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Granuloma

Granulomas are specialized responses that your skin can develop in reaction to various triggers, such as infections, foreign materials, or other underlying conditions. In this space, we’ll explore what granulomas are, why they occur, and how we can effectively manage them to keep your skin looking and feeling its best.

dermatology-exam

What is Granuloma?

Granuloma is a type of chronic inflammation that results in the formation of small, nodular masses of tissue. It is caused by an accumulation of immune cells in response to an ongoing irritation, infection or foreign body that the body is unable to eliminate. Granulomas can occur in various parts of the body, such as the skin, lungs, lymph nodes, and liver, and are seen in various medical conditions like tuberculosis, sarcoidosis, Crohn’s disease, and granulomatosis with polyangiitis (Wegener’s).

What are the causes of Granuloma?

Granulomas can be caused by a variety of factors, including:

  • Infections: Certain bacteria, viruses, fungi, and parasites can cause granulomas to form. For example, tuberculosis, leprosy, and histoplasmosis can all lead to granuloma formation.
  • Foreign materials: Granulomas may also form in response to foreign materials, such as silicone, suture material, or metal implants.
  • Inflammatory diseases: Certain autoimmune and inflammatory diseases, such as sarcoidosis, Crohn’s disease, and granulomatosis with polyangiitis (Wegener’s), can cause granulomas to form.
  • Idiopathic: In some cases, the cause of granulomas is unknown.

In any case, granulomas form when the immune system is unable to effectively eliminate a stimulus, such as an infection, and instead produces an accumulation of immune cells in response to the ongoing irritation.

What treatments are available for Granuloma?

The treatment of granulomas depends on the underlying cause and may include:

  • Medications: Anti-inflammatory drugs, such as corticosteroids, may be used to reduce the size of granulomas and control symptoms. Antibiotics or antifungal medications may also be prescribed if an infection is the cause.
  • Surgery: In some cases, surgical removal of the granuloma may be necessary. This is often the case when the granuloma is causing pain or compressing surrounding structures.
  • Immunosuppressive therapy: For autoimmune and inflammatory diseases that are causing granulomas, immunosuppressive drugs may be prescribed to control the immune response.
  • Observation: In some cases, if the granulomas are not causing symptoms, no treatment may be necessary and observation may be recommended.

It is important to consult your dermatologist for proper diagnosis and treatment of granulomas. 

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FAQ About Granulomas

Where do granulomas occur?

How are granulomas diagnosed?Can granulomas resolve on their own?

How are granulomas diagnosed?

Granulomas are typically diagnosed through a combination of physical examination, imaging studies, and biopsy.

Can granulomas resolve on their own?

It depends on the underlying cause and other factors, but some granulomas may resolve on their own without treatment. However, it is important to seek medical attention to determine the best course of action.

When should I seek medical attention for granulomas?

You should seek medical attention if you experience symptoms that may be related to granulomas, such as persistent skin rashes, persistent cough, or pain or swelling in a specific area. Early diagnosis and treatment can help minimize the impact of granulomas on your health.

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

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

Warts

What are Warts?

Warts are small, rough growths on the skin that are caused by human papillomavirus (HPV) infections. They can appear anywhere on the body and can have a flat or raised appearance. Warts are generally benign and are usually not a serious health concern, but they can be unsightly or painful in some cases. There are various treatments for warts, including over-the-counter creams, freezing therapy, and prescription medications. It’s important to consult a doctor for the best treatment options for your individual case.

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What are the causes of Warts?

Warts are caused by infections with human papillomavirus (HPV), which are highly contagious. They are usually spread through direct contact with the skin of an infected person, or by coming into contact with a surface that has been contaminated with the virus. People with weakened immune systems, such as those with HIV/AIDS, are more susceptible to developing warts. Additionally, factors like skin injuries, cuts, and scrapes can increase the likelihood of developing warts, as they can provide an entry point for the virus.

What are the symptoms of Warts?

Warts typically appear as raised, flesh-colored growths on the skin that can be smooth or rough in texture. They can be flat or raised, and sometimes they have tiny black dots on the surface, which are small blood vessels. Warts can appear anywhere on the body and may be itchy, painful, or bleed. The symptoms and appearance of warts can vary depending on the type of HPV that caused the infection and the location of the wart. Common wart types include plantar warts (on the feet), flat warts (on the face), and genital warts. It’s important to have any unusual growths on the skin evaluated by a doctor to determine if they are warts or a different condition.

