White vinegar kills Pityrosporum

Pityrosporum can cause folliculitis, which is not much different from general folliculitis. It mainly manifests as 2-4 mm papules with pustules in the middle, accompanied by pain and itching. White vinegar has an antiviral effect. There is a saying that white vinegar can kill Pityrosporum. We do not recommend the use of white vinegar for treatment. Regular methods are the key to treatment.

Clinical manifestations include diffuse, symmetrical, dense but unfused dome-shaped red follicular papules on the back, chest, and shoulders. Some are small follicular pustules, and sometimes powdery substances can be squeezed out. The skin between the rashes is normal, and the surface of the rash is not covered with scales or seborrheic substances.

The diagnostic method is to use a lancet to shave off the follicular papule, drop a drop of 50% Parker ink and 10% potassium hydroxide solution, cover with a glass slide, warm it slightly, and examine it directly under a microscope or an oil microscope. If you see round or oval spores with thick walls or banana-shaped hyphae with blue reflection in the center, it is clear that Pityrosporum is present.

Drug treatment 1. Oral administration ① Ketoconazole: 200 mg, once a day, for 10 consecutive days. ② Fluconazole: 50 mg per day for 2-4 weeks. Take vitamin A capsules 3 times a day. 2. Apply 1% terbinafine cream externally: 2 times a day.

Folk prescription: Recipe of Longli Medicinal Wine: 5 grams of pangolin, 15 grams of black-banded snake, 30 grams of coptis chinensis, 30 grams of safflower, 60 grams of angelica dahurica, 50 grams of phellodendron chinense, 3 grams of beehive, 80 grams of pepper, 25 grams of white mustard, soaking method: seal and soak in 300 ml of grain wine with a degree of more than 60. Sealed in the cellar for 12 months. Usage: For external use, twice or three times a day. Indications: Treatment of pityrosporum folliculitis: (1) Oral: Itraconazole capsules (trade name: Sporanox), 0.2, once a day, for 7 consecutive days; (2) Topical: Compound Daconazole ointment, applied twice a day, for 2 weeks; Disulfide lotion (trade name: Hillson), wash every other day, for 2 weeks. Disulfide lotion, trade name: Hillson, wash the affected area once every other day. Its properties are like shampoo. First squeeze out some and mix it into foam, apply it to the affected area, leave it on for 2-3 minutes before washing it off. Use it for 2 consecutive weeks. If you can't buy Hillson, you can buy: Celexa Lotion (chemical name: Ketoconazole Lotion).

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