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29
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
Do filamentous warts have anything to do with being sharp?
Filiform warts and condyloma acuminata both belong to viral warts, which are benign growths caused by the infection of the skin or mucous membranes by the human papillomavirus (HPV). In clinical practice, the HPV subtypes that infect filiform warts and condyloma acuminata are different. Filiform warts are a type of common wart, characterized by their elongated, protruding bodies with keratinized tips, which is why they are called filiform warts. They commonly occur on the neck, forehead, and eyelids. On the other hand, condyloma acuminata is caused by HPV subtypes 6, 11, 16, and 18, among others. Condyloma acuminata is a type of sexually transmitted disease, typically occurring in areas like the anus and external genitalia, and is mainly transmitted through sexual contact. Condyloma acuminata is currently one of the most common sexually transmitted diseases globally.
What should I do if new warts grow around the area after freezing common warts?
Common warts can often develop new growths around the area after being frozen. This situation is common in clinical settings because common warts are caused by HPV infection, a type of viral skin disease that tends to recur. Therefore, clinically, we recommend continuing treatment persistently after recurrence, whether by freezing, using lasers, or other methods, to fully resolve the issue. If treatment is delayed, the warts can increase in number. Commonly used physical treatments include freezing, electrocautery, scraping, lasers, etc., and are suitable when there are fewer lesions. Since there are currently no definitive effective anti-HPV medications, recurrence is common in clinical settings. At this time, we can use some immunomodulators, such as interferons, which have certain inhibitory effects. Simultaneously, traditional Chinese medicine methods such as clearing heat, detoxifying, dispelling wind, smoothing the liver, dispersing masses, and combined with external washing of Chinese medicine, can sometimes achieve better therapeutic effects.
Chronic urticaria is afraid of heat or cold?
Urticaria, commonly known as wheals or hives, is referred to as 'Yinzhen' in Chinese medicine. It results from temporary increased vascular permeability in the skin and mucous membranes that causes localized edema. Chronic urticaria is defined as recurrent skin lesions for more than six weeks, with outbreaks occurring at least twice a week. Symptoms of chronic urticaria are generally mild overall, with varying frequency and intensity of hives that can persist for months or even years. Most cases of chronic urticaria are associated with infections or systemic diseases. Most patients with chronic urticaria are heat-sensitive; their itching worsens with heat exposure and the wheals are bright red. However, there is a special type of chronic urticaria known as cold-induced urticaria. This type is rare and has familial ties, usually associated with autosomal dominant inheritance. Another more common type is acquired cold-induced urticaria, which manifests after exposure to cold air, water, or objects. The exposed or contacted areas develop wheals. In severe cases, symptoms can include localized numbness, chest tightness, palpitations, abdominal pain, diarrhea, and even fainting or shock. Consuming cold beverages might also cause swelling in the mouth or throat.
How to deal with seborrheic hair loss and itchy scalp?
Scalp itching associated with seborrheic hair loss can arise from two possible scenarios. One is that the itching is due to seborrheic dermatitis accompanying the hair loss. The other possibility is that the scalp, being greasy, provides a conducive environment for the proliferation of microbes, leading to a fungal infection of the scalp, which then results in itching and increased dandruff. In cases of seborrheic dermatitis, the affected area may show erythema and papules with oily scales or crusts, and there may even be exudation, crusting, and erosion, resembling eczema. The local treatment should primarily focus on degreasing, anti-inflammation, and itch relief. When fungal infection is also present, antifungal treatment becomes the priority. Ketoconazole shampoo can be used in such cases, applied three times a week for a period of 6-8 weeks.
Are filiform warts the same as flat warts?
Filiform warts and flat warts are different. They have commonalities in that both are benign growths caused by human papillomavirus (HPV) infection of the skin and mucous membranes. However, they differ in their virus subtypes and shapes. Filiform warts are a type of common wart, characterized by their elongated, thin protrusions with keratinized tips, hence named filiform warts. These often occur in areas such as the neck, forehead, and eyelids. Flat warts are caused by HPV type 3 infections, typically occurring on the face, backs of hands, and forearms. The typical lesions are rice grain- or soybean-sized flat elevated papules with smooth surfaces, either the color of normal skin or light brown. They are numerous and densely packed. Scratching them can lead to a string of bead-like arrangements along the direction of the scratch.
