Subscribe
45
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
Will hair regrow after hair loss from scalp ringworm?
Scalp ringworm causes hair loss, and whether hair will regrow depends on the severity and specific type of scalp ringworm. There are generally four types of scalp ringworm: yellow ringworm, white ringworm, black dot ringworm, and kerion. White ringworm is primarily caused by infection from Microsporum canis, Microsporum gypsum, or Trichophyton violaceum. It is common in school-aged children, starting with small clustered papules that quickly expand outward into round or oval shapes covered with gray-white scale. Hair affected by white ringworm protrudes 2-4 millimeters above the scalp before breaking off. This type of ringworm does not destroy the hair follicles, so it does not cause permanent hair loss. After treatment, no scars are left, and hair can regrow in the affected area. Yellow ringworm, commonly known as bald ringworm, affects hair follicles and destroys them, leading to significant permanent hair loss and leaving behind atrophic scars. Hair will not regrow after healing from this type of ringworm. Black dot ringworm is now less common. It directly affects the hair follicles, characterized by hair breaking off shortly after emerging, leaving black dot-like stumps at the follicle openings. As this is a type of fungal infection, the prognosis includes localized hair loss and spot-like atrophic scars; hence, hair will not regrow in these areas. Kerion is a more severe outbreak where honeycomb-like pus pockets are formed at the follicle openings, allowing pus to be expressed. Triggering bacterial infections can also lead to abscesses. This type also destroys hair follicles, resulting in permanent hair loss and scarring, without regrowth of hair.
What does it mean if there is fluid in athlete's foot?
Athlete's foot, also known as tinea pedis, commonly manifests in three types: vesicular, hyperkeratotic, and intertriginous. The vesicular type is characterized by blistering and scaling, typically occurring on the tips of the fingers, the palms, and the sides of the feet. Initially, the skin lesions appear as small, scattered blisters the size of a pinhead. The blister fluid is clear, and the blister walls are relatively thick. These blisters can cluster and merge to form larger blisters, eventually losing their walls to expose a honeycomb-like base and a raw, eroded surface. After several days, the blisters can dry out and flake off. As the condition progresses and exudation increases, it can develop into the intertriginous type, which primarily affects the web spaces between the fingers or toes. It is more common in people who sweat excessively, soak their feet in water, or wear rubber shoes for extended periods, particularly during the summer. The skin becomes soaked and appears whitish, with a soft surface that peels off easily, revealing a moist red eroded area with exudate, often accompanied by cracking and significant itching. When secondary bacterial infection occurs, there is typically an odor. If not promptly controlled, it can lead to secondary infections, producing pustules and ulcers, and may also lead to acute lymphangitis, lymphadenitis, cellulitis, or erysipelas. In severe or recurrent cases, it can also induce local eczematous changes and disseminated dermatophytosis.
How long is the latency period of syphilis?
Syphilis is a chronic infectious disease caused by the bacterium Treponema pallidum (TP), primarily transmitted through sexual contact and blood. The impact of syphilis is significant as it can affect all bodily tissues and organs, or can be transmitted through the placenta, leading to stillbirth, miscarriage, premature birth, and congenital infections. When syphilis is suspected, due to its complex clinical manifestations, a detailed medical history should be taken, a thorough physical examination conducted, and repeated laboratory tests performed to ensure an early and accurate diagnosis. It is important to trace back to any unprotected sexual contacts within the last six weeks and to routinely screen the sexual partners of patients for syphilis as well. Syphilis is divided into three stages: The diagnosis of primary syphilis is mainly based on the history of exposure, the incubation period (six weeks), typical clinical manifestations, and laboratory tests, noting that a negative syphilis serology result alone should not exclude the diagnosis of syphilis. The diagnosis of secondary syphilis primarily relies on the history of exposure, typical clinical manifestations, especially skin and mucosal lesions, combined with laboratory tests. The diagnosis of tertiary syphilis is mainly based on the history of exposure, typical clinical manifestations, and laboratory tests. Neurosyphilis can also be assessed through cerebrospinal fluid examination. Congenital syphilis primarily requires a maternal history of the disease, combined with typical clinical manifestations and laboratory tests for diagnosis.
Can people with eczema eat onions?
People with eczema should not eat onions. Eczema is caused by various internal and external factors, leading to inflammation in the superficial dermis and epidermis. Clinically, the acute lesions primarily consist of vesicular rashes accompanied by itching and a pronounced tendency for exudation. Chronic eczema is primarily characterized by lichenification and is prone to recurrence. Individuals with eczema should avoid onions because onions are spicy and irritating foods. Consuming onions can exacerbate the symptoms of eczema. During the treatment of eczema, patients should not eat foods that are hot in nature, nor spicy, irritating, or allergenic foods. A mild diet should be maintained, drinking plenty of water, and consuming more vegetables and fruits. Additionally, treatment of eczema involves protecting the skin; using moisturizing creams to nourish the skin and enhance its resistance. While bathing, it’s also important to ensure the water is not too hot and to avoid using alkaline soaps or detergents that could damage the skin’s epidermis.
Can gonorrhea be transmitted through a washing machine?
