The first rosacea re-implantation of the Department of Dermatology of Changsha Fourth Hospital

Red Net Moment November 2 (Correspondent Wang Huan) A few days ago, the Department of Dermatology of changsha Fourth Hospital successfully completed a highly difficult case of rosacea re-implantation, which solved the patient's troubles for more than 40 years.

The 78-year-old Zhang's only hobby is the love of drinking. 40 years ago, its nose began to grow larger, but it did not attract attention. In recent years, Zhang Lao's "big nose" has grown particularly fast, even affecting his breathing, and his face has gradually changed, so that Zhang Lao, who was originally talking and laughing, suddenly became taciturn, and his family took him to the dermatology clinic of Changsha Fourth Hospital for medical treatment.

After receiving the diagnosis, Wu Zhiqiang, deputy director and deputy chief physician of the Department of Dermatology, combined with clinical experience, the preliminary diagnosis was "rosacea nasal fold stage", commonly known as "rosacea", and Zhang Lao's nasal vegetations have been affected by the tip of his nose and both nose wings, which seriously affects his daily life, and surgical treatment is recommended.

With the consent of the family, Wu Zhiqiang, deputy chief physician of the Department of Dermatology, led the medical team to perform "surgical resection under general anesthesia + flap plasty and reconstruction of nose shape" for Zhang Lao. After 2 hours of delicate operation, the operation was successfully completed. This is followed by anti-inflammatory, nursing, and observation of the survival of the "flap" skin. After careful treatment by the dermatology medical team and the active cooperation of patients, Zhang Lao recovered particularly well, and after 1 week, Zhang Lao and his family kept praising the dermatology medical team, so that the "knots" that had plagued him for more than 40 years finally disappeared.

Wu Zhiqiang, deputy chief physician of the Department of Dermatology, introduced that rosacea, also known as rosacea, is a chronic inflammatory skin disease that mainly occurs in the center of the face where the capillaries dilate. It is more common in middle-aged people aged 30 to 50 years, and is more common in women, but the most severe patients are usually male patients. Occasionally, eye tissue may be affected. At present, the etiology of rosacea is not clear, it may be on the basis of seborrhea, infection and hot and cold stimulation and other factors caused by patients with facial vasomotor nerve dysfunction, capillary long-term continuous dilation caused. Folliculia and local recurrent infections are the main factors in the pathogenesis. Alcoholism, smoking, irritating diet, digestive tract diet, digestive tract dysfunction, endocrine dysfunction, mental factors, infections, cold and hot factors that act on the skin for a long time such as high temperature work, sun exposure, cold, wind blowing, etc. can induce and aggravate the disease.

There are many types of rosacea, common as follows: 1. Erythema capillary dilation type: the middle of the face and cheeks are flushed significantly, and there is a persistent erythema after repeated attacks, accompanied by telangiectasia. 2. Papule pustular type: papules and pustules on the basis of erythema, needles to the size of mung beans, repeated attacks, capillary dilation is aggravated. 3. Hypertrophic hypertrophic type: on the basis of the first two stages, nasal tissue hyperplasia, the appearance of fleshy tissue, capillary dilation is more significant. 4. Eye type: a small number of patients can have eye inflammation, such as conjunctivitis, keratitis, scleritis, etc.

Telangiectasia is mainly treated with pulsed dye laser or carbon dioxide laser, and the erythematous papule stage is mainly coated with oral anti-infective and anti-inflammatory drugs, and the nasal neoplasm usually requires surgical resection to reconstruct the nasal shape.

Wu Zhiqiang reminded the general public that if it is found that the nose is enlarged, especially the rosacea patients who have a history of severe acne in the past should be treated in a timely manner to avoid bad habits such as tobacco and alcohol, otherwise it is easy to lead to worsening of the disease or prolonging the course of the disease to increase the difficulty of treatment.