A. Hormone-dependent dermatitis
1.Definition.
Inflammatory skin damage caused by the inaccurate grasp of the indications for topical hormones by patients or doctors, or the dependence of the lesions on hormones caused by excessive topical hormone use, and the inflammatory skin damage caused by this dependence forcing patients to use topical hormones for a long time.
2.Performance.
Seen in young and middle-aged women, preferably on the face. The lesions are characterized by skin flushing, papules, skin atrophy, thinning, capillary dilation, acne, rosacea-like changes, etc. The self-conscious symptoms are mainly burning, itching, pain, dryness, flaking and tightness.
3. Diagnosis.
(1) Topical topical hormone use for about 1 month.
(2) Recurrence or aggravation of the original disease or lesion 2 to 10 days after stopping the use of hormones.
(3) Burning itching, burning pain, dry wrinkled feeling, flaking or tight swelling feeling.
(4) Capillary dilation, erythema or flushing edema, papules or pustules or acne, hyperpigmentation or epidermal atrophy.
4.Treatment.
(1) Psychotherapy.
Introduce the general knowledge of the disease, the disease is curable disease, enhance the confidence of treatment, and should also explain to the treatment course.
(2) internal treatment.
Oral antihistamines: vitamin C, anti-inflammatory pain, Chinese medicine, etc.
(3) External treatment.
Decreasing method, subtracting method, substitution method
5.For those with long duration of illness and severe reaction after stopping the drug, the decreasing method is used until, withdrawal.
(1) I change from a strong agent to a weak agent.
(2) II from high concentration to low concentration preparations.
(3) III Gradually reduce the number of doses and extend the interval of use.
(4) IV In the process of gradually reducing and withdrawing hormones, other topical skin preparations, such as 2% to 3% sulfur ointment, vitamin E cream, 2% zinc oxide ointment, etc., can be used to promote the formation of keratin on the affected skin and reduce symptoms.
(5) For those with short duration of disease and medication, and those with light rebound after stopping medication, they can be instructed to stop topical hormone preparations, and given vitamin B6 ointment, glyburide lotion, 3% boric acid solution wet compresses or hormone-free emollient cream.
6, physical therapy.
1, cold wet compress with anti-inflammatory, swelling, astringent effect.
2.Cold spray can directly or indirectly improve the moisture content of the face, moisturize the skin, eliminate dryness, remove wrinkles, and at the same time improve the condition of facial erythema by constricting blood vessels.
3, care and maintenance: avoid too cold or too hot, wash your face with warm water, soft towel, soap-free soap cleaning, moisturizing and repairing cream.