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Tuesday, January 31, 2012

Eczema

Eczema-About eczema:

Eczema is a common internal and external factors caused by a variety of epidermal and dermal inflammatory skin disease eczema is characterized by intense itching, skin lesions and pleomorphic, symmetrical distribution, drainage, tendencies, chronic course, easy to repeated attacks .

Eczema - Features
Eczema can occur at any site, common in the face, ears, limbs, flexor side, breast, hands, scrotum, etc., symmetrical distribution. According to lesion characteristics can be divided into acute, subacute and chronic eczema. Three there is no clear boundaries, change each other. More complex causes of eczema, and allergic reactions are closely related, the main feature is recurrent, was the severity of different inflammatory skin condition, itching more severe, clinical divided into 3 types:

(1) acute eczema:
Consciously intense itching, skin lesions and polymorphous, erythema, papules, Qiu herpes or blisters into a dense film, easy to leaking, state of confusion, scattered around the small papules, Qiu herpes, often accompanied by erosion, crusting, such as secondary infection, pustule or scab may appear thick. Appropriate treatment is to reduce inflammation, skin lesions may subside after 2 to 3 weeks, but often recurrent and can be converted to sub-acute or chronic eczema.

(2) subacute eczema:
Reduce inflammation after acute eczema, there are still severe itching, skin lesions with papules, crusting and scaling mainly seen small mound herpes, mild erosion. Appropriate treatment can be cured within a few weeks, handled properly, can be acute or chronic eczema.

(3) chronic eczema:
Often due to acute, subacute eczema unhealed two chronic recurrent eczema; can also start was not obvious, due to frequent scratching, rubbing or other stimuli, which is the start of the incidence of chronic eczema. The lesion showed hypertrophy of skin infiltration, surface rough, dark red or with pigmentation, many of the limitations of plaque lesions, common in the hand, foot, leg, elbow fossa, breast, vulva, anus, etc., clear edge. Chronic disease, up to several months or years, can also be due to acute stimulation.

Eczema can occur at any site, common in the face, ears, limbs, flexor side, breast, hands, scrotum, etc., symmetrical distribution. According to lesion characteristics can be divided into acute, subacute and chronic eczema. Three there is no clear boundaries, change each other.

Upward trend in the incidence of eczema, which may be climate change, a large number of chemicals in the life of the application, mental stress, accelerate the pace of life, changes in diet have a relationship.


