Tribeca Dermatology Care

109 Reade St, New York, New York 10013

Latest Updates

@Tribeca Dermatology Care 2015-01-13

Chapped Lips (Cheilitis)? Who s At Risk Chapped lips may be seen in people of all ages. However, lip-licking cheilitis is usually seen in 7–15 year olds and is typically seen as a scaling, pink band around the mouth. Signs and Symptoms Chapped lips involves scaling (with or without fissures) and mild to moderate swelling of the lips.

@Tribeca Dermatology Care 2015-01-12

Chapped Lips (Cheilitis)? Overview Chapped lips (cheilitis) are lips that appear dry, scaly, and may have one or more small cracks (fissures). Often, the lips are sensitive, and there may or may not be redness (erythema) and swelling (edema) present. Retinoids (isotretinoin and acitretin) are the most frequent drug-induced causes for chapped lips. Other drugs reported to have induced chapped lips include: High doses of vitamin A Lithium Chemotherapeutic agents (busulfan and actinomycin) D-penicillamine Isoniazid Phenothiazine Other possible causes of chapped lips include high fevers as well as environmental conditions, such as cold weather, dehydration, and certain vitamin deficiencies.

@Tribeca Dermatology Care 2015-01-11

Risks or Side Effects? An exaggerated allergic or irritant skin reaction may occur at the site of patch testing, including a rash and a burn-like reaction. It is important that an experienced physician in patch testing read the results to avoid potential misinterpretation. Patch testing may not always explain the cause of the dermatitis. Alternatives Patch testing is normally required to confirm an allergic or irritant reaction to a suspected allergen. However, if the physician s suspicion and the pattern of the inflammation on the skin (exposure pattern) support the association between an allergen and a patient s dermatitis, simply avoiding the suspected allergen may suffice. For example, if a patient has a rash only on the earlobe and wrist, perhaps a nickel allergy may be considered due to the use of earrings and watches.

@Tribeca Dermatology Care 2015-01-09

Following the Procedure / Aftercare When patch testing is completed, a record of the results is typically provided for the patient to explain which allergens to avoid and the products in which these allergens may be found. Avoiding the causative allergen in the future will likely completely eliminate or at least help improve the skin inflammation. Depending on the results, the doctor can determine if any of the allergens tested for are causing or worsening the dermatitis. Patients may care for their skin with gentle soap and water, making sure to avoid the allergens identified in the results of the patch testing. The doctor may prescribe a topical steroid cream for the back to reduce the skin reaction caused by a positive patch test.

@Tribeca Dermatology Care 2015-01-08

Preparation / Typical Procedure Before testing, to obtain the best results, patients should: Not use a topical steroid (eg, cortisone) cream on the back Not take oral steroids Discontinue any ultraviolet light (UVA or PUVA) treatment Not have a current rash on the back The doctor performing the procedure will recommend the allergens that a patient s skin will be tested for, which is usually a standard selection of common allergens that cause the majority of allergic skin reactions as well as any specific allergen that the patient s skin may have come into contact with. Once the allergen selection is prepared using small plastic or aluminum discs, these are placed on the patient s upper back in an area of skin unaffected by any current rash. Adhesive tape is used to secure the discs. During the time that the allergen patches are in direct contact with the skin, the patient should avoid vigorous activity or washing the area until the final reading is done 96 hours later. Sun exposure should be avoided during this period of time. The skin test is examined 48 and 96 hours later, at which time the adhesive tape and discs are removed to assess for any response.

@Tribeca Dermatology Care 2015-01-07

Expected Results? Unexplained or persistently inflamed skin that is often itchy may be due to an allergic contact dermatitis caused by any of the following (to name a few): Use of prescription or non-prescription products applied to the skin, including topical ointments, creams, and lotions. Exposure to metals (eg, nickel, which can be found in jewelry, belts, buttons, etc) Chemicals such as paraphenylenediamine found in hair dye Fragrances found in perfumes and detergents Preservatives such thimerosal found in contact lens solution Rubber ingredients such as latex Dermatitis can result if a patient s skin is allergic or sensitive in any way to the substance it comes in contact with. A simple patch test guided by the clinical history can help determine if a substance is causing or aggravating the rash.