What treatments are available for Warts?

There are several treatment options available for warts, including:

  • Over-the-counter topical treatments: These include creams and gels that contain salicylic acid, which can be applied directly to the wart.
  • Cryotherapy: This involves freezing the wart with liquid nitrogen, causing it to blister and eventually fall off.
  • Surgical removal: This involves cutting or burning off the wart, which can be performed by a dermatologist or doctor.
  • Cantharidin: This is a chemical that is applied to the wart to cause a blister, after which the wart can be removed.
  • Electrosurgery: This involves using an electrical current to burn off the wart.
  • Laser therapy: This involves using a laser to destroy the wart.

How to Help Prevent Warts

Here are some steps you can take to help prevent warts:

  • Wash your hands frequently: This will help reduce the spread of the human papillomavirus (HPV) which is the virus that causes warts.
  • Keep your skin clean and dry: Warts thrive in moist environments, so keeping your skin clean and dry can help prevent the growth of warts.
  • Don’t bite your nails: Biting your nails can cause tiny cuts in your skin, which can provide an entry point for the virus that causes warts.
  • Avoid sharing personal items: Don’t share towels, razors, or other personal items with others, as these items may be contaminated with the virus.
  • Wear protective footwear: Wear protective footwear, such as sandals or flip flops, in public areas such as locker rooms or swimming pools, where you may come into contact with the virus.
  • Avoid touching warts: If you see a wart on someone else, avoid touching it, as the virus can be transmitted from person to person.

It’s important to keep in mind that warts can be easily spread, so it’s important to take precautions to help prevent their spread. If you already have warts, it’s important to avoid touching them, as this can spread the virus to other parts of your body or to others.

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FAQ About Warts

Can warts be spread from person to person?

Yes, warts can be spread from person to person through direct contact or through contact with contaminated items such as towels or razors.

Can warts be painful?

Warts are typically not painful, but they may become uncomfortable or irritated if they are located in an area that rubs against clothing or footwear.

Can warts go away on their own?

Warts can sometimes go away on their own, but it can take several months to several years for this to happen.

Are warts contagious?

Yes, warts are contagious and can be spread from person to person through direct contact or through contaminated items.

Can warts reoccur?

Yes, warts can reoccur after they have been treated, especially if the person’s immune system is weakened.

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

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

Herpes Simplex Virus

What is Herpes Simplex Virus?

Herpes simplex virus (HSV) is a viral infection that can cause cold sores (oral herpes) or genital sores (genital herpes). There are two types of herpes simplex virus: HSV-1 and HSV-2.

HSV-1 is primarily associated with oral herpes and is commonly contracted through contact with infected saliva.

HSV-2 is primarily associated with genital herpes and is typically transmitted through sexual contact.

Both types of herpes simplex virus can be spread from person to person, and once contracted, the virus remains in the body for life, lying dormant until it is reactivated. When reactivated, the virus can cause outbreaks of sores, although many people with herpes do not experience symptoms or only have mild symptoms.

Herpes simplex virus is a highly contagious infection and can be spread even when sores are not present. It’s important to practice safe sex and good hygiene to reduce the risk of transmission.

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What are the causes of Herpes simplex virus?

Herpes simplex virus (HSV) is caused by the herpes simplex virus type 1 (HSV-1) or type 2 (HSV-2).

HSV-1 is primarily associated with oral herpes and is commonly contracted through contact with infected saliva, such as through kissing or sharing drinking utensils.

HSV-2 is primarily associated with genital herpes and is typically transmitted through sexual contact, including vaginal, anal, or oral sex.

Once contracted, the virus remains in the body for life, lying dormant until it is reactivated. The exact triggers that cause the virus to reactivate are not fully understood, but stress, illness, hormonal changes, and certain medications can all contribute.

It is important to note that herpes simplex virus is highly contagious and can be spread even when sores are not present.

What are the symptoms of Herpes Simplex Virus?