Eczema - etiology and pathogenesisThe incidence of eczema is caused by a variety of factors interact.
(A) Eczema - genetic factorsSome types of eczema and is closely related to the genetic.
(B) eczema - environmental factorsMany studies confirm that environmental factors are the increased prevalence of eczema is one important reason. Environment, including environmental and individual environmental groups, environmental groups, human pathogenic factor is the wide range of outdoor air, water, soil, radioactive sources, a large area of ​​allergenic pollen vegetation, a large source of bacteria and other airborne allergens. Individual small environment is the individual's living environment, because people's lives about 2 / 3 of the time indoors, so individual small environmental impact of eczema closer. The major impact of environmental factors is increasing and complex environmental allergens, including:
1, synthetic fabrics, leather goods, and clothing for the dyeing agent bleach, brighteners, anti-moth agents, preservatives, etc. modern clothing firm environment allergens.
2, artificial food, convenience food, food-season for the food production of chemical fertilizers, pesticides, artificial feed, feed additives, preservatives used in food processing, mineral oxidants, flavors, colors, ripening agents, thickeners, etc. modern eating environment allergens.
3, the man-made building components, chemical coatings, plastics, rubber, synthetic fibers, adhesives, waterproofing agents, home and office electronic equipment produced by electromagnetic radiation, room cleaners, pesticides, functional modern living in the environment variable should be original.
4, the chemical produced by the combustion of fuel gas, manufacturing automobiles, boats, aircraft materials, asphalt roads, roadside green plants, pollen and other modern transport environment allergens.
5, detergent manufacturing plant in all of the enzyme detergent, plastic plants toluene diisocyanate, latex rubber factories, pharmaceutical chemicals such as antibiotics and other modern professional environment allergens.
6, some of the modern lifestyle-related environmental allergens, such as the use of cosmetics and cats, parrots, etc. When the human body in such a long life under adverse environmental factors, can lead to immune dysfunction, eventually leading to environmental allergy, causing eczema.
(C) eczema - infection factors
Some eczema and microbial infection. These organisms include Staphylococcus aureus, Malassezia, air-borne fungi such as Alternaria mold, Neurospora crassa branching, point Penicillium, Aspergillus, Fusarium, Penicillium chrysogenum, Aspergillus and Rhizopus and other black . It is based mainly in three aspects:
1, some patients with eczema of the skin lesions of a higher detection rate of micro-organisms.
2, the skin micro-organisms are pathogenic for some eczema. Some scholars should be reported in nonatopic eczema dermatitis skin lesions of patients overall detection rate of S. aureus 31.6%, the overall detection rate of 70.6% of bacteria, other than in Staphylococcus aureus bacteria, Staphylococcus epidermidis accounted for 62.7%, accounting for 1.7 hemolytic streptococci, other bacteria accounted for 19.6, bacilli accounted for 5.1%. No clinically suspected bacterial infection in patients with eczema, dermatitis and eczema skin lesions of patients with acute Staphylococcus aureus and total positive rate of bacteria were 46.1%, 76.9%; higher than chronic eczema and dermatitis in patients with subacute eczema. Skin lesions of discoid eczema patients and Staphylococcus aureus-positive bacteria, the highest total, 52.9%, 100%; were higher than other types of eczema. In seborrheic dermatitis lesions of Malassezia detection rate of 81.3%; tinea versicolor lesions of Malassezia detection rate was 96.3%; eczema Malassezia dermatitis lesions was detected in 59.7 %; and acute eczema lesions Malassezia detection rate 56.3%; hand eczema lesions Malassezia detection rate of 47.6%. Some micro-organisms on the skin disease eczema role.Fujisanva other with Alternaria mold, Aspergillus versicolor, Penicillium and other air-borne fungi citron leaching fluid antigens in the recurrence or worsening of eczema summer dermatitis patients patch test, skin test and challenge test. Results of skin test-positive rate of speed made eczematous dermatitis, atopic dermatitis patients were higher than the control group, and to the highest in patients with atopic dermatitis, 68.2%, and delayed-type skin test reactions (72-hour observation )-positive rate of eczematous dermatitis and atopic dermatitis patients were higher than the control group, eczematous dermatitis up to 40%. The patch test and challenge test is also part of the patients were positive, the result shows that eczema and dermatitis on air-borne fungi, fungi can also cause local contact dermatitis, inhalation of fungi can cause dermatitis generation.