@Tribeca Dermatology Care 2015-01-06

Patch Test, Skin Allergies ? Procedure Overview Patch testing is a common outpatient procedure used by dermatologists and allergists to assess if a rash is caused by a suspected substance, known as an allergen, when it comes in contact with the patient s skin. In addition to patch testing, a careful evaluation of the patient s exposures in addition to the location and pattern of the rash on the body (clinical history) is necessary to determine the underlying allergen.

@Tribeca Dermatology Care 2015-01-05

When to Seek Medical Care You should seek medical care if there is a lack of response to self-care measures or the condition worsens or flares. Treatments Your Physician May Prescribe Your physician may: Prescribe medium- to high-potency topical steroids to apply to the affected areas twice daily. Recommend light therapy with ultraviolet B for extensive disease. Prescribe oral antihistamines to help relieve itching. Prescribe oral or topical antibiotics if the area becomes infected.

@Tribeca Dermatology Care 2015-01-04

Self-Care Guidelines Maintaining healthy skin is very important for sufferers of nummular dermatitis. Moisturizing skin-care routines are essential. Non-soap cleansers, such as Cetaphil, or moisturizing soaps, such as Dove®, are recommended. Thick moisturizers such as petroleum jelly, Aquaphor® ointment, Eucerin cream, CeraVe cream, and Cetaphil cream should be applied to damp skin daily after bathing. Attempt to minimize exposure to heat, humidity, detergents/soaps, abrasive clothing, chemicals, smoke, and stress. Fragrance-free laundry detergent may be beneficial. Keep the home humid with a humidifier or setting out bowls of water, especially in the bedroom.

@Tribeca Dermatology Care 2015-01-03

Who s At Risk Nummular dermatitis may affect people of all ages. Signs and Symptoms Nummular dermatitis is most commonly found on the trunk and/or extremities. Round or coin-shaped, pink to red, scaly, raised areas are seen, often with small cracks or superficial breaks in the skin located within.

@Tribeca Dermatology Care 2015-01-01

Nummular Dermatitis? Overview Nummular dermatitis is a particular form of eczema (atopic dermatitis) characterized by coin-shaped, raised areas on the skin that are scaly. The cause of nummular dermatitis is not known, but it is associated with triggers such as frequent bathing, irritating and drying soaps, and exposure to irritating fabrics such as wool. Those with nummular dermatitis often have some of the signs and symptoms typically associated with eczema. Nummular dermatitis is itchy (pruritic), but it is less itchy than other common diagnoses with scaly plaques, such as psoriasis. Winter is usually the time of onset and severity. Nummular dermatitis can be chronic, and symptoms can go away and recur indefinitely.

@Tribeca Dermatology Care 2014-12-31

When to Seek Medical Care? If you see no improvement after 2 weeks of self-care, see your doctor. Treatments Your Physician May Prescribe Your doctor may do a scraping to look for fungus under the microscope or a biopsy if your diagnosis is uncertain. Antifungal creams or pills may be prescribed.

@Tribeca Dermatology Care 2014-12-30

Signs and Symptoms Large round, red patches with bumpy, scaling edges occur in the groin and may extend down the inner thigh or onto the belly or buttocks areas. Jock itch is usually not present on the genitals. It is usually very itchy. Self-Care Guidelines Check your feet and treat athlete s foot if it is present, as it can often spread from there. Over-the-counter antifungal creams such as miconazole are very effective. Apply it twice a day until a few days after the rash seems to be gone, which usually takes about 2–3 weeks. You may still see flat, brown areas of discoloration for several weeks, but these do not need to be treated as long as there is no longer itching or bumps and scales in the area.

@Tribeca Dermatology Care 2014-12-29

Jock Itch? Overview Jock itch (tinea cruris) is a surface (superficial) fungal infection of the skin on either side of the body where the thigh joins the abdomen, known as the groin. It is often spread to the groin from tinea infection on the feet (tinea pedis or athlete s feet). Who s At Risk Jock itch is very common around the world and is more of a problem in warm, moist regions, as the fungus thrives in these conditions. People who wear tight clothing for extended periods, share clothing, participate in athletics, or are overweight or diabetic are more often affected with jock itch. It is common in adult men.

