如何预防治疗鱼鳞病的好方法啊 治疗鱼鳞病的好方法治疗方法??

  日常生活中我们每个人都非常自己能健健康康的成长,所以平时的预防是非常重要的,而鱼鳞病对于患者的生活影响是非常大的。那么从现在开始就要做好鱼鳞病的预防工作。怎样才能做好鱼鳞病预防?鱼鳞病是一种很难治疗的皮肤病,在生活当中鱼鳞病患者应该在做好预防工作,才能进一步确保效果。
  一、多食含维生素类食品,如新鲜水果、蔬菜等。一般来讲鱼鳞病患者应忌虾、海鲜、酒、辛辣食物,中医认为虾、海鲜有腥发之性、易化热动风;酒、 葱、蒜、辣椒等食物性温助热,味辛能散,偏嗜这些食物或进食不当,均能使脾胃失和而诱发或加重本病,但也不要忌口太严、太广,这样下去既影响身体健康,也不利于病情恢复。患者应注意增加营养,多食胡萝卜、新鲜蔬菜、水果及动物肝脏、蛋黄、豆类食品,勿吸烟饮酒。
  二、消除精神紧张因素,避免过于疲劳,注意休息。患有鱼鳞病,首先要认识到此病无传染性,患者身体状况都不错,精神愉快、情绪稳定、心情舒畅都有利于病情恢复。只要坚持治疗,医患配合好,患者都能达到治愈的目的。
  三、科学合理健康:由于人们的工作的紧张,有些人连吃饭都越简单越好,水果、和谷物等越吃越少,对于人的身体健康是非常的不利的,对于鱼鳞病患者不良的习惯还会诱发和加重病情,所以鱼鳞病患者一定要有选择的合理的安排好自己的饮食,使饮食更好的辅助鱼鳞病的治疗。
  四、鱼鳞病是一种皮肤病,所以预防工作在皮肤护理方面也是不能忽视。注意皮肤的保湿,可用热水敷,增加皮肤的含水量,或者是洗澡后要搽用护肤乳。特别是在冬天皮肤保湿尤其重要。
  五、在天气寒冷的时候要注意保暖,根据天气变化及时添加衣服,避免风寒刺激皮肤。平时生活规律化,劳逸结合。鱼鳞病的患者由于角化异常,皮肤的防御能力和保湿能力明显下降,比正常人更容易发生湿疹。由于冬季气候比较干燥,皮肤表面的皮脂分泌减少,滋润 的作用不足,导致皮肤干燥,容易引起皮肤瘙痒。有鱼鳞病的患者冬季气候比较干燥时原有的病情也容易加重,表现出瘙痒和脱屑。因此对于鱼鳞病患者,冬季应该 注意洗澡不要太勤,少用碱性的浴液,水温不要太烫,洗澡后要趁皮肤还没有完全干燥涂润肤产品。
  六、鱼鳞病是具有遗传性的疾病,所以避免近亲结婚也是预防鱼鳞病的方法之一。
  温馨小提示:一旦确诊后,要及早到医院接受治疗,避免病情出现扩散或者其他问题。鱼鳞病的治疗,除了医生诊疗外,患者还要积极配合。
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京公网安备132被浏览54750分享邀请回答ichthyosis.org.uk/leaflets/基础知识只翻译重点。What is ichthyosis vulgaris?何为寻常型鱼鳞病?‘Ichthyosis’ is a group of skin conditions characterised by dry, scaly skin and ichthyosis vulgaris (IV) is the most common form of inherited ichthyosis. The severity of IV varies widely from very mild cases of dry skin to severe areas of thickened skin and scaling over the body, arms, legs and face. The condition runs in families, often along with eczema and/or asthma and/or hay fever.鱼鳞病是一组皮肤症状,体现在干燥、鳞片状的皮肤。寻常型鱼鳞病(IV)是遗传性鱼鳞病的最常见类型。其严重程度差别很大,从最轻微的皮肤干燥,到身体/手臂/腿及脸部的严重部位皮肤增厚及鳞片都有。症状有家族性,时常同时有湿疹和/或哮喘和/或枯草热。插入美国Mayo Clinic的资料Ichthyosis vulgaris slows your skin's natural shedding process. This causes chronic, excessive buildup of the protein in the upper layer of the skin (keratin). Symptoms include:常见症状是:Dry, scaly skin干燥、鳞片的批复Tile-like, small scales像拼贴瓷砖那样的小鳞片Scales colored white, dirty gray or brown — with darker-colored scales typically on darker skin白色、脏灰色或棕色的鳞片Flaky scalp片状头皮Deep, painful cracks in your skin深且疼痛的皮肤裂缝The scales usually appear on your elbows and lower legs and may be especially thick and dark over your shins. Most cases of ichthyosis vulgaris are mild, but some can be severe. The severity of symptoms may vary widely among family members who have the condition.鳞通常在肘部和下肢出现,在小腿可能尤为厚且颜色深。通常的寻常型鱼鳞病很不严重。Symptoms usually worsen or are more pronounced in cold, dry environments and tend to improve or even resolve in warm, humid environments.在湿热的环境里会改善甚至消失。When to see a doctor何时就医If you suspect you or your child has ichthyosis vulgaris, talk to your family doctor or a dermatologist. He or she can diagnose the condition by examining the characteristic scales.怀疑有这个病的时候。Also be sure to seek medical advice if the symptoms worsen or don't improve with self-care measures. You may need stronger medication to manage the condition.恶化的时候,自己处理没有改善的时候(可能需要更强效的药物)。IV usually presents in early childhood but an individual’s skin will usually appear normal at birth. The lifelong condition may improve with age and often subside in the warmer summer months, while becoming more severe when the weather is cold and dry in winter.寻常型鱼鳞病通常在幼儿期出现,但在出生时皮肤通常看上去是正常的。虽终生有症状但其可能随着年龄增大而改善,且在夏季消退,冬季严重。What is acquired ichthyosis?何为获得性鱼鳞病?Acquired ichthyosis is a form of ichthyosis which generally appears in adults. It commonly results from natural dryness of the skin in our later years of life but it may rarely be associated with an underlying disease. 获得性鱼鳞病是一种通常在成人中出现的鱼鳞病类型。其通常源自晚年皮肤的自然干燥,但在罕见的情况下也可能与其他疾病相关。There are a number of conditions associated with acquired ichthyosis including nutritional deficiencies, metabolic factors and side effects from some medications. A short list of examples is given below but this is by no means all-inclusive.与获得性鱼鳞病相关的是:营养不良,代谢因素以及其他药品的副作用。以下有一个不完整的列表。The severity of acquired ichthyosis largely depends on the underlying cause but if the cause is removed or the condition is treated, the ichthyosis should improve.获得性鱼鳞病的严重程度源自基础疾病,后者治疗好后鱼鳞病应能改善。