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Shingles (Herpes Zoster)

What is Shingles (Herpes Zoster)?

Shingles, also known as herpes zoster, is a viral infection caused by the varicella-zoster virus, the same virus that causes chickenpox. It results in a painful rash with blisters, typically on one side of the body, along a nerve pathway. Shingles can occur in people who have previously had chickenpox, as the virus can remain dormant in the nerve tissues for many years and reactivate later in life. Shingles is more common in older adults, people with weakened immune systems, and those who have had chickenpox at a young age. The condition can be treated with antiviral medications and pain management.

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What are the causes of Shingles?

Shingles is caused by the reactivation of the varicella-zoster virus, which is the same virus that causes chickenpox. After a person has had chickenpox, the virus remains dormant in the nerve tissues, and later in life, the virus can reactivate and cause shingles.

Several factors can increase the risk of shingles, including:

  • Age: The risk of shingles increases with age, especially after the age of 50.

  • Weakened immune system: People with weakened immune systems, such as those with HIV or cancer, are more likely to develop shingles.

  • Chronic medical conditions: Certain medical conditions, such as diabetes, heart disease, and chronic lung disease, can increase the risk of shingles.

  • Certain medications: Certain medications, such as corticosteroids, chemotherapy drugs, and immunosuppressants, can weaken the immune system and increase the risk of shingles.

  • Previous episode of shingles: A person who has had shingles in the past is at risk of developing it again.

What are the symptoms of Shingles?

The symptoms of shingles include:

  • Pain, burning, or tingling sensations on one side of the body
  • A rash or blisters on the same area of the body as the pain
  • Fever
  • Headache
  • Fatigue
  • Sensitivity to light.

It is important to see a doctor if you suspect you have shingles, as prompt treatment can help reduce the severity and duration of symptoms.

What treatments are available for Shingles?

  • Antiviral Medications: Our dermatologist can prescribe antiviral medications tailored to your specific needs. These medications are effective in reducing the severity and duration of shingles outbreaks while minimizing the risk of complications. Rest assured, we have the expertise to guide you through the appropriate treatment.
  • Pain Management: Shingles can be accompanied by intense pain. Our team can recommend or prescribe pain-relieving medications, including specialized options for nerve-related pain, to ensure your comfort during recovery.
  • Topical Solutions: For the skin manifestations of shingles, we may recommend topical creams or ointments containing corticosteroids to ease inflammation and itching. 
  • Skin Care Guidance: Our dermatologist will provide tailored advice on the best skincare practices for the affected area to prevent complications, including bacterial infections. 
  • Scar Minimization: In cases where shingles results in skin damage or ulceration, our dermatologists offer solutions to minimize scarring and promote optimal healing.

Your Partner in Shingles Care:

It’s important to note that while our dermatologists specialize in the skin-related aspects of shingles, this condition can have broader implications. Depending on your specific case, we may collaborate with other specialists, such as ophthalmologists or neurologists, to ensure comprehensive care.

If you suspect you have shingles or are experiencing painful rash symptoms, we encourage you to contact our office promptly. Early diagnosis and expert care are essential for effective management and a smoother path to recovery.

How to Help Prevent Shingles?

The following steps can help prevent shingles:

  • Get the shingles vaccine: The shingles vaccine is the best way to prevent shingles and its complications.
  • Maintain a healthy immune system: Eat a balanced diet, get regular exercise, and get enough sleep to help maintain a strong immune system.
  • Manage stress: Chronic stress can weaken your immune system, making you more susceptible to shingles.
  • Avoid close contact with infected individuals: If someone has shingles, try to avoid close contact until the blisters have dried and crusted over.
  • Practice good hygiene: Wash your hands frequently, especially after touching someone with shingles or items contaminated with the virus.

Note: If you have already had shingles, getting vaccinated can still help prevent future outbreaks.

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FAQ About Shingles

Who is at risk of getting shingles?

Anyone who has had chickenpox is at risk of developing shingles later in life, especially those over 50 years of age, immunocompromised individuals, and those with a weak immune system.

How is shingles diagnosed?

Shingles can be diagnosed by a healthcare provider based on the symptoms, medical history, and physical examination. A skin sample may also be taken to confirm the diagnosis.

Is shingles contagious?

Yes, shingles is contagious. However, it can only be spread to someone who has never had chickenpox or has not been vaccinated against it.

Can shingles recur?

It is possible for shingles to recur, but this is not common.

Can shingles cause long-term complications?

Yes, shingles can cause long-term complications such as postherpetic neuralgia (PHN), which is a form of chronic pain.

Is there a dermatologist near me in Providence that offers treatment for shingles?

Yes. At our Providence dermatology office we offers treatment for shingles to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Scabies

What are Scabies?

Scabies is a highly contagious skin condition caused by a mite called Sarcoptes scabiei. The mite burrows into the skin and lays its eggs, leading to intense itching and skin rashes. The itching and rashes are a result of an allergic reaction to the mites and their waste products.

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What causes Scabies?

Scabies is caused by the Sarcoptes scabiei mite. The mite burrows into the skin and lays its eggs, causing an allergic reaction and intense itching. Scabies is highly contagious and can be spread through direct skin-to-skin contact, as well as through contact with infested clothing, bedding, and towels.

What treatments are available for Scabies?

Treatment for scabies typically involves prescription medications to kill the mites. The most commonly used medications for scabies are:

  • Permethrin cream: This topical medication is applied to the entire body from the neck down and left on for 8-14 hours before being washed off.

  • Ivermectin pills: This oral medication is taken as a single dose, and is effective in treating scabies in individuals with weakened immune systems.

  • Lindane lotion: This topical medication is used in some cases, but is not recommended as a first-line treatment due to potential toxic side effects.

In addition to treating the affected individual, all close contacts should also be treated to prevent re-infestation. After treatment, itching and skin rashes may persist for several weeks, but should eventually subside.

It is important to seek medical attention for proper diagnosis and treatment of scabies, as well as to rule out any other skin conditions that may mimic scabies. Over-the-counter treatments and home remedies are not recommended for scabies, as they are often not effective and can cause skin irritation.

FAQ About Scabies

How is scabies diagnosed?

A dermatologist can diagnose scabies by examining the skin and performing a skin scraping to look for mites, eggs, or mite feces.

Is scabies curable?

Yes, scabies is curable with proper treatment.

How long does it take for scabies to go away?

With proper treatment, scabies can go away within several days to several weeks. However, itching and skin rashes may persist for several weeks after treatment.

Can scabies be spread through bedding and clothing?

Yes, scabies can be spread through bedding, clothing, and towels, which is why it is important to wash these items in hot water and dry on a hot setting.

Is it safe to return to school or work after being treated for scabies?

Yes, it is safe to return to school or work after being treated for scabies, as long as all close contacts have also been treated.

Is there a dermatologist near me in Providence that offers treatment for scabies?

Yes. At our Providence dermatology office we offers treatment for scabies to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Rocky Mountain Spotted Fever

What is Rocky Mountain Spotted Fever?

