Wednesday, January 18, 2017

Common Pediatric Dermatology Conditions Series: Week 2- Eczema

  Eczema is a condition in which the skin becomes inflames, irritated, and normal barrier protection function to the outside world is impaired.  This disruption to the skin barrier can cause it to become dry, cracked, itchy, red, and in some cases blister. Eczema can occur anywhere on the body, including the hands and feet.  Eczema can be due to genetics and/or allergies, and can often flare from environmental or weather changes.  When the skin starts to become irritated and inflamed, the areas can become very itchy. This itching and scratching can cause introduce infection to the skin that often need treatment with antibiotics. Signs of infection include, oozing or skin that doesn’t heal.

   Eczema is a treatable condition but is not curable.  Some people can grow out of eczema, while others will continue to have episodic break-outs.  It is important to seek treatment for eczema if it is not controlled with over the counter topical moisturizers and lifestyle changes. Eczema if left untreated can interrupt sleep, cause behavior problems, and possibly can become painful, or infected. When seeing the doctor or Physician assistant the treatment goal is to help heal the damaged skin and alleviate symptoms.  Some of these treatments include topical or oral steroids to help calm down inflammation of the skin, barrier restoration, topical immunomodualtors, antibiotics if the area is infected, and UV light therapy if appropriate.  Other steps to help control eczema at home include wearing soft and loose fitting clothes, using bland non fragrance soap and moisturizer, controlling itching with oral antihistamines, not scratching, avoiding known triggers, and washing clothes and linens in a gentle laundry detergent for sensitive skin. If no clear pattern is seen, allergy testing can help to determine what may cause flares.

Blog written by guest blogger: Abby Leboza PA Student from Nova Southeastern 

Wednesday, January 11, 2017

Common Pediatric Dermatology Conditions Series: Week 1- Impetigo, a common bacterial infection in children

Impetigo is a contagious skin condition caused by bacteria, often seen in children and infants. It usually starts as red sores around the nose, mouth, hands, or feet .When the sores open, they produce a honey-colored crust around the edges.  The condition can be spread by direct contact or touching the lesions, or by touching items another child with impetigo has already touched. Impetigo is most common in young children as well as in crowded, warm/humid areas.  Kids involved in sports such as wrestling or football are at a higher risk than children in other sports, due to physical contact.
            Although contagious, impetigo is not a dangerous condition. It is treated using topical and/or oral antibiotics .  In most cases, once a child has taken the antibiotics for 24-hours, they may return to school as they are no longer contagious. Scarring can occur as the areas heal, and it is import to protect areas with sunscreen and sun avoidance. Impetigo can often be confirmed by visual examination without biopsies or labs.  If the areas do not clear up with antibiotics, a culture may be taken to find which antibiotic will work best. 
This weeks blog was written by a guest blogger: Abby Leboza, Physician Assistant Student from Nova Southeastern

Thursday, January 5, 2017

Take Advantage of this Quarter's Laser Promotion

From January 2017 to March 2017 you have the opportunity to take advantage of $200/off any V-Beam Perfecta laser package. 

This laser is used to treat :

  • Telangiectasias (broken blood vessels)
  • Hemangiomas
  • Port wine stains
  • Scars
  • Stretch marks (striae)
  • Acne
  • Brown spots (lentigines)
  • Warts.  

How does the Candela V-beam help improve vascular lesions?
The Candela V-beam produces an intense but gentle burst of light that selectively destroys the blood vessels of your spider veins, without damaging the surrounding tissue. After laser treatment the surrounding tissue is left intact. For the treatment of facial spider veins we generally recommend a total of 3-5 treatments each a month apart.  However, the type of vascular lesion to be treated will determine the number of treatments needed. The red veins respond better than blue veins and the smaller, matting vessels will respond sooner than the vessels up to 1.5mm in size. Port wine stain lesions have more vessels to be treated and may require multiple treatments.

How does the Vbeam help improve the look of scars and stretch marks? 
There is no current method or therapy that will completely remove scars or stretch marks. The Vbeam laser can improve the look and feel of most scars and stretch marks. It does this by stimulating collagen production in the deep layers of your skin, and helps to reduce the red/purple color in scaring. Multiple treatments are usually necessary to achieve improvement; the amount of improvement depends on the size and severity of the scar or stretch mark. Most patients notice improvement 4-6 weeks after their first treatment

How Does the Vbeam help improve acne?
Using laser can help to control acne breakouts. It uses gentle bursts of heat to reduce the amount of oil or sebum produced by the oil glands. The heat will also help to destroy bacteria that cause acne and inflammation. Vbeam will also help to improve redness in acne scars. There is minimal to no downtime after acne treatment with this laser. Most people will require a series of treatments based 2-4 weeks apart to see best results.

How does the Vbeam help improve the look of brown spots? 
The V-beam laser targets the melanin in the brown spot without damaging surrounding skin, making this one of the safest and most effective way to eradicate sun spots and discolored brown patches. Spots will likely become darker and may possibly bruise during the healing process. We recommend 1-2 treatments in most cases.

Are there any reasons that would not make me a candidate for V-beam therapy? 
The Candela V-beam is not recommended for patients with darker skin. Because of the increase in skin pigment the laser will be less effective on damaging the blood vessels of the spider veins or other vascular lesions to be treated. The depth of penetration of the Candela V-beam is limited to vessels about 1.5mm in depth. Therefore, vessels deeper than this may not respond to the therapy. Additionally, blue vessels may not respond as well as red ones.