Conditions associated with acquired ichthyosis与获得性鱼鳞病相关的条件:o Advancing age年龄增大o Environmental factors: excessive washing, excessive heat, cold windy weather, chlorine from swimming pool, air conditioning环境因素:过度的洗,过度的热,寒冷且风大的气候,游泳池中的氯,空调o Metabolic factors eg thyroid disease, excessive weight loss代谢因素,例如甲状腺疾病,体重过度降低o Vitamin A deficiency缺乏维生素Ao Treatment with nicotinic acid eg to lower cholesterol使用烟酸的治疗(如降低胆固醇时)o Extremely rarely, other serious conditions在非常罕见的情况下的其他原因获得性鱼鳞病的病因Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. .据称这个文献说:The development of ichthyosis in adulthood can be a manifestation of systemic disease, and it has been described in association with malignancies, drugs, endocrine and metabolic disease, HIV, infection, and autoimmune conditions获得性鱼鳞病可能与:恶性肿瘤、药物、内分泌及代谢疾病、艾滋病、感染以及自身免疫疾病等原因相关。Causes病因Ichthyosis vulgaris is commonly caused by a genetic mutation that's inherited from one or both parents. Children who inherit a defective gene from just one parent have a milder form of the disease. Those who inherit two defective genes have a more severe form of ichthyosis vulgaris. Children with the inherited form of the disorder usually have normal skin at birth, but develop scaling and roughness during the first few years of life.基因问题。从父母一方处继承一个缺陷基因导致轻度的鱼鳞病;继承两个缺陷基因导致比较严重的寻常型鱼鳞病。(换句话说,作为基因疾病,寻常型鱼鳞病(Ichthyosis Vulgaris, IV)是无法治愈的。但通常可通过控制症状获得良好的预后。)If genetic abnormalities aren't responsible for ichthyosis, it's referred to as acquired ichthyosis. It's usually associated with other diseases, such as cancer, thyroid disease or HIV/AIDS.如果不是基因问题,那么称之为获得性鱼鳞病。通常与其他疾病:癌症、甲状腺疾病或艾滋病有关联。皮肤的护理Bath Oils浴油are solubilising agents designed to disperse in water leaving a fine film over the entire body.溶解在水中,在身上留下薄膜。help to hydrate the skin as well as soften it.有利于润肤及软化皮肤。Ointments (oil/grease)软膏(油脂类)are occlusive and have a softening protective action on the skin.封闭性,软化及保护皮肤。are useful for dry scaling areas.用于干燥有鳞片的区域。are not water soluble and so difficult to wash off.are not suitable for wet/weeping areas of the skin as they seal in moisture and keep the area warm, this may result in further damage to the skin.不适用于皮肤上湿润或流水的区域,因为将会把这些水分封住,导致这些区域更热,导致对皮肤的进一步损害。Creams (water/oil)乳液(水/油性)mix easily with body fluid therefore drainage is not impaired.与体液容易混合,因此不影响排汗。are water soluble and easily washed off.水溶性,因此容易洗掉。are soothing to dry skin.可以缓解干燥皮肤。Keratolytics角质剥脱剂- are preparations and contain salicylic acid, lactic acid and urea’s. They can be absorbed through the skin and must therefore be used under strict medical supervision. 通常含有水杨酸、乳酸或尿素的制剂。可被皮肤吸收,因此必须在严格的医疗指导下使用。Keratolytic agents are used to induce desquamation (shedding) of the horny layer (outside layer) without affecting the function of the epidermis.角质剥脱剂用于引发角质层(外层)的脱屑,而不影响表皮的功能。NOTES说明Part of the reason the skin is dry is because it lacks moisture, therefore the aim is to hydrate the skin as much as possible.皮肤干燥的部分原因是缺乏水分,因此目标是尽可能的滋润皮肤。Using bath emollients will help to soften and hydrate the skin.使用沐浴润肤剂可帮助软化及滋润皮肤。Applying greasy emollients to the entire body after bathing will help to seal in moisture to the outer layer (stratum corneum), minimising cracks and fissures. 在洗澡后全身使用油性的润肤剂有助于锁住皮肤外层(角质层)的水分,最大限度的降低裂纹和裂缝。These emollients should be applied at least 4 hourly by day.这些润肤剂应该每4小时使用一次。The older child and adults may require medicated shampoo’s designed to loosen scale. A fine comb should be used to gently remove the scale. Never be tempted to force the scale off as this can damage the root and can aggravate hair loss.较大的儿童和成人可能需要有lossen鳞片的药用洗发水。用好的梳子轻柔的除去鳞片。永远不要大力去除鳞片,因为其可能损害发根并恶化脱发。In hot weather it may be necessary to discontinue the ointments and change to a cream, as ointments can cause the sufferer to feel uncomfortable and it will also reduce the risk of overheating.炎热天气里需要考虑停用软膏而改用乳液,因为软膏可能会不舒服且造成皮肤过热。Prevention预防There are no guidelines for preventing the development of ichthyosis. However, steps to prevent this condition from getting worse include:目前没有办法预防鱼鳞病的发展。但以下有助已有症状部分避免恶化:Bathing less often避免过度洗澡Applying unscented moisturizer regularly and frequently, especially in winter规律且频繁的使用没有香味的润肤产品。