻遲遲不見效果，最後仰賴類固醇治療酒糟，才勉強壓下症狀，但只要停用類固醇就會復發。
收治患者的開業皮膚科診所林政賢院長表示，蔡女是較為嚴重的酒糟患者，合併第一型（紅斑血管擴張型)）二型（丘疹膿?型）酒糟，過去因長時間使用類固醇治療臉部發炎反應，成了典型的「類固醇上癮」的酒糟患者。
林政賢建議戒斷類固醇治療，並嘗試使用「新型抗?蟲酒糟藥膏」及口服四環黴素治療兩個月後，患者臉潮紅、微血管及丘疹狀況逐漸緩解，嚴重程度僅剩原來的兩、三成，目前已經停口服藥，只單擦「新型抗?蟲酒糟藥膏」控制病情。
林政賢指出，酒糟性皮膚炎好發於30歲至60歲間，男女比例為1:3，是一種慢性且反覆發作的皮膚炎，常見的症狀為臉部微血管擴張、潮紅，或佈滿如痘痘般的丘疹和膿?。由於酒糟致病因子複雜，且大部分患者對於酒糟的不了解，常誤以為是青春痘或粉刺延誤治療，最後影響心情，逃避社交、沒有自信，甚至罹患憂鬱症。
根據國外研究700位酒糟患者統計，有6成以上的患者合併有神經方面的症狀，包含緊
張、失眠、焦慮、憂鬱、鑽牛角尖、慮病以及幻想等，皮膚科醫師邱品齊說，由於酒糟影響患者外貌，更容易出現憂鬱、自信心低落的情緒，無形之中就造成了心理的壓力與陰影。
邱品齊醫師表示，酒糟性皮膚炎是種慢性皮膚疾病，就如同高血壓、糖尿病需長期控制觀察，才能維持良好狀態。臨床上酒糟又分為四種類型：紅斑血管擴張型、丘疹膿?型、鼻瘤型以及眼睛型酒糟，酒糟的致病因子很多，致病機轉更是複雜，包括免疫系統、紫外線、基因以及表皮障壁功能的缺損等，尤其今年天氣特別炎熱，更是酒糟的好發季節。
林政賢表示，國內目前最新研究報告發現，「酒糟患者臉上的蠕形?蟲數量，平均比正常人多出4到10倍」，甚至從臨床治療經驗發現，減少臉上蠕形?蟲的數量，能有效降低發炎反應，改善丘疹膿?的症狀。
林政賢提醒，酒糟患者的保養要盡量簡單溫和、減少皮膚刺激或過敏；食物方面，應避免辛辣刺激性的食物、含酒精的飲料；另外，因日曬、情緒緊張、壓力大，處在過熱或過冷的環境等，也容易使酒糟變得更加嚴重，所以盡可能地避開危險因子，減少酒糟發作及再度惡化的機會。
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The high temperature in the past few days is not only the temperature of the body, but even the skin appears to be "dangerous muscles". The doctor said that the number of people seeking treatment for this year's distiller's grains has also increased by 30%! A 30-year-old Miss Cai, suffering from redness of the skin and pimples on her cheeks, has been plagued by more than eight years. In the past, she has been looking for major Chinese and Western medicine doctors, and she has not hesitated to buy big health care products, but she has not seen the effect. Finally, relying on steroids to treat the distiller's grains, it barely suppresses the symptoms, but it will recur as long as the steroids are stopped.
Lin Zhengxian, dean of the dermatology clinic for patients admitted to the hospi長崎蛋糕tal, said that Cai is a more serious distiller's disease patient, combined with type 1 (erythema vasodilatation) type II (pascal pus type) distiller's grains, in the past due to long-term use of steroids to treat the face The inflammatory response has become a typical "steroid addiction" distiller's disease patient.
Lin Zhengxian suggested stopping steroid treatment and trying to use the "new anti-insect distiller's cream" and oral tetracycline treatment for two months, the patient's face flushing, microvascular and papular conditions gradually eased, the severity is only two or three percent of the original At present, oral medicine has been stopped, and only the "new anti-insect distiller's grains ointment" is used to control the disease.
Lin Zhengxian pointed out that rosacea dermatitis occurs between the ages of 30 and 60. The male to female ratio is 1:3. It is a chronic and recurrent dermatitis. The common symptoms are microvascular dilatation, flushing, or acne. Acne-like pimples and pus? Because the medicinal factors of distiller's grains are complex, and most patients do not understand the distiller's grains, they often mistakenly think that acne or acne delay treatment, and finally affect the mood, escape social, have no confidence, and even suffer from depression.
According to the statistics of 700 distiller's patients in foreign countries, more than 60% of patients have neurological symptoms, including tight
Zhang, insomnia, anxiety, depression, horns, disease and fantasy, dermatologist Qiu Pinqi said that because the distiller's grains affect the appearance of patients, it is more prone to depression and low self-confidence, which inevitably creates psychological pressure and shadow. .
According to Dr. Qiu Pinqi, distiller's dermatitis is a chronic skin disease. Just like high blood pressure and diabetes, it requires long-term control and observation to maintain a good state. Clinically, distiller's grains are divided into four types: erythema vasodilatation, papular pus, nasal tumor type, and eye-type distiller's grains. The pathogenic factors of distiller's grains are many, and the pathogenesis is complicated, including the immune system, ultraviolet rays, and genes. And the defect of the epidermal barrier function, especially this year's weather is particularly hot, but also the season of good seasons.
Lin Zhengxian said that the latest research report in China found that the number of worms on the face of distiller's grains is 4 to 10 times higher than that of normal people. Even from clinical treatment experience, the number of worms on the face is reduced. It can effectively reduce the inflammatory reaction and improve the symptoms of papules.
Lin Zhengxian reminded that the maintenance of distiller's patients should be as simple and gentle as possible, reduce skin irritation or allergies; in food, avoid spicy and irritating foods, alcoholic beverages; in addition, due to sun exposure, emotional stress, stress, overheating or In a cold environment, it is easy to make the distiller's grains more serious, so avoid risk factors as much as possible, and reduce the chance of distiller's grains attack and re-deterioration.
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