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1091029-濕疹、皮膚炎
- 1. Eczema / Dermatitis 濕疹 / 皮膚炎 柯適中 醫師 2020/10/29 12:30-14:30 高雄市醫師公會 1
- 2. 演 講 大 綱 ① 臨床對濕疹的一般定義 ② 皮膚科門診常見的濕疹 ③ 和全身疾病有關的濕疹 ④ 常常被誤判的濕疹疾病 ⑤ 濕疹如何鑑別診斷/實例 ⑥ 乳液改善濕疹的重要性 ⑦ 濕疹的治療選擇及經驗 ⑧ AI平台與皮膚疾病診斷
- 3. 1.對濕疹的認知
- 4. dermatitis (eczema) refers to a group of itchy inflammatory conditions characterized by epidermal change 4
- 5. 濕疹 / 皮膚炎 acute eczematous dermatitis ① a myriad of acute inflammatory disorder, with allergic, drug related, and related etiologies ② the common histologic feature is spongiosis 5柯適中皮膚科
- 6. 濕疹（皮膚炎） 常被混用的名稱 eczema dermatitis eczematous dermatitis acute eczema subacute eczema chronic eczema 6
- 11. Pruritic skin disease 柯適中皮膚科 nail longitudinal furrow? chronic paronychia? subacute eczema? tinea unguium ? Allergic contact dermatitis Asteatotic dermatitis Urticaria Psoriasis Atopic dermatitis Artificial dermatitis Lichen simplex Lichen planus Bullous pemphigoid Flea bite / Lice / scabies Miliaria Sunburn / photodermatitis Pityriasis rosa Mycosis fungoides Folliculitis
- 12. 2. 濕疹 / 皮膚炎 / 癢疹 常見的皮膚疾病
- 13. 皮膚科門診中 常診斷為《濕疹/皮膚炎》的 中文 病名 ① 異位性皮膚炎 ② 接觸性皮膚炎 ③ 缺脂性皮膚炎 ④ 錢幣型濕疹 ⑤ 感染的濕疹 ⑥ 脂漏性皮膚炎 ⑦ 鬱血性皮膚炎 ⑧ 酒糟様皮膚炎 ⑨ 汗疱疹 / 富貴手 / 手部濕疹 ⑩ 蕁麻疹 ⑪ 藥物疹 ⑫ 心因性皮膚炎 ⑬ 尿布疹 / 對磨疹13
- 14. 14 柯適中皮膚科 tinea manus ? hand eczema chronic ? hand dermatitis chronic? occupational dermatitis ? atopic hand eczema ? psoriasis vulgaris ?
- 16. 16 柯適中皮膚科 contact dermatitis 三伏貼 / 左手香 / 牙膏
- 18. 柯適中皮膚科 PIH ? contact dermatitis? hand eczema ? tinea manus ? xeroderma pigment? fixed drug eruption ? 接觸性過敏後的色素沈澱 18
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- 25. 25 柯適中皮膚科 pityriasis rosa? drug eruption ? psoriasis vulgaris? viral exanthum ?
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- 28. 柯適中皮膚科
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- 31. 柯適中皮膚科
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- 33. 柯適中皮膚科
- 34. 3. 濕疹與身體潛在疾病
- 35. 35
- 36. 濕疹 & systemic disorder atopic dermatitis psoriasis delusional dermatitis Dermatomyositis SLE syphilis DM/ nephrotic dermatosis PUPPP Stasis dermatitis lymphoma / CTCL 36柯適中皮膚科
- 37. 柯適中皮膚科
- 38. 38 2019 3 30 柯適中皮膚科 porphyria cutaneous Garda？ Bullous pemphigoid Pompholyx HFM disease Contact dermatitis
- 41. neurologic disease ( post-herpetic neuralgia ) chronic nephritis atopic dermatitis psychiatric disorder ( depression / anxiety / delusion / skin picking disorder / mental) Diabetes mellitus Infection (especially HIV) Cutaneous T-cell lymphoma incipient bullous pemphigoid Dermatitis & Systemic disorder
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- 44. skin problems & DM Diabetic dermatopathy Diabetic bullae Diabetic stiff skin foot ulcers necrobiosis lipoidica reactive perforating collagenosis scleroedema disseminated granuloma annulare eruptive xanthoma vitiligo Acanthosis nigricans pruritis skin infection 44柯適中皮膚科
- 47. 柯適中皮膚科 tinea pedis? pompholyx? hand eczema ? syphilis
- 48. 柯適中皮膚科 bullous pemphigoid ? contact dermatitis?
