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Huang Ling Juan
Dermatology
About me
Associate Chief Physician, Associate Professor, has received further training in the Dermatology Department of the Second Affiliated Hospital of Sun Yat-sen University in Guangdong. Engaged in clinical, teaching, and research work in dermatology for a long time.
Proficient in diseases
We use a combination of traditional Chinese medicine and Western medicine to treat conditions such as herpes zoster, urticaria, eczema, acne, folliculitis, melasma, various skin itching disorders, as well as sexually transmitted diseases such as gonorrhea, chlamydia infection, genital herpes, syphilis, and genital warts.
Voices
What should I do if common warts keep recurring?
Common warts, which are recurring, can be treated using cryotherapy with liquid nitrogen. If cryotherapy is not effective, it is recommended to use carbon dioxide laser treatment. Common warts are caused by the infection of human papillomavirus, and they are a contagious and recurrent skin disease. The recurrence is primarily related to a decrease in immunity. When recurrent outbreaks occur, it is important to strengthen physical exercise to enhance immunity. Medications that enhance immune health might be used as well, such as taking oral transfer factor solution or using transfer factor capsules. Additionally, it is important to avoid staying up late, to eat a diet rich in fresh vegetables and fruits rich in vitamins, and to potentially utilize traditional Chinese medicine and herbal decoctions to enhance one’s immune capabilities.
Does common warts spread by skin contact?
Common warts can be contagious through skin contact. Common warts, also known as verruca vulgaris, are caused by the human papillomavirus, abbreviated as HPV. Theoretically, common warts can be contagious through close contact, but transmission is not guaranteed upon skin contact and depends on each individual's resistance to the virus. When affected by common warts, it's important to enhance the cleanliness of the affected skin area, and also to disinfect clothing and the surrounding environment. Treatment can be supported by using immunomodulators among other symptomatic therapies. The primary treatment for common warts is physical removal methods, such as liquid nitrogen freezing or carbon dioxide laser treatments to remove the warts, and topical application of interferon gel can also be used.
What to use for swelling of paronychia?
Paronychia, characterized by redness, swelling, and pain, can be treated by applying iodine tincture for local disinfection and cleansing, which helps reduce swelling. Under a doctor’s guidance, anti-inflammatory ointments such as compounded polymyxin B, fusidic acid cream, or mupirocin ointment can also be applied. For severe redness, swelling, and pain, oral antibiotics may be administered in conjunction with the treatments mentioned above to reduce inflammation. It is important to follow a medically supervised and proper regimen when using antibiotics and to increase water intake during treatment. If the paronychia is caused by an ingrown nail piercing into the nail fold, trimming the nail may relieve the local swelling and pain. It is recommended to seek treatment at a professional hospital. Paronychia is a common condition, and taking preventive measures can help avoid its onset.
What are filamentous warts?
Filiform warts are a type of skin disease caused by the human papillomavirus infection, and they belong to a kind of common warts, often seen in women, with a certain degree of contagiosity. They are usually related to a decline in the body’s immune function. For example, in cancer patients or those with HIV where the immune system is compromised, filiform warts can easily occur. The clinical presentation of filiform warts typically includes brown or light brown lesions, some of which match the normal skin tone. They appear as elongated, soft, pedunculated growths and can vary in number from several to several hundred. They generally occur on eyelids, neck, and scalp among other areas. For the treatment of filiform warts, options under medical guidance include using carbon dioxide laser therapy, cryotherapy with liquid nitrogen, or removal through high-frequency electrical ion cauterization.
How to treat an ingrown toenail that has become infected and pus-filled?