3, anti-microbial treatment for eczema and dermatitis in some effective. There are extensive exudative lesions of atopic dermatitis system, use of antibiotics can often receive better treatment because the lesion had a local bacterial infection. Now clear, Malassezia and seborrheic dermatitis; bacterial infections, particularly Staphylococcus aureus infection and discoid eczema, infected dermatitis occurs in the primary foci of skin around the eczema-like lesions, skin lesions often continue occur in primary skin infections; skin ringworm rash in patients with certain primary dermatophytes infections, lesions at finding out in the emerging fungus, skin lesions and skin dermatophytes with the primary foci of regression and regression.
(D) eczema - dietary factorsVarieties of human food very much, and can be divided into plant, animal, mineral type, in the modern food often apply some synthetic food such as saccharin, acetic acid, citric acid, flavors, synthetic dyes. These foods can cause food allergy, eczema resulting in the generation, has been reported in the country prone to food allergy are protein-rich foods such as milk, eggs, etc.; seafood, such as onions, garlic, onions, lamb, etc.; a special bland foods such as pepper, wine, mustard, pepper, ginger, etc.; some raw foods, such as raw onions, raw garlic, raw tomatoes, raw fruit of certain crustaceans, such as almonds, chestnuts, walnuts, and certain fruits such as peaches, grapes, litchi, banana, pineapple, longan, mango, strawberry, etc.; some of the bacteria-rich foods, such as dead fish, dead shrimp, dead crabs and fresh meat is not class, some of the fungi-rich foods such as mushrooms, lees, vinegar, etc.; some not digestible protein-rich foods such as clams class, squid, cuttlefish, etc.; seed foods, such as various beans, peanuts , sesame and so on. In addition to these foods cause food allergy, the recent biochemical studies have found food in the banana peel can be isolated histamine substances, in banana, pineapple, eggplant, wine, yeast is high in histamine ingredients, chicken liver, beef , sausage also contains very high in histamine, which led to the occurrence of eczema.
(E) Eczema - drug factorsDrug factors are some of the eczema, eczema, drug eruption, especially the main reason. Generally speaking, any drug has the possibility of drug eruption caused by eczema, but the common were mainly: 1, ethylenediamine class of antihistamines, such as aminophylline, piperazine; benzoin tincture inhalation; procaine, vinegar sulfur has been urea; amino acid; food and drugs, azo dyes; hydrochlorothiazide, methyl chloride C urea, tolbutamide, chloral hydrate, iodine, hydroxy chloride, iodide, and organic iodide, X-ray imaging agent; streptomycin, kanamycin, gentamicin, paromomycin, nitroglycerin, aminophylline suppositories and hydrochloric acid ethylenediamine, amino mercury, Peru balsam, benzene left Cain and amino acid glycerol, sunscreen, trichloro-tert-butyl alcohol, halogenated hydroxy quinoline cream, iodine, neomycin sulfate, nitroglycerin ointment and so on. Mainly caused by drug-induced systemic contact type dermatitis. ② ampicillin, amoxicillin, nickel, mercury mainly caused by heparin and Buddha hamadryad syndrome. ③ penicillin, methyldopa, allopurinol, indomethacin, sulfonamides, gold preparations, quinine, chloramphenicol, clonidine and other major cause of endogenous PYM contact eczema. Eczema, drug eruption generally have the following characteristics: ① eczema, drug eruption is acquired, although closely related, and genetic quality and allergy, drug allergy, but not directly inherited from the parent body; ② eczema, drug eruption generally occurs after repeated drug exposure , and rarely occurred in the first contact; ③ eczema, drug eruption of the first onset latency are generally at least 1 week after, and again there was no incidence of the incubation period, you can instantly disease; ④ eczema, drug eruption excitation dose generally low, once sensitized patients, are often very small amount of drug exposure by Landis attack; ⑤ eczema, drug eruption usually has the typical symptoms or signs; ⑥ eczema only in a small number of patients with drug eruption patients on the drug.
(F) eczema - other factorsStill produced by the depression of eczema, fatigue, anxiety, tension, agitation, insomnia and other neuropsychiatric factors and sunlight, UV, cold, wet, dry, friction, climate, caused by physical factors. In addition, chronic gastrointestinal disease, chronic alcoholism, intestinal parasites, and metabolic disorders, endocrine disorders and other factors are all the causes of eczema.