@Tribeca Dermatology Care 2014-12-28

Women always want to look beautiful and young. No matter from which part of the world they belong to but beauty is their primary concern. As the age increases, we can see the visible signs of aging appearing on the skin. Signs of aging can be noticed by wrinkles, spots on the skin and sagging skin. For some the signs of aging appear too early and some look younger even if they grow older. These signs are due to exposure to sun, pollution and our food habits. Skin starts becoming rough, darker spots and it loses its elasticity because of which skin becomes slack. Proper diet is always essential to keep our skin looking fresh and glowing. There are many ways through which we can take care of our skin and make it look younger for a longer time. Always choose a good moisturizer that suits your requirement. Select it based on your skin and keep applying it as per the requirement of your skin. Dry skin requires the moisturizer more frequent. Never keep your skin dry for a longer time. Consume good amount of water everyday which will definite keep your skin glowing. 8 liters of water every day is must for every human being. Always use sun screen lotion before you go out of your home. Choose the lotion based on the time you actually spend outdoor. The longer the time you spend outdoor, the higher should be the SPF value. We also have many anti aging creams available in the market now-a-days. You can choose one of them also which also helps you prevent aging to some extent. Select an aging cream from those brands which are familiar to you or those brands which you are already using. We have many remedies available at home to prevent aging. Rub a piece of lemon on your skin that gives your skin a brighter complexion. The skin renews better at night time. So give yourself a good sound sleep which keeps your skin look younger. Kick out all your bad habits like alcohol or smoking. These habits are also reason for early aging of skin. Take some good diet. Try to reduce the oil content as much as possible. Add more fruits and fruit juices to your diet every day. Take glass of warm water with one spoon of honey every day morning. Yoga is another good medicine for aging. It sounds strange but it s true. Yoga instructors teach good face yoga exercises which help us fight aging. All these tips are useful only when started at right time and followed regularly. Signs of aging start generally in early 30 s. Aging signs on the skin are clearly visible to everyone and should be taken proper care before they actually start developing. Beautiful and younger looking skin develops confidence in you and it also makes you feel younger than your age. Give gentle massage to your skin whenever possible which relaxes your skin.

@Tribeca Dermatology Care 2014-12-27

When to Seek Medical Care Seek medical evaluation for a rash on the hands and/or feet that is unresponsive to self-care measures. Treatments Your Physician May Prescribe To manage dyshidrotic eczema, your physician may recommend soaks with drying agents if many blisters are present, as well as the removal of any potential irritating agents. Medium- and high-potency topical steroids may be prescribed to be used twice daily. Use of a high-potency topical steroid initially that is tapered to an as-needed basis may be most beneficial. An oral steroid (prednisone) can very effective and fast in controlling symptoms, but treatment with oral steroids is often less desirable, as tapering off the medication can result in severe flares of the disease. Chronic, severe disease can be treated with a form of ultraviolet light therapy called PUVA (psoralen and ultraviolet A) or narrow-band UVB (ultraviolet B) phototherapy administered by a dermatologist.

@Tribeca Dermatology Care 2014-12-26

Signs and Symptoms The most common location of dyshidrotic eczema is on the hands and, less commonly, the feet. Small, tense, clear fluid-filled blisters are seen on the surfaces of the palms and soles and the sides of the fingers and toes. These blisters can appep-seaapioca-like) due to the thickness of the skin on the palms. In severe cases, lesions can merge together and present as large blisters (bullae). Redness (erythema) is typically mild or absent. Self-Care Guidelines Avoidance of irritants may be helpful. Handwashing with mild soaps and cleansers and frequent application of thick emollient creams and petroleum jelly may be beneficial.

@Tribeca Dermatology Care 2014-12-25

Dyshidrotic Eczema (Dyshidrotic Dermatitis)? Overview Dyshidrotic eczema (dyshidrotic dermatitis) is generally defined as an itchy rash limited to the hands (usually the palms and sides of the fingers) and/or the feet. Dyshidrotic eczema manifests as small, itchy, fluid-filled blisters. Its cause is unknown. Dyshidrotic eczema often comes and goes, with episodes more common in warm weather. Who s At Risk Dyshidrotic eczema may occur in people of all ages but usually occurs after age 10.

