Chao News Client Reporter Sun Yan Correspondent Wang Rui Hu Xiaofeng.
At the Itch Clinic of the Qingchun Campus of the First Affiliated Hospital of Zhejiang University School of Medicine, 60-year-old Lin Dabo (pseudonym) walked into the consultation room wearing a cap and a mask, "Dr. Sun, thank you so much, I'm much better." Before the doctor could speak, he couldn't wait to report "Joy" to the doctor.
Oops, that's great!The sleeves and trouser legs are rolled up, and I'll take a look at them again. When he saw the rash on Uncle Lin's limbs and the back of his hand that had begun to subside, the attending physician Sun Qingmiao's mood also brightened. "Uncle, continue to take the medicine for a while, if it is effective, you must have confidence. ”
Uncle Lin burst into a hearty laugh, as if he was not as sad as a month ago, and there was finally hope for the problem that had plagued him for 8 years.
Courtesy of Visual China.
I used to itch so much that I couldn't sleep.
More than 8 years ago, Uncle Lin found that red rashes suddenly appeared on his body, especially on his limbs and the backs of his hands, which were very itchy, and he couldn't help but want to scratch them.
Uncle Lin recalled that at first, there were not many rashes, he thought that he was just bitten by the "poisonous insects" in the field when he was doing farm work and did not care, but after half a month, the rash not only did not get better, but also more and more, and after visiting the clinic near his home, the doctor told him that he had eczema and gave him some anti-itch medicine.
But when it itches, I really can't sleep all night. Uncle Lin said that he often itched so much that he couldn't sleep, and he finally fell asleep, and he would itch to wake up several times in the middle of the night, and once he woke up, it was difficult to fall asleep again, and the whole person's complexion was also very poor. In the past few years, he has been running all over the hospital in his hometown, and he has been taking medicine almost non-stop, but it just has no effect.
Not eczema. Not long ago, my daughter, who works in Hangzhou, heard that the ** Department of the First Hospital of Zhejiang University had opened a pruritus clinic, so she took Uncle Lin to see her with the mentality of "give it a try". "When I first received the consultation, I found that his rash was hard, there was no pus in it, and it protruded from the ** surface, not growing in patches like eczema, but isolated and scattered, each one was the size of a soybean. According to Dr. Sun Qingmiao, according to these clinical symptoms, it is considered that Lin Dabo has prurigo nodosum rather than eczema, and after further pathological biopsy, the doctor's guess was also confirmed.
At present, after a month of targeted oral small molecule drugs, Lin Dabo's itching has improved significantly, and he can finally sleep soundly at night, and the itchy rash has begun to subside. Since prurigo nodosum is not yet possible, he also needs to gradually adjust his medication to control the condition under the evaluation and guidance of a doctor.
Prurigo is very common in life, for example, 'mosquito bag' is a type of prurigo, and prurigo nodosum is a chronic inflammatory disease, and the pathogenesis is not yet clear. Sun Qingmiao said that many people will confuse prurigo nodosum with eczema, urticaria and other rashes, but in fact, their methods are not the same.
Prurigo nodosum can occur all over the body, especially on the limbs, the biggest feature is that the rash is mostly isolated, larger, harder, protruding surface, itching is unbearable, scratching may cause itch aggravation. Prurigo nodosum brings a great burden to patients, but with the advent of biologics and small molecule drugs, it also brings hope to patients.
* Itching, don't do these things.
Itching is a very common perception, and it is also a very common symptom of the family, but it is not as simple as we think, and sometimes it is even a signal from some diseases.
Chief Physician Qiao Jianjun, director of the ** Department of the First Hospital of Zhejiang University, explained that simple local or occasional **itching is not necessarily a disease state, but if it is a large-scale **itch that occurs regularly and for a long time, it needs to be paid attention to. There are several main types of common causes:
*Dry. Dryness is the main cause of itching, dry climate in autumn and winter, frequent bathing or bathing with too high water temperature, and destruction of the barrier, will lead to varying degrees of itching.
Secondary to other diseases.
Diabetes, kidney disease, liver disease, and some neoplastic diseases, bacterial or fungal infections, will also have the appearance of itching.
Pharmacological factors. The use of analgesics and sulfonamides also has a certain probability of triggering itching.
External stimuli. Use of soaps, cosmetics, or contact with chemicals such as disinfectants and pesticides, or chemical fabrics.
Experts remind that the causes of itching are diverse and very complex, if there is frequent itching, and it cannot be relieved on the basis of strengthening daily care, you must seek medical attention as soon as possible. In addition, the climate is dry in winter, do not take frequent baths, do not wash your hands too high in the water temperature, and strengthen your daily moisturizing to avoid or aggravate discomfort such as itching.
*Please indicate the source".