Eczema - Treatment

The first should try to find allergens. Sometimes hard to find allergen, also check the total is not clear, because people touch things too much. Disease from the mouth, you can look at their record, the first three days to eat something, if the times are increasing because of eating something rash, remember to not eat up.

Also pay attention to environmental factors, there are many flowers, pollen is not the place to go, and wear a mask out of pollen season. Also more common example of eye allergy box on the waistband decorations allergies, which should be avoided. Because after using some cosmetics that itch, usually on the inside shows the composition of cosmetic allergy, do not use this cosmetic. This is a prevention-oriented, try to find the cause. Can not find the cause of their own lives as much as possible to avoid some of allergic factors.
Second, suffering from eczema itch, scratching skin lesions tend to make more powerful. In fact the more itchy dermatitis more grasping, more itch more grasping, vicious cycle. So do not grab when itch, itch the more often the more grasping.

Third, see a doctor. Rash can eat some of the anti-allergy drugs, to itch so badly, you can eat chlorpheniramine, antihistamines. Doctors will prescribe medication outside, the most common use of corticosteroids. There are 20 kinds of hormone drugs, and hormones strength of the points. We do not start with the strongest advocate, and most of the drug is not suitable for long-term use, long-term use have side effects. You can also use some topical creams, syrup.


Rash - eczema causes repeated

Eczema is a common inflammatory skin disease, the clinical features of polymorphous rash, tend to exudation, symmetric division, while easy to relapse and chronic, severe itching and consciously.
The cause of eczema is more complex, more due to some external or body caused by the interaction of factors, other factors are found to be sound, and therefore contact eczema, the reasons for difficult to remove, easy to tend to relapse and chronic. Causes can be divided into external factors and in vivo factors:

(1) External factors: such as chemical reagents, cosmetics, fragrances, dyes, detergents, fish, animal toxins, eggs, pollen, dust, bacterial infection, sun, cold, scratching and so on.
(2) in vivo factors: allergic constitution, metabolic, endocrine or gastrointestinal disorders, neuropsychiatric dysfunction, fatigue, mental stress, focal infection, intestinal parasites, varicose veins, sweat and skin drying.
Developed eczema cures drugs - wet Corning says the old Chinese Zhong: "eczema may be due to exposure and sensitization caused by repeated factor; also may be due to fatigue and psychological stress caused by repeated; there may be a result of improper diet caused by repeated, so in order to completely cure eczema, we have improved on the basis of traditional remedy formula, which has now wet Corning, Corning during treatment in the wet as the sum of measures taken, the general treatment of the primary side are:
(1) search for possible cause of isolated allergens, the provision of free re-stimulation, removal of lesions, treatment of systemic chronic diseases, such as indigestion, intestinal parasites, diabetes, neuropsychiatric abnormalities, leg varicose veins.
(2) pay attention to skin health, do not use hot water or soap Lesions, without any irritating itch drugs.
(3) fasting alcohol, spicy spicy food, the provision of free fish and other easy-to-allergenic and non-digestible food, attention to diet and the incidence of police off the relationship.
(4) work and rest, the provision of free fatigue and psychological stress and so on. "



Eczema - Skin Nutritional therapy external
Nutritional therapy is the use of external skin dry alum, calamine, Sophora, Cnidium, Evodia, indigo, dandelion, soil Jing leather, herb, Phellodendron, gall, borneol with vitamin a, vitamin c, vitamin e, borage oil , vitamin b6, biotin, zinc and magnesium and other materials through nano-technology and other modern high-tech made through the skin and external supply of nutrients to skin cells and repair the skin deep in Chinese medicine preparations. In using this method, based on the same time to improve physical fitness, so that function back to normal.
Used methods include the spleen, dampness, promoting blood circulation, clear diarrhea, etc., depending on the patient's body may be. So as to achieve the purpose of cure eczema.
Usage: Use in accordance with medical advice
Main functions: Indications eczema, subacute eczema, chronic eczema.
Advantages: pure Chinese extraction, mild, non-irritating, especially for the scrotum, anus, breasts and other sensitive parts of the eczema.
Disadvantages: Relatively hormones, medicine products, the results come more slowly.
 
How to treat eczema?
Eczema - points [treatment]
Point injection (one)
(1) acupoints
Main points: divided into 2 groups. 1, the full three years, Qu pool; 2 long and strong.(B). TherapeuticLiquid: the first set of points with vitamin B12 (0.1 mg) injection; the second set point with phenergan (12.5 mg) and vitamin B1 (50 mg), mainly for the scrotum eczema.To 5 dental needle, piercing points was gas. The first group of points per hole injection into the liquid 1 needle, 1 day, 10 times for one course; second set of points, all of the liquid into a long and strong points, 3, 1, 2 times for one course.(C) EvaluationThe first set of points in the treatment of 50 cases of refractory eczema, the results markedly above 84%, the total effective rate was 96% [2]; second set point scrotal eczema treatment of refractory, 35 cases were cured in 26 cases, effective in 6 cases , 3 cases, total effective rate was 91.4% [3]. Generally, the shorter duration of good effect [3].
Body acupuncture
(1) acupointsThe main point: eczema points.(B) Governing LawFirst point to find eczema, so that patients back on the light and, looking carefully at the back below the skin out, gray shiny, needles, scattered dots, namely eczema points. Found, with his left hand thumb, food, raised middle finger pinching the skin, right hand holding an inch-long needle, piercing the point, the needle seven, eight, children can be shallow stab, and then withdrawing the needle inserted into the second and third, rapid out the needle is not the needle, the needle each time point of 10 to 15 eczema. Daily or every other day. The other can be used with vitamin C200 mg, promethazine 50 mg, prednisone 10 mg (children reduce it), 3 times a day.
(C) Evaluation
Rule of law for a total of 476 cases, 433 cases cured, the cure rate was 90.9% [4].