Rocky Mountain Spotted Fever (RMSF) is a serious and sometimes fatal disease caused by the bacterium Rickettsia rickettsii. It is transmitted to humans through the bite of an infected tick. Symptoms of RMSF include fever, headache, muscle aches, and a rash that spreads from the wrists and ankles to the trunk. If left untreated, RMSF can cause serious complications, such as damage to the heart, brain, and other organs. Early treatment with antibiotics is crucial for a successful outcome.

woman-couch-feeling-sick

What are the causes of Rocky Mountain Spotted Fever?

Rocky Mountain Spotted Fever (RMSF) is caused by the bacterium Rickettsia rickettsii. The bacterium is transmitted to humans through the bite of infected ticks, typically the American dog tick and the Rocky Mountain wood tick. Once a tick attaches to the skin, it can take several hours for it to transmit the bacterium into the bloodstream. People who spend time in wooded or grassy areas where ticks are prevalent are at a higher risk of contracting RMSF. In addition, people who have outdoor occupations, such as farming, hiking, or camping, are also at an increased risk of exposure to infected ticks.

What are the symptoms of Rocky Mountain Spotted Fever?

The symptoms of Rocky Mountain Spotted Fever typically appear 2-14 days after being bitten by an infected tick, and include:

  • Fever
  • Headache
  • Muscle pain
  • Nausea
  • Vomiting
  • Abdominal pain
  • Rash (usually appears 2-5 days after onset of symptoms and starts on the wrists and ankles before spreading to other parts of the body)

If left untreated, the disease can lead to serious complications, such as damage to the heart, brain, or other organs.

What treatments are available for Rocky Mountain Spotted Fever?

Rocky Mountain Spotted Fever is treated with antibiotics. Early diagnosis and treatment are important for a favorable outcome. The most commonly used antibiotics for the treatment of RMSF are doxycycline for individuals of all ages, and chloramphenicol for very young children or pregnant women.

It is important to see a doctor if you suspect you have RMSF and to inform them of any recent tick bites. Treatment should be started as soon as possible to reduce the risk of serious complications.

How to Help Prevent Rocky Mountain Spotted Fever?

Here are some ways to help prevent Rocky Mountain Spotted Fever:

  • Avoid tick-infested areas: Ticks are commonly found in wooded and grassy areas, so try to avoid these areas, especially during peak tick season (spring to early fall).
  • Use insect repellent: When spending time outdoors, use an insect repellent containing DEET or permethrin on exposed skin and clothing.
  • Wear protective clothing: When spending time in tick-infested areas, wear long sleeves, pants, and closed-toe shoes. Tuck pants into socks to help prevent ticks from getting to your skin.
  • Check for ticks: After spending time outdoors, thoroughly check yourself, your children, and your pets for ticks. Ticks can be as small as a pinhead, so be sure to check all areas, including hard-to-see spots like the scalp, under the arms, and in and around the ears.
  • Remove ticks promptly: If you find a tick on your skin, remove it as soon as possible. Use fine-tipped tweezers to grasp the tick as close to the skin as possible and pull straight up with steady pressure.

By following these steps, you can help reduce your risk of getting infected with Rocky Mountain Spotted Fever.

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FAQ About Rocky Mountain Spotted Fever

How is RMSF transmitted?

RMSF is transmitted by the bite of an infected tick, usually the American dog tick or the Rocky Mountain wood tick.

Where does RMSF occur?

RMSF occurs mainly in the United States, with the majority of cases reported in the southeastern and south-central states.

Who is at risk for RMSF?

Anyone who is bitten by an infected tick can get RMSF, but people who spend time outdoors, such as hikers, campers, and hunters, are at increased risk.

Is RMSF fatal?

RMSF can be fatal if not treated promptly, but with prompt treatment, the majority of patients recover completely.

How long does it take for symptoms to appear after being bitten by an infected tick?

Symptoms of RMSF typically appear 2-14 days after being bitten by an infected tick.

Can RMSF be passed from person to person?

RMSF is not passed from person to person, it can only be transmitted by the bite of an infected tick.

Is there a dermatologist near me in Providence that offers treatment for Rocky Mountain Spotted Fever?

Yes. At our Providence dermatology office we offer treatment for Rocky Mountain Spotted Fever to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Ringworm (Tinea Corporis)

What are Ringworm (Tinea Corporis)?

Ringworm is a fungal skin infection that affects the top layer of the skin and causes a circular, ring-shaped rash. The medical name for ringworm is Tinea Corporis, which refers to ringworm of the body. The rash can be itchy and can spread to other areas if not treated. Ringworm is a common and highly contagious skin condition that can be treated with antifungal medication.

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What are the causes of Ringworm?

Ringworm is caused by a fungal infection. There are several species of fungi that can cause ringworm, including dermatophytes, yeasts, and molds. These fungi thrive in warm, moist environments and can infect the skin through direct contact with contaminated surfaces, animals, or other people. People with weakened immune systems, such as those with HIV/AIDS, are at higher risk for developing ringworm. Additionally, poor hygiene, sweating, and wearing tight clothing can also increase the risk of getting ringworm.

What are the symptoms of Ringworm?

  • Rash: A round, red, and itchy rash that may be scaly, bumpy, or blistery.
  • Ring-shaped lesion: The rash forms a ring-like shape, which is why the condition is called “ringworm.”
  • Itching: The affected skin may be itchy and may become more itchy at night.
  • Blisters: In some cases, blisters may form on the rash.
  • Loss of hair: If the scalp is affected, hair may fall out in patches.

It is important to note that some people with ringworm may not experience any symptoms. If you think you may have ringworm, it is best to see a dermatologist for a proper diagnosis and treatment.

What treatments are available for Ringworm?

The following treatments are commonly used for ringworm:

  • Topical antifungal medications: Over-the-counter creams and ointments, such as clotrimazole and terbinafine, can be applied directly to the affected skin to treat ringworm.
  • Oral antifungal medications: If the infection is severe or widespread, a doctor may prescribe oral antifungal medications, such as itraconazole or fluconazole.
  • Antibiotics: In some cases, if a bacterial infection has developed in addition to the fungal infection, antibiotics may be necessary to treat the ringworm.

It is important to follow the instructions of the dermatologist or pharmacist when using any of these medications. Treatment typically lasts for several weeks and it is important to complete the entire course of treatment to ensure that the infection is fully treated. In some cases, the ringworm may return after treatment, so it is important to monitor your skin and seek medical attention if necessary.

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How to Help Prevent Ringworm?

To help prevent ringworm, you can follow these steps:

  • Practice good hygiene: Wash your hands regularly and keep your skin clean.
  • Avoid sharing personal items: Don’t share towels, brushes, combs, and other personal items that come into contact with your skin.
  • Keep your skin dry: Keep your skin dry, especially after exercising or sweating, as moisture can help the fungus grow.
  • Wear appropriate clothing: Wear clothing that covers your skin, especially in warm and humid environments.
  • Avoid contact with infected people or animals: If you come into contact with someone or an animal with ringworm, wash your hands thoroughly.
  • Clean contaminated surfaces: Clean surfaces that may be contaminated with ringworm, such as gym equipment, with a disinfectant.
  • Keep your living environment clean and dry: Make sure your home is clean and well-ventilated to prevent the growth of fungal organisms.

