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Posts for category: Skin Conditions

By JUDITH SILVERSTEIN, MD
March 11, 2020
Category: Skin Conditions
Tags: Dermatitis  

If you’ve suddenly noticed your skin breaking out in a red, itchy rash, you could be dealing with dermatitis, a common skin condition that often leads to a red, swollen rash, or dry and intensely itchy skin. Sometimes dermatitis can even cause oozing or scaling blisters to form. This condition may be embarrassing but don’t worry—it isn’t contagious.

The most common types of dermatitis include:

  • Contact dermatitis: occurs when an allergen comes in contact with your skin
  • Eczema or atopic dermatitis: most commonly inherited
  • Dyshidrotic dermatitis: often appears on the hands and feet
  • Seborrheic dermatitis: a type of dermatitis that often affects the scalp (dandruff)

The causes really depend on the type of dermatitis you have. For example, contact dermatitis occurs when you come in contact with an allergen such as certain detergents, poison ivy, or nickel. Eczema most often runs in families and occurs more frequently in those with allergies or asthma.

With dermatitis, it is common to experience flare-ups with bouts of remission. Common symptom triggers include environmental or hormonal changes, stress, or certain irritants (e.g. new detergents; perfumes).

Since the symptoms of dermatitis are similar to other skin conditions, it is important to see a dermatologist for a proper diagnosis. Some types of dermatitis can be diagnosed through a simple physical exam; however, if your dermatologist believes that your symptoms are due to an allergic reaction, then allergy testing may be necessary to determine what’s causing your dermatitis.

Those with mild symptoms may find relief through over-the-counter antihistamines and topical creams to stop itching and redness; however, a dermatologist can create a customized treatment plan based on the type of dermatitis you are dealing with and your symptoms. Along with home care (e.g. oatmeal baths; cold compresses) and over-the-counter medications, a dermatologist may also prescribe stronger antihistamines, topical steroids, or oral medication to ease more serious flare-ups.

Your dermatologist can also discuss ways to prevent flare-ups including treating and preventing dry skin, using a proper moisturizer, and implementing necessary dietary changes. Some patients also find that alternative therapies such as acupuncture or massage therapy help reduce the number and severity of flare-ups.

If you are experiencing symptoms of dermatitis, it is important that you see your dermatologist right away for care. The sooner you seek treatment the sooner you will experience relief.

By JUDITH SILVERSTEIN, MD
February 20, 2020
Category: Skin Conditions
Tags: Common Skin Issues  

A dermatologist can offer answers, insight and treatment options to help you tackle any and all skin problems.

While a minor breakout or rash usually isn’t a big enough deal to warrant a trip to visit our team of dermatologists in Sandy Springs, Roswell, Alpharetta, and Cumming, GA, it is important to understand what skin problems will require medical attention and professional treatment. Here are some of the most common skin problems and the ways in which our dermatological team can treat them:
 

Acne

Acne is a very common skin problem that our Sandy Springs, GA, skin doctors diagnose and treat. While most people associate acne with those challenging teen years, the truth is that anyone can develop acne including infants and older adults.

If you are dealing with acne on your face or body and over-the-counter methods aren’t alleviating your breakouts, then our dermatologists can determine the root cause of your acne to create a customized and effective treatment plan.

Common ways to treat acne include:

  • Extractions
  • Topical cleansers and creams that contain salicylic acid or benzoyl peroxide
  • Oral contraceptives
  • Chemical peels
  • Tretinoin (a strong prescription medication used to treat severe, cystic acne)
  • Oral antibiotics
  • Isotretinoin

 
Rosacea

Does your face sometimes look like you’re severely blushing? If so, you could be dealing with rosacea, a chronic condition that causes intensely red skin and small pimple-like bumps to form on the face (usually around the nose and cheeks). Sunlight, heat, alcohol, and stress are some elements that can trigger a flare-up and leaving rosacea untreated could lead to scarring.

