As the saying goes, a white hides a hundred ugliness.
Every mother wants her baby to look white and tender, like a hot freshly shelled egg, and people want to kiss it when they see it.
But the reality is that the baby's skin is more like the shell of the egg that has just come out of the chicken nest, and it is always potholed and in constant condition.
Eczema, prickly heat, peeling, milk ringworm, allergies, chickenpox, hand, foot and mouth disease...
There's always one to stand up for you.
Unless the baby grows up in a constant temperature and humidity incubator, otherwise the weather will be dry and wet, hot and cold, plus the home is full of dust and allergens, you don't expect the baby's skin to make people worry.
Conversely, if your baby's skin suddenly turns white, don't rush into it, there may be another pit behind it.
For example, the most common:
"My son has a lot of white spots, is there a roundworm?"
There is a bao mom in Shenzhen, who encountered the problem of white spots, and the old mothers around her gave her tips: calm and calm! Not much of a deal.
But when she learned the truth through all the hardships, her face was suddenly frightened.
One day 3 years ago, Hou Jie accidentally found that several small white spots the size of fingernails appeared on the calves of her 5-year-old daughter, and the shape was irregular.
"It won't be a worm in the stomach!" Sister Hou jumped out of a thought, in her memory, when she was a child, as long as there were white spots on the skin, the adults in the family would say: "There are roundworms!" ”
But she was still not at ease, and asked in the mother group: "My daughter has white spots on her legs, do I need to deworm her?" ”
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Unexpectedly, it provoked the "spit" of mothers——
"Isn't that normal?"
"What age are they, and they still talk about roundworms."
"Don't make a fuss, our babies have grown up."
"A baby will grow."
"This kind of spot will naturally recede."
After the "professional appraisal" of the old mothers, the conclusion is basically clear:
1. Leukoplakia has nothing to do with roundworms, it's a rumor that has been pit for generations.
2. My daughter's white spots, most likely pityriasis white, don't even count this, it may just be unevenly distributed pigment, "After a while, it will be natural!" ”
Sister Hou saw that everyone was talking like a certain amount, and she really believed it, "Then wait for it to be good after a while."
But after two or three months, my daughter's white spots not only did not get better, but also "climbed" on her thighs from her calves.
Although it is not painful or itchy, it is also too ugly, "How dare you go swimming in the future?" ”
This time, the child's grandmother finally couldn't help but scold.
"I don't know how you bring your children!"
"The first time you see those white spots, be careful and listen to the nonsense of those people."
"If you don't listen to the old man, you will suffer losses in front of you."
Hurry to the hospital to see it, and the doctor is also confused.
The first hospital, the doctor also said that it was "white pityriasis", went to the second hospital, the doctor hit a question mark again.
In the third hospital, the diagnosis on the doctor's medical record was more ambiguous:
Pityriasis albicans? Hypopigmentation after inflammation? Cutaneous heterochromia?
This completely stunned Sister Hou.
After more than eight months, she has been according to the doctor's words, everything to try for her daughter, ointment is also rubbed, medicine is also eaten, but these white spots are like "psoriasis", how can not be eliminated.
"Wouldn't it be vitiligo?"
Someone in the mom group proposed a new direction.
Image source: Tencent Medical Code
When I went to the hospital, the doctor was not sure.
Several doctors also argued about these white spots —
"No pigment spots?"
"Vitiligo?"
"Pityriasis versicolor?"
"Psoriasis?"
……
It is said that the more the truth is argued, the clearer it is, but the skin disease is more noisy and ignorant!
After tossing and turning for more than a year, my daughter's white spots have not yet been diagnosed. Sister Hou was so anxious that she couldn't sleep well every day.
Many people began to persuade her: "Forget it! Skin disease is like this, no reason, can not break the root, do not toss the child! ”
Some mothers comforted her: "Don't be so pessimistic, Feng Xiaogang also has vitiligo, don't you live well!" ”
But Sister Hou was still not dead hearted.
Three months ago, she found a dermatologist who is very famous in China, "No matter what the disease is, we have to 'die' to understand!" ”
The expert carefully looked at her daughter's white spots, only on the body, the face did not, the white spots surface and there are very slight fine chips, the skin is a little atrophied, the capillaries are also dilated, and then ask about the effect of repeated treatment in the past 3 years...
Finally, the expert came to a definitive conclusion:
Leukoplakia is caused by a skin tumor, but fortunately you pay enough attention to it.