@Tribeca Dermatology Care 2014-12-24

When to Seek Medical Care If the discoloration is distressing to you or you have a chronic skin condition leading to the darkening, seek medical advice. Also see your doctor if you notice a general change in skin color without any obvious explanation.

@Tribeca Dermatology Care 2014-12-23

Self-Care Guidelines Most post-inflammatory pigment fades with time, although it takes many months, and some areas never fade (particularly on the legs). Since sunlight may cause further darkening, protect yourself from sun exposure with clothing, a hat, and sunscreen (SPF 15 or more). You may be able to use makeup to cover the affected areas. Waterproof makeup is available for use on arms and legs. If you have an underlying skin disorder such as acne, seek medical care. While bleaching creams are available over the counter (0.5–2% hydroquinone in the US and stronger, but possibly dangerous, concentrations overseas), weaker forms have limited effectiveness, and there is some concern about their safety. In fact, the Food and Drug Administration (FDA) is considering removing them from the market. If you do try them, stop using them if there is no improvement after 4–6 months of use. The stronger foreign products may worsen pigmentation with overuse or cause permanent pigment loss, so DO NOT USE THEM. Cocoa butter and aloe are common home remedies, but they have not been proven to be effective. Cortisone creams should not be used unless recommended by your physician, as they thin the skin with prolonged use.

@Tribeca Dermatology Care 2014-12-22

Signs and Symptoms One or more areas of darker brown or sometimes red-brown discoloration. The appearance varies in size, shape, and location depending upon the cause of skin injury. Acne tends to leave light to dark brown spots on the face or trunk. Burns, insect bites, cuts, or scrapes often affect exposed areas on the arms and legs.

@Tribeca Dermatology Care 2014-12-20

Post-Inflammatory Hyperpigmentation? Overview Post-inflammatory hyperpigmentation is darkening of the skin in an area of prior injury or skin disorder from increased pigment (melanin) left from the healing process. Sometimes the darkening may also be due to an iron pigment left behind when old red blood cells die. Acne is a common cause as well as any type of skin injury (scrapes, cuts, burns, insect bites, or chronic rubbing) or many other skin disorders, such as eczema (atopic dermatitis). Who s At Risk Dark-skinned individuals are more likely to have post-inflammatory hyperpigmentation.

@Tribeca Dermatology Care 2014-12-19

When to Seek Medical Care If the lesions do not improve after 1–2 weeks of applying an over-the-counter antifungal cream, see your doctor for an evaluation. Treatments Your Physician May Prescribe To confirm the diagnosis of facial ringworm, your physician might scrape some surface skin materials (scales) onto a glass slide and examine them under a microscope. This procedure, called a KOH (potassium hydroxide) preparation, allows the doctor to look for tell-tale signs of fungal infection. Once the diagnosis of facial ringworm is confirmed, your physician will probably start treatment with an antifungal medication. Most infections can be treated with prescription-strength topical creams and lotions, including: Terbinafine Clotrimazole Miconazole Econazole Oxiconazole Ciclopirox Ketoconazole Sulconazole Naftifine Rarely, more extensive or long-standing infections may require treatment with oral antifungal pills, including: Terbinafine Itraconazole Griseofulvin Fluconazole The ringworm should go away within 4–6 weeks after using effective treatment.

@Tribeca Dermatology Care 2014-12-18

Self-Care Guidelines If you suspect that you have facial ringworm, you can try one of the following over-the-counter antifungal creams or lotions: Terbinafine Clotrimazole Miconazole Apply the cream to each lesion and to the normal-appearing skin 2 cm beyond the border of the affected skin for at least 2 weeks until the lesions are completely gone. Because ringworm is very contagious, avoid contact sports until lesions have been treated for at least 48 hours. Since people often have tinea infections on more than one body part, examine yourself for other ringworm infections, such as in the groin (tinea cruris), on the feet (tinea pedis, athlete s foot), and anywhere else on the body (tinea corporis). Have any household pets evaluated by a veterinarian to make sure that they do not have a fungal (ie, dermatophyte) infection. If the veterinarian discovers an infection, be sure to have the animal treated.

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