While there is no cure for rosacea, our dermatological team has worked with many patients to help control flare-ups through lifestyle modifications, topical medications, and oral antibiotics.


Eczema

Eczema is a group of skin conditions that cause red, cracked, itchy, and inflamed skin. While the cause is unknown, people with asthma or allergies are often more likely to develop eczema. Again, this is another chronic condition; however our Sandy Springs, GA, skin doctors can help you get your eczema under control with lifestyle changes, proper skin care, and self-care measures, as well as topical medications including corticosteroids, oral medications , as well as injectable biologics.

 
Need Skin Care? Give Us a Call

Is acne causing you embarrassment? Do you think you might be dealing with eczema? If you are concerned about the health of your skin, our team of dermatologists and skin care professionals have offices in Sandy Springs, Roswell, Alpharetta, and Cumming, GA, to help. Call one of Atlanta Center for Dermatological Diseases's offices today:

  • (404) 252-4333 - Sandy Springs
  • (770) 751-1133 - Roswell
  • (770) 664-5225 - Alpharetta
  • (770) 844-1902 - Cumming
By Judith Silverstein, MD
June 13, 2019
Category: Skin Conditions
Tags: Vitiligo  

Find out how this pigmented skin condition is treated.

Are you or someone you love dealing with vitiligo? The Mayo Clinic reports that there are more than 200,000 new cases of vitiligo each year in the US alone. Vitiligo is a chronic disease where the melanin, which gives your skin its pigment, either dies or the body stops producing it. As a result, there are white patches of skin all over the body. So, you may be wondering how this condition occurs or how you can treat it. This is when it’s important to turn to your dermatologist.

What causes vitiligo?

Unfortunately, researchers still do not know why some people develop vitiligo. It may be the result of an autoimmune disease, where the body attacks the melanocytes in the skin. Some researchers also believe that something as simple as a sunburn or even emotional stress could cause vitiligo; however, the cause is still unknown.

Who is at risk for developing vitiligo?

Even though this condition can appear at any time in a person’s life it more commonly occurs in your 20's. It affects both men and women of all races; however, vitiligo is more noticeable in those with darker skin. Those with autoimmune disorders are often more likely to develop vitiligo than those who do not have an autoimmune disorder. Genetics may also play a role; however, parents with vitiligo won’t necessarily pass this condition onto their child.

What are the symptoms of vitiligo?

Vitiligo is characterized by large white patches of skin, which may appear anywhere on the body. These patches most commonly appear on the face, hands, feet, arms, and other sun-exposed areas. Sometimes the white patches will spread over time. How quickly the patches spread will vary from person to person; however, sometimes the patches won’t spread at all.

How is vitiligo treated?

It’s important to turn to a dermatologist that you trust if you think you or a family member is dealing with vitiligo. During your consultation, your doctor will examine your skin to determine how widespread and numerous the patches are so that we have a better idea what type of treatment will be the most effective.

We will also go through your medical history and ask you questions about your condition. Treatment for vitiligo, like most skin disorders, will not work overnight. In fact, there is often a trial-and-error period to try and find the best treatment option.

The most common types of vitiligo treatment include medication, light therapies, and surgery, all of which are designed to restore pigmentation back into the skin.

Prescribed medications may be applied topically or taken orally. Certain UVA/UVB light therapy treatments may also improve your condition. Skin grafting surgery may be recommended, in which your dermatologist will remove skin from another area of the body and apply it over the patches to hide them and even out skin tone.

Your dermatologist can also recommend a full-spectrum sunscreen to protect your skin when going outside, as well as any counseling and support you may need. If you or someone you love is looking for vitiligo treatment, contact your dermatologist today.

By Judith Silverstein, MD
May 31, 2019
Category: Skin Conditions
Tags: Shingles  

The effects of chickenpox may last beyond your childhood infection. Shingles, a widespread, itchy, painful rash, can break out at any time in adulthood because the causative agent, the Varicella Zoster virus, lies dormant within the body for life. Your dermatologist can help you control the awful pain and dangerous complications of shingles. He or she also has suggestions on avoiding an outbreak of this common and contagious skin disease.

