北醫美容中心主任 皮膚科張宜菁醫師部落格 I-Jing Chang MD Dermatologist Taipei
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11/4/2017 0 評論

臉上長小水泡不一定都是泡疹引起的~談"口周皮膚炎"

最近一位年輕上班族,很著急地說她臉上長了很多泡疹……仔細一看,在嘴巴周圍及臉上其他部位,有很多刺癢的紅疹,上面有些許小小、像水泡的丘疹。

口周皮膚炎的患者,跟這位小姐一樣,往往已經用過幾種不同的藥膏、看過不同的門診。最好發的是在嘴巴周圍,但疹子也可能在別的部位。

我們可以參考以下連結文章的照片,了解它是一種紅疹塊的外貌,上面偶而有很多小顆粒。因此常被診斷為脂漏性皮膚炎、溼疹等,開立類固醇藥膏。

治療的方式就是,先把類固醇藥膏停掉,換上如醫力妥、普特皮等非類固醇消炎藥膏、並教患者做好保濕,及觀察可能引發疾病的原因。

酒糟性皮膚炎、含氟牙膏、類固醇藥膏或噴霧、某些食品或口香糖、過度使用保養品等,都可能導致口周皮膚炎。
因此呼籲大家,皮膚長疹子時,請先到門診請醫師檢查診斷、與追蹤病情、調整用藥。請不要過度擔憂!

順道一提,類固醇藥膏若是經醫師診斷後開立、正確使用,一般是很安全的。請大家不要誤解與恐慌,先聽醫師的說明。延誤治療恐讓病情嚴重化,需要更進一步的治療。

https://www.everydayhealth.com/eczema/perioral-dermatitis/?fbclid=IwAR0DoGboSs0yJKfzt8voPmRIIR3uz7M1B4I6SHR-UmK1AgXCHM2td79z0ZI

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圖片來源: Shutterstock
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    醫美如何美感自然又安全,皮膚問題怎麼照顧,讓留學美國哈佛皮膚科的張醫師,提供您正確醫療新知。

    預約張宜菁主任美容醫學諮詢與治療,請來電北醫附設醫院皮膚科(02)66367135, CHANGSKINLASER@GMAIL.COM

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在醫師的巧手下,我發現微整形居然讓我找回了手機舊照片中年輕時的自己。因為是自己的樣子、不用成為別的樣子,所以現在每天照鏡子時,充滿了幸福感呢^^~

S. F.

Dr. Chang is precise and punctual. It's easy to see that her knowledge and experience is outstanding. I couldn't be in better hands. Thank you!

K. Kuo

 
"Dr. Chang is amazing at her work and was very attentive to my needs. I am from the United States, North Carolina, and I came to Taipei on a
business trip with my husband. Dr. Chang was very informative and knowledgeable and explained everything to me in terms that I could understand. I met with Dr. Chang because of issues with fine lines and wrinkles, sun damage and an uneven skin tone. I received Fraxel Laser to my face and also Restylane injections to my chin, lips and under my eyes. I am extremely pleased with my results because they look very natural!! I would highly recommend Dr. Chang."


Theresa K.

I came across Dr I-Jing Chang's page on the Taiwan Medical University website by happy coincidence! I was looking for a good Taipei dermatology service that specialized in lip fillers, as that part of my face has lost volume as I have aged. I had a bad experience with lip filler some years ago in Taiwan at another clinic, and had since heard from other dermatologists here that fillers, especially for the lip, are not as common a procedure in TW as in the West. I had almost run out of hope that I could get a good treatment until I met Dr Chang.

From the first moment I met her, I had great confidence in her expert knowledge, her evaluation of my aesthetic needs and her true concern for patients. Now after having several treatments, including lip filler and Botox, my great first impression of Dr Chang has been more than confirmed. She is deeply knowledgeable about skin and aesthetic issues, and well trained in the US and in Taiwan. She is deeply empathetic, she is encouraging, she knows exactly what pain you might feel (and takes steps to minimize it), and she is an artist. She knows so much about what she is doing, and she truly cares about her patients.  The same goes for all her staff. The experience has been very positive, and I recommend her clinic very highly!
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Mary G.

Hello, I am a patient who is from California in the US. I have travelled to Taiwan for this particular skin treatment (fraxal) because the doctor is so amazing. In the past, I have tried so many luxury skincare lines, acid peels, microdermabrasion, and other such treatments for my acne and acne scarring. However, NONE of them can even compare to the wonderful effectiveness of this doctor. She has helped me so very much and I am extremely grateful. I cannot recommend her enough. She is the best and will give you the skin results you have always wanted. Definitely worth travelling around the world for! Book an appointment NOW!

Henry Hsu


2020年10月,我發現我的手指上長出不明的水泡,經過某間醫院的診斷後,醫
師判斷我得到的是病毒疣,於是我開始長達一年的治療,往返醫院近二十次,
關於病毒疣的治療方法我幾乎都嘗試過,像是液態氮冷凍治療、水楊酸治療以
及抗癌藥物注射,每一項治療都相當痛,特別是抗癌藥物,而且治療後每次幾
乎都會起水泡,需要包紮加上塗藥,所以我每天都需要包紮兩次,因為許多手
指都有病毒疣的關係,每次包紮大約要花40分鐘,而且在洗澡時為了避免讓傷
口接觸水我還要戴上塑膠手套,過程繁複耗時,我還特別注意自己的飲食習慣
,然而就算我日復一日盡力去做任何對於恢復病毒疣有幫助的事,並且非常細
心地照料傷口,病毒疣仍然消失後又馬上復發,時間長達將近一年,這讓我感
到非常挫折,痊癒對我來說似乎是不可能的事。
2021年8月,我非常幸運地遇到了北醫皮膚科的張宜菁醫師,經過醫師的專業
判斷後,我才發現原來我得的不是病毒疣,而是「汗皰疹」,汗皰疹與病毒疣
的治療方式大不相同,不需要冷凍治療、水楊酸治療或抗癌藥物注射,只需要
服用藥物與塗藥膏,讓我在治療期間輕鬆了許多,經過兩個月的治療,我目前
已經完全康復,證實我的確得的是汗皰疹而不是病毒疣,由衷感謝張宜菁醫師
的專業判斷,讓我不用再多花一年或是更長的時間接受治療,如果有任何和我
一樣在與病毒疣對抗時感到非常挫折的病友,我非常推薦你們來找張宜菁醫師
,說不定你們跟我一樣原來得到的是汗皰疹而不是病毒疣,祝大家都能順利康
復。

Joe Chang



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