FAQ About Ringworm

How is ringworm transmitted?

Ringworm can be transmitted through direct contact with an infected person or animal, or through contact with contaminated surfaces or objects.

How long does it take for ringworm to go away?

The length of time it takes for ringworm to go away varies, but most cases can be treated within 4 to 6 weeks.

Can ringworm be prevented?

Yes, practicing good hygiene and avoiding direct contact with infected people or animals can help prevent the spread of ringworm.

Is ringworm contagious?

Yes, ringworm is highly contagious and can be easily spread through direct contact or contaminated surfaces.

Can ringworm spread to other parts of the body?

Yes, ringworm can spread from one part of the body to another if the affected area is not properly treated and covered.

What should I do if I think I have ringworm?

If you suspect you have ringworm, it’s important to see a doctor for proper diagnosis and treatment.

Are there any home remedies for ringworm?

While some home remedies may help relieve the symptoms of ringworm, it’s important to seek medical treatment for proper and effective treatment. Over-the-counter creams or ointments may provide temporary relief, but they do not cure the infection.

Is there a dermatologist near me in Providence that offers treatment for ringworm?

Yes. At our Providence dermatology office we offers treatment for Ringworm to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Lyme Disease

What is Lyme Disease?

Lyme disease is an infectious illness caused by the bacterium Borrelia Burgdorferi. It is most commonly spread through the bite of infected black-legged ticks, which are often found in tall grass and wooded areas. In some cases, the bacterium can also be transmitted through the bite of other species of ticks, as well as through contaminated needles or during blood transfusions.

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What are the causes of Lyme Disease?

You contract lyme disease when you receive an infected deer tick bite. The bacteria enter your body through the bite and then make their way to your bloodstream. To transmit the illness, a tick must be attached to your skin and feeding for an extensive time period. The longer a tick goes undiscovered, the greater the risk of Lyme disease. You cannot catch Lyme disease from another person.

What are the symptoms of Lyme Disease?

Because Lyme disease can affect different parts of the body, not all cases show symptoms in the same way. Generally though, signs of Lyme disease include:

  • Red, bulls-eye like rash
  • Flu-like symptoms such as fever, chills and fatigue
  • Intense joint pain and swelling
  • Neurological concerns, especially in untreated cases

What treatments are available for Lyme Disease?

The treatment for Lyme disease typically involves antibiotics, which can effectively cure the infection if given in the early stages. Common antibiotics used to treat Lyme disease include doxycycline, amoxicillin, and cefuroxime axetil.

In cases of early-stage Lyme disease, antibiotics are usually given orally and may be taken for several weeks. In more severe cases or in cases of late-stage Lyme disease, intravenous antibiotics may be required.

In addition to antibiotics, patients with Lyme disease may also be treated with over-the-counter pain relievers, such as ibuprofen or acetaminophen, to relieve symptoms like joint pain and headaches.

It is important to note that some people may continue to experience symptoms even after treatment with antibiotics. This is known as post-treatment Lyme disease syndrome (PTLDS) and may require additional medical attention.

How to Help Prevent Lyme Disease

There are several steps you can take to help prevent Lyme disease:

  • Avoid tick-infested areas: Try to avoid spending time in tall grass or wooded areas, especially during peak tick season, which is usually from late spring to early fall.

  • Wear protective clothing: When spending time in areas where ticks are prevalent, wear long pants and sleeves, and tuck your pants into your socks to keep ticks from reaching your skin.

  • Use insect repellent: Apply an insect repellent containing DEET or permethrin to your skin and clothing to help keep ticks at bay.

  • Check for ticks: Regularly check your skin, clothing, and gear for ticks, especially after spending time outdoors. Remove any ticks you find promptly and carefully.

  • Maintain a tick-free yard: Keep your yard tidy and mow the lawn regularly to reduce the risk of ticks. You can also treat your yard with tick-killing chemicals and keep pets on tick preventive medication.

  • Seek prompt treatment: If you experience symptoms of Lyme disease, such as a bull’s-eye rash or flu-like symptoms, seek prompt medical attention. Early treatment is essential for preventing serious complications and ensuring a successful recovery.

By taking these preventive measures, you can reduce your risk of contracting Lyme disease and enjoy outdoor activities with peace of mind.

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FAQ About Lyme Disease

How is Lyme disease transmitted?

The bacterium that causes Lyme disease is transmitted to humans through the bite of infected black-legged ticks.

Can Lyme disease be transmitted from person to person?

There have been rare reports of transmission of the bacterium that causes Lyme disease through contaminated needles, blood transfusions, and sexual contact, but the primary mode of transmission is through tick bites.

What should I do if I think I have been bitten by a tick?

If you have been bitten by a tick, remove the tick promptly and carefully. If you develop symptoms of Lyme disease, such as a bull’s-eye rash or flu-like symptoms, seek prompt medical attention.

When should I see a dermatologist for Lyme disease?

If you develop a bull’s-eye rash or suspect you have been bitten by a tick, it is important to see a dermatologist promptly. A dermatologist can diagnose Lyme disease and provide appropriate treatment.

Is there a dermatologist near me in Providence that offers treatment for Lyme disease?

Yes. At our Providence dermatology office we offer treatment for Lyme disease to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Psoriasis

What is Psoriasis?

An estimated 7.5 million Americans suffer with psoriasis, a non-contagious, chronic skin condition. Often identified by patches of red, scaly skin, psoriasis occurs when the immune system sends out incorrect signals that cause skin cells to grow too quickly. With psoriasis, cells build up on the top layer of skin, creating patches of itchy, dry skin. The most common locations for psoriasis are on the elbows, knees, or trunk, but it can develop anywhere on the body.

Psoriasis is thought to be an autoimmune disease, which arises from an overactive response by the body towards substances and tissues normally present in the body. In the case of psoriasis, white blood cells, called T cells, attack healthy skin as if to fight off infection or heal a wound. Instead of new cells moving to the outermost layer of skin in a normal manner, they develop more rapidly. The dead skin can’t slough off fast enough to keep up, so thick, scaly areas form on the skin’s surface.

Usually, the first occurrence of psoriasis happens sometime between ages 15 to 35.   However, approximately 20,000 children under age 10 also live with psoriasis. Although psoriasis seems to have a genetic component, not everyone with that gene develops the disease.

psoriasis on arm

What are the signs and symptoms of Psoriasis?

Each case differs based on the individual, but people with psoriasis often experience at least one of the following symptoms:

  • Burning, itching, or soreness
  • Cracked, dry skin that can bleed
  • Patches of red skin with silvery scales
  • Pitted, ridged, or thickened nails
  • Stiff, swollen joints

If you think that you could have psoriasis, contact your doctor and schedule a complete exam.