A thunderbolt on a sunny day! Hou Jie couldn't believe her ears, from the "white pityriasis" to the "tumor" that she didn't have to worry about, this step was also too big, and her brain was instantly blank.
"Or you can have your child do a biopsy and just look at it." Experts say.
The pathology report came out, and the experts were right:
Hypopigmented fungal granulomas.
What is mushroom granuloma?
This is a skin disease caused by genetic abnormalities, if it continues to develop, lymphocytes appear clonal proliferation, malignant transformation, and finally will form cutaneous T-cell lymphoma.
Fortunately, this process is usually relatively long, and it has to be experienced one after another.
Erythema stage→ plaque stage→ tumor stage.
The whole process lasts for years or even decades, so it is a low-grade malignant tumor.
If the patient is still in the erythema phase or plaque stage, you can also control and cure by rubbing medicine, taking medicine, light therapy and other methods, but if you reach the tumor stage, the patient will have lymphadenopathy, at this time often internal organs also have lesions, almost all internal organs are affected, and some patients also have anemia.
At this stage, many patients need chemotherapy.
And Sister Hou's daughter also found out early, as long as you rub some external medicine can be done.
But the problem is that many people are not as lucky as little girls.
Because this disease is a "master of disguise", it is too difficult to detect it at an early stage!
There are many subtypes of mushroom granulomas, the symptoms are complex and changeable, and many diseases are "long" very similar, and the average person can't find it at all——
Erythema, which can be mistaken for eczema and atopic dermatitis;
White pityriasis that appears as a "piece of cake", or vitiligo;
Patches of various colors will be considered tinea versicolor;
It can also present with leprosy, post-inflammatory hypopigmentation, sarcoidosis, chronic lichenoid pityriasis, idiopathic punctate pigmentation, lichen sclerosing, decolorization pigment incontinence and nevus, and even symptoms of syphilis.
Therefore, many patients often run around for many years and cannot be diagnosed, and can only fall into "vitiligo? eczema? dermatitis? "Waiting for the strange circle of various skin diseases, going around and around can't be cured."
You say what to do, right?
Mushroom-like granulations will be disguised again, and when encountering an "old driver" who has experienced hundreds of battles and has a golden eye of fire, he will have to immediately reveal his original form.
The dermatologist who found the "real culprit" for Hou Jie's daughter at a glance was one of them.
He is the veteran of the "national team" of skin diseases -
Professor Sun Jianfang has been dealing with skin diseases for 40 years and has seen all kinds of strange skin diseases. Many rare diseases that have never been seen in the eyes of other doctors are "old acquaintances" here in Sun Jianfang, and when they come, they don't want to hide.
There is a textbook for the treatment of skin diseases in China called "Clinical Skin Diseases", and Sun Jianfang can accurately say which disease appears on which page, "It is simply a mobile textbook!" A young dermatologist sighed.
But how difficult is it for the average person to find such a cattle doctor?
Qi is strange, the aforementioned Sister Hou easily met this big god in Shenzhen.
The "national team" skin disease "Sherlock Holmes", who is usually in Nanjing, has treated more than a thousand patients in Shenzhen.
Because in May 2017, the Shenzhen Chronic Disease Prevention and Control Center (Shenzhen Institute of Skin Disease Prevention and Treatment) invited Professor Sun Jianfang's team to the "doorstep" through the municipal medical and health "three projects".
Since then, Professor Sun has come to Shenzhen every month to consult with the Municipal Chronic Disease Prevention and Control Center for clinically difficult cases.
On December 12 (Saturday) 9:00-11:00 a.m., Professor Sun Jianfang held a free clinic at the Shenzhen Chronic Disease Prevention and Control Center, and he was not the only one who came this time, but also other members of the "Three Engineering" team of the Dermatology Hospital of the Chinese Academy of Medical Sciences, all of whom were well-known elite soldiers in China.
If the people around you have any skin problems hanging in the balance, you can come to meet these skin disease masters and look for a water out!
No reservation required, who arrives first, who sees first!
Where is the hospital?
Address: Shenzhen Luohu District Buxin Road No. 2021
Metro: Line 7 or 5, Tai'an Station Exit A, turn left about 700 meters ahead
Bus: Bus No. 23, 308, 363, 376, m364, m437, b840 (get off at the Municipal Chronic Disease Prevention and Control Center Station)
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"When it works, it spreads"
Source: Shenzhen Chronic Disease Prevention and Control Center