Häc viÖn qu©n y<br />
bé m«n da liÔu<br />
<br />
BμI GI¶NG<br />
BÖNH da Vμ HOA liÔu<br />
<br />
http://www.ebook.edu.vn<br />
<br />
1<br />
<br />
Chñ biªn.<br />
<br />
BSCKII Da liÔu Bïi Kh¸nh Duy.<br />
Chuyªn viªn kÜ thuËt da liÔu qu©n ®éi<br />
Ban biªn so¹n.<br />
<br />
TS NguyÔn Kh¾c ViÖn.<br />
BSCKII Bïi Kh¸nh Duy.<br />
PGS.TS. NguyÔn Ngäc Thôy.<br />
BS CKII TrÇn §¨ng QuyÕt.<br />
Th S. NguyÔn Tõ §Ö.<br />
TS. Ph¹m Hoμng Kh©m.<br />
Tµi liÖu tham kh¶o.<br />
1.Thomas B Fitzpatrick<br />
Dermatology in general medicine<br />
Mc Graw Hill com .inc 2003<br />
2. Thomas P. Habif.<br />
Clinical dermatology.<br />
http://www.ebook.edu.vn<br />
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2<br />
<br />
Mosby inc 1996.<br />
3. Thomas B. Fitzpatrick.<br />
Color atlas and synopsis of clinical dermatology.<br />
Mc Graw - Hill companies 1997 - 2001.<br />
4. Harry L. Arnold, Richard B. odom, william D. James<br />
Andrew's- Diseases of the skin - clinical dermatology<br />
W B Saunders company 1990.<br />
5.Bé m«n da liÔu .Tr−êng ®¹i häc qu©n y<br />
BÖnh ngoμi da vμ hoa liÔu<br />
§¹i häc qu©n y 1980<br />
6. Bé m«n Da liÔu - Häc viÖnQu©n Y.<br />
Gi¸o tr×nh bÖnh da vμ hoa liÔu ( sau ®¹i häc).<br />
NXB Qu©n ®éi nh©n d©n 2001.<br />
7, NguyÔn Xu©n HiÒn NguyÔn C¶nh CÇu Tr−¬ng Méc Lîi Bïi Kh¸nh Duy<br />
BÖnh ngoμi da vμ hoa liÔu<br />
NXB y häc thμnh phè HCM 1990.<br />
<br />
http://www.ebook.edu.vn<br />
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Môc lôc<br />
Ch−¬ng 1:<br />
®¹i c−¬ng..............................................................................................................................................6<br />
BÖnh da vμ hoa liÔu ...............................................................................................................................................6<br />
M« häc da ...................................................................................................................................................................9<br />
Sinh lý da ....................................................................................................................................................................13<br />
Tæn th−¬ng c¬ b¶n ...............................................................................................................................................18<br />
kh¸m bÖnh da liÔu ..............................................................................................................................................22<br />
Thuèc b«i ngoμi da...............................................................................................................................................27<br />
C¸ch sö dông mì Corticoid b«i ngoμi da...............................................................................................36<br />
VËt lý trÞ liÖu trong mét sè bÖnh da liÔu ...........................................................................................39<br />
Ch−¬ng 2 : BÖnh da do c«n trïng vμ ký sinh trïng .............................................................................43<br />
BÖnh ghÎ ( Scabies , Gale ) .................................................................................................................................43<br />
sÈn ngøa côc do c«n trïng.............................................................................................................................47<br />
Êu trïng s¸n lîn d−íi da .................................................................................................................................49<br />
viªm da pháng n−íc do kiÕn khoang .......................................................................................................51<br />
CH−¬NG 3: C¸c bÖnh nÊm da................................................................................................................................53<br />
c¸c BÖnh nÊm da ( Dermatomycoses). .................................................................................................................53<br />
bÖnh nÊm candida ( Candidoses). ........................................................................................................................61<br />
C¸c bÖnh nÊm s©u(nÊm hÖ thèng) ................................................................................................................66<br />
BÖnh nÊm cryptococcosis ............................................................................................................................................66<br />
BÖnh nÊm sporotrichosis.............................................................................................................................................68<br />
BÖnh nÊm Blastomyces B¾c Mü.................................................................................................................................69<br />
BÖnh nÊm ASpergillosis ..............................................................................................................................................71<br />
BÖnh nÊm Penicilliosis.................................................................................................................................................73<br />
BÖnh nÊm Blastomycosis nam mü ..............................................................................................................................74<br />
BÖnh nÊm mycetoma ( maduramycosis) ....................................................................................................................75<br />
BÖnh nÊm actinomycosis .............................................................................................................................................77<br />
c¸c ph−¬ng ph¸p xÐt nghiÖm chÈn ®o¸n nÊm g©y bÖnh (Mycosis diagnosis). ..........................78<br />
thuèc ®iÒu trÞ bÖnh nÊm...................................................................................................................................83<br />
Phßng chèng bÖnh nÊm .....................................................................................................................................90<br />
1. §−êng l©y truyÒn cña bÖnh nÊm da.................................................................................................................................90<br />
2. BiÖn ph¸p gi¸o dôc tuyªn truyÒn vÖ sinh c¸ nh©n vµ vÖ sinh m«i tr−êng:.....................................................................91<br />
3.BiÖn ph¸p phßng bÖnh nÊm da b»ng kü thuËt..................................................................................................................92<br />
Ch−¬ng 4: BÖNh da do vi khuÈn..........................................................................................................................94<br />
Viªm b× mñ ...................................................................................................................................................................94<br />
BÖnh phong ( Leprosy)............................................................................................................................................100<br />
BÖnh lao da .............................................................................................................................................................107<br />
¸ LAO ............................................................................................................................................................................110<br />
Hång ban r¾n bazin ............................................................................................................................................111<br />
§iÒu trÞ bÖnh lao da ...................................................................................................................................................111<br />
ANTHRAX (BÖnh than)...............................................................................................................................................112<br />
VÈy phÊn hång Gibert ( Pityriasis rosea) ................................................................................................115<br />
U h¹t vμnh (Granuloma annulare). ......................................................................................................................118<br />
BÖnh lyme.................................................................................................................................................................120<br />
BÖnh Lyme do Borrelia................................................................................................................................120<br />
Ch−¬ng 5: Viªm da eczema ..................................................................................................................................123<br />
BÖnh eczema ( BÖnh chμm ).............................................................................................................................123<br />