What to expect?
Avoid the sun 4-6 weeks before and after treatment with this laser.  The feeling of a laser pulse has been described as being snapped by a rubber band or a slight stinging sensation. Following laser treatment, the area may continue to sting slightly or feel warm like sunburn.  You may also experience mild bruising, discoloration, and/or swelling in the areas treated by the laser for a week. To minimize down time please ask us about our make up to help cover any bruising or discoloration.

Wednesday, December 28, 2016

New Year's Healthy Skin Resolutions

Your skin is the largest organ of your body - don't forget to take care of it like you would for your other vital organs! Here are some New Year's Healthy Skin resolutions we should all be sticking to:

1. Wear sunscreen daily on all sun-exposed skin!
It doesn't matter if you are going outside for 10 minutes or 4 hours - make sure your skin is protected with a broad spectrum sunscreen that protects against UVA and UVB rays, with a SPF of at least 30. Excess infrared rays (from heat) have also been shown to be harmful to the skin. Reapply every 1-2 hours. The most important reason to wear sunscreen is to protect against skin cancer. Secondarily, the sun ages our skin greatly, no matter what skin type and skin color. Excess sun exposure leads to dull skin, bad texture, fine lines, broken blood vessels, and brown spots. We recommend Colorescience Sunforgettable and Skin Medica Total Defense + Repair. 

2. Moisturize daily.
Even if you don't think you need a moisturizer, or have oily skin. Moisturized skin looks better and is healthier. If you are eczema-prone, moisturizing is even more important, to maintain that healthy skin barrier and to help soothe. If your skin tends to be oily, and you apply products to dry it out, you can have a rebound effect where the body produces more oil to compensate. We recommend Skin Medica Rejuvenative Moisturizer, Skin Medica Ultra Sheer Moisturizer, and Skin Medica HA5.

3. Have your specific skin problems evaluated by a dermatologist.
If you're having flares of acne, eczema, dandruff, rosacea,etc, be evaluated by a dermatologist. Many common skin problems are easily treated once you are using the correct medications. Self-treatment sometimes leads to worsening of your skin condition! 

Florida Skin Center wishes everyone a happy and healthy 2017!

Wednesday, December 21, 2016

When should my child see a dermatologist?

When should my child be seen for a full body skin exam?

There is no hard and fast rule for this question. At Florida Skin Center, we recommend routine skin exams (at least yearly) regularly for everyone, including pediatric patients! Monthly skin exams at home should be performed as well. While melanoma is less common in children than in adults, that does not mean it does not occur. The incidence of melanoma in children 11-19 years of age has increased almost 3% per year from 1973-2001. Melanoma accounts for approximately 7% of all cancers diagnosed in individuals 15-19 years of age, and accounts for up to 3% of all pediatric cancers. The treatment of childhood melanoma is often delayed due to misdiagnosis, which happens up to 40% of the time. If you or your pediatrician notices a questionable mole on your child, have a dermatologist examine the mole - we have special tools that help us determine if a mole is suspicious and warrants testing. Even if a mole does not warrant testing at the time of the exam, close followup is recommended, to monitor for changes.

Skin cancer is the most common form of cancer in the United States, but it is the most preventable. Most skin cancers form due to excess sun exposure when we were young. Genetics plays a role as well. Remember to minimize sun exposure and wear daily sunscreen of at least SPF 30.

When should my child's skin condition be evaluated by a dermatologist?

Most pediatricians recognize common skin conditions, such as eczema, seborrhea, exanthems (rashes caused by viral infections), and can initiate treatment for your child. However, if the skin condition is not improving or resolving, most pediatricians will refer out to a dermatologist. A skin biopsy may be performed to confirm the diagnosis and to better tailor the treatment. If the skin condition is something not commonly seen, most pediatricians will refer out to a dermatologist as well. When in doubt, have a specialist look at it!

Wednesday, December 14, 2016

What are milia?

Milia (singular: milium) are tiny cysts containing keratin. They appear as pearly-white bumps at the surface of the skin. These harmless growths affect both males and females, and affect all ages, from babies to adults. Milia occur commonly around the eyes and cheeks, but can appear elsewhere. These lesions do not need to be treated. Some spontaneously resolve in a few months. If treatment is desired, the milium can be treated with electrocautery or cryotherapy. Other treatment options include deroofing the lesion and squeezing out the contents, and also employing a topical retinoid. Chemical peels can also be used for widespread milia. Ask your Florida Skin Center provider what choice is best for you.

Wednesday, December 7, 2016

Laser Treatment for Brown Spots

Do you have brown spots on your hands, face, or chest that are unsightly? Are you tired of applying creams to help fade them? If so, laser treatment may be an option.

At Florida Skin Center, we offer the VBeam laser, which can be used to treat brown spots. The laser targets the melanin in the brown spot without damaging surrounding skin, making this one of the safest and most effective ways to eradicate brown spots. There is minimal to no downtime with this laser. The brown spots will likely become darker and may possibly bruise and/or peel after the treatment. We recommend 1-2 treatments spaced 1 month apart in most cases.

This patient above saw good results with just one treatment with the VBeam laser.

We offer this laser treatment at all 3 of our office locations. Please call our office at 239-561-3376 to schedule an appointment. Ask your provider if you are a good candidate for this treatment.