Using only mild soap使用温和的香皂。Avoiding:避免:Harsh soaps避免刺激性香皂。Soaps with scents or perfumes避免有香味的香皂。Skin contact with detergents避免皮肤接触洗涤剂。Cold, dry weather when possible避免干冷气候。Managing the conditions管理症状As yet, there is no cure for IV but the prognosis for the condition is generally very good.虽然对于寻常型鱼鳞病无法治疗,但预后通常是非常好的。Symptoms tend to come and go but continual care with moisturisers should help keep the skin as healthy as possible. 症状可能来来去去,但持续润肤会最大限度的保护皮肤健康。It may also be necessary to avoid nvironmental conditions that can worsen ichthyosis eg excessive washing, dry, cold and windy weather. 应当避免环境伤害:过分的洗、干燥、寒冷及大风的天气。Success of the treatments will depend on the individual and the severity of their condition. What works for one person may not work for another and patients will need to consider different options to find the best treatment for them.对一些人有效的方法不一定对其他人有效。Moisturising creams and skin treatment保湿乳液及皮肤护理It is very important that the skin is kept moisturised at all times and that moisturising creams or ointments are applied frequently. Moisturising agents should be perfume-free and without additives to avoid any allergic reactions. The use of bath oils (not bubble bath or soap) is helpful so that bathing does not cause drying or irritation of the skin and soaking in the bath tends to be more beneficial than taking a shower.皮肤在任何情况下均保持湿润非常重要,应当经常使用保湿乳液或乳膏。Emollients and keratolytic creams which contain urea, and/or lactic acid (see product’s ingredients label for these) can be useful to remove scales. However these should be avoided if the skin is particularly itchy or red because they may irritate the skin.含有尿素或乳酸的润肤剂以及角质剥脱剂对于去除鳞片有作用。但应避免使用在痒或红的皮肤上,否则可能会刺激皮肤。In very severe cases antibiotics can be given to treat secondary infections.在特别严重的情况下,考虑使用抗生素以治疗次级感染。What you can do in the meantimeTo help soothe affected skin:Wash only with mild soaps that have added oils and fats. Avoid strongly scented and antibacterial soaps, which may be too harsh on dry skin.使用温和的香皂。避免使用有强香味的或含有抗菌成分的。Apply moisturizer or lubricating cream while the skin is still moist from bathing. 浴后趁皮肤湿润时使用润肤产品。Choose a moisturizer such as petroleum jelly or one that contains urea or propylene glycol — chemicals that help keep skin moist.考虑使用凡士林或含有尿素或丙二醇的产品,以润肤。耳朵的护理由于耳道的皮肤清洁机理和其他地方的皮肤不同,因此如果耳道中出现鳞片,可能会影响耳道的清洁。这个需要找医生处理。Lifestyle and home remedies生活方式与日常护理Self-help measures may help improve the appearance and feel of damaged skin. Consider these suggestions:Take long soaking baths to soften the skin. Use mild soap. Rub dampened skin lightly with a rough-textured sponge (loofa) or a pumice stone to help remove the scales.泡长的澡,以便软化皮肤。稍微搓一下以便去除鳞片。After showering or bathing, gently pat or blot the skin dry with a towel so that some moisture remains on the skin.洗完别拿毛巾擦太干,留点水在皮肤上。Apply moisturizer or lubricating cream while the skin is still moist from bathing. 擦保湿。Choose a moisturizer with urea or propylene glycol — chemicals that help keep skin moist. Petroleum jelly is another good choice.选择含有尿素或丙二醇的润肤产品。凡士林也不错。Apply an over-the-counter product that contains urea, lactic acid or a low concentration of salicylic acid twice daily. Mild acidic compounds help skin shed its dead skin cells. Urea helps bind moisture to skin.使用含有尿素、乳酸或低浓度水杨酸的OTC产品,每天两次。温和的酸类成分有助于皮肤自然剥脱死皮。尿素帮助保湿。Use a portable home humidifier or one attached to your furnace to add moisture to the air inside your home.在家可开加湿器。Incidence Rates发病率’s no wonder that with so many different kinds of recognized ichthyosis, sometimes it’s hard to accurately diagnose certain individuals. Because many people with milder forms of ichthyosis go undiagnosed (they may figure they just have dry skin and don’t seek special treatment from a dermatologist), and others may be misdiagnosed, exact incidence rates are difficult to calculate. However, the table below shows commonly accepted estimates of incidence rates:可去链接里看发病率图表。This certainly qualifies ichthyosis as a rare disease. A rare or "orphan" disease affects fewer than 200,000 people in the United States.
