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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.

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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.

 

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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.
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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 Chandler that offers treatment for rosacea?

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

Shingles (Herpes Zoster)

What is Shingles (Herpes Zoster)?

Shingles, also known as herpes zoster, is a viral infection caused by the varicella-zoster virus, the same virus that causes chickenpox. It results in a painful rash with blisters, typically on one side of the body, along a nerve pathway. Shingles can occur in people who have previously had chickenpox, as the virus can remain dormant in the nerve tissues for many years and reactivate later in life. Shingles is more common in older adults, people with weakened immune systems, and those who have had chickenpox at a young age. The condition can be treated with antiviral medications and pain management.

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What are the causes of Shingles?

Shingles is caused by the reactivation of the varicella-zoster virus, which is the same virus that causes chickenpox. After a person has had chickenpox, the virus remains dormant in the nerve tissues, and later in life, the virus can reactivate and cause shingles.

Several factors can increase the risk of shingles, including:

  • Age: The risk of shingles increases with age, especially after the age of 50.

  • Weakened immune system: People with weakened immune systems, such as those with HIV or cancer, are more likely to develop shingles.

  • Chronic medical conditions: Certain medical conditions, such as diabetes, heart disease, and chronic lung disease, can increase the risk of shingles.

  • Certain medications: Certain medications, such as corticosteroids, chemotherapy drugs, and immunosuppressants, can weaken the immune system and increase the risk of shingles.

  • Previous episode of shingles: A person who has had shingles in the past is at risk of developing it again.

What are the symptoms of Shingles?

The symptoms of shingles include:

  • Pain, burning, or tingling sensations on one side of the body
  • A rash or blisters on the same area of the body as the pain
  • Fever
  • Headache
  • Fatigue
  • Sensitivity to light.

It is important to see a doctor if you suspect you have shingles, as prompt treatment can help reduce the severity and duration of symptoms.

What treatments are available for Shingles?

  • Antiviral Medications: Our dermatologist can prescribe antiviral medications tailored to your specific needs. These medications are effective in reducing the severity and duration of shingles outbreaks while minimizing the risk of complications. Rest assured, we have the expertise to guide you through the appropriate treatment.
  • Pain Management: Shingles can be accompanied by intense pain. Our team can recommend or prescribe pain-relieving medications, including specialized options for nerve-related pain, to ensure your comfort during recovery.
  • Topical Solutions: For the skin manifestations of shingles, we may recommend topical creams or ointments containing corticosteroids to ease inflammation and itching. 
  • Skin Care Guidance: Our dermatologist will provide tailored advice on the best skincare practices for the affected area to prevent complications, including bacterial infections. 
  • Scar Minimization: In cases where shingles results in skin damage or ulceration, our dermatologists offer solutions to minimize scarring and promote optimal healing.

Your Partner in Shingles Care:

It’s important to note that while our dermatologists specialize in the skin-related aspects of shingles, this condition can have broader implications. Depending on your specific case, we may collaborate with other specialists, such as ophthalmologists or neurologists, to ensure comprehensive care.

If you suspect you have shingles or are experiencing painful rash symptoms, we encourage you to contact our office promptly. Early diagnosis and expert care are essential for effective management and a smoother path to recovery.

How to Help Prevent Shingles?

The following steps can help prevent shingles:

  • Get the shingles vaccine: The shingles vaccine is the best way to prevent shingles and its complications.
  • Maintain a healthy immune system: Eat a balanced diet, get regular exercise, and get enough sleep to help maintain a strong immune system.
  • Manage stress: Chronic stress can weaken your immune system, making you more susceptible to shingles.
  • Avoid close contact with infected individuals: If someone has shingles, try to avoid close contact until the blisters have dried and crusted over.
  • Practice good hygiene: Wash your hands frequently, especially after touching someone with shingles or items contaminated with the virus.

Note: If you have already had shingles, getting vaccinated can still help prevent future outbreaks.