Triggers
Because psoriasis is chronic, anyone with the condition will live with a cycle of flare-ups and remissions over a lifetime. Typically, patients with psoriasis may develop initial symptoms or experience flare ups because of various triggers, including

  • Certain medications
  • Cuts, scrapes, burns, or other damage to the skin
  • Diet
  • Excessive alcohol use
  • Other infections such as strep throat
  • Smoking
  • Stress
  • Weather

What are the different types of Psoriasis?

There are six main types of psoriasis:

1) Plaque Psoriasis (Psoriasis Vulgaris)

About 80 percent of people diagnosed with the disease have plaque psoriasis, or psoriasis vulgaris. Plaque psoriasis often appears as on the elbows, knees, and lower trunk in the form of raised, red lesions topped with silvery scales.

2) Guttate Psoriasis
Usually found on the limbs or trunk, guttate psoriasis primarily appears in patients younger than age 30. Guttate psoriasis presents as small, water-drop-shaped sores and can occur because of an illness or injury to the skin.

3) Inverse Psoriasis
With inverse psoriasis, patients develop smooth, shiny lesions that are bright red in color. Most often seen in people who are overweight, inverse psoriasis strikes the armpits, around the genitals, near the groin, and under the breasts.

4) Pustular Psoriasis
When you have pustular psoriasis, white blisters filled with pus and surrounded by red skin will appear either in localized areas or all over your body. Because the pus is made of white blood cells, it is not contagious. Certain things can trigger pustular psoriasis, such as irritating topical treatments, infections, overexposure to ultraviolet radiation, and stress.

5) Erythrodermic Psoriasis
Characterized by a fiery red rash coupled with extreme burning or itching, erythrodermic psoriasis is the least common kind of psoriasis. Triggers for erythrodermic psoriasis include severe sunburn, corticosteroids, other medications, or another type of psoriasis that has flared up.

6) Psoriatic Arthritis
In addition to causing pitted, discolored nails, psoriatic arthritis also presents with the swollen, painful joints that often accompany arthritis. Usually psoriatic arthritis isn’t as crippling as other forms of arthritis, but it can cause stiffness and progressive joint damage.

What treatments are available at the dermatologist for Psoriasis?

Currently, no cure exists for psoriasis. Treatments are designed to minimize discomfort and encourage healing. When determining the best treatment, your doctor will take into account the severity of the psoriasis. Mild to moderate psoriasis covers 3 to 10 percent of your body, while psoriasis is considered moderate to severe when it covers more than 10 percent.

Treating Mild to Moderate Psoriasis
If you have mild to moderate psoriasis, your doctor will likely recommend a combination of over-the-counter medications, prescription topical treatments, and light therapy/phototherapy.

Over-the-Counter (OTC) Medications
The two active ingredients in over-the-counter medications approved by the FDA for psoriasis are coal tar, which inhibits the quick overgrowth of cells, and salicylic acid, which makes the outer layer of skin shed. Other OTC treatments may help, like:

  • Scale lifters to loosen and eliminate scales so that medicine can penetrate the sores
  • Bath solutions, such as Epsom salts, Dead Sea salts, or oilated oatmeal, that reduce itching and remove scaling
  • Occlusion, which covers the areas treated with topical treatments applications, to improve absorption and effectiveness
  • Anti-itch products like calamine lotion or hydrocortisone creams
  • Moisturizers to keep skin hydrated, reduce symptoms, and encourage healing

Prescription Topicals
Designed to inhibit the overgrowth of cells and lessen inflammation, prescription topicals include:

  • Anthralin, which reduces the skin cell growth related to plaque
  • Calcipotriene will flattens lesions, removes scales, and slow cell growth. Often used in treatment of psoriasis on the scalp and nails.
  • Calcipotriene and Betamethasone Dipropionate. By combining Calcipotriene with betamethasone dipropionate, this treatment addresses the itch and inflammation common to psoriasis as well as flattening lesions, removing scales, and minimizing cell growth.
  • Calcitriol, an active form of vitamin D3, helps limit extraneous skin cell production
  • Tazarotene, a topical retinoid that slows down cell growth
  • Topical steroids are the most commonly used medications for psoriasis, and they work by reducing inflammation, swelling, and redness

Phototherapy (light therapy)
Exposure to ultraviolet light can provide relief from psoriasis. With careful monitoring, the UVA and UVB rays from the sun can reduce symptoms. Excimer lasers treat specific areas affected by psoriasis, while pulse dye lasers provide not only targeted treatment, but also destroy the blood vessels that promote the development of psoriasis.

Treating Moderate to Severe Psoriasis
For patients with moderate to severe psoriasis, treatment involves prescription medications, biologics and phototherapy (light therapy).

Prescription Medications
Based on the location, severity, and type of psoriasis, your doctor will prescribe an oral medication, such as acitretin, cyclosporine and methotrexate.

hands-patient-suffering-from-psoriasis

How does psoriasis affect your nails, eyes, and joints?

  • Nails: Psoriasis can cause changes in the appearance and structure of the nails, such as pitting, discoloration, thickening, loosening, or crumbling. These changes can affect the function and comfort of the nails, as well as the self-esteem of the person with psoriasis.
  • Eyes: Psoriasis can cause inflammation in the eyes, leading to a condition called uveitis. Uveitis can cause symptoms such as eye pain, redness, blurred vision, sensitivity to light, or floaters. If left untreated, uveitis can damage the eye and impair vision.
  • Joints: Psoriasis can cause inflammation in the joints, resulting in a type of arthritis called psoriatic arthritis. Psoriatic arthritis can cause symptoms such as joint pain, stiffness, swelling, reduced range of motion, or deformity. Psoriatic arthritis can affect any joint in the body, but it is more common in the fingers, toes, spine, and pelvis. Psoriatic arthritis can also affect the tendons and ligaments that attach to the bones.

FAQ About Psoriasis

Can psoriasis affect other parts of the body besides the skin?

Psoriasis can affect other parts of the body besides the skin, such as the nails, scalp and joints. In some cases, it may also be associated with other conditions such as psoriatic arthritis.

Can certain foods trigger psoriasis?

Certain foods, such as processed foods, alcohol, and gluten-containing foods, may trigger psoriasis in some individuals. It’s important for people with psoriasis to work with a dermatologist or a dietitian to identify any specific food triggers and to develop a diet plan that works best for them.

When should I see a dermatologist for psoriasis?

If you have symptoms of psoriasis, such as red, scaly patches on the skin, it’s important to see a dermatologist for proper diagnosis and treatment. A dermatologist can also help to develop an individualized treatment plan and provide guidance on how to manage the condition. If your symptoms persist or worsen, you should also consult with a dermatologist.

Is there a dermatologist near me in Providence that offers treatment for psoriasis?

Yes. At our Providence dermatology office we offer treatment for psoriasis to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Intertrigo

What is Intertrigo?

