مقالات

    • The treatment of melasma includes topical formulations, chemical peels, lasers, and light sources. • While no single therapy has proven to be of benefit to all patients as the sole therapy, combinations of modalities can be used to optimize management in difficult cases. SUNSCREENS AND CAMOUFLAGE FOR…
• In the early I 950s, physicians began using systemically administered cortisol to treat inflammatory dermatoses. • Unfortunately, corticosteroids with a ketone group at the C 11 position (e.g., cortisone) must be reduced to their corresponding 11-hydroxyl analogs (e.g., hydrocortisone) to be active-a reduction that does not occur effectively in…
Immunologically mediatedphotodermatoses Skin – light interactionClassification of photodermatosesImmunologically mediate Defective DNA repair disorders Photoaggravated dermatoses Chemical –drug induced photosensitivity Case 1 13 year old girl with itchy rash on the face and hands since yesterday . It has been a beautiful sunny day in early spring ,spent in out door…
Life Threatening Dermatoses Erythroderma Toxic Epidermal Necrolysis Stevens Johnson Syndrome Autoimmune Bullous Disease Urticaria & Angioedema اریترودرمی   Nursing considerations ▪ Monitor and replace fluids and electrolytes, especially in patients with burns or widespread erythema.▪ Withhold all medications until the cause of the erythema has been identified.▪ Administer an antibiotic…
THE FUNCTIONS OF A WOUND DRESSINGA wound dressing is a substitute for native epithelium lost as a result of injury. The process of wound repair occurs in stages each of which may require different dressings. The main function of a dressing is to provide the optimum environment for rapid healing by protecting…
Dermatoscopic examination of hair and scalp is known as trichoscopy. Here, we summarize the literature on the dermatoscopic diagnosis of congenital and acquired hair shaft disorders. As hair shaft disorders are rare, most published articles on their dermatoscopic features are limited to case reports or series. Dermatoscopy is fast, noninvasive, and…
Basic principles of cutaneous photobiology The nature of UVR• Cutaneous photobiology is the study of the effects of UV and visible radiation on skin. • Knowledge of the interaction of sunlight with the skin is fundamental to understanding the pathogenesis of more than 100 skin disorders and also skin cancers.…
Principle of preparation of medical and cosmetic products Cosmetic preparation consists of:  Active ingredient Base(Vehicle) Additional/auxilery substances Additional substances  Fragrances Coloured dyes preservatives Active ingredient:Definition:  Antibiotic Antifungal Antiaging substances:retinoic acid,AHA Bleaching agent Base/vehicle  Definition Effect Three elemental bases:  Fatty bases  Water,aqueous solutions  PowdersFatty bases: Main uses Sources:  Animal…
ICHTHYOSIS • Ichthyosis Vulgaris• X-Linked Ichthyosis• Epidermolytic Hyperkeratosis• Autosomal Recessive Ichthyosis Ichthyosis Vulgaris • Mutations in filaggrin (AD)• a few months after birth• The flexural creases are spared– Keratosis pilaris is often present, and– The palms and soles may show hyperkeratosis.• Acquired, noninherited form with lymphoma, particularly Hodgkin's disease– also…
 Photodynamic therapy (PDT) aims to destroy the desired target selectively, thereby minimizing damage to normal tissue.  The photodynamic reaction consists of the excitation of photosensitizers (usually porphyrins) by visible light in the presence of oxygen, resulting in the generation of reactive oxygen species, particularly singlet oxygen.  These reactive oxygen species…
Surgical smoke and the dermatologist Journal of the American Academy of Dermatology September 2011 / Volume 65 / Number 3Jesse M. Lewin, MD, Jeremy A. Brauer, MD, and Ariel Ostad, MD New York, New York The use of electrosurgery and lasers by dermatologists and dermatologic surgeons has increased in recent…
Propranolol For Infantile Hemangiomas Infantile hemangiomas (IHs) are benign tumors of endothelial cells that show a rapid proliferating phase usually followed by variable degrees of spontaneous regression. Because of this unique behavior, most His can be left untreated, but His located in areas of particular concern, such as periorbital, oropharyngeal, preauricular,…
Topical Antimicrobial Treatment of Acne Vulgaris An Evidence-Based ReviewAm J Clin Dermatol 2012; 13 (3): 141-152 IntroductionAcne vulgaris is a highly prevalent skin disease and the most common skin disorder in adolescents. Numerous treatment options are available, but topical antimicrobial therapy remains a mainstay for the management of mild to…
Differential Diagnosis & Approach to Vesiculo-Bullous diseases in Children  Establishing the correct diagnosis in newborns presenting with blisters and erosions is not always a straightforward process. Many different disease entities including acquired (i.e., infectious, immunobullous, traumatic) and inherited disorders have to be taken into consideration. Similarities in clinical appearance, colonization and/or super…
Seminars in Cutaneous med surg 2011 – Elsevier Chronic Pruritus – Pathogenesis, clinical aspects and treatment Journal of the European Academy and venereology 2010 Key points• Chronic pruritus is a common problem affecting a large proportion of the population. • The pathophysiological mechanisms underlying chronic pruritus are still insufficiently understood…
Introduction  As a pediatrician one of the most common presenting complaints is that of an infant with a rash and with the large number of possible diagnoses (on the order of more than 30!) It is essential to be able to recognize the characteristic appearance of common lesions. Furthermore, it is imperative…
Chemical- and Drug-Induced PhotosensitivityPhotosensitivity induced by exogenous agentsIntroduction  Exogenous agents induce photodermatitis by two mechanisms:  Phototoxicity  Direct tissue damage caused by phototoxic agent and light In all individuals ( adequate doses of agent and light)  Photoallergy  Type 4 hypersensitivity  In sensitized individuals with minimal concentration of photoallergen  In photodermatology referral centers…
 طی حاملگی تغییرات ایمونولوژیک ، متابولیک ، آندوکرین ، عروقی رخ می دهد که خانم حامله را مستعد تغییرات در پوست و ضمائم به صورت فیزیولوژیک یا پاتولوژیک می نماید .  درماتوزهای حاملگی را می توان به سه گروه تقسیم کرد :  تغییرات فیزیولوژیک در حاملگی درماتوزو تومورهای پوستی که تحت…
عوارض پیلینگ شیمیایی ازکتاب complication in dermatologic surgery   مقدمهباوجودیکه پیلینگ شیمیایی برای بیش از نیم قرن است که یک تکنیک مطمئن و موثر برای جوان سازی پوست به حساب میاید، اما عوارض جانبی متعددی نیز در این تکنیک وجود دارد. اغلب اوقات درصورتیکه پزشک معالج دارای درک کاملی از…
ارزيابي يک بيمار مبتلا به حساسيت غيرطبيعي پوست به نور  Immunologic mediated (idiopathic) photodermatoses: PLE,CAD,AP,SU,HV  Drug and chemical induced photosensitivity : Exogenous(phototoxicity & photoallergy), Endogenous (Cutaneous porphyrias)  Defective DNA repair disorders: XP, CS,TTD,Bloom S, Kindler S,RTS  Photoaggravated dermatoses: LE,DM,Psoriasis,LP,AD,Herpes,Pellagra, Rosacea,Acne,REM,Darier, BP,Pemphigus(F,E)  تظاهر حسياسيت غير طبيعي به…
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دکتر محمد ایمانی