The probability of transmitting gonorrhea through a washing machine is very low, but it is still recommended to wash separately for safety. Gonorrhea is mainly transmitted through sexual contact, with patients of the disease being the source of infection. In a few cases, it can also be transmitted through contact with secretions containing gonococci, or through contaminated items such as clothing, bedding, towels, bathtubs, and toilets. Gonococci do not grow well outside the human body and have poor resistance to physical and chemical factors. They can survive for 15 minutes at 42°C, only 5 minutes at 52°C, and die within 1 minute at 60°C. In completely dry environments, they die within 1-2 hours, but in not completely dry environments, and in solutions, they can maintain infectivity for more than ten hours, or even several days. However, gonococci are very sensitive to common disinfectants. If sharing a washing machine, you can add hot water or a disinfectant for washing.
Which vitamins should be supplemented for alopecia areata?
Alopecia areata is a type of sudden, localized, patchy hair loss, the cause of which is not entirely clear and is not simply related to vitamin deficiency. It is currently believed to be related to genetics, emotional stress, over-tension, extreme joy or sorrow, as well as endocrine disorders, autoimmunity, and may fall within the category of polygenic diseases. In treatment, it is generally important to eliminate possible triggering factors, ensure a balance between work and rest, and avoid staying up late, with a recommended bedtime at 11 o'clock. Topical treatments can include the use of minoxidil, or a local injection of steroids, while systemic treatments can be supported by taking cysteine, calcium pantothenate, vitamin B, etc., which aid in hair growth. For rapid and widespread hair loss, including total baldness and universal baldness, oral steroid therapy can be used, but it is important to be aware of the potential systemic side effects associated with long-term use of steroids. Traditional Chinese medicine treatments such as nourishing blood and hair growth capsules, Qi Bao Mei Ran Dan, and Biotin Peptide Tablets may also be tried for alopecia areata.
What trace element is lacking in neurodermatitis?
Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease marked by periodic severe itching and lichen-like changes in the skin due to neurological dysfunction. The exact causes of neurodermatitis are still unclear. It is not merely related to deficiencies in certain trace elements. It is generally considered to be related to an imbalance in the excitatory and inhibitory functions of the cerebral cortex, possibly linked to mental stress such as impatience, excessive contemplation, depression, fatigue, and insomnia. Some patients' conditions may be associated with gastrointestinal dysfunction, endocrine disruption, an unbalanced diet including excessive alcohol consumption, intake of spicy foods, shellfish, etc., as well as local irritants like rigid collars, wool plants, chemicals, and scratching. All these internal and external factors play a role. The treatment of neurodermatitis mainly focuses on avoiding various irritants such as scratching and friction. Psychological therapies also assist by breaking the vicious cycle of scratching and itching. The primary treatment approach involves topical medications, supplemented by traditional Chinese medicine. Systemic medications might include antihistamines for itching relief, along with supplements like calcium, vitamin C, thiamine, and various B vitamins, all of which aid in recovery.
Will pseudosharp be itchy?
Pseudovestibular papillomatosis mostly does not cause itching, but it is possible for some individuals to experience itching symptoms, which depend on each person’s specific circumstances. Typically, pseudovestibular papillomatosis appears as clusters of smooth, white or pale red bumps the size of fish eggs. They are usually found on the inner sides of the female labia minora and the vestibule of the vagina, and do not produce noticeable symptoms. The acetic acid white test is also negative. Because pseudovestibular papillomatosis is related to the irritation from female genital secretions, severe vaginal inflammation can potentially cause itching due to local irritation. In such cases, it is important to improve immunity, exercise regularly, change sanitary pads frequently, bathe often, and actively manage vaginal inflammation to alleviate symptoms. Some individuals mistakenly treat pseudovestibular papillomatosis as actual genital warts after visiting unregulated facilities, which is unnecessary.
Are heat rash and prickly heat the same?
Heat rash, also known as miliaria, is actually what is referred to in medicine as herpes simplex. It is different from prickly heat. Herpes simplex is caused by a viral infection, specifically the herpes simplex virus. It is characterized by clusters of small blisters and often occurs at the junctions of skin and mucous membranes. It is self-limiting but tends to recur, especially when the immune system is weakened. On the other hand, prickly heat occurs in the hot summer months when high temperatures and humidity make sweat evacuation difficult, leading to narrow and blocked sweat ducts, which results in prickly heat. It is usually intensely itchy. Thus, it is advisable to avoid rapid changes in skin temperature, such as moving from sweating heavily to suddenly entering an air-conditioned environment. This can cause sweat glands to close while sweat is still being produced heavily, leading to prickly heat. Treatment for herpes simplex involves antiviral therapy, whereas treatment for prickly heat primarily involves cooling, inducing sweat, and astringent measures.
How is urticaria best treated?
Urticaria, commonly known as hives, occurs when there is a localized swelling due to temporary increased vascular permeability of the skin and mucous membranes. It can be divided into acute urticaria and chronic urticaria. Acute urticaria often has a sudden onset. Chronic urticaria is characterized by recurrent skin lesions for more than six weeks, with episodes occurring at least twice a week, termed as chronic urticaria. The preferred treatment for acute urticaria is the use of second-generation H1 receptor antagonists with a strong sedative effect. The combination of vitamin C and calcium supplements can reduce vascular permeability and have a synergistic effect with antihistamines. For chronic urticaria, the treatment of choice is also second-generation H1 receptor antagonists. When one medication is ineffective, two to three drugs may be combined or alternated. It is also recommended to combine Chinese medicine to adjust the overall physical condition while gradually reducing the dosage of Western medicine to control the condition.