Intertrigo is a skin condition that occurs when skin rubs against skin, causing friction, inflammation, and sometimes infection. It usually affects the areas where the skin folds, such as the armpits, groin, under the breasts, or between the toes. It can cause a red or reddish-brown rash with small bumps or spots, itching, burning, stinging, or pain in the affected areasIntertrigo is not contagious, but it can be worsened by bacteria, fungi, or viruses that grow in the warm and moist environment of the skin foldsIntertrigo can be treated with topical or oral medications, barrier ointments, drying solutions, and lifestyle changes.

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What are the causes of Intertrigo?

Some of the causes of intertrigo are:

  • Moisture and heat in the skin folds, which create an ideal environment for bacteria and fungi to grow.
  • Sweat, urine, feces, or saliva, which can irritate the skin and increase the risk of infection.
  • Obesity, diabetes, or poor hygiene, which can make the skin folds more prone to intertrigo.
  • Certain medications, such as chemotherapy drugs, which can weaken the immune system and make the skin more sensitive.
  • Other skin conditions, such as psoriasis, eczema, or seborrheic dermatitis, which can increase the inflammation and itching in the skin folds.

What are the signs and symptoms of Intertrigo?

Intertrigo is a skin condition that occurs when skin rubs against skin, causing friction, inflammation, and sometimes infection. Some of the signs and symptoms of intertrigo are:

  • A red or reddish-brown rash with small bumps or spots in the areas where the skin folds, such as the armpits, groin, under the breasts, or between the toes.
  • Itching, burning, stinging, or pain in the affected areas.
  • The rash may be symmetrical (appearing on both sides of the skin fold) or asymmetrical (appearing on one side only).
  • The rash may be wet and soft (macerated) or dry and scaly.
  • The rash may have plaques (raised, scaly lesions), papules (small bumps), or pustules (pimple-like bumps) if there is a fungal or bacterial infection.

How to Help Prevent Intertrigo

Here are some ways to help prevent intertrigo:

  • Keep skin folds clean and dry: Wipe away sweat and other bodily fluids regularly and use a clean, dry cloth to dry the affected area thoroughly.

  • Wear loose-fitting clothing: Tight clothing can trap moisture and create a breeding ground for bacteria and fungi, so it’s important to wear loose-fitting, breathable clothing.

  • Avoid synthetic fibers: Synthetic fibers trap heat and moisture, so opt for natural fibers such as cotton when choosing clothing.

  • Use antifungal powder: Dusting antifungal powder in skin folds can help prevent the growth of yeast and other fungi.

  • Maintain a healthy weight: Excess weight can create more skin folds and increase the risk of intertrigo.

  • Keep skin folds aired out: Allowing skin folds to air out regularly can help prevent intertrigo by reducing moisture levels.

  • Avoid skin-on-skin contact: Avoiding skin-on-skin contact in skin folds can help prevent friction and reduce the risk of intertrigo.

  • Practice good hygiene: Regularly bathing and using soap to clean skin folds can help reduce bacteria and fungus levels.

Remember, if you experience symptoms of intertrigo, it’s important to seek treatment as soon as possible to prevent complications.

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FAQ About Intertrigo

Who is at risk of developing intertrigo?

Individuals who are overweight, have skin folds due to obesity, or suffer from excessive sweating are at a higher risk of developing intertrigo.

How is intertrigo diagnosed?

Intertrigo is diagnosed through a physical examination of the affected skin folds.

What are the complications of intertrigo?

Complications of intertrigo include bacterial or fungal infections, which can cause a worsening of symptoms.

Is intertrigo contagious?

Intertrigo is not contagious, but it can be spread to other skin folds if not properly treated.

Can intertrigo be cured permanently?

While intertrigo can be managed and treated, it may not be cured permanently in some individuals who are prone to skin irritation in skin folds.

Is there a dermatologist near me in Providence that offers treatment for intertrigo?

Yes. At our Providence dermatology office we offer treatment for intertrigo to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Molluscum Contagiosum

What is Molluscum Contagiosum?

Most often seen in children, molluscum contagiosum is a common viral infection. This virus affects the outer layer of skin and does not usually move through the body. The firm, skin-colored bumps that develop from molluscum contagiosum usually disappear within a year on their own but doctors often recommend treatment to keep the virus from spreading. Molluscum contagiosum can appear in adults and, if it involves the genitals in the adult cases, it is considered a sexually transmitted disease. People with weakened immune systems are more susceptible to the virus as well.

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What are the signs and symptoms of Molluscum Contagiosum?

Generally, molluscum contagiosum produces little white, pink or flesh-colored bumps that have a dimple or pit in the center. In most people, the growths range in size from about two to five millimeters in diameter. Molluscum contagiosum often appears on the face, neck, abdomen, arms, legs, or genitalia.

What are the causes of Molluscum Contagiosum?

The molluscum contagiosum virus, a member of the poxvirus family, enters your skin through hair follicles, pores, or abrasions on the skin’s surface. Highly contagious, the virus spreads by person-to-person contact, sexual contact with an infected partner, or through contact with contaminated objects like toys, door knobs, or faucets. Scratching, rubbing and shaving the papules can spread the virus to other areas of skin.

What treatments are available at the dermatologist for Molluscum Contagiosum?

Your doctor will need to destroy the infection-causing cores inside the papules. Once this core is destroyed, the infection will heal. Several methods can be utilized to eliminate these cores:

  • Chemical agents to remove the infected skin
  • Cryotherapy to freeze the areas and kill the infection
  • Curette, scalpel, or other cutting device to surgically remove them
  • Lasers to destroy the infected cells
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FAQ About Molluscum Contagiosum

Is molluscum contagiosum contagious?

Yes, molluscum contagiosum is contagious until all the bumps have gone away. The virus can be spread from one part of the body to another or from one person to another through direct contact with the bumps or objects that have touched them.

Is molluscum contagiosum dangerous?

No, molluscum contagiosum is not dangerous in most cases. It is a mild and harmless infection that does not cause serious complications. However, it can cause discomfort, embarrassment, or anxiety for some people. It can also interfere with sexual pleasure or intimacy. In rare cases, it can cause secondary infections, eye problems, or widespread lesions in people with weakened immune systems.

Can molluscum contagiosum recur?

Yes, molluscum contagiosum can recur if a person is exposed to the virus again. The infection does not provide immunity against future infections. Therefore, it is possible to get molluscum contagiosum more than once in a lifetime.

Is there a dermatologist near me in Providence that offers treatment for molluscum contagiosum?

Yes. At our Providence dermatology office we offer treatment for molluscum contagiosum to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Impetigo

What is Impetigo?

A highly contagious skin infection, impetigo usually develops in infants and children although anyone can contract the infection. The most common occurrences of impetigo happen during the summer and early fall. Usually, impetigo is caused by the bacteria Staphylococcus aureus (staph) or Group A streptococcus (strep). Bacteria can live harmlessly on the body because the skin normally acts as a barrier to infection. If you have cuts and abrasions, these bacteria can enter the skin and produce impetigo which begins as small patches of blisters.

