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Lichen Planus

What is Lichen Planus?

Lichen planus is a condition that affects the skin, hair, nails, mouth and genitals. It causes purple, itchy, flat bumps on the skin and white patches or sores in the mouth and genitals. It is an autoimmune disorder, which means the immune system attacks the cells of the skin and mucous membranes. The exact cause of lichen planus is unknown, but it may be related to genetic factors, stress, infections, allergies or drugs. Lichen planus is not contagious and cannot be passed from one person to another. It can be treated with medicines and other therapies to relieve the symptoms and prevent complications.

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What are the signs and symptoms of Lichen Planus?

 Some of the common signs and symptoms of lichen planus are:

  • Purple, shiny, flat bumps on the skin, often on the inner forearms, wrists or ankles. These bumps may have tiny white lines running through them, called Wickham’s striae.
  • Itching, pain or blisters on the affected skin areas.
  • Lacy white patches, redness, swelling, peeling or sores on the mouth and genitals.
  • Ridges, grooves, splitting, thinning or loss of nails.
  • Redness, irritation, tiny bumps, thinning hair, patches of hair loss or scars on the scalp.

What are the causes of Lichen Planus?

The causes of lichen planus are not fully understood, but it is believed to be related to the immune system. Lichen planus is a condition where the immune system mistakenly attacks the cells of the skin or mucous membranes, causing inflammation and rash. The reason why the immune system does this is unknown, but