متخصص پوست ، مو و زیبایی


پزشک: دکتر ایمانی
پرسشگر: Elmertet
تاریخ: دوشنبه, 05 مهر 1395 09:39
وضعیت: پاسخ داده شده

پرسش:
با سلام و خسته نباشید... جناب دکتر از سن 18سالگی در گیر بیماری ویتیلیگو هستم و بالای 60درصد بدنم رو درگیر کرده ولی رنگ لکه ها خیلی سفید نیست که تابلو باشه ...اولین سوالم اینه که این لکه ها مگه رنگ های سفیده کم رنگ پر رنگ داره؟ چون الان رنگشون مثل رنگ پوسته خیلی سفیده فرد عادیه... و دومین سوالم...آیا حقیقت داره در بیمارستان رازی آمپول هایی وجود داره و تزریق میکنن و پوست سفید میشه؟ هزینه اش چقدره؟ممنون لطفا پاسخ بدید

آقاي ساسان سلام

اگر بيماري در حال پيشرفت باشد،نقاط جديد بدن كه تازه دارند رنگدانه از دست مي دهند ولي هنوز روند پيشرفت ادامه دارد،خيلي سفيد نيستند،در خصوص سوال دوم،چنين آمپول و درماني وجود ندارد،بهترين درمان براي شما نور درماني هست .

 

دوست عزیز و گرامی من

زمان بهترین و ارزشمندترین هدیه ای است كه می توان به كسی ارزانی داشت.هنگامی كه برای كسی وقت می گذاریم، قسمتی از زندگی خود را به او میدهیم كه باز پس گرفته نمی شود . باعث خوشحالی و افتخار من است كه برای عزیزی مثل شما وقت می گذارم و امیدوارم كه با راهنماییهای اساتید این رشته واظهار نظر شما عزیزان این سایت آموزشی پر بارتر گردد.

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