The symptoms of herpes simplex virus (HSV) can vary depending on whether it is causing oral herpes (cold sores) or genital herpes. Some common symptoms of herpes simplex virus include:

  • Cold sores (oral herpes): Painful blisters or sores on the lips, mouth, tongue, or face. These sores may be accompanied by itching, burning, or tingling.
  • Genital herpes: Painful blisters or sores on the genital area, anus, thigh, or buttocks. These sores may be accompanied by itching, burning, or tingling.
  • Flu-like symptoms: Fever, headache, muscle aches, and fatigue can occur before the appearance of blisters or sores.
  • Painful urination: Burning or pain while urinating can occur during outbreaks of genital herpes.

It’s important to note that some people with herpes simplex virus do not experience any symptoms, or only have mild symptoms, but can still spread the virus to others. If you experience symptoms of herpes, it’s important to see a doctor for proper diagnosis and treatment.

What treatments are available for Herpes Simplex Virus?

There is currently no cure for herpes simplex virus (HSV), but there are treatments available to help manage the symptoms and reduce the frequency and severity of outbreaks. Some common treatments for herpes simplex virus include:

  • Antiviral medications: Antiviral medications such as acyclovir, valacyclovir, and famciclovir can help reduce the severity and frequency of outbreaks and can also reduce the risk of transmitting the virus to others.
  • Topical creams: Topical creams containing numbing agents, such as lidocaine, can help relieve pain and discomfort during outbreaks of genital herpes.
  • Pain relievers: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help relieve pain and discomfort during outbreaks.
  • Suppressive therapy: For people with frequent outbreaks, suppressive therapy with antiviral medications can help reduce the frequency of outbreaks.

It’s important to consult a dermatologist or healthcare provider for the best treatment options for your individual needs. Early treatment can help reduce the severity and duration of outbreaks.

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How to Help Prevent Herpes Simplex Virus?

There are several steps you can take to help reduce the risk of contracting herpes simplex virus (HSV) and to prevent the spread of the virus to others:

  • Practice safe sex: Use condoms and practice safe sex to reduce the risk of transmission of genital herpes.
  • Avoid close contact: Avoid close contact, such as kissing, with people who have active cold sores.
  • Wash your hands: Wash your hands regularly and avoid touching your eyes, mouth, and nose, especially during outbreaks.
  • Avoid sharing personal items: Avoid sharing personal items such as towels, razors, and utensils with others to reduce the risk of transmission.
  • Avoid close contact with newborns: If you have active cold sores, avoid close contact with newborns and infants.
  • Maintain good hygiene: Practice good hygiene and regularly clean and disinfect any surfaces that may have come into contact with the virus to reduce the risk of transmission.
  • Use antiviral medications: If you have been diagnosed with herpes simplex virus, using antiviral medications as directed can help reduce the frequency and severity of outbreaks and reduce the risk of transmission to others.

It’s important to remember that herpes simplex virus is highly contagious and can be spread even when sores are not present.

FAQ About Herpes Simplex Virus?

How long does it take for HSV symptoms to appear?

The incubation period for HSV can range from 2 to 12 days after exposure.

How is HSV diagnosed?

A healthcare provider can diagnose HSV through a physical examination, visual inspection, and laboratory testing.

Can HSV cause long-term health problems?

In some cases, HSV can lead to more serious health problems, such as encephalitis or genital ulcers, which can cause long-term physical and emotional distress.

Is there a dermatologist near me in Providence that offers treatment for Herpes Simplex Virus?

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

Rosacea

What is Rosacea?

A chronic, inflammatory skin condition, rosacea affects more than 16 million Americans. Rosacea manifests itself as redness on the face that produces small, pus-filled bumps or pustules. Although rosacea is not contagious, some evidence suggests a genetic link to the condition.

Usually, most people first develop rosacea in their 30’s and then live with continuous cycles of flare-ups and dormancy. Without treatment, rosacea can have a negative impact on a person’s emotional, psychological and physical health.

rosacea-before-after-cosmetic-treatment-skin-disorders

What are the signs and symptoms of Rosacea?

Rosacea is a skin condition that causes redness and visible blood vessels in your face. It may also produce small, red, pus-filled bumps. 