You contract impetigo either by coming in contact with someone that has the infection or when open sores cannot heal as in the cases that develop on the mouths and noses of young children. Impetigo spreads easily and thrives in environments like daycares and schools.

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What are the causes of Impetigo?

Impetigo is caused by bacterial infections, typically Staphylococcus aureus or Streptococcus pyogenes. The bacteria can enter the skin through cuts, scrapes, or other skin lesions and multiply, leading to the development of impetigo. Impetigo is highly contagious and can spread easily through close contact with infected individuals or by sharing towels, clothing, or other personal items that have come into contact with the bacteria.

Factors that increase the risk of developing impetigo include:

  • A weakened immune system
  • Crowded living conditions, such as in schools or daycare centers
  • Poor hygiene
  • Skin injuries, cuts, or abrasions
  • Humid or warm weather
  • Eczema or other skin conditions that cause dry, itchy skin.

It’s important to seek prompt treatment for impetigo to avoid spreading the infection and to prevent complications such as scarring or secondary skin infections.

What are the symtpoms of Impetigo?

The symptoms of impetigo typically include:

  • Blisters or sores that can be red, yellow, or honey-colored and filled with fluid.
  • Itching or burning skin around the affected area.
  • Redness and swelling around the affected area.
  • Crusting over of the blisters or sores.
  • Formation of new blisters or sores.

It’s important to see a dermatologist if you experience any of these symptoms, as impetigo is a highly contagious skin infection that requires prompt treatment to prevent the spread of the bacteria and avoid potential complications.

What treatments are available for Impetigo?

The main treatment for impetigo is antibiotics, either in topical or oral form, to kill the bacteria causing the infection. Treatment options may include:

  • Topical antibiotics: Antibiotic creams or ointments applied directly to the affected area can help clear up the infection.

  • Oral antibiotics: Antibiotics taken by mouth may be prescribed for more severe cases of impetigo or when the infection has spread beyond a localized area.

  • Antiseptic care: Keeping the affected area clean and dry and using antiseptic creams or ointments can help promote healing and prevent the spread of the infection.

In addition to antibiotics, it’s important to practice good hygiene, such as washing hands regularly and keeping wounds covered, to prevent the spread of impetigo and reduce the risk of reinfection.

If you experience symptoms of impetigo, it’s important to see a dermatologist for proper diagnosis and treatment. 

FAQ About Impetigo

Is impetigo contagious?

Yes, impetigo is highly contagious and can spread easily through close contact with infected individuals or by sharing personal items that have come into contact with the bacteria.

Can impetigo leave scars?

In some cases, impetigo can cause scarring, especially if the sores are not treated promptly or if the infection spreads to surrounding skin.

When should I see a dermatologist for impetigo?

You should see a dermatologist if you experience symptoms of impetigo or if you have been in close contact with someone who has the infection. Early treatment can help prevent the spread of the bacteria and reduce the risk of complications.

Is there a dermatologist near me in Providence that offers treatment for impetigo?

Yes. At our Providence dermatology office we offer treatment for impetigo to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Boils

What are Boils?

Also called solar lentigines, age spots refer to the brownish areas that appear over time on your face and body. Age spots occur as a result of overexposure to the sun. Often seen on people over 40, anyone can have age spots.

Usually, age spots do not cause any problems and do not require medical care. If the spots are especially dark or have changed in appearance, have your physician exam them to make sure there is no risk of skin cancer. After a visual inspection, your doctor can determine if the area needs to be biopsied.

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What causes Boils?

Factors that can increase the risk of developing boils include:

  • Poor hygiene: Poor hygiene practices can increase the risk of skin infections, including boils.
  • Weak immune system: People with weakened immune systems, such as those with HIV/AIDS, diabetes, or other medical conditions, are more susceptible to skin infections, including boils.
  • Crowded living conditions: Crowded living conditions, such as in schools, prisons, and military barracks, can increase the risk of spreading skin infections, including boils.
  • Skin conditions: Certain skin conditions, such as eczema, can increase the risk of developing boils.
  • Using shared personal items: Sharing personal items, such as towels or razors, can increase the risk of spreading skin infections, including boils.
  • Poor nutrition: Poor nutrition, especially a lack of vitamin C, can weaken the immune system and increase the risk of skin infections, including boils.

What are the symptoms of Boils?

The symptoms of a boil typically include:

  • Painful, red, and swollen bump: A boil is a tender, red, and swollen bump that develops under the skin.
  • Pus-filled head: Over time, the boil will develop a yellow or white pus-filled head.
  • Pain or discomfort: Boils can cause pain or discomfort, especially when they are touched or pressed.
  • Increased size: Boils can grow larger over time as the infection spreads deeper into the skin.
  • Fever: In some cases, a person with a boil may develop a fever as the body fights off the infection.
  • Swelling: Boils can cause swelling in the affected area, making it difficult to move or use the affected limb.

What treatments are available for Boils?

The following treatments may be used to treat boils:

  • Drainage: The pus from the boil will need to be drained to allow it to heal. Your doctor may use a sterile needle or scalpel to make an opening in the boil, allowing the pus to drain out.
  • Antibiotics: In some cases, antibiotics may be prescribed to help clear the infection. This is especially true if the boil is caused by a methicillin-resistant Staphylococcus aureus (MRSA) infection.
  • Warm compresses: Applying warm compresses to the affected area can help increase blood flow and speed up the healing process.
  • Pain relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help relieve pain and discomfort associated with boils.
  • Incision and drainage: If the boil is large or if it’s not draining on its own, your doctor may need to make an incision and drain the pus to prevent the infection from spreading.

It’s important to seek prompt medical attention if you develop a boil, as untreated boils can spread and cause serious infections. Your doctor can help determine the best course of treatment based on your symptoms and medical history.

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How to Help Prevent Boils

There are several steps you can take to help prevent boils:

  • Practice good hygiene: Wash your hands frequently, especially after using the bathroom or before preparing food. Shower regularly and keep your skin clean and dry.
  • Avoid sharing personal items: Do not share towels, razors, or other personal items that can spread bacteria.
  • Keep cuts and scrapes clean: If you have a cut or scrape, clean it with soap and water and cover it with a bandage until it heals.
  • Avoid tight clothing: Wear loose-fitting clothing, especially in warm, moist areas where bacteria can thrive.
  • Treat skin conditions: If you have eczema or another skin condition that can increase your risk of developing boils, follow your doctor’s instructions for treatment.
  • Eat a balanced diet: A balanced diet, including adequate amounts of vitamins and minerals, can help keep your immune system strong and reduce your risk of skin infections, including boils.
  • Keep your skin healthy: Moisturize your skin and avoid using harsh soaps or other skin care products that can irritate the skin and increase your risk of developing boils.

By following these steps and seeking prompt medical attention if you develop a boil, you can help prevent boils and reduce the risk of serious infections.

FAQ About Boils

How are boils diagnosed?

