我一向都有濕疹,曾經用過其他聲稱針對濕疹嘅護膚lotion,皮膚都冇好轉,後來經醫生介紹下認識Cetaphil PRO AD Derma醫學濕疹配方(舒特膚倍加護),用左一排濕疹痕癢情況大大改善,所以後來發現柔柔有少少濕疹敏感,我都一樣幫佢轉用左舒特膚。
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經了解後,原來係一隻有醫學科研支持嘅嶄新配方,含Ceramides及Filaggrin分解物,速效修復皮膚屏障同提升番皮膚濕度!如果想知更多背後原理,可以入文章睇啊!
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同時也有1部Youtube影片,追蹤數超過3萬的網紅[email protected],也在其Youtube影片中提到,濕疹- 盧景勳皮膚科專科醫生@FindDoc.com FindDoc Facebook : https://www.facebook.com/FindDoc FindDoc WeChat : 快徳健康香港 FindDoc FindDoc Instagram:@finddochk (一)異位...
filaggrin 在 李木生醫師 Facebook 的精選貼文
孫女從嬰兒時期就有異位性皮膚炎,心疼他因為癢而抓出許多血絲與常常皮膚紅腫。身為婦產科醫師的我,對這個疾病不甚了解,但最近開始閱讀這個疾病的相關知識,想與大家分享。
近二十年來,台灣的異位性皮膚炎的盛行率增加將近一倍, 有些研究顯示都市化和空氣污染會增加風險,也有些研究說媽媽在懷孕期間多吃魚會降低風險。
百分之八十的異位性皮膚炎始於5歲以下,而約有一半以上得異位性皮膚炎的小朋友,長大會”自己好” 但詳細原因不明,或許和早期疾病的控制有關。
異位性皮膚炎是一種皮膚的過敏反應,許多病人因爲皮膚天然保濕因子 (filaggrin) 不足的體質,造成過敏原更容易通過乾燥龜裂的皮膚,而誘發過敏反應,所以除了擦藥與(嚴重時)吃藥,保濕乳液對於預防復發非常重要,近幾年有些免疫阻斷劑的上市,讓對付嚴重異位性皮膚炎的 ”藥品軍火庫“ 又增加一些生力軍。
有家族病史的小朋友更容易得到異位性皮膚炎,代表基因也有關聯。約有60-70% 的異位性皮膚炎的病患,會有 Filaggrin 基因上的某些位點的突變 ,目前已知有數十個 Filaggrin 基因位點的突變,有趣的是,亞洲人與歐洲人突變的位點不盡相同。而台灣本土人口 Filaggrin 基因位點的突變,仍尚未被發表。
目前各國的皮膚科醫學會,都同意早期治療,藉以降低復發的強度與頻率,所以小朋友的皮膚如果常常乾紅癢,應該及早就醫診斷與治療。至於有家族病史但沒有發病的小朋友,是否該做Flaggrin基因檢測,而提早擦保濕乳液 ,是一個值得討論的題目。
#異位性皮膚炎
#保濕因子
#提早擦乳液
參考文獻
Chu C-Y et al. Taiwanese Dermatological Association consensus for the management of atopic dermatitis. Dermatologica Sinica. 2015 Dec 1;33(4):220–30.
Romieu I, Torrent M, Garcia-Esteban R, Ferrer C, Ribas-Fitó N, Antó JM, et al. Maternal fish intake during pregnancy and atopy and asthma in infancy. Clin Exp Allergy. 2007 Apr;37(4):518–25.
Irvine AD, McLean WHI, Leung DYM. Filaggrin mutations associated with skin and allergic diseases. N Engl J Med. 2011 Oct 6;365(14):1315–27.
Nutten S. Atopic Dermatitis: Global Epidemiology and Risk Factors. ANM. 2015;66(Suppl. 1):8–16.
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My granddaughter suffers from atopic dermatitis (AD) at a young age. The constant scratching causes little spots of bleeding and roughening of her baby skin. There doesn’t seem to be a cure for this condition. Even though I am an O&G specialist by trade, I have decided to read a little bit more on this topic and share them with you.
The prevalence of AD has doubled in Taiwan in the last 20 years. Some research shows industrialisation and air pollution may be risk factors whilst fish intake during pregnancy reduces infant risks of AD.
Eighty percent of AD starts below the age of 5. And about half of the children tend to “grow out of” AD. It may be mutli-factorial but the immune tolerance may be related to early control of AD.