EA
(1) acupoints:The main point: Ashi points.Is the point here: lesion area (below).
(B) Governing LawLesion area with alcohol after disinfection, needle piercing the subcutaneous tissue from the edge of lesions, the needle parallel to the direction and leather, the number of needle lesions of different sizes per block, with 2 to 6 months. Then connected to electro-acupuncture device, with the density wave, frequency of 20 beats / min, the intensity can be gradually increased until the patient feels appropriate date. Each electro-acupuncture for 20 minutes daily or every other day, 10 times as a course of treatment interval of 3 to 5 days.
(C) EvaluationA total of 26 cases of chronic eczema (neurodermatitis patients included), cured, 8 cases, 14 cases markedly effective in 4 cases, the total effective rate was 100% [5].
Point injection (bis)
(1) acupointsMain points: divided into 2 groups. 1, Qu pool Zusanli, Feishu, Sanyinjiao, a sea of ​​blood; 2, Kei door.
(B) Governing LawGroup 1 point for the treatment of systemic eczema, 2 points for each election, alternating rotation sequence. With 10 ml syringe, the first arrest pumping 2.5% sodium citrate injection 0.6 ml, apply again and again the patient's own venous blood 6 ml, immediately shake, get gas after the injection of selected points. Once a week for treatment. Group 2 points with the governance of the scrotum eczema, alternately use two-Kei door hole to Angelica injection to get gas injection, injection Bi moxibustion 15 minutes. 1 or 2 times a day, 20 times for one course.
(C) EvaluationSystemic treatment of eczema were 46 cases cured in 40 cases, effective in 4 cases, 2 cases, the effective rate of 95.7% [6]; scrotum eczema 42 cases, effective 24 cases, improved in 13 cases, 5 cases, total effective rate was 88.1% [7].
Ear
(1) acupointsMain points: divided into 2 groups. 1, lung; 2 of the helix (ear area).Distribution Point: God the door, endocrine, sympathetic.
(B) Governing LawGroup 1 mm hole and with the use of acupuncture points, each taking 1 to 3 points. First soaked in 3% zinc sulfate liner close to the skin, then turn the electrode plate, cover with plastic sheeting and fixed with adhesive tape. Surgical needle into the ear will be mm, connected to the DC-pin device, the negative pole ear, then the positive plate; treatment for 15 minutes, switching polarity, and then treated for 5 minutes, 1, 6 times for one course. Group 2 with barbed Blood, bilateral were taken, fixed differentiation of the ear with his left hand, fully exposed to the Ministry of the helix, right hand holding a pen-style grip {10} pin (or lancets) needle handle, according to the helix arc tangent of the vertical direction, with the needle gently on cross-cut of the helix, the length is less than 5 mm, scratches spacing 2 mm, so that slight bleeding, and then disinfect the wound cotton cover, about 3 to 4 hours after removing , blood scab let it fall off naturally.
(C) Evaluation
Rule to the first group, 65 cases recovered, 45 cases markedly effective in 9 cases, effective in 13 cases, 4 cases, efficiency 93.8% [8]; treatment of 12 cases in group 2, all cured, cure rate was 100% [9] .

Bloodletting (1) acupointsThe main point: Feishu, appointed Yang.(B) Governing LawMake patients prone position, exposing the upper back and legs. Needle puncture Feishu first to point, and then squeeze the bleeding hole area, which in its on cupping. After the assassination of then appointed Yang bleeding points plus cans. Cans per hole to stay 10 to 15 minutes. Every other day, 3 times for one course.(C) EvaluationCohabitation refractory hand eczema in 38 cases, cured 26 cases, 10 cases, 2 cases, the total efficiency of 94.7% [10].
Skin needle(1) acupointsMain points: Ojo, bladder meridian (Dazhu to the white ring Yu above).Distribution Point: sea of ​​blood, the wind market, is the cave.
(B) Governing LawWill take the main points, with points Zhuojia, chronic patients should Qaa is the point. Make patients prone position or sitting position, with the skin puncture needle top-down play, focusing on back and waist section, call the assassination of moderate intensity, to the degree of skin flushing. Points within the area will be repeated in diameter 1cmm call to flush the assassination. A hole is pierced from the outside circumference, France ibid. 1 day, 5 to 10 times for one course.

(C) EvaluationCohabitation in 40 cases, clinical recovery in 28 cases, 8 cases were markedly effective in 3 cases, 1 patient, the total effective rate 97.5%.