However, we're hardly alone in being affected by a rare disease.
There are more than 5,000 rare disorders that, taken together, affect approximately 20 million
Americans. One in every 12 individuals in this country has received a diagnosis of a rare disease.大约250人里就有一人为寻常型鱼鳞病。Special diets have been advocated for a few of the rarer syndromes (e.g., Refsum disease), but in general, dietary changes have little or no effect on the ichthyoses. 总体而言,饮食结构和鱼鳞病没有太大关系。Although retinoids are used to treat ichthyosis, taking Vitamin A in excess of normal daily requirements is not recommended.
Excess Vitamin A is toxic and can result in cerebral edema (swelling of the brain) and damage to the liver.
Children can be particularly sensitive to toxic amounts of Vitamin A. 虽然类维生素A被用于治疗鱼鳞病,但过度摄入维生素A不推荐。过度的VA有毒且对肝脏有害,特别是儿童。关于维生素A的摄入Recommended daily allowanceVitamin ADietary Reference Intake:[14]成年男性及女性适当摄入量为:700μg/day上限摄入量为:3000μg/day根据以下资料,我理解换算大致为:1微克μg=3.33国际单位IU因此上限摄入量为=10000单位——也即:国产维生素A软胶囊2粒(5000单位每粒的话)。维生素国际单位与微克的换算有些药物如维生素、激素、抗生素、抗毒素类生物制品等,它们的化学成分不恒定或至今还不能用理化方法检定其质量规格,往往采用生物实验方法并与标准品加以比较来检定其效价。通过这种生物检定,具有一定生物效能的最小效价单元就叫”单位”(u);经由国际协商规定出的标准单位,称为”国际单位”(IU)。维生素A:1国际单位(IU) = 0.300μg结晶视黄醇 = 0.344μg维生素A醋酸酯 = 0.550μg维生素A棕榈酸酯 = 0.358μg维生素A丙酸酯 = 1 美国药典单位(USP)Vitamin A: 1 IU is the biological equivalent of 0.3 μg retinol, or of 0.6 μg beta-carotene.[6][7][a]Vitamin A is included in most multivitamins, and the U.S. recommended dietary allowance (RDA) for adults is as follows: 900 micrograms daily (3,000 IU) for men and 700 micrograms daily (2,300 IU) for pregnant women 19 years old and older, 770 micrograms daily (2,600 IU); and for lactating women 19 years old and older, 1,300 micrograms daily (4,300 IU).美国推荐的每日摄入量RDS(成人)为:3000国际单位(男性)及2300国际单位(女性)。For vitamin A deficiency, unrelated to xerophthalmia (dry eye), vitamin A has been given at a daily dose of 100,000 IU by mouth or intramuscularly for three days, followed by 50,000 IU daily for two weeks. After two weeks, daily doses of 10,000-20,000 IU have been given for two months.