夏天與秋天

1.pearly penile papule 陰莖珍珠斑 2.Tyson’s gland (sebaceous hyperplasia); Fordyce 3.viral wart (pit in the middle) v.s. sebaceous hyperplasia 4.scabies 5.fungus infection (KOH) ex: tinea,汗斑 6.隱翅蟲咬傷 (中間皮膚壞死 外圍紅腫) 7.herpes zoster (經Tzack smear 可發現multinucleated giant cell)，病灶往往不會過中線 Tx 1)Gaty 0.5# TID 2)Mecobalamine TID 3)Voren TIDPC 4)Tofranil HS (Antidepressant─ Tricyclic) 8.eczema 9.Adult blaschkitis 10.genital lichen planus (annular formation) 11.paronychia (S. aureus, candida) 甲溝炎 12.acne Tx 1)Tetralin BID or Doxymycin 100mg BID 2)Aczo gel QD EXT 3)Differin gel HS EXT 13.urticaria 1)chlopheramine 1# QN 2)locemine 1# QD 14.onycomycosis of nail 灰指甲 1)Lisim (Terbinafine) 250mg 2)Mentax ointment 15.A 酸 (neotigasone, roaccutane)影響 肝功能 懷孕畸胎 血脂異常 16.telogen efflurium 休止期落髮 17.intertrigo 擦疹 (對摩疹) 18.Sandimmun (cyclosporin) 19.Elomet ext(for itchy, allergy) 20.Dermatix® Ultra gel倍舒痕凝膠 (疤痕藥膏) 21.delayed type allergy for 2 wks (會癢2周) 22.Bacitrecin- neomycin ointment => 可改換 Conlifu ointment 23.itchy eczema可用Enfulon+menthol 24.prurigo癢疹 25.psoriasis Tx 1)Methotrexate (MTX) 4# QW PO 2)Folic acid 2# QW 3)Swivazin ointment (no steroid) 26.drug related contact dermatitis Tx 1) Panacal 1amp IM 2) Rinderon 1amp IM 3) Mekin BID (antihistamine) 4) prednisolone 27.Seborheic dermatitis Tx 1)ketoconazol ointment 2)polytar 3)Dermovate 28.老人斑即脂漏性角化症，可以吃A酸改善 (Roaccutane) 29.facial eczema: Sinpharderm ointment 30.condyloma acuminatum (菜花) 可用藥膏 1)化敵疣wartec cream 成份Podophyllotoxin 2) 樂得美Aldara cream (Imiquimod 5%) 31. antihistamine 1) levozine 5mg 2) Chlorpheniramine 4mg (C.T.M.) 3)fynadin 60mg 4) allegra 5) locemine 5mg 6) Mekin 5mg 32. target therapy side-effects: skin rash, paronychia