Some of the signs and symptoms of rosacea are:

  • Facial blushing or flushing that comes and goes
  • Visible veins on the nose and cheeks
  • Swollen bumps or pimples on the face
  • Burning or stinging sensation on the skin
  • Eye problems such as dryness, irritation, or redness
  • Enlarged nose due to excess tissue (rhinophyma)

What are the causes of Rosacea?

The exact cause of rosacea has not been identified, but the environment and genetics may play a role. If you have light skin, a family history of rosacea or experience frequent blushing, you may have an increased tendency toward developing rosacea. More women than men tend to have rosacea but men experience more severe symptoms.

Certain factors can aggravate rosacea by increasing blood flow including:

  • Harsh soaps or abrasive cleanser
  • Alcohol
  • Corticosteroids
  • Extremes in temperature
  • Exposure to sun
  • Hot baths and saunas
  • Medications that dilate blood vessels, including certain blood pressure medications
  • Spicy foods
  • Stress, anger or embarrassment
  • Very hot foods or beverages
  • Vigorous exercise

What treatments are available at the dermatologist for Rosacea?

There are different treatments available at the dermatologist for rosacea, depending on the type and severity of your condition. Some of the treatments are:

  • Topical drugs that reduce flushing, such as brimonidine (Mirvaso) and oxymetazoline (Rhofade). These drugs work by constricting blood vessels and need to be applied regularly.
  • Topical drugs that help control the pimples of rosacea, such as azelaic acid (Azelex, Finacea), metronidazole (Metrogel, Noritate, others) and ivermectin (Soolantra). These drugs may take several weeks to show noticeable improvements.
  • Oral antibiotics, such as doxycycline (Oracea, others), for moderate to severe rosacea with bumps and pimples. These drugs help reduce inflammation and infection.
  • Oral acne drug, such as isotretinoin (Amnesteem, Claravis, others), for severe rosacea that doesn’t respond to other therapies. This drug helps clear up acnelike lesions of rosacea, but it can cause serious side effects and birth defecte.
  • Laser therapy, such as pulsed dye laser (PDL) or intense pulsed light (IPL), for enlarged blood vessels and redness. These therapies use light energy to shrink the blood vessels and reduce the redness. They may cause temporary swelling and bruising.

 

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Rosacea vs Acne

  • Rosacea usually affects people older than 30, while acne is more common in teenagers and young adults.
  • Rosacea only affects the face and eyes, while acne can also affect the chest, neck, back, and shoulders.
  • Rosacea does not cause blackheads or whiteheads, which are typical features of acne.
  • Rosacea is triggered by factors such as hot drinks, spicy foods, alcohol, temperature extremes, sunlight, wind, emotions, exercise, cosmetics, or certain medications. Acne is caused by clogged pores due to excess oil and dead skin cells.
  • Rosacea has no cure, but it can be treated with medications, laser therapies, and lifestyle changes. Acne can be treated with topical and oral medications, as well as skin care products.
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FAQ About Rosacea

Who is at risk for rosacea?
Rosacea is most common in fair-skinned people of Northern European descent, and is more common in women than in men. However, anyone can develop rosacea. People with a family history of rosacea may be more likely to develop the condition. It usually appears after age 30 and it affects more women than men.
How is rosacea diagnosed?
A dermatologist can diagnose rosacea by examining the skin and asking about symptoms. There is no specific test for rosacea. The diagnosis is based on the presentation of the skin, and also the patients’ symptoms, history and triggers.
What are some triggers for rosacea?
Triggers for rosacea can include sun exposure, heat, stress, alcohol, and certain foods. Common food triggers include spicy foods, hot drinks, and alcohol. Certain skin care products and cosmetics can also irritate the skin and trigger a flare-up.
Can rosacea lead to other health problems?
In some cases, rosacea can lead to eye problems such as conjunctivitis and blepharitis. These eye problems can cause redness, itching, and burning of the eyes, and can lead to loss of vision if left untreated.
How can I prevent rosacea flare-ups?
To prevent rosacea flare-ups, it is important to avoid known triggers, protect the skin from the sun by using a sunscreen with an SPF of at least 30, and maintaining a healthy lifestyle. Avoiding alcohol and spicy foods, practicing good skincare routine, and managing stress can also help prevent flare-ups. Additionally, it’s important to see a dermatologist regularly to monitor the condition and adjust treatment as needed.

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

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