#腳毛去哪兒了？
來看身上皮膚問題的病人，突然靈光乍現要我也看看他的腳，只見他褲管撩起來驚喜地說『醫生妳看！』
我『穿襪子的地方沒曬到太陽皮膚就會比較白啊！』
病人『不是啦！你看我那裡都沒有腳毛耶！』
仔細一看，穿襪子的地方簡直就是腳毛的百慕達三角洲，腳毛咧？

不只頭髮會有落髮問題，腳毛也會有落髮\掉毛的問題。像我病人的情況，相信很多人可能都有，只是沒有症狀，大家也不會特別注意。這種狀況通常是 #反覆摩擦（frictional alopecia)造成的 #非疤痕性落髮，跟穿鞋子、襪子有關 ; 也有學者認為可能跟 #甲狀腺功能異常 或是 #周邊神經病變 相關。腳毛可以從小腿中段以下就消失，或是有的人從膝蓋到腳踝都沒有腳毛。男性比女性常見 ; 運動員也比一般人常見。雖然是由摩擦引起的非疤痕性落髮，但即使摩擦的因素去除後，腳毛也不一定會再長回來，文獻中的案例也沒人要求腳毛再長回來，所以不能確定吃柔沛和擦生髮水有沒有效。

#其他腳毛消失的可能原因
🔆滑水道落髮(water-slide alopecia)：小腿後側兩邊對稱性落髮，跟去水上樂園溜滑水道有關，也是反覆摩擦造成的。

🔆全身性禿髮症(alopecia universalis) : 全身的毛都掉光光了，可能跟自體免疫疾病有關。

🔆脂肪皮膚硬化症(lipodermatosclerosis)：除了局部腳毛脫失外，下肢還會疼痛而且皮膚變硬，跟靜脈回流不良有關。

🔆硬皮症(morphea)：受侵犯的部位皮膚會變硬、變色，也會影響毛髮生長跟汗腺功能。

🔆冠狀動脈心臟病(coronary artery disease)：有冠狀動脈心臟病的人比起一般人，在年紀較輕的時候腳毛就會開始掉，而且毛囊的數目會減少、周邊動脈脈搏減弱甚至摸不到。據推測是跟動脈粥狀硬化還有微血管病變影響毛囊的血液供應有關。

🔆週邊動脈疾病(peripheral artery disease)：除了腳毛會掉之外，那邊的皮膚也會變乾、腳趾甲變形，伴隨著脈搏消失、間接性跛行等其他症狀。跟動脈阻塞減少血流供應相關。

🔆抗黴菌藥物voriconazole：不只腳毛會掉，頭髮、眉毛、睫毛、手毛都有可能掉，停藥後落髮狀況會改善，毛髮也會再生。

Ref :
Iraqi J. Comm. Med., Jan. 2018 (1)
Int J Trichology. 2016 Jan-Mar; 8(1): 49–50.
Dermatology Online Journal.22,8. (2016).
Clinical Infectious Diseases 2014;59(3):e61–5
Cutis. 2001 May;67(5):399-400.
Int J Dermatol. 1997 Dec;36(12):931-2.

圖片來自於文獻

#林政賢皮膚科

#最BadAss經典的演說之一！
* 最近最夯的一條新聞就是：
美國所訓練的阿富汗軍隊為什麼這麼不堪一擊？

* 要回答各位；那我現在不得不再重po一次11年前的一段美軍痛罵一群受訓，但紀律煥散的伊拉克軍警！（這跟阿富汗一樣）

* 我試翻其中很經典的一段：0:55開始😎

"You know why I'm p*ss off?"
I come down here with my soldiers to try to train you, and you're trying to f**k to kill Americans,
you're trying to kill your fellow f**k Iraqis, 'cuz you got no f**king backbone."
（你們知道我為什麼會那麼生氣嗎？
因為我跟我的弟兄們是來訓練你們的！
但是你他x的卻要殺美國人！
你們也殺害你們伊拉克自己人！
因為你們這些都是沒有LP 的傢伙！）😎

https://youtu.be/r1GrdTakvl8

* 剛剛看到FOX News 的報導：
阿富汗首都 喀布爾 可能在幾天之內會被塔利班 攻陷！？https://youtu.be/9-mXRglhDzE 😳
這對才剛要撤僑的美國、英國 ...等西方國家，完全是措手不及！

