WFU

廖浩欽的杏林夜話,乾癬、異位性皮膚炎

2016年11月18日 星期五

沒用過類固醇的少年異位性皮膚炎,可以改善這麼快!Atopic dermatitis could be better without topical steroid.



為什麼僅僅一週的時間就可以讓異位性皮膚炎改善這麼多?不是小廖醫師很厲害,而是因為患者沒有抹類固醇藥膏。
Why does she get improvement so fast? Not depends on me, it depends on NO steroids used.







雖然她的衣服一撩起來就不忍卒睹,但是她是很有希望治癒的,因為她已經很久沒使用過類固醇藥膏了,沒有反彈的問題。雖然小廖醫師在幫她上保濕乳霜時她還是痛到眼淚直冒,可畢竟她熬過去了。
She looked so serious in the first time, but in fact she was hopeful to me because she told me not using topical steroid at all. No steroids, no rebounds. Although she cried out when I moisturizing her with body cream, she made it.

七天後…
After 7 days......











當然這還遠沒有痊癒,但是傷口已經開始收口、減少,皮膚潤滑開始恢復了。這不是醫生厲害,是患者沒有使用類固醇藥膏的緣故!如果使用中藥可以治療得這麼快,那還有使用類固醇藥膏治療異位性皮膚炎的必要性嗎?
Of course she is not cured yet, but these wounds begin to heal. This is not depends on me, but on no steroids using. If we can heal atopic dermatitis as fast as she did without steroids, why do you choose steroids?

PS:本病例經患者同意分享並經衛生單位報備內容。

延伸閱讀
Further readings, 

濕疹的治療,也要保濕!Treatment of eczema: Moisturizing first!