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Posts for: May, 2018

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.


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
May 08, 2018
Category: Skin Care
Tags: Acne  

Though it is the most common skin condition, acne can be a frustrating, embarrassing condition. Though some cases of acne are mild, acnesometimes this condition can become chronic. Luckily, treating your chronic acne is possible with help from your dermatologist. Find out more about chronic acne treatments with Dr. Sanjiva Goyal at Coastal Dermatology and MedSpa in Jacksonville and Pointe Vedra Beach, FL.

What causes chronic acne? 
Though a pimple every once in a while is a perfectly normal occurrence, this acne is not chronic or severe. Severe, chronic acne often has cysts and nodules, affects a large area of skin, or which leaves significant scarring once healed. At its root, acne comes from the sebaceous glands in the skin producing too much sebum. The extra sebum causes the pores to produce more skin cells which eventually become stuck together by the sebum and clog the pores, creating a pimple. The appearance of acne can be caused by hormonal changes, diet, stress, or even some medications.

Do I have chronic acne? 
Chronic acne can occur on the face, chest, back, shoulders, and neck. The blemishes often lie deep under the surface of the skin and become filled with pus or fluid. Blemishes can occur in clusters or on their own, and the acne itself is often painful and causes scarring once healed. The acne cysts can vary in size, from small specks to several centimeters in size. Treating chronic acne will depend on the patient, their medical and family history, any other underlying conditions, and their lifestyle choices.

Treating Chronic Acne in Jacksonville and Pointe Vedra Beach
The goals of treating chronic acne are to clear the acne itself, prevent new scarring from occurring, and help the patients’ overall physical and mental wellness. Often, treatment begins with an oral antibiotic and topical medication applied directly to the acne. If antibiotics fail to produce results, isotretinoin treatments are highly successful in treating severe acne.

For more information on acne treatments, please contact Dr. Goyal at Coastal Dermatology and MedSpa in Jacksonville and Pointe Vedra Beach, FL. Call (904) 727-9123 to schedule your appointment in Jacksonville, and (904) 567-1050 to schedule your appointment in Pointe Vedra Beach today!