北醫美容中心 皮膚科張宜菁醫師部落格 I-JING CHANG MD DERMATOLOGIST TAIPEI
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北醫美容醫學中心 皮膚科張宜菁醫師
痘​痘&痘疤專欄

2/24/2020 0 評論

口服A酸治療痘痘也可能有背痛與關節發炎的副作用

口服A酸能減少高達9成的皮脂腺分泌量、抑制發炎反應,治療痘痘效果卓越。但您知道它可能引起背痛與關節發炎嗎?

除了(1) 皮膚與口鼻黏膜乾燥、(2) 肝指數、血脂肪、膽固醇上升、(3) 憂鬱症、(4) 致畸胎等常聽到的風險要小心,近年來醫學界注意到口服A酸可能導致關節疼痛的問題。

研究發現,在使用口服A酸治療青春痘的人當中,有23.98%的人出現背痛症狀,這當中有42.3%的人(也就是10%使用口服A酸的人) 經電腦斷層掃描檢查後,證實有薦腸骨關節炎。該研究口服A酸的每日劑量為每公斤0.5~1 mg。

背痛症狀是在用藥大約3.4個月後開始出現,但是能在停藥約6.27個月後完全緩解。

提醒大家 :

口服A酸為痘痘治療的二線用藥,請先針對使用劑量與安全監測,擬定治療計畫。

多數皮膚科醫師不在一開始都開立口服A酸治療發炎性的青春痘,主要是考慮其副作用。

參考資料:

Clin Rheumatol (2020) 39:1829–1838
0 評論



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    醫師小叮嚀

    青春痘是橫跨10~50歲的皮膚問題。不僅是影響美觀,還可能造成發炎感染與永久疤痕。皮膚科張宜菁醫師、北醫美容醫學中心主任,教您如何對抗痘痘與告別痘疤。對付痘痘最好的方法,是借助專業醫學,搭配生活保養。請避免輕信傳言!

    作者

    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宜菁醫師,提供正確醫療新知

    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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美容醫學療程效果因人而異,術後可能有風險與副作用。術前請諮詢專業醫師,並注重術後照護。

雷射等美容醫學光電療程術後可能有皮膚紅腫、黑色素沉澱、單純皰疹復發、灼傷等副作用

電波療程術後可能有泛紅、水腫、緊繃感。少數情況有水泡、神經麻痺、燙傷、疤痕、單純泡疹復發等副作用。

音波療程術後可能有泛紅、水腫、緊繃感。少數情況有水泡、神經麻痺、燙傷、疤痕、單純泡疹復發等副作用。

玻尿酸填充劑注射術後可能有瘀青、紅腫、局部腫塊、單純泡疹復發、皮膚壞死、感染等副作用。

肉毒桿菌素注射術後可能有表情不自然、頭痛、眉形改變、眼皮下垂等副作用


倍克脂注射術後可能有瘀青、腫脹、疼痛、毛髮脫落、吞嚥困難、皮膚局部壞死、感染、神經受傷等副作用。

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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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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



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