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Posts for category: Skin Condition

By Sanjiva Goyal
March 13, 2020
Category: Skin Condition
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 Sanjiva Goyal
June 14, 2019
Category: Skin Condition
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 Coastal Dermatology
November 13, 2018
Category: Skin Condition
Tags: Skin Cancer  

Skin Cancer CheckSkin cancer affects millions of Americans each year. In fact, the Centers for Disease Control say that about 4.3 million new cases of basal cell carcinoma, the most common form of skin cancer, are diagnosed each year. Luckily, skin cancer is treatable and even preventable with the right steps. Find out more about skin cancer and what to look for in your skin with Dr. Sanjiva Goyal at Coastal Dermatology and MedSpa with locations in Jacksonville and Ponte Vedra Beach, Florida.

Tips to Prevent Skin Cancer
The main aspect of preventing skin cancer is preventing the sun’s harmful UV rays from coming into contact with your skin. To start, always wear a broad-spectrum sunscreen with at least 30 SPF on visible areas of skin. Wear tightly-woven clothing to help prevent the sun’s rays from penetrating the cloth to reach your skin. Try to stay out of the sun during peak hours when it is strongest, usually around noon when the sun is highest in the sky.

Spotting Skin Cancer Early with the ABCDE's
The ABCDE's can help you spot questionable moles early and seek early treatment. They include:

  • Asymmetry: Moles should be symmetrical in shape. If you have a mole which is larger on one side than the other, you should have it checked by your dermatologist.
  • Border: A mole’s border should be smooth and round or oval in shape.
  • Color: The color of a mole can vary from light pink to dark brown. However, moles which have more than one color within their border may be cancerous.
  • Diameter: Dermatologists usually consider a mole under about six millimeters in diameter normal. However, if you have a mole bigger than about the size of a pencil eraser, you should have it checked.
  • Evolution: Normal moles may change a bit over time, but usually stay about the same. A questionable mole may change or grow rapidly or appear out of nowhere.

Use these tips to ensure that you spot skin cancer early. For more information on spotting or treating skin cancer, please contact your dermatologist, Dr. Sanjiva Goyal at Coastal Dermatology and MedSpa with locations in Jacksonville and Ponte Vedra Beach, Florida. Call (904) 727-9123 to schedule your appointment in Jacksonville or (904) 567-1050 to schedule your appointment in Ponte Vedra Beach today!

By Coastal Dermatology
May 15, 2018
Category: Skin Condition
Tags: Eczema  

Eczema is a chronic skin condition that produces itchy rashes that are scaly, dry, and leathery. It can appear anywhere on the body and mostEczema often appears in the creases of the arms, legs, and face. Something that many people may not know is that there are multiple types of eczema. They all share some common symptoms but are all different depending on the nature of what triggers the reaction and the location of the rash.

Types of Eczema           

Atopic Dermatitis

This is the most frequent and common form of eczema and it’s thought to be caused by the body’s immune system functioning abnormally. It’s characterized by itchy, inflamed skin and typically runs in families. Atopic Dermatitis usually flares up and goes away intermittently throughout a person’s life.

Contact Dermatitis

This is caused when the skin comes in contact with an irritant such as certain chemicals. Finding what triggers a breakout is important so that it can be prevented in the future. Triggers may be things like laundry detergent, body soap, fabrics, poison ivy, and more.

Dyshidrotic Dermatitis

Dyshidrotic Dermatitis usually affects the palms and soles of the feet. It is characterized by clear, deep blisters that itch and burn and occurs frequently during summer months and in warm areas.

Neurodermatitis

This form of eczema is a chronic skin inflammation caused by a cycle of scratching to a localized itch, such as a mosquito bite or spider bite. It’s characterized by scaly patches of skin, usually on the head, lower legs, wrists, and forearms. The skin may become thickened and leathery.

Nummular Dermatitis

This form is characterized by round patches of irritated skin that can be crusted, scaly, and very itchy. It frequently appears on the back, arms, buttocks, and lower legs.

Seborrheic Dermatitis

This is a common condition that causes yellow, oily, and scaly patches on the scalp, face, and other body parts. Dandruff is a form of Seborrheic Dermatitis. This form of eczema doesn’t always itch. Triggers can include weather, oily skin, emotional stress, and infrequent shampooing.

Stasis Dermatitis

This appears on the lower legs of older people and is related to circulation and vein problems. Symptoms can include itching and red-brown discoloration on the skin the legs. As the condition progresses it can lead to blistering, oozing, and skin lesions.

Eczema comes in all shapes and sizes and can be triggered by many things. If you have questions about eczema or want to make an appointment, call our office today!

By Coastal Dermatology
November 13, 2017
Category: Skin Condition
Tags: Chicken Pox   Sick Child  

Chicken PoxWhen your child breaks out all over in a blistery, itchy red rash, there’s a good chance it’s the chicken pox. Chicken pox is caused by the varicella-zoster virus, and although it’s typically a childhood disease, people who have not contracted it as a child can suffer from it in adulthood as well.

Chicken pox is highly contagious and can spread from person to person by direct contact or through the air from an infected person's coughing or sneezing. 

Symptoms of Chicken pox

Itchy red spots or blisters all over the body are telltale signs of chicken pox. It may also be accompanied by a headache, sore throat and fever. Symptoms are generally mild among children, but can cause serious complications in infants, adults and people with weakened immune systems.

The most common symptoms of chicken pox include:

  • Itchy rash all over the body, including the face, on the arms and legs and inside the mouth
  • Fatigue and irritability
  • Fever
  • Feeling of general illness
  • Reduced appetite

The symptoms of chicken pox may resemble other skin problems or medical conditions, so it is always important to consult your child's physician or dermatologist for proper diagnosis. If the chicken pox rash seems generalized or severe, or if the child has a high grade fever or is experiencing a headache or nausea, seek medical care right away.

The incubation period (from exposure to first appearance of symptoms) is 14 to 16 days. When the blisters crust over, they are no longer contagious and the child can return to normal activity. 

Relief for Chicken Pox

It is important not to scratch the blisters as it can slow down the healing process and result in scarring. Scratching may also increase the risk of a bacterial infection. To help relieve the itching, soak in a cool or lukewarm oatmeal bath. A physician may recommend anti-itch ointments or medications, such as over-the-counter antihistamines, to control this troublesome itch.

Although about four million children get chicken pox each year, it may be preventable via a vaccine. Usually one episode of  chicken pox in childhood provides lifelong immunity to the virus.

Fortunately, chicken pox is more of a nuisance than a concern. With time and extra rest, the rash will pass and the child will be good as new! Contact your dermatologist whenever you have questions or concerns about chicken pox.