What does shingles look like? A shingles rash is a reddened, itchy, oozing skin rash composed of raised blisters. Typically, it is widespread on the face near the eye, on the torso (front wrapping around to the back), or on the neck. People experience exceptional pain for at least two to six weeks, and due to damaged nerve endings, some individuals have unresolved pain for years.

What are the potential complications? Just like its childhood counterpart, shingles is contagious. So, people exposed to your shingle rash may develop chickenpox if they have never been sick with it previously.

Plus, shingles may lead to serious vision or hearing problems, fever, balance issues, and light sensitivity. People with a weakened immune system are potential shingles sufferers, and unfortunately, perfectly healthy people who have a shingles flare-up can then become immunosuppressed. In short, shingles is nothing to joke about.

How is it treated? Mild cases respond to cool baths, skin calming lotions, topical steroids and over the counter pain relievers. More severe flare-ups may require narcotic pain relievers, anti-convulsants, steroidal injections and numbing medications applied directly to the skin. Medications such as Acyclovir and Valacyclovir help dampen the spread of the virus.

Can you prevent an outbreak of shingles? Your dermatologist or primary care physician may provide you with a shingles vaccine to greatly reduce your chances of having shingles. The American Academy of Dermatology says that Zostavoax is for patients over 60, and the Shingrix vaccine may be administered beginning at age 50.

Find out more

Your dermatologist is an excellent resource for prevention, diagnosis and treatment of a wide array of simple to complex skin conditions and diseases. If you are starting a shingle outbreak or desire to prevent one, call your skin doctor for a consultation. He or she will inform you on the best ways to stay as healthy as possible.

By ATLANTA CENTER FOR DERMATOLOGY
May 17, 2019
Category: Skin Conditions
Tags: Rosacea  

Does your face sometimes appear extremely red and flushing? While a slight blush is certainly nice, if the blush is severe or widespread you may be dealing a common condition known as rosacea. People with rosacea often liken their redness to looking like they are sunburned even though they are not, and the redness often appears across the nose and cheeks but can spread to the forehead, as well.

Along with redness those with rosacea may also experience:

  • Sensitivity
  • Stinging or burning
  • Hard bumps that look similar to acne
  • Visible blood vessels
  • Thicker skin (in more advanced cases)

Rosacea is more common in women than men, as well as those over 30 years old. Rosacea is characterized by flare-ups of redness that may go away and then come back when in contact with certain triggers. Common rosacea triggers include:

  • Sunlight
  • Heat or cold
  • Stress
  • Alcohol
  • Spicy foods
  • Caffeine
  • Certain skincare products
  • Wind
  • Certain medications
  • Exercise

It’s important to note when you experience triggers to figure out what might be causing your flare-ups so you can avoid them whenever possible.

Treating Rosacea

There are no over-the-counter medications designed to treat rosacea, so the only way to get the proper treatment you need to get your symptoms under control is to see a dermatologist. There are certain prescription medications that may be prescribed to lessen your symptoms. These medications include:

  • Certain drugs and topical medications that reduce redness
  • Oral antibiotics (to kill the bacteria responsible for inflammation)
  • Isotretinoin (for severe and unresponsive rosacea cases)

In some cases, your skin doctor may also recommend laser therapy to reduce redness and the appearance of blood vessels. Common laser therapies for rosacea include dermabrasion and intense pulsed light therapy.

Along with medication and laser therapy it’s important to be gentle with your skin and to always wear sunscreen before going outside. Choose a sunscreen that offers full-spectrum protection and has an SPF of at least 30. Even on cloudy or windy days you should apply sunscreen. Also be aware of certain products and makeup that could also be causing flare-ups. There is also makeup on the market that can conceal redness.

If you think that your redness may be the result of rosacea isn’t it time you got answers? Schedule a consultation with our trusted dermatologist today.