64.3 🩺 內科專科考前版


64.3.0.1 📌 䞀頁重點

  • 22E: afamelanotide for EPP (FDA 2019)
  • Taiwan: HCV → PCT, dengue endemic 補
  • DAA HCV 治癒埌 PCT 改善

64.3.0.2 🌟 Pearls (6)

  1. Afamelanotide = α-MSH analog → ↑ eumelanin → photoprotect EPP
  2. PCT + HCV → DAA 治療 = 郚分 PCT remission
  3. Voriconazole long-term photosensitivity + skin cancer 颚險
  4. Patch test + photopatch test for photoallergic
  5. Phototherapy for vit D / psoriasis caveats
  6. Sunscreen with iron oxides for visible light protection (melasma, lupus)

64.3.0.3 📍 Taiwan

  • HCV 高 → PCT prevalence
  • 健保 DAA HCV
  • Afamelanotide 自費

64.3.0.4 🎓 內專重點

  1. UVA/UVB 機蜉
  2. 5 類光反應
  3. Porphyria 5 type
  4. Drug-induced 對應
  5. Afamelanotide (22E)

⚠ AI 草皿。