治疗维生素A缺乏症有这么使用的:10万单位口服3天,随后5万单位每天/2周,随后1-2万单位每天/2个月的。吃维生素A有效吗?SYSTEMIC RETINOIDS IN THE MANAGEMENT OF OF ICHTHYOSES AND RELATED SKIN TYPESDermatol Ther. A available in PMC 2014 Jan 8.Published in final edited form as:Dermatol Ther. 2013 Jan-F 26(1): 10.1111/j.12.01527.x.doi:
10.1111/j.12.01527.x这个文献说:AbstractThe term retinoid includes both natural and synthetic derivatives of vitamin A. Retinoid containing treatments have been used since the early Egyptians ~1550BC. Treatment of ichthyosiform disorders with retinoids dates back at least to the 1930’s. Early use of high dose vitamin A demonstrated efficacy but, because vitamin A is stored in the liver, toxicity limited usefulness. 早期使用高剂量维生素A有效果,但是由于损伤肝脏,因此毒性超过治疗效果。Interest turned to synthetic retinoids in an effort to enhance efficacy and limit toxicity.Acetretin, isotretinoin and, in the past etretinate, have provided the most effective therapy for ichthyosiform conditions. They have been used for a variety of ages, including in newborns with severe ichthyosis and for decades in some patients. Careful surveillance and management of mucous membrane, laboratory, skeletal, and teratogenic side effects has made systemic retinoids the mainstay of therapy for ichthyosis and related skin types.图书第48页过度开空调、过度饮酒会加重鳞片形成。第49页大约一半的IV患者有过敏性问题。另一个常见的关联性的症状是keratosis pilaris(毛囊角化病)。鱼鳞病与痤疮最近研究了一下IV与痤疮。治疗痤疮的一些药物,如维A酸、异维A酸,本身也是用于治疗IV的药物,因此用这些药物祛痘可能不会影响到鱼鳞病。这里有个不错的关于鱼鳞病用药的文章——其中明确达芙文Adapalene (Differin(R))、异维A酸(Accutane(R))什么的也是鱼鳞病治疗药物。最后个人感想:1. 1/250的概率,而且不会死人,对生活的影响是有限的,没什么大不了。想开点。从罕见病累积概率来讲,人总得摊上点什么疾病吧,这个比别的病已经好太多了。2. 何况,护肤本来就是应该的。本来就要爱自己。慢性病的逐渐发展就像你身上的倒计时钟,时时再次提醒你珍惜时光、热爱生活。如果我以上有错误或遗漏,或者有任何别的好办法,请留言或私信告诉我吧。大家多交流。谢谢。14144 条评论分享收藏感谢收起2521 条评论分享收藏感谢收起查看更多回答鱼鳞病怎么治疗?怎么样防止它继续发展下去?_百度拇指医生
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鱼鳞病怎么治疗?怎么样防止它继续发展下去?
