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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.

dermatology-exam

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.

dermatology-consultation

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 Austin that offers treatment for boils?

Yes. At our Austin dermatology office we offer treatment for boils to patients from Austin 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.

 

female-patient-listening-dermatologist

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.
woman-with-rosacea-face-dermatological-problems

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 Austin that offers treatment for rosacea?

Yes. At our Austin dermatology office we offer treatment for rosacea to patients from Austin 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 Austin that offers treatment for psoriasis?

Yes. At our Austin dermatology office we offer treatment for psoriasis to patients from Austin 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.

dermatology-exam

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
dermatology-consultation

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 Austin that offers treatment for molluscum contagiosum?

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