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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7/21/2021 0 評論

打完莫德納與輝瑞BNT這類mRNA新冠疫苗是否會引發帶狀皰疹?

文/ 北醫美容醫學中心主任 張宜菁醫師

​病人在打完莫德納疫苗數天後、手指長出疼痛的水泡。將水泡內的細胞化驗後,我們確認了"帶狀皰疹"的診斷。


病人問: mRNA新冠疫苗是否會引發帶狀皰疹嗎?​
答案是:#目前沒有足夠證據證實其關連性!
目前醫學界的觀察與了解有多少?

  • 以色列的研究發現,491位BNT疫苗的接種者(皆為免疫風溼科患者)有5名在打完第一劑、1名在打完第二劑後得到了帶狀皰疹。後來其中4名患者也順利完成第二劑的注射。​

  • 國外也有專家觀察,在新冠肺炎流行的時期,帶狀皰疹的發生率是上升的。
​
  • A型肝炎、日本腦炎、流感、狂犬病等其他疫苗,也曾被報告與帶狀皰疹有關。​
 
  • 年紀大、或某些疾病與藥物,會降低人體的細胞免疫功能,而讓帶狀皰疹的發作機率升高。但mRNA 新冠疫苗會增強細胞與抗體免疫力。

因此,新冠疫苗與帶狀皰疹之間的關聯性尚未證實,還有待更多研究進行了解。建議民眾不要因此過度擔憂,而錯失打疫苗保護自己的機會。

什麼是帶狀皰疹呢(俗稱皮蛇)?

  • 第一次感染"水痘病毒"痊癒後,病毒可長年潛伏在身體裡。
 
  • 等日後復發時,即"帶狀皰疹"。症狀常為沿著身體神經節發展的單側疼痛與搔癢的水泡。
​
  • 帶狀皰疹需盡早治療,盡量控制好感染與減低併發症,例如長期皰疹後神經疼痛等。
​
  • 帶狀皰疹有兩種疫苗,台灣引進的是減毒疫苗、歐美等國家還有重組疫苗可以施打。

​(減毒疫苗一般建議與新冠疫苗間隔28天以上施打)


帶狀皰疹與帶狀皰疹疫苗延伸閱讀:

我該打帶狀皰疹疫苗嗎? 什麼是帶狀皰疹? 全文連結: https://www.changskinlaser.com/30382331783014230149/8361825
​

參考文獻 :

Rheumatology (Oxford). Published online April 12, 2021. doi:10.1093/rheumatology/keab345
Dermatol Ther (Heidelb)
https://doi.org/10.1007/s13555-021-00549-1

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What Our Patients Are Saying
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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!
​
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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