Atopic dermatitis is a hypersensitivity reaction of the skin, many patients are found to have defects in their skin Filaggrin, which is a naturally-occurring skin moisturiser. Therefore skin emollient is an important treatment for the prevention of AD flares. Apart from the existing immunosuppression treatments (such as topical corticosteroids and calcineurin inhibitors), there are now biological agents available for the treatment of severe AD. The therapeutic armamentarium against AD is slowly increasing as we understand more about the disease.
Many variants of mutation at the Filaggrin gene have been found in up to 70% of patients with AD. There are currently 50-60 disease-causing variants known. Interestingly, mutations found in the European population seem to be different from those found in the Asian population. The mutations specific to the Taiwanese population are yet to be found.
The consensus amongst international experts seems to agree that early treatment of AD reduces recurrence and severities. However, it would be interesting to know the utility of early moisturizer application in those testing positive for Filaggrin gene but without AD.
filaggrin 在 Sarah Share Story Facebook 的精選貼文
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filaggrin 在 [email protected] Youtube 的最佳解答
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(一)異位性皮膚炎是什麼? 00:07
(二)異位性皮膚炎成因? 00:39
(三)患上異位性皮膚炎需要戒口嗎? 01:13
(四)「濕疹鐵三角」可以治療異位性皮膚炎嗎? 2:20
(本短片作健康教育之用,並不可取代任何醫療診斷或治療。治療成效因人而異,如有疑問,請向專業醫療人士諮詢。)
參考資料:
1. Al-Shobaili, H. A., Ahmed, A. A., Alnomair, N., Alobead, Z. A., & Rasheed, Z. (2016). Molecular Genetic of Atopic dermatitis: An Update. International journal of health sciences, 10(1), 96–120.
2. Kanda, N., Hoashi, T., & Saeki, H. (2019). The Roles of Sex Hormones in the Course of Atopic Dermatitis. International journal of molecular sciences, 20(19), 4660. https://doi.org/10.3390/ijms20194660
3. Drislane, C., & Irvine, A. D. (2020). The role of filaggrin in atopic dermatitis and allergic disease. Annals of Allergy, Asthma & Immunology, 124(1), 36-43. doi:10.1016/j.anai.2019.10.008
4. Suárez, A. L., Feramisco, J. D., Koo, J., & Steinhoff, M. (2012). Psychoneuroimmunology of psychological stress and atopic dermatitis: pathophysiologic and therapeutic updates. Acta dermato-venereologica, 92(1), 7–15. https://doi.org/10.2340/00015555-1188
5. Dhar, S., & Srinivas, S. M. (2016). Food Allergy in Atopic Dermatitis. Indian journal of dermatology, 61(6), 645–648. https://doi.org/10.4103/0019-5154.193673
6. Yu, W. (2001). The Role of Food Allergy in Atopic Dermatitis in Children. Hong Kong Dermatology & Venereology Bulletin, 9(3), 110-116.
7. Lee, S. Y., Lee, E., Park, Y. M., & Hong, S. J. (2018). Microbiome in the Gut-Skin Axis in Atopic Dermatitis. Allergy, asthma & immunology research, 10(4), 354–362. https://doi.org/10.4168/aair.2018.10.4.354
8. Lee SY, Lee E, Park YM, Hong SJ. Microbiome in the Gut-Skin Axis in Atopic Dermatitis. Allergy Asthma Immunol Res. 2018 Jul;10(4):354-362. doi: 10.4168/aair.2018.10.4.354. PMID: 29949831; PMCID: PMC6021588.
9. Kim, H., Ban, J., Park, M. R., Kim, D. S., Kim, H. Y., Han, Y., Ahn, K., & Kim, J. (2012). Effect of bathing on atopic dermatitis during the summer season. Asia Pacific allergy, 2(4), 269–274. https://doi.org/10.5415/apallergy.2012.2.4.269
10. Ozkoca, Kutlubay, & Karakus. (2019). Treatment of Atopic Dermatitis: What’s New? Clinical Dermatology: Research and Therapy.
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filaggrin 在 Soothing Velvet Cream - For Sensitive Skin (Salon Size) 的推薦與評價
A velvety-textured soothing facial cream for sensitive skin prone to dryness Contains moisturizing complex to optimize the synthesis of filaggrin, ... ... <看更多>