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Qu Jing
Dermatology
About me
With a Master's degree in Medicine, engaged in clinical work of traditional Chinese medicine dermatology for over 10 years, and received further training at Xiangya Hospital for one year. I am a young member of the Chinese Acupuncture and Moxibustion Society's Cosmetology Branch, a member of the Hunan Medical Cosmetology Professional Committee, a member of the Hunan Provincial Society of Integrated Traditional Chinese and Western Medicine's Dermatology Branch, and a member of the Hunan Provincial Chronic Disease Management Professional Committee. I have published over 10 academic papers in national and provincial professional journals.
Proficient in diseases
Specializing in acne and eczema, urticaria, allergic dermatitis, corticosteroid-dependent eczema, pruritus, contact dermatitis, herpes zoster, chloasma, vitiligo, flat warts, alopecia, and other common skin diseases. Proficient in combining modern methods such as laser surgery with acupuncture, auricular therapy, external application of traditional Chinese medicine, and traditional Chinese medicine beauty treatments for the treatment of related skin conditions.
Voices
What should a woman do about genital warts?
Genital warts are caused by the human papillomavirus and commonly occur in areas such as the anus and external genitalia, primarily transmitted through sexual activity. Genital warts are prevalent among sexually active young and middle-aged individuals, with an incubation period ranging from one to eight months, averaging three months. In women, genital warts often occur on the labia majora, labia minora, vaginal introitus, clitoris, vagina, cervix, perineum, and around the anus. In a minority of patients, lesions may appear in areas other than the anogenital region, such as the oral cavity, armpits, breasts, and interdigital spaces. The initial lesions are single or multiple pale red papules that are soft in texture and gradually enlarge and multiply, forming wart-like structures, which may develop into papilliform, cauliflower-like, or cock's comb-like appearances. Treatment primarily involves the local removal of the warts, supplemented by antiviral and immune-boosting medications. Local treatments such as laser, cryotherapy, electrocautery, and microwave therapy can be used. For larger warts, surgical removal may be considered. For smaller warts located at the urethral meatus, photodynamic therapy can be an option.
Can people with eczema drink beer?
Eczema patients should not drink beer. Eczema is an inflammation of the superficial dermis and epidermis, caused by various internal and external factors. Clinically, the acute phase of the skin lesion is characterized by papules and vesicles with a tendency to ooze, while the chronic phase mainly presents with lichenification and is prone to recurrence. The cause of eczema is unclear. It involves internal factors such as chronic infectious foci, changes in endocrine and metabolism, blood circulation disorders, psychoneurological factors, genetic factors, etc. External factors contributing to the condition may include foods such as beef, lamb, meat, fish, shrimp; inhalants like pollen, dust mites; and environmental conditions such as heat and dryness. Eczema can also be related to contact with animal fur, various chemicals such as cosmetics, soap, synthetic fibers, and notably, beer, which contains alcohol that can aggravate eczema symptoms. Alcohol is a type of irritant food. After it enters the body through the gastrointestinal tract and circulates into the blood vessels, it enhances the permeability of the capillaries. This promotes the release of histamine, increases skin sensitivity, and exacerbates the clinical symptoms of eczema. Therefore, eczema patients should avoid all types of alcohol, including beer.
Can papular urticaria heal itself?
Papular urticaria, also known as insect bite dermatitis, is an allergic skin disease caused by an allergic reaction to bites from mosquitoes, mites, worms, and even lice, fleas, ants, etc. It often occurs on exposed parts of the skin and in individuals with sensitive skin. Generally, papular urticaria can heal on its own. If left untreated, without further exposure to the irritant, and with a light diet and proper rest, it can subside within about a week. However, if there are many rashes, accompanied by erythema, vesicles, severe itching, or even secondary infections, and if the individual has a history of severe allergic reactions, it is advisable to seek timely medical attention at a standard hospital. Under the guidance of a doctor, use calamine lotion to relieve itching, or apply topical corticosteroid ointment and take antihistamines and traditional Chinese medicine orally. Additionally, at home, it is important to maintain cleanliness of clothes, mats, quilts, and plush items, and to sun them often to avoid further insect bites. (The use of medications should be under the guidance of a physician.)
How to treat seborrheic dermatitis?
Seborrheic dermatitis is a common chronic recurrent inflammatory skin disease, which frequently occurs in areas with excessive sebum secretion such as the face, chest, and back. The exact cause of the disease is not yet clear, but it is related to factors such as Malassezia infection, increased lipids, impaired skin barrier function, immune responses, and individual susceptibility. In daily life, factors such as mental stress, lack of B vitamins, consumption of spicy foods and alcohol, and chronic sleep deprivation can affect the condition to varying degrees. In terms of treatment, it is important to first adjust lifestyle habits, including managing sleep schedules to sleep by 11 PM and regulating emotions. For local care, avoid excessive washing of the skin and focus on enhancing skin moisturization. Dietary adjustments should include lighter meals and abstaining from alcohol. For topical use, metronidazole gel and some antimicrobial ointments can be applied. Traditional Chinese medicinal solutions can also be used to clear heat, detoxify, reduce redness, degrease, kill parasites, and provide antibacterial and anti-itch effects. (Note: The use of medications should be under the guidance of a physician.)
Flat warts and genital warts are caused by the same virus?