鱼鳞病,是一种常见的遗传性皮肤角化病,旧称鱼鳞癣,中医称蛇皮癣。主要表现为四肢伸侧或躯干部皮肤乾燥、粗糙,伴有菱形或多角形鳞屑,外观如鱼鳞状或蛇皮状,因遗传方式不同,可分为常染色体显性遗传寻常性鱼鳞病、性联遗传寻常性鱼鳞病、先天性鱼鳞病样红皮病及板层状鱼鳞病。 [症状体症] 按症状和体征可分四型: 1.显性寻常型鱼鳞病 (1)出生后3月-5岁之间发病; (2)皮肤乾燥、上覆灰白色至淡棕色菱形或多角形鳞屑,周边翘起,中央紧贴皮肤; (3)主要分布在四肢伸侧、背部; 2.性联寻常型鱼鳞病 (1)出生后3个月内发病,仅男性受累; (2)皮肤乾燥粗厚,上覆大而深棕色鳞屑,冬重夏轻。随年龄增长,损害不变,甚至加剧; (3)皮损分布全身,以头面、侧面、耳前、颈受累最重。屈侧常被累及。 3.先天性鱼鳞病样红皮病 (1)出生时全身即有铠甲样多层鳞屑,脱落后出现粗糙湿润面,可有松弛性大胞; (2)严重者手足呈爪形; (3)常染色体显性遗传。 4.层板状鱼鳞病 (1)婴儿全身生后为一层广泛火棉胶状膜紧紧包裹,数日后该膜脱落,皮肤广泛潮红,上有大片多角鳞屑,中央粘着,边缘游离; (2)掌跖角化过度,指甲及毛发过度生长; (3)2/3患者有睑外翻。 [诊断依据] 1.遗传性疾病; 2.四型的皮损表现; 3.组织病理改变 (1)显性遗传性鱼鳞病:表皮中度角化过度,伴颗粒层变薄或消失; (2)性联寻常型鱼鳞病:角化过度,颗粒层正常或稍厚; (3)表皮松解角化过度鱼鳞病:角化过度,表皮细胞松解,颗粒变性。 [治疗原则] 1.目前无根治方法,治疗目的是缓解症状,增加角质层含水量和促进正常角化; 2.全身治疗,可试用维生素A,13-顺维甲酸、银屑灵或氨甲蝶呤; 3.局部可用增加角质层含水量,去除过度角化的物质,如尿素霜、维甲酸、水杨酸等; 4.有感染可外用抗菌素软膏。 [疗效评价] 1.治愈:皮损消退90%以上; 2.好转:皮损消退50%以上; 3.未愈:皮损消退30%以下。 [专家提示] 本病无特效治疗,轻症鱼鳞病对健康无大影响,仅冬天皮肤瘙痒或乾燥,可于洗澡后外搽尿素霜等水合剂。注意个人卫生,减少臭味,重症可在医生指导下服用维甲酸类药物,表皮松解性角化过度鱼鳞病可有智力迟钝应注意开发智力。 祛除鱼鳞病魔 还你健康肌肤 生活时报咨询电话:010—邮编:100071联系人:黄进勇 鱼鳞病是一种角化障碍性皮肤病,通常有遗传家族史。临床表现四肢伸侧躯干部皮肤干燥粗糙,伴有淡褐至深褐色鱼鳞屑和深重斑纹,汗腺分泌减少,冬重夏轻,严重时皮肤皲裂僵硬。若长久不治或治疗不当,可波及全身遗传后代。 目前,我国适用于鱼鳞病服用的药物很多,但均无法从根本上使患者痊愈。人们往往针对鱼鳞病的外表现象采取治疗,使病情得到一定程度的缓解,但这种医治方法治标不治本。鱼鳞病其病因是肝肾阴虚,血虚风盛,风盛则燥,燥至肌肤失养而发病。现在由北京市朝阳区城建七医院鱼鳞病研究中心著名鱼鳞病专家黄主任反复临床验证,成功地研制出治疗鱼鳞病的特效药物“消鳞丹”及“祛鳞酊”,内服外用,使患者在短期内脱去鳞屑,长出汗毛,皮肤光洁有明显疗效。安徽芜湖的赵某,因患此病,多方求医,一直未治好,在报上看到广告后,抱着试一试的心理,在城建七医院治疗一疗程脱去鳞屑,长出汗毛,巩固一疗程后几年来未见复发。此药老少适宜,无毒副作用。几年来,黄主任以其独特的疗效治愈众多鱼鳞病患者,使他们获得了健康。 还鱼鳞病患者健康肌肤 生活时报咨询电话:(010) 8月18日是一个吉利的日子,对于孟大伟和白雯丽来说,更是一个喜庆的日子。经过多次情感的折磨,这对年轻人终于走到了一起,这天,他们终于领取了鲜红的结婚证。人们忘不了,是北京市复兴路24号西门医院中医皮肤病专家宋主任、赵主任使这对有情人终成眷属。 孟大伟出生于哈尔滨,攻读博士学位,在大连一家合资企业任高级职员。小伙子一表人才,很受姑娘们青睐。他谈了几个女朋友,最终不知什么原因就分手了,原来小伙子患有严重的鱼鳞病,一身皮肤除头脸外,其它部位干燥、粗糙、掉皮屑,蛇皮一样的皮肤令姑娘们望而却步。为这病他到本省、外省市十多家医院看过,却没有治好病,他羞于与人打交道,就变得自卑而又沉默寡言。在一年的春季,他悄悄辞去了令许多人羡慕的工作,只身来到北京的一家公司打工。他只想离开那个令他尴尬的环境。 与在大连一样,孟大伟很快引起了公司姑娘们的注意。青春秀丽的武汉籍姑娘白雯丽更是对他一见倾心,可他总是躲躲闪闪。当姑娘终于鼓起勇气向他表露心迹时,大伟含泪向姑娘道出了实情。他说,这病还会遗传下一代呢。没想到姑娘一点不在乎,很真诚地对他说,自己也曾患鱼鳞病,情感经历与他太相似了,是北京西门医院的宋大夫和赵大夫给治好了。第二天,白雯丽就领着孟大伟,来到这九层的门诊大楼找到了两位主任。 真是踏破铁鞋无觅处,得来全不费功夫。经过宋主任和赵大夫三个疗程的治疗,大伟原来干燥粗糙的皮肤不见了,一身健康的皮肤还给了他男儿的自尊与自信。