Paronychia with suppuration can be controlled by disinfecting the area with iodine and then applying anti-inflammatory ointments, typically mupirocin ointment or erythromycin ointment. If there is significant local swelling, it may be necessary to perform a lateral nail avulsion or nail removal under local anesthesia to ensure adequate drainage of the pus and control the infection effectively. After controlling the infection, for more severe cases of ingrown toenail deformity, it may require further correction of the nail and a procedure to reshape the nail groove to manage the inflammation and correct nail deformities. Treatment should also include oral antibiotics, taken under medical supervision, such as erythromycin tablets. Since paronychia with pus formation can easily lead to systemic infection, it is crucial to treat it aggressively.
How to treat paronychia
For acute paronychia, broad-spectrum antibiotics are mainly used for topical application. Options include mupirocin ointment, fusidic acid cream, or erythromycin ointment for symptomatic treatment. At the same time, it is important to wear loose shoes to avoid squeezing the foot and worsening the symptoms. If there is no improvement in symptoms after three days of using topical medications, surgical treatment may be considered based on the specific situation. For chronic paronychia, antibacterial or antifungal medications may be used. Medication should be gradually discontinued after the inflammation has subsided. During treatment, keep the affected area dry and avoid contact with water. Paronychia refers to an infection of the tissue surrounding the nail, typically presenting with localized swelling and pain.
How to determine if you have paronychia
To determine if it's paronychia, first there will be obvious swelling, pain around the nail, and sometimes exudation. Paronychia is usually caused by the penetration of a foreign object under the nail, or by trimming the nails too short. If the nails are trimmed irregularly and become embedded in the nail bed, this can also lead to paronychia. If there is obvious swelling, pain, and tenderness around the nail, paronychia should be considered. Paronychia is usually related to ingrown nails. For mild ingrown nails, topical application of iodine can gradually alleviate the paronychia. In cases of severe paronychia, it is necessary to visit a hospital where a doctor can perform a nail removal and also change dressings timely. Significant pain may require oral antibiotics treatment or intravenous antibiotics. During treatment, avoid alcohol and spicy, irritating foods.
How is urticaria caused?
There are many causes of hives, and the most common is related to genetics. If one of the parents has an allergic constitution, then the likelihood of allergies in their offspring significantly increases. Environmental factors also play a role in the occurrence of hives. For example, environments with a lot of dust or dust mites can trigger allergic reactions. Additionally, a humid living environment can promote the growth of fungi, which can also cause hives. The occurrence of hives is also related to food. Individuals who are allergic to proteins might experience hives when consuming high-protein foods like fish, shrimp, crabs, milk, and eggs. Furthermore, viral infections, bacterial infections, and parasite infections can also trigger hives.
What should I do if a filamentous wart breaks?
After a filiform wart breaks, it is important to avoid contact with water to prevent infection. Once a filiform wart is damaged and scabs form, you can visit a dermatology department at a reputable hospital for treatment. Some physical therapy methods used to remove these include liquid nitrogen freezing, carbon dioxide laser treatment, high-frequency ion therapy, and microwave treatment. These methods can effectively remove filiform warts. Recurrence of filiform warts may occur, so it is essential to regularly revisit the hospital for follow-up after treatment. Filiform warts are a type of viral skin infection, which is related to a decline in the body's immune system. Therefore, it is important to rest adequately, avoid staying up late, exercise appropriately to enhance immune function, and maintain a light diet, avoiding spicy and irritating foods.
How to treat chronic urticaria?
Chronic urticaria often utilizes antihistamine medications to control symptoms, combined with Traditional Chinese Medicine (TCM) and differential diagnosis and treatment. Treating chronic urticaria generally requires long-term use of antihistamines, sometimes for two or three months, or even up to six months, a year, or more. Typically, treatment involves the combination of two or more types of antihistamines. For cases of chronic urticaria where antihistamines are ineffective, immunosuppressants may be used to adjust the body’s immune state, thus controlling the outbreaks of chronic urticaria. Chronic urticaria is a long-term, slow process that cannot be resolved quickly, so it is important to try to identify the triggering factors of chronic urticaria, or to identify specific allergens. However, finding the allergen is usually challenging because many patients with chronic urticaria have conditions that are also related to their own immune status.