* 先不去爭辯或討論國家、民族、列強...等這些大議題。
看看像之前駐紮在阿富汗或伊拉克的美軍，光是訓練當地的軍警 就是個很頭痛的問題！（如下面的伊拉克影片，影片中訓話的那位美軍實在太帶種了！😎）
有時候 還會被臥底的ISIS 或塔利班份子殺掉！

https://youtu.be/r1GrdTakvl8

เคยสงสัยมั้ยว่า ถ้าคนไทย ภาษาอังกฤษใช้คำว่า Thai แล้วคนดูไบล่ะ จะต้องเรียกว่าอะไร? มาหาคำตอบกันค่ะ

สั่งซื้อลิปที่ใช้ในคลิป
Facebook: http://www.facebook.com/soflymakeup
instagram: http://www.instagram.com/sofly_makeup
LINE: ja_is_so_fly (เฉพาะลูกค้าลิปเท่านั้น)

Follow me on
Facebook: http://www.facebook.com/jaissoflyblog
instagram: http://www.instagram.com/ja_is_so_fly

?? [PHONG BỤI] Cuộc đời chúng ta rất ngắn. Mình muốn ghi lại những câu chuyện ý nghĩa trên hàng trình mình bắt gặp.
Đăng ký kênh PHONG BỤI ủng hộ tinh thần tại đây: http://bit.ly/DangkyPHONGBUI
----
Điện thoại liên hệ: 0394.266.204 (Chị Duyên).
? Email: Levanphong19@gmail.com.
? Facebook: http://bit.ly/PageFacebookPhongBui
? Bạn có thể ủng hộ Phong Bụi tại PAYPAL: https://paypal.me/phongbuitivi (Email: phongbuitivi@gmail.com )
Số Tài khoản: 0331.000.517.644 (Ngân hàng Vietcombank Chi Nhánh TP HCM, Le Van Phong).
-----------------------------------------------------
© Bản quyền thuộc về Phong Bụi
© Copyright by Phong Bui☞ Do not Reup
#PhongBui #PhongBuiTV

Tour Taiwan with me: http://taiwantoursm13.com/

Private Channel: https://www.patreon.com/M13

My Facebook: https://www.facebook.com/Mordeth13

Support M13 buy my Private Series: http://www.m13online.com/?page_id=294

World's best motorcycle pants are RHOK (search Ebay for them) "Of course I shall have them circumcised (clitoris mutilated) exactly as their parents, grandparents and sisters were circumcised. This is our custom."
-- An Egyptian woman, talking about her young daughters

Female Genital Mutilation:
Where is FGM Practiced?

The majority of cases of FGM are carried out in 28 African countries. In some countries, (e.g. Egypt, Ethiopia, Somalia and Sudan), prevalence rates can be as high as 98 per cent. In other countries, such as Nigeria, Kenya, Togo and Senegal, the prevalence rates vary between 20 and 50 per cent. It is more accurate however, to view FGM as being practised by specific ethnic groups, rather than by a whole country, as communities practicing FGM straddle national boundaries. FGM takes place in parts of the Middle East, i.e. in Yemen, Oman, Iraqi Kurdistan, amongst some Bedouin women in Israel, and was also practiced by the Ethiopian Jews, and it is unclear whether they continue with the practice now that they are settled in Israel. FGM is also practiced among Bohra Muslim populations in parts of India and Pakistan, and amongst Muslim populations in Malaysia and Indonesia.

As a result of immigration and refugee movements, FGM is now being practiced by ethnic minority populations in other parts of the world, such as USA, Canada, Europe, Australia and New Zealand. FORWARD estimates that as many as 6,500 girls are at risk of FGM within the UK every year.