两年后的今天,这对年轻人坦然地走到了一起。 鱼鳞病是一种遗传性皮肤角化异常性皮肤病,患者皮肤干燥、粗糙脱屑,表皮呈鱼鳞或蛇皮状,重者皮肤增厚呈板层状甚至皲裂,严重影响美观。看到许多患者为鱼鳞病深深苦恼、自卑,宋主任决心攻克这一难关。多年来,他潜心研究鱼鳞病的发病机理与辩证施治,从鱼鳞病生理学、病理学、皮肤组织细胞学入手,从中医角度得出了该病是由“先天禀赋不足、后天脾气失调、阴虚火旺、津血失布而致肌肤失所养”所致的见解。即鱼鳞病是由肝、脾、肺、肾的失调而致皮下组织通透性差,人体消化的水谷精微不能充分输布于表皮而致。要彻底治愈鱼鳞病,应该从调整人体整体机能入手,光作表面文章不行,在这种理论指导下,他在鱼鳞病科研组中率先运用“宣肺健脾益肾,活血通络润肤”的内外结合疗法治疗鱼鳞病取得成功。他精选几十味中药研制的鱼鳞消胶囊和鱼鳞清搽剂,内服外用,可调节脏腑功能,改善皮下组织通透性,使皮肤获得充足的养分,逆转皮肤的异常角化,使皮下毛孔能分泌汗液,长出汗毛,这样就恢复了皮肤的光洁与弹性。经无数次临床验证,这种疗法治疗鱼鳞病疗效显著不复发,无副作用,一般2—3个疗程即可治愈。他治疗鱼鳞病取得成功后,全国很多患者来信来电求医问药,他总是不厌其烦地回复患者,并把药品邮到患者手中。为此,他常常一天工作十多个小时。有人问他这把年纪了还图个啥,他总是说:“病人着急我也急呀,趁现在身体还行,多治好一些病人,心里才更踏实一些呢。”——一个默默奉献余热的老专家,用他朴素的语言,道出了他崇高的内心世界。 还鱼鳞病患者健康肌肤 文摘报《人民公安报》10.8钟文 鱼鳞病是一种遗传性皮肤角化异常性皮肤病,患者皮肤干燥、粗糙脱屑,表皮呈鱼鳞或蛇皮状,重者皮肤增厚呈板层状甚至皲裂,严重影响美观。看到许多患者为鱼鳞病深深苦恼、自卑,北京市复兴路24号西门医院中医皮肤病专家赵峰主任决心攻克这一难关。多年来,他潜心研究鱼鳞病的发病机理与辨证施治,从鱼鳞病生理学、病理学、皮肤组织细胞学入手,从中医角度得出了该病是由“先天禀赋不足,后天脾气失调,阴虚火旺、津血失布而致肌肤失所养”所致的见解,即由肝、脾、肺、肾的失调而致皮下组织通透性差,人体吸收的营养不能充分输布于皮表而致。要彻底治愈鱼鳞病,应该从调整人体整体机能入手。在这种理论指导下,他在鱼鳞病科研组中率先运用“宣肺健脾益肾,活血通络润肤”的内外结合疗法治疗鱼鳞病。他精选几十味中药研制成鱼鳞消胶囊和鱼鳞清搽剂,内服外用,可调节脏腑功能,改善皮下组织通透性,使皮肤获得充足的养分,逆转皮肤的异常角化,恢复皮肤的光洁与弹性。该疗法疗效显著,不复发,无副作用,一般两至三个疗程即可治愈。他治疗鱼鳞病取得成功后,全国很多患者来信来电求医问药,他总是不厌其烦地回复患者。为此,他常常一天工作十多个小时。有人问他这把年纪了还图个啥?他总是说:“病人着急我也急呀,趁现在身体还行,多治好一些病人,心里才更踏实一些呢。”赵主任用他朴素的语言,道出了他崇高的内心世界。 秋冬治“鱼鳞”不易复发 光明日报 鱼鳞病又称蛇皮癣,是因体内微循环障碍、内分泌失调所引起的一种皮肤角化性疾病,多数遗传,且冬重夏轻。患者表现为四肢肌肤干燥、粗糙、有灰褐色鱼鳞状鳞屑和深重的斑纹,严重时出现皮肤破裂、僵硬、骚痒等。它病程长,给患者肉体上、精神上带来了巨大的折磨和痛苦。 北京中医药研究中心皮肤病研究组的张德鹏医生,经过十多年的不懈研究,在鱼鳞病的治疗上取得了新进展。多年来,张教授一直致力于研究对“鱼鳞病”有独特疗效的药物。他广集中医民间验方和古今中医名家之精华,利用中国核物理研究所提供的γ射线磁场分离仪,从何首乌、牛黄、川芎、犀角、阿胶等几十味天然中草药中提取有效成份,经反复实践,精心组合配伍,成功研制出纯天然治鳞特效药——“鳞立清”口服、外用药。经国内几十家大、中医院临床治疗表明,无论患者病史多长、病情多重、遗传或非遗传,使用“鳞立清”内外夹攻,标本兼治,都能取得脱屑净鳞、皮肤光洁、长出汗毛的疗效,并可在短期内获一次性治愈,且不易复发。“鳞立清”的研制成功,受到了上级卫生部门和权威专家的充分肯定。“鳞立清”具有活血化瘀、营肌润肤、健脾润燥、调节内分泌、改善微循环等功效,疗程短、见效快、无副作用。 张德鹏医生提醒患者:秋冬季节是鱼鳞病症状逐渐加重的季节,此时使用“鳞立清”系列药物内外夹攻,辨证施治,对症用药,能药到病除,不再复发。 皮肤干燥冬季皮屑多:鱼鳞病.cn日15:14新浪生活 问:我是61年生,男性,在3岁得皮肤病,症状是皮肤干燥,分泌汗液少,冬重夏轻,有皮屑,四肢较重,冬季遇风吹或长时间接触泥水后皮肤开裂,冬季皮屑多,主要在小腿部,有片状,无疼感和捎痒感,经多方医治无效 医院讲此病非银硝病和鱼鳞病之类,是一种皮肤病顽症,发病机理不清,不知有何办法。 