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FAQ About Shingles

Who is at risk of getting shingles?

Anyone who has had chickenpox is at risk of developing shingles later in life, especially those over 50 years of age, immunocompromised individuals, and those with a weak immune system.

How is shingles diagnosed?

Shingles can be diagnosed by a healthcare provider based on the symptoms, medical history, and physical examination. A skin sample may also be taken to confirm the diagnosis.

Is shingles contagious?

Yes, shingles is contagious. However, it can only be spread to someone who has never had chickenpox or has not been vaccinated against it.

Can shingles recur?

It is possible for shingles to recur, but this is not common.

Can shingles cause long-term complications?

Yes, shingles can cause long-term complications such as postherpetic neuralgia (PHN), which is a form of chronic pain.

Is there a dermatologist near me in Chandler that offers treatment for shingles?

Yes. At our Chandler dermatology office we offers treatment for shingles to patients from Chandler and the surrounding area. Contact our office today to schedule an appointment.

Scabies

What are Scabies?

Scabies is a highly contagious skin condition caused by a mite called Sarcoptes scabiei. The mite burrows into the skin and lays its eggs, leading to intense itching and skin rashes. The itching and rashes are a result of an allergic reaction to the mites and their waste products.

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What causes Scabies?

Scabies is caused by the Sarcoptes scabiei mite. The mite burrows into the skin and lays its eggs, causing an allergic reaction and intense itching. Scabies is highly contagious and can be spread through direct skin-to-skin contact, as well as through contact with infested clothing, bedding, and towels.

What treatments are available for Scabies?

Treatment for scabies typically involves prescription medications to kill the mites. The most commonly used medications for scabies are:

  • Permethrin cream: This topical medication is applied to the entire body from the neck down and left on for 8-14 hours before being washed off.

  • Ivermectin pills: This oral medication is taken as a single dose, and is effective in treating scabies in individuals with weakened immune systems.

  • Lindane lotion: This topical medication is used in some cases, but is not recommended as a first-line treatment due to potential toxic side effects.

In addition to treating the affected individual, all close contacts should also be treated to prevent re-infestation. After treatment, itching and skin rashes may persist for several weeks, but should eventually subside.

It is important to seek medical attention for proper diagnosis and treatment of scabies, as well as to rule out any other skin conditions that may mimic scabies. Over-the-counter treatments and home remedies are not recommended for scabies, as they are often not effective and can cause skin irritation.

FAQ About Scabies

How is scabies diagnosed?

A dermatologist can diagnose scabies by examining the skin and performing a skin scraping to look for mites, eggs, or mite feces.

Is scabies curable?

Yes, scabies is curable with proper treatment.

How long does it take for scabies to go away?

With proper treatment, scabies can go away within several days to several weeks. However, itching and skin rashes may persist for several weeks after treatment.

Can scabies be spread through bedding and clothing?

Yes, scabies can be spread through bedding, clothing, and towels, which is why it is important to wash these items in hot water and dry on a hot setting.

Is it safe to return to school or work after being treated for scabies?

Yes, it is safe to return to school or work after being treated for scabies, as long as all close contacts have also been treated.

Is there a dermatologist near me in Chandler that offers treatment for scabies?

Yes. At our Chandler dermatology office we offers treatment for scabies to patients from Chandler and the surrounding area. Contact our office today to schedule an appointment.

Rocky Mountain Spotted Fever

What is Rocky Mountain Spotted Fever?

Rocky Mountain Spotted Fever (RMSF) is a serious and sometimes fatal disease caused by the bacterium Rickettsia rickettsii. It is transmitted to humans through the bite of an infected tick. Symptoms of RMSF include fever, headache, muscle aches, and a rash that spreads from the wrists and ankles to the trunk. If left untreated, RMSF can cause serious complications, such as damage to the heart, brain, and other organs. Early treatment with antibiotics is crucial for a successful outcome.