Flat warts and condyloma acuminata both belong to the human papillomavirus (HPV), causing benign proliferations on the skin and mucous membranes. Clinically, common types include common warts, flat warts, plantar warts, and condyloma acuminata, among others. However, the specific subtypes of infections they cause vary. Flat warts are often caused by HPV type 3, typically seen in children and adolescents, and commonly occur on the face, backs of hands, and forearms. The typical lesions are flat, raised papules the size of rice grains or soybeans, round or oval in shape. Among all clinical HPV infections, flat warts have the highest rate of spontaneous resolution, although a minority of patients may experience recurrent episodes. Condyloma acuminata, on the other hand, is classified as a type of sexually transmitted disease. The specific HPV types involved include HPV types 6, 11, 16, 18, among others. HPV infects the epithelial tissue and is prevalent among sexually active adolescents, with a latency period generally ranging from 1 to 8 months, averaging 3 months.
How is folliculitis treated?
Folliculitis is a bacterial infection of the hair follicles and surrounding tissues. Most cases of folliculitis are caused by Staphylococcus aureus, with occasional infections from epidermal staphylococci, Streptococci, E. coli, and others either alone or in combination. Another scenario involves fungal folliculitis secondary to bacterial infection, typically involving Malassezia, spores, and Dermatophytes. Contributing factors include high temperatures, excessive sweating, scratching, poor hygiene habits, certain chronic systemic diseases, and long-term use of corticosteroids. Therefore, the treatment of folliculitis requires understanding the specific cause of the infection, followed by targeted treatment of the cause. Initial measures should focus on maintaining skin cleanliness and hygiene, preventing injuries, and boosting the body's immune system, primarily using topical medications. For widespread folliculitis or severe secondary infections, systemic medication may be required. If there is a concurrent fungal infection, antifungal medications are also necessary. In severe cases of folliculitis, where there is abscess formation and pus accumulation, timely incision and drainage are needed, and one should avoid squeezing the affected areas.
Is peeling skin on the feet without itchiness athlete's foot?
Peeling on the feet without itchiness is generally due to hyperkeratosis type athlete's foot. This condition commonly affects the palmoplantar regions and the heel, where the skin is dry with noticeably thickened stratum corneum. The surface is rough and flaky with deepened skin lines. In winter, the skin can crack and even bleed, potentially causing pain, but usually, there is no itching. There are three common types of athlete's foot. Besides hyperkeratosis type, there are vesicular and interdigital maceration types. The vesicular type usually occurs on fingertips, palms, and sides of the feet, characterized by pinhead-sized blisters deep in the skin. These blisters have clear fluid, thick and shiny walls that are not easily ruptured. Blisters may cluster or spread out and can merge into larger blisters. Once the blister roof is torn off, it reveals a honeycomb-like base and a fresh red erosion. After several days, the blisters dry up, leading to a collar-shaped scaling, with the lesion continuously spreading peripherally, and recurrently characterized by scaling. This type has notably more itching. The interdigital maceration type is common in finger and toe webs, especially among individuals who sweat excessively, wear rubber shoes for prolonged periods, and is more prevalent in summer. This condition also features significant itching and can have a foul odor due to secondary bacterial infection.
What is the difference between tinea capitis and seborrheic dermatitis?
Tinea capitis and seborrheic dermatitis have fundamentally different causes. Tinea capitis is a fungal infection, including conditions such as yellow tinea, white tinea, black dot tinea, and pustular tinea. It leads to the destruction of hair follicles, which can cause hair loss and even scarring. Seborrheic dermatitis, also known as seborrheic eczema, arises from the excessive secretion of sebum. At this time, it may also be stimulated by the colonization of certain microorganisms, such as Malassezia, causing inflammation. It typically affects the scalp, face, chest, and back. The initial lesions are follicular papules, which gradually enlarge and merge into dark red or yellow-red plaques covered with greasy scales or crusts. It can also exhibit exudation, crusting, erosion, and other eczematous changes, and in severe cases, the skin lesions can become widespread throughout the body. To differentiate between tinea capitis and seborrheic dermatitis, besides the symptoms, local skin flakes can be tested in a laboratory using fungal immunofluorescence, as well as bacterial and fungal cultures.
Can genital herpes virus be cured completely?
Genital herpes virus, due to its residual virus, remains latently stored in the sacral ganglia. When the body's resistance decreases or some triggering factors are present, the latent virus can be reactivated and recur. Therefore, genital herpes is difficult to completely cure. Genital herpes virus is a type of chronic, recurrent, hard-to-cure sexually transmitted disease caused by herpes simplex virus type 2 infecting the urogenital and perianal skin and mucous membranes. In the past 30 years, the incidence of this disease has been continuously rising. During treatment, patients need to rest, avoid alcohol, and excessive sexual activity. Sexual activity should be avoided when clinical symptoms occur. If genital herpes becomes active before delivery during pregnancy, a cesarean section should be performed. Treatment involves the use of topical antiviral drugs, and it is also important to prevent secondary bacterial infections.
Is urticaria contagious?
Urticaria, commonly known as hives, is not contagious. It is a localized edema of the skin and mucous membranes due to temporarily increased vascular permeability. Its pathological causes are not related to infection, thus it is not contagious. The specific cause of urticaria often remains unclear for many patients. Some cases are due to certain foods, such as animal proteins, seafood, fungi, and some food additives like tartrazine, balsam of Peru, and sulfites. Some cases are triggered by drugs such as penicillin and various vaccines. Others are caused by allergens inhaled through the respiratory tract or by contact with the skin; common examples include pollen, animal dander, dust, fungal spores, and dust mites, as well as some volatile cosmetics. Contact with certain items, such as insect bites, venomous insects, certain plants like nettles, or animal fur such as wool, can also trigger urticaria. Some cases may be related to physical factors such as exposure to cold, heat, sunlight, or pressure, all of which can potentially lead to the development of urticaria.