Boils are typically diagnosed based on a physical exam, during which your doctor will examine the affected area and ask about your symptoms. In some cases, a sample of the pus may be taken for laboratory analysis to identify the underlying cause of the infection.

Can boils spread to other parts of the body?

Boils can spread to other parts of the body if the infection is not properly treated. In some cases, the bacteria can enter the bloodstream and cause a serious, life-threatening infection.

How long do boils last?

Boils can last anywhere from a few days to a few weeks, depending on the severity of the infection and the effectiveness of the treatment.

Can boils recur?

Boils can recur, especially if the underlying cause of the infection is not treated or if you have a weakened immune system.

When should you see a dermatologist for a boil?

You should see a dermatologist if you develop a boil, especially if it’s large or painful, or if you have a weakened immune system or other underlying medical condition that increases your risk of serious infections.  The dermatologist can help determine the best course of treatment based on your symptoms and medical history.

Is there a dermatologist near me in Providence that offers treatment for boils?

Yes. At our Providence dermatology office we offer treatment for boils to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Candidiasis

What is Candidiasis?

Candidiasis, commonly known as a yeast infection, is caused by an overgrowth of Candida, a type of yeast normally found on the skin, mucous membranes, and in the digestive tract. When conditions favor its proliferation, Candida can lead to infections in various body parts. These infections include oral thrush (mouth and throat), vaginal yeast infections (genital area), and skin-related issues like redness and itching. Symptoms vary depending on the location of the infection.

Treatment typically involves antifungal medications, either applied topically or taken orally. Candidiasis can affect anyone, especially when the immune system is compromised or the body’s microbial balance is disrupted. Seeking medical advice is important for proper diagnosis and effective management, especially in cases of recurrent or severe infections.

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What are the causes of Candidiasis?

Candidiasis is caused by an overgrowth of Candida, a type of yeast that is normally present in small amounts on the skin, mucous membranes, and in the digestive tract. Several factors can contribute to this overgrowth, leading to the development of Candidiasis:
 

  • Weakened Immune System: A compromised immune system due to conditions such as HIV/AIDS, certain medications (e.g., steroids or immunosuppressants), or other illnesses can create an environment where Candida can thrive.

  • Antibiotics: Antibiotic use can disrupt the balance of microorganisms in the body, including beneficial bacteria that help control Candida growth, potentially allowing Candida to overgrow.

  • Hormonal Changes: Hormonal fluctuations, such as those occurring during pregnancy, menstruation, or menopause, can make the body more susceptible to Candidiasis.

  • Diabetes: Poorly controlled diabetes can lead to elevated levels of sugar in bodily fluids, providing an ideal environment for Candida to multiply.

  • High Sugar Diet: Diets high in sugar and refined carbohydrates can promote the growth of Candida, as yeast feeds on sugar.

  • Weakened Skin Barrier: Skin damage, cuts, or abrasions can create openings for Candida to enter the body and cause infections.

  • Humid Environments: Warm and moist areas of the body, such as skin folds, provide a conducive environment for Candida to thrive.

  • Tight or Non-Breathable Clothing: Wearing tight or non-breathable clothing can create a warm, damp environment that promotes Candida growth.

  • Sexual Activity: Sexual activity can sometimes introduce Candida into the genital area, leading to infections like vaginal yeast infections.

  • Use of Corticosteroids: Long-term use of corticosteroid medications can weaken the immune system and increase the risk of Candidiasis.

  • Medical Procedures: Certain medical procedures, such as catheter insertion or oral devices, can introduce Candida to the body and lead to infection.

Types of Candidiasis

The most common forms of Candidiasis are:

  • Thrush
    An oral yeast infection, thrush shows redness, cracking or white patches in the mouth
  • Cutaneous
    Patches of red, raw skin that develops in creases, like under the breasts, belly or groin; itching may also occur
  • Vaginitis
    Yeast infection in the vagina that is often accompanied by cottage-cheese like discharge, pain and burning
  • Esophagitis
    Located in the esophagus, this yeast infection may cause painful swallowing and chest pains

Symptoms

Depending on the area affected, signs of Candidiasis vary and may include:

  • Burning
  • Difficulty swallowing
  • Irritation
  • Itching
  • Soreness
  • Redness
  • White skin lesions

Some patients experience no symptoms at all.

What treatments are available for Candidiasis?

Treatment options for Candidiasis vary depending on the location and severity of the infection. Here are some common treatment approaches:

 

  • Antifungal Medications: Topical antifungal creams, ointments, or suppositories are often used to treat localized Candidiasis, such as vaginal yeast infections or oral thrush. Over-the-counter or prescription options are available.
  • Oral Antifungal Medications: For more widespread or severe infections, oral antifungal medications may be prescribed. These medications work systemically to target the underlying fungal overgrowth.
  • Prescription-Strength Creams: In cases of cutaneous candidiasis (skin infections), your doctor may prescribe stronger antifungal creams or ointments to apply to the affected area.
  • Antifungal Tablets or Capsules: Certain types of Candidiasis, such as esophagitis or systemic infections, may require oral antifungal tablets or capsules for effective treatment.
  • Home Remedies: Some individuals may find relief from mild cases of Candidiasis using natural remedies like yogurt, garlic, or coconut oil. However, these remedies may not be as effective as medical treatments and should be discussed with a healthcare provider.
  • Addressing Underlying Conditions: Treating underlying conditions that contribute to Candidiasis, such as diabetes or immune system disorders, can help prevent recurrence.
  • Lifestyle and Hygiene: Maintaining good hygiene, wearing breathable clothing, and avoiding irritants can help prevent and manage Candidiasis.
  • Dietary Changes: Some people may benefit from reducing sugar and refined carbohydrate intake, as Candida thrives on sugar. A balanced diet can help support overall health and immune function.
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FAQ About Candidiasis

Can Candidiasis affect men as well as women?

Yes, Candidiasis can affect both men and women. While vaginal yeast infections are more common in women, men can develop genital yeast infections (balanitis) or other forms of Candidiasis on the skin or mouth.

Candidiasis contagious? Can it be spread through physical contact?

Candidiasis is not usually considered contagious. It is caused by the body’s own yeast overgrowth and is not transmitted through casual physical contact. However, in rare cases, it may be possible to spread Candida through intimate contact.

Can Candidiasis lead to complications if left untreated?

Yes, untreated Candidiasis can potentially lead to complications. In some cases, the infection can spread, causing more discomfort and affecting different areas of the body. Severe or recurring infections may also indicate underlying health issues.

Are there any specific risk factors that make someone more susceptible to recurrent Candidiasis?

Certain factors such as frequent antibiotic use, weakened immune system, uncontrolled diabetes, or hormonal changes can increase the risk of recurrent Candidiasis.

Can stress or emotional factors contribute to the development of Candidiasis?

While stress alone may not directly cause Candidiasis, it can weaken the immune system, making the body more susceptible to infections, including Candida overgrowth.

Is there a link between Candidiasis and other health conditions, such as allergies or autoimmune disorders?