吴大夫答:你的情况首先还是要考虑鱼鳞病的可能。因为你所描述的表现和鱼鳞病非常象。33患者由于角化异常,皮肤的更新非常快,所以产生大量的皮屑,而且保湿能力明显下降。由于冬季气候比较干燥,皮肤表面的皮脂分泌减少,滋润的作用不足,导致皮肤干燥,容易引起皮肤瘙痒。 鱼鳞病是一种遗传性疾病,目前没有太好的治疗方法,尤其是对于你这种症状较轻的患者,主要是保持皮肤湿润,减少皮屑,防止继发湿疹等其它皮肤病。有鱼鳞病的患者冬季气候比较干燥时原有的病情也容易加重,表现出瘙痒和脱屑。 因此对于鱼鳞病患者,冬季应该注意洗澡不要太勤,少用碱性的浴液,水温不要太烫,洗澡后要趁皮肤还没有完全干燥涂润肤产品。 如果用上述方法后还瘙痒,可以在发病期间口服抗组胺类药物止痒,此外局部可以使用甘油等润滑皮肤,严重的有湿疹样改变的还要外用激素类药物。 先天性鱼鳞病: 临床表现可分为下述备类型: (一)常染色体显性遗传性寻常鱼鳞病,本型为常见的轻型鱼鳞病,亲代一方或双方患病则家中常有多人摧患,但无性别差异。常自幼年发病,随年龄增长而加剧,至青春期症状最为显著,以后即停止发展。皮损表现轻重不一,轻者仅冬季皮肤干燥,无明显鳞屑,搔抓后有粉状落屑,称为干皮症。或于毛囊口见有针尖大小与毛囊与致的褐色或淡褐色鳞屑,无自觉症,称为毛囊性鱼鳞病(cularis)。常见者除皮肤干燥外,尚可见灰褐色或深褐色蛇皮状鳞屑,中央固着,边缘游离。亦有鳞屑呈灰白色,带有云母状光泽者,称为光泽性鱼鳞病。更有角质增殖异常显著;可厚达lcm以上,表面粗糙,呈棘状或乳头状隆起,表面暗灰或灰褐,犹如树皮者,此称为高超鱼鳞病。 本病对称好友于四肢伸侧及躯干,尤以肘膝伸侧为著。严重者可波及全身,伴有掌跖过度角化,鞍裂及指(趾)甲改变。山般颜面、头皮、肘窝、腋下、腮窝、外阴、及臀沟常不被侵犯,或仅有轻度鳞屑。通常无自觉症,冬季由于汗腺及皮脂腺分泌减少,皮肤干燥,自觉瘙痒不适,如有皲裂则感疼痛。患者常有异位性体质,如枯草热及哮喘等。 组织病理:角质层显著增厚,颗粒层变薄或消失。其角质层增厚与角质层细胞间的桥粒退化迟缓,使角质层细胞未能正常脱落有关。棘层细胞变薄,基底层色素增加。由于角化过度伸入毛囊形成毛囊角栓。汗腺皮质腺可萎缩。真皮无明显改变,或在血管周围有少数淋巴细胞浸润。 (二)性联遗传寻常鱼鳞病:较少见。由于本病的基因在X染色体上,故仅见于男性,可于生后或婴儿期发病。皮损与上型略异,鳞屑大而显著,呈黄褐色或污黑色大片鱼鳞状,皮肤干燥粗糙,往往遍布全身,腋窝、国窝及肘窝等部亦可受累;腹部较背部尤重。如面部受累,则仅限于耳前及颜面侧面。一般不发生毛囊角化。掌跖距皮肤正常,皮损不随年龄增长而减轻,有时反而增剧。本病女性为携带者,一般不发病,有时仅见于前臂及小腿出现薄的鳞屑。角膜后壁及后弹性层膜上可有小浑浊点状,不影响视力。 组织病理角化过度,颗粒层正常或增厚,棘层轻度增厚,真皮无明显变化,有时可在血管周围见有淋巴细胞浸润。 通常临床所见的先天性鱼鳞病样红皮病及板层状鱼鳞病如下: (三)表皮松解性角化过度鱼鳞病又称大疱性先天性鱼鳞病样红皮病,为具有高畸变率的常染色体显性遗传病。临床少见。生后或生后数月,可有泛发性及局限性损害。泛发性者出生时全身即有铠甲样厚层鳞甲,生后即脱落,出现泛发性潮红及鳞屑,剥除鳞屑呈现湿润面,红斑可逐渐消失,可再发生较厚疣状鳞屑。局限性者仅在四肢屈侧及皱壁部可有较厚的鱼鳞状角质片。重者可有疣疵状增生或呈局限性抚状增生损害称豪猪状鱼鳞病。本病的开始数年内可出现木小不等的松弛性水疤或大疤。使用抗生素控制感染,可减轻水疤的发生。手掌受累者可影响功能。 组织病理表皮角化过度,颗粒细胞层增厚,棘层上部细胞有网状空泡化,有时桥粒仅与一侧棘细胞相连表皮细胞有棘突松解,表皮内可见有水疤或大疤,真皮浅层有慢性炎症浸润。 (四)板层状鱼鳞病系常染色体隐性遗传,生后全身即为一层广泛的人棉胶状的膜紧紧地包裹,多引起眼睑及唇外翻。数日后该膜脱落,皮肤呈广泛弥慢性潮红,上有灰白色或灰褐色多角形或菱形大片鳞屑,中央固着,边缘游离。往往对称性发于全身,以肢体屈侧、肘窝、国窝、腋窝和外阴等部较为明显。掌跖过度角化,指甲及毛发过度生长.病程经过迟缓,可终生存在,至成年期红皮症可减轻,但鳞屑仍存在。本病属常染色体隐性遗传。 组织病理:表皮中等度角化过度,灶性角化不全,颗粒层及棘细胞层一部分增厚,表皮突延长,真皮浅层有慢性炎症浸润。 http://www.zgxl.net/sljk/pfk/ylb.htm
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