- 50. 柯適中皮膚科 ankle swelling varicose veins venous insufficiency skin discoloration dermatitis lipodermatosclerosis slow-growing thick toenails
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- 54. 柯適中皮膚科 seborrhea ? artificial dermatitis ? acute erosive eczema ? tinea capatis ? trichotillomania ? 54
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- 56. 4. 被錯判的『濕疹』
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- 60. 柯適中皮膚科 itrogenic tinea manus ? hand eczema chronic ? 60
- 61. 柯適中皮膚科 tinea manus ? hand eczema chronic ? 61
- 62. 柯適中皮膚科 tinea manus ? hand eczema chronic ? Majocchi granuloma ? Herpes zoster ? folliculitis ? insect bite ? 62
- 63. 柯適中皮膚科
- 64. 64
- 66. 柯適中皮膚科 discoid eczema? tinea corporis ? Bowen disease ? 66
- 67. 不要把皮膚癌看錯成濕疹 67
- 68. 68 柯適中皮膚科
- 69. shiitake flagellate dermatitis 2% of people consume mushroom raw or lightly cooked
- 70. 70 柯適中皮膚科
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- 81. 柯適中皮膚科 tinea manus ? hand eczema chronic ? 81
- 85. 柯適中皮膚科 85
- 86. 柯適中皮膚科 discoid eczema? tinea corporis ? Bowen disease ? 86
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- 91. 柯適中皮膚科 tinea pedis ? pompholyx ? tinea manus ? HFM disease ? pustular psoriasis ? 91
- 93. 93 AI 90% dermatologist 75-80% clinic 50-60% drug store 50%
- 94. 柯適中皮膚科 94
- 95. scaring alopecia 柯適中皮膚科 artificial dermatitis ? LE ? tinea capitis? seborrhea ? alopecia? 95
- 96. Scabies nodularis Steroid folliculitis 柯適中皮膚科 scabies nodularis? scabies? folliculitis ? steroid folliculitis
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- 101. 101 柯適中皮膚科
- 102. 柯適中皮膚科 102
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- 107. 6. 乳液對濕疹治療的重要性
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- 112. 7. 濕疹的治療經驗 柯適中皮膚科
- 113. 濕疹的治療 ① bathing ② clothing ③ irritating ④ emollients / moisturiser ⑤ topical steroids ⑥ pimecrolimus cream ⑦ antibiotics ⑧ antihistamine ⑨ systemic steroid ⑩ MTX, cyclosporine , azathioprine ⑪ phototherapy ⑫ biologics ( Dupilumab ) ⑬ psychotherapy 柯適中皮膚科 能給予最正確的診斷， 找出疾病發生的誘因， 以及患者本身的認知， 更重於疾病治療用藥。 113
- 116. 柯適中皮膚科 tinea corporis psoriasis vulgaris eczema seborrhea contact dermatitis Pityriasis rosea 68 y/o 20 y/o 16 y/o 116
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- 120. emollients topical steroids calcieeurin inhibitors antibiotics antihistamine phototherapy oral corticosteroid Methotrexate ciclosporin azathioprine Dupilumab 柯適中皮膚科
- 121. 8. AI平台與皮膚疾病診斷
- 123. AI診斷結果？
- 124. AI診斷結果？
- 125. AI診斷結果？ subacute eczema ? psoriasis vulgaris ? tinea corporis ? Bowen disease ? Cutaneous TB? Herpes zoster ?
- 126. 126 AI診斷結果？-5
- 127. 127 AI診斷結果？