Is a common wart an HPV carrier?
Common warts are caused by HPV, the human papillomavirus, which infects the skin and mucous membranes, causing benign growths that appear as various types of warts. Clinically common types include ordinary warts, flat warts, plantar warts, and genital warts, among others. Common warts are also known as verruca vulgaris, predominantly caused by HPV type 2, and they mainly occur between the ages of 5 and 20 but can also appear in other age groups. Due to autoinoculation, they can occur on any part of the body, primarily on the hands. Common precipitating factors include hand injuries or conditions involving swelling and soaking. Typical lesions are the size of a soybean or larger, grey-brown, brown, or flesh-colored papules with a rough surface, hard texture, and may have a cauliflower-like or papillomatous growth.
How to differentiate between tinea cruris and scrotal eczema
Jock itch is caused by a fungal infection, whereas scrotal eczema is a type of dermatitis eczema, characterized by papules, exudative tendencies, and a tendency for lichenoid changes during the chronic phase, making it prone to recurrent outbreaks. Scrotal eczema causes severe itching in the affected area, and excessive scratching and washing with hot water can lead to symptoms like redness, exudation, and erosion. Chronic recurrences can lead to permanent changes such as lichenification, roughness, and thickening of the local skin, causing significant discomfort. Jock itch is a fungal infection of the skin, characterized by well-defined erythema in a ring shape with raised edges, commonly occurring in the groin area and can also appear on the buttocks, either on one or both sides. It often arises due to poor ventilation, humidity, and friction at the affected site, leading to significant inflammation and itching. In addition to symptom-based differentiation, diagnosis can also be aided by immunofluorescent testing of the fungal infection in the affected skin areas.
What are the symptoms of an acute outbreak of chronic urticaria?
Chronic urticaria is characterized by skin lesions that repeatedly flare up for more than six weeks, with occurrences at least twice per week, and is known as chronic urticaria. Patients with chronic urticaria generally exhibit mild systemic symptoms. The welts vary in number, frequently reoccur, and can last for months to years. In cases of chronic urticaria, when patients consume certain foods or come into contact with specific allergens, they may suddenly experience symptoms similar to those of acute urticaria; this is referred to as an acute outbreak of chronic urticaria. Patients often experience sudden skin itching, and quickly develop welts of varying sizes that are red, round, oval, or irregular in shape. These welts may be distributed individually or merge into patches. Sometimes the welts turn pale, other times they become erythematous, and gradually disappear. In severe cases, patients may experience palpitations, chest tightness, decreased blood pressure, anaphylactic shock, or gastrointestinal mucosal symptoms such as nausea, vomiting, abdominal pain, and diarrhea. If the larynx swells, it can lead to difficulty breathing or even asphyxiation.
Is there a difference between acne and pimples?
The difference between acne and pimples is that actually, they are of the same type. Acne is commonly known as ordinary acne, and can occur at any age stage, but is most prevalent among teenagers, hence the term "acne." It is actually a chronic inflammatory disease of the hair follicle sebaceous gland, and pimples are one type of acne. The various types of lesions in acne are caused by inflammation at different depths of the hair follicles and subsequent reactions. This includes pimples caused by blockage of the hair follicle sebaceous gland duct, as well as superficial pustular inflammation at the hair follicle opening, papules, nodules, cysts, and scars, all of which are categorized as acne. Pimples are the initial form of acne; the lesions are cone-shaped papules consistent with the hair follicles, and are divided into whiteheads and blackheads. Whiteheads are also known as closed comedones, while blackheads are called open comedones. Inside whiteheads, there is a yellow-white tofu dregs-like substance, while blackheads are oxidized whiteheads that have been exposed over time.