viªm b× thÇn kinh (Nevrodermite)..............................................................................................................128<br />
bÖnh da nghÒ nghiÖp..........................................................................................................................................131<br />
Ch−¬ng 6 : VÈy nÕn vμ c¸c bÖnh cã sÈn ®á, vÈy da. .............................................................................137<br />
VÈy nÕn môn mñ.....................................................................................................................................................149<br />
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VÈy nÕn môn mñ toμn th©n ............................................................................................................................150<br />
VÈy nÕn môn mñ lßng BμN tay ch©n ( thÓ Barber)..................................................................................151<br />
VÈy phÊn hång Gibert...................................................................................................................................................153<br />
Ch−¬ng 7 dÞ øng thuèc. ....................................................................................................................................155<br />
DÞ øng thuèc ...........................................................................................................................................................155<br />
Cho¸ng ph¶n vÖ ....................................................................................................................................................161<br />
ban mμy ®ay vμ phï m¹ch...............................................................................................................................164<br />
Ban ®á nhiÔm s¾c cè ®Þnh t¸i ph¸t ...........................................................................................................169<br />
Héi chøng lyell .................................................................................................................................................171<br />
Héi chøng Stevens Johnson ..........................................................................................................................174<br />
Ch−¬ng 8: BÖnh da do vi rót .............................................................................................................................176<br />
BÖnh Môn rép..........................................................................................................................................................176<br />
BÖnh Z«NA ( Herpes zoster). ...................................................................................................................................178<br />
H¹t c¬m ( verrucae). .................................................................................................................................................179<br />
H¹t c¬m PH¼NG ( verrus planes)..........................................................................................................................181<br />
U hÕn l©y ...................................................................................................................................................................181<br />
Ch−¬ng 9: BÖnh lý tuyÕn b∙, tuyÕn må h«i. ............................................................................................182<br />
Chøng ®á mÆt ( Rosacea) ......................................................................................................................................182<br />
Trøng c¸ ( Acne).......................................................................................................................................................185<br />
Ch−¬ng 10: BÖnh niªm m¹c miÖng ...................................................................................................................190<br />
l−ìi l«ng ( Hairy tongue) .......................................................................................................................................190<br />
L−ìi nøt Fissured tongue (" Scrotali tongue")......................................................................................................191<br />
Viªm l−ìi di chuyÓn ( Migratory glossitis).......................................................................................................192<br />
Ch−¬ng 11: BÖnh tù miÔn , bÖnh hÖ thèng. ................................................................................................193<br />
Lupót ban ®á hÖ thèng.....................................................................................................................................193<br />
Lupót ®á m¹n tÝnh ...............................................................................................................................................200<br />
bÖnh Raynaud.........................................................................................................................................................203<br />
x¬ cøng b× .................................................................................................................................................................205<br />
Viªm da c¬ ................................................................................................................................................................212<br />
Pemphigus.................................................................................................................................................................214<br />
Pemphigoid bäng n−íc .....................................................................................................................................221<br />
bÖnh DUhring- Brocq(DH) ................................................................................................................................224<br />
bÖnh tiªu th−îng b× pháng n−íc bÈm sinh ..........................................................................................227<br />
Ch−¬ng 13: tiÒn ung th−,ung th− da............................................................................................................231<br />
Ung th− da................................................................................................................................................................231<br />
BÖnh Paget ...............................................................................................................................................................232<br />
BÖnh Bowen. ............................................................................................................................................................233<br />
bÖnh hång s¶n........................................................................................................................................................233<br />
Ung tÕ bμo ®¸y.......................................................................................................................................................234<br />
Ung th− tÕ bμo gai ..............................................................................................................................................236<br />
Ch−¬ng 14: BÖnh l«ng tãc mãng ...................................................................................................................238<br />
Rông tãc....................................................................................................................................................................238<br />
Ch−¬ng 15 : Rèi lo¹n s¾c tè da ....................................................................................................................249<br />
b¹ch biÕn ( vitiligo). .................................................................................................................................................249<br />
Ch−¬ng 16: BÖnh l©y truyÒn qua ®−êng t×nh dôc.. .............................................................................257<br />
tæng quan c¸c bÖnh l©y truyÒn................................................................................................................257<br />
bÖnh lËu ....................................................................................................................................................................261<br />
BÖnh Viªm niÖu ®¹o sinh dôc........................................................................................................................265<br />
BÖnh giang mai(Syphillis) ..............................................................................................................................268<br />
Xïi mμo gμ ................................................................................................................................................................282<br />
BiÓu hiÖn da niªm m¹c ë bÖnh nh©n nhiÔm Hiv/aids .......................................................................284<br />
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