Some studies suggest a potential connection between Candidiasis and allergies/autoimmune conditions, but more research is needed to establish a definitive link.

Can Candidiasis affect children, and what are the common manifestations in pediatric cases?

Yes, Candidiasis can affect children. Common manifestations in children include diaper rash (diaper dermatitis) and oral thrush (white patches in the mouth).

Is it possible for Candidiasis to occur internally, affecting organs other than the mouth, genitals, or skin?

Yes, Candidiasis can affect internal organs in individuals with weakened immune systems, leading to conditions like invasive candidiasis, which may affect the bloodstream, heart, or other organs.

How does Candidiasis in the nailbeds (onychomycosis) differ from other types of fungal nail infections?

Onychomycosis caused by Candida can be similar to other fungal nail infections, but it may require different treatment approaches. Candida-related onychomycosis can often cause a white or yellow discoloration of the nails.

Is there a dermatologist near me in Providence that offers treatment for Candidiasis?

Yes. At our Providence dermatology office we offer treatment for Candidiasis to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.

Eczema (Dermatitis)

What is Eczema?

Affecting between nine and thirty percent of the U.S. population, eczema refers to inflammation of the skin. The term eczema actually covers many various skin conditions that produce itchy, dry skin patches. Although it can appear anywhere on the body, eczema usually appears on the creases on the face, arms and legs. Because of the intense itching that accompanies eczema, people often scratch the skin which leads to crusting and oozing.

A non-contagious skin condition, eczema has no known cause. It does appear to have a hereditary component. Certain things, such as stress, weather and environmental factors can trigger a flare-up of eczema. People with eczema often live with cycles of flare-ups and remissions.

In mild cases of eczema, over-the-counter topical creams and antihistamines can relieve the symptoms. More severe eczema may require stronger medications, such as steroid creams, oral steroids (corticosteroids), and antibiotic pills or antifungal creams to treat any potential infection. Using mild cleansers and keeping skin moist can help control your eczema.

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What are the signs and symptoms of Eczema?

Eczema is a condition that causes your skin to become dry, itchy and inflamed. The signs and symptoms of eczema can vary depending on the type, severity and stage of the condition. Some common signs and symptoms of eczema are:

  • Dry, cracked, scaly or flaky skin
  • Red, pink, purple, brown or gray patches of skin
  • Itching, which may be worse at night or during flare-ups
  • Small, raised bumps that may ooze or crust over
  • Thickened, leathery or discolored skin from scratching
  • Swelling or inflammation of the skin
  • Rash on the face, neck, hands, elbows, knees, ankles, feet or other areas of the body

What are the causes of Eczema?

Eczema is a condition that causes your skin to become dry, itchy and inflamed. The causes of eczema are not fully understood, but they may include:

  • A genetic variation that affects the skin’s ability to provide protection from bacteria, irritants, allergens and environmental factors.
  • An imbalance of the bacteria on the skin, which disrupts the skin’s barrier function and triggers an immune system response.
  • A contact with a trigger in your environment, such as dry weather, fabrics, makeup, smoke, soaps or detergents.
  • A history or diagnosis of dermatitis, allergies, hay fever or asthma.
  • A physical or emotional stress, which can cause inflammation in the body.

What treatments are available at the dermatologist for Eczema?

There are different treatments available at the dermatologist for eczema, depending on the type, severity and cause of the condition. 

Some of the possible treatments are:

  • Medicated creams or ointments that control itching, inflammation and infection. These may include corticosteroids, calcineurin inhibitors, antibiotics or antifungals.
  • Oral medications that suppress the immune system or reduce inflammation. These may include cyclosporine, methotrexate, prednisone, azathioprine or biologics.
  • Phototherapy or light therapy, which uses ultraviolet (UV) rays to improve the skin’s condition and reduce symptoms.
  • Patch testing or allergy testing, which helps identify specific substances that trigger or worsen eczema.
  • Wet wraps or paste bandages, which cover the skin with moist dressings to soothe and protect it.
  • Lifestyle changes, such as avoiding triggers, moisturizing regularly, using gentle skin care products and managing stress.

The best treatment for eczema depends on your individual situation and preferences. Your dermatologist can help you find the most suitable and effective treatment for your eczema.

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How to Avoid Common Eczema Triggers and Irritants

  • Use a thick moisturizer (emollient) as a soap substitute when washing your body or hands. Avoid soap, bubble bath and shower gel completely, as they can remove the natural oils from your skin and make it dry and itchy.
  • Wear cotton clothes next to your skin rather than potentially irritating fabrics such as wool. Wash your clothes with non-biological detergents and rinse them well. Avoid fabric conditioners, as they can also cause eczema to flare up.
  • Keep your skin moisturized regularly, especially after bathing or showering. Apply a non-fragranced, dye-free cream or ointment to lock in the moisture and protect your skin barrier.
  • Avoid contact with irritating chemicals and substances, such as fragrances, dyes, perfumes, alcohols, soaps and detergents. Wear rubber gloves with a cotton lining when using these products or working with similar chemicals.

The Benefits of Phototherapy for Eczema

Phototherapy is a treatment option that uses ultraviolet (UV) light to improve the symptoms of eczema, such as redness, itching, inflammation and infection. Some of the benefits of phototherapy for eczema are:

  • It may help clear your skin by reducing the inflammation and destroying the bacteria that cause eczema.
  • You may experience fewer eczema rashes in the future by strengthening your skin barrier and preventing the entry of external triggers.
  • It may decrease the need for using topical medications, which can have side effects or lose effectiveness over time.
  • It may also improve your mood and quality of life by relieving the discomfort and stress caused by eczema.

FAQ About Eczema

Are there different types of eczema?

There are different types of eczema, based on the age of onset and severity of symptoms. The most common type is known as “atopic dermatitis” and it usually begins in infancy and improves or resolves by the age of 6. Another type is “contact dermatitis” which is caused by an allergic reaction to a specific substance.

What are the symptoms of eczema?

Symptoms of eczema can vary from person to person and can range from mild to severe. Common symptoms include: dry, itchy skin, redness and swelling, scaling, cracking, and even bleeding.

How is eczema diagnosed?

Eczema is typically diagnosed by a dermatologist, who will examine the skin and ask about the patient’s symptoms and medical history. A skin biopsy may be done in some cases to rule out other skin conditions.

Can eczema affect other parts of the body besides the skin?

Eczema can affect the eyes, ears, and scalp. In some cases, eczema can also lead to complications such as asthma, allergies, and sleep disturbances.

Can certain foods trigger eczema?

Certain foods, such as dairy, eggs, nuts, soy, and wheat, can trigger eczema in some people. It’s important for individuals with eczema to work with a dermatologist or a dietitian to identify any specific food triggers and to develop a diet plan that works best for them.

Is there a dermatologist near me in Providence that offers treatment for exzema?

Yes. At our Providence dermatology office we offer treatment for eczema to patients from Providence and the surrounding area. Contact our office today to schedule an appointment.