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What are the causes of Rocky Mountain Spotted Fever?

Rocky Mountain Spotted Fever (RMSF) is caused by the bacterium Rickettsia rickettsii. The bacterium is transmitted to humans through the bite of infected ticks, typically the American dog tick and the Rocky Mountain wood tick. Once a tick attaches to the skin, it can take several hours for it to transmit the bacterium into the bloodstream. People who spend time in wooded or grassy areas where ticks are prevalent are at a higher risk of contracting RMSF. In addition, people who have outdoor occupations, such as farming, hiking, or camping, are also at an increased risk of exposure to infected ticks.

What are the symptoms of Rocky Mountain Spotted Fever?

The symptoms of Rocky Mountain Spotted Fever typically appear 2-14 days after being bitten by an infected tick, and include:

  • Fever
  • Headache
  • Muscle pain
  • Nausea
  • Vomiting
  • Abdominal pain
  • Rash (usually appears 2-5 days after onset of symptoms and starts on the wrists and ankles before spreading to other parts of the body)

If left untreated, the disease can lead to serious complications, such as damage to the heart, brain, or other organs.

What treatments are available for Rocky Mountain Spotted Fever?

Rocky Mountain Spotted Fever is treated with antibiotics. Early diagnosis and treatment are important for a favorable outcome. The most commonly used antibiotics for the treatment of RMSF are doxycycline for individuals of all ages, and chloramphenicol for very young children or pregnant women.

It is important to see a doctor if you suspect you have RMSF and to inform them of any recent tick bites. Treatment should be started as soon as possible to reduce the risk of serious complications.

How to Help Prevent Rocky Mountain Spotted Fever?

Here are some ways to help prevent Rocky Mountain Spotted Fever:

  • Avoid tick-infested areas: Ticks are commonly found in wooded and grassy areas, so try to avoid these areas, especially during peak tick season (spring to early fall).
  • Use insect repellent: When spending time outdoors, use an insect repellent containing DEET or permethrin on exposed skin and clothing.
  • Wear protective clothing: When spending time in tick-infested areas, wear long sleeves, pants, and closed-toe shoes. Tuck pants into socks to help prevent ticks from getting to your skin.
  • Check for ticks: After spending time outdoors, thoroughly check yourself, your children, and your pets for ticks. Ticks can be as small as a pinhead, so be sure to check all areas, including hard-to-see spots like the scalp, under the arms, and in and around the ears.
  • Remove ticks promptly: If you find a tick on your skin, remove it as soon as possible. Use fine-tipped tweezers to grasp the tick as close to the skin as possible and pull straight up with steady pressure.

By following these steps, you can help reduce your risk of getting infected with Rocky Mountain Spotted Fever.

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FAQ About Rocky Mountain Spotted Fever

How is RMSF transmitted?

RMSF is transmitted by the bite of an infected tick, usually the American dog tick or the Rocky Mountain wood tick.

Where does RMSF occur?

RMSF occurs mainly in the United States, with the majority of cases reported in the southeastern and south-central states.

Who is at risk for RMSF?

Anyone who is bitten by an infected tick can get RMSF, but people who spend time outdoors, such as hikers, campers, and hunters, are at increased risk.

Is RMSF fatal?

RMSF can be fatal if not treated promptly, but with prompt treatment, the majority of patients recover completely.

How long does it take for symptoms to appear after being bitten by an infected tick?

Symptoms of RMSF typically appear 2-14 days after being bitten by an infected tick.

Can RMSF be passed from person to person?

RMSF is not passed from person to person, it can only be transmitted by the bite of an infected tick.

Is there a dermatologist near me in Chandler that offers treatment for Rocky Mountain Spotted Fever?

Yes. At our Chandler dermatology office we offer treatment for Rocky Mountain Spotted Fever to patients from Chandler and the surrounding area. Contact our office today to schedule an appointment.