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坏死性痤疮多因早期痤疮医治不及时或处理不当,局部毛囊皮脂腺内反复感染而引起。其临床特征及诊断依据是: 1.皮诊主要发生在前额发际,为红色丘疹,顶端有脐凹,化脓后形成脓泡坏死,常见血痂覆盖;2.病程较长并反复发作,愈后部分遗留有凹陷疤痕;3.如做脓液培养多为葡萄球菌。 其治疗方法是以开颜露外治为主配合内服四环素、硫酸锌、烟酰胺等。 开颜露方组成:生大黄50g、土大黄50g、蛇床子50g、白芨50g、白芷50g、硫磺50g、明矾50g、冰片20g、雄黄10g,先将前7味药浸泡于75％酒精1000ml内3周(冬春季4周),滤渣取药液再加入冰片,雄黄搅匀备用。用法:先用温盐水洗净痤疮表面的油脂及脓血痂皮,后用棉签蘸药液搽患处,每日3～4次。连用1～3个月。同时停用其他药物及化妆品。 西药:口服四环素每次0.5g,每天3次,1周后改为每次0.75g,每天一次,第三周开始,每天0.5g,连服2～3个月。硫酸锌50mg、姻酰胺0.2g,各每天3次,连用30～45天,复合维生素B二片,维生素B620mg,各每日三次,连服三个月。
Necrotizing acne due to early treatment of acne due to improper or improper treatment, local hair follicles sebaceous caused by repeated infections. The clinical features and diagnosis are based on: 1. The primary diagnosis occurred in the forehead hairline, red papules, umbilical concave at the top, after the formation of pyogenic pus necrosis, common blood scab coverage; 2. longer duration and recurrent, the more After the remaining part of the depression scars; 3. As most of the pus culture for Staphylococcus aureus. The treatment is based on the open outside the main treatment with oral Oral tetracycline, zinc sulfate, nicotinamide and so on. Open Yan Lu Fang composition: rhubarb 50g, rhubarb 50g, Cnidium 50g, Baiji 50g, Angelica 50g, sulfur 50g, alum 50g, borneol 20g, realgar 10g, the first seven herbs soaked in 75% alcohol 1000ml within 3 weeks (Winter and spring 4 weeks), the filter residue to take liquid and then add borneol, realgar stir well spare. Usage: First with warm saline wash the surface of acne oil and pus blood crusts, dipped in cotton swab dipped in the affected area, 3 to 4 times a day. Used 1 to 3 months. At the same time disable other drugs and cosmetics. Western medicine: oral tetracycline each 0.5g, 3 times a day, 1 week later changed to 0.75g each time, once a week, the third week, 0.5g daily, even for 2 to 3 months. Zinc sulfate 50mg, 2g amide, each 3 times a day, once every 30 to 45 days, two tablets of vitamin B, vitamin B620mg, three times a day, and even served three months.