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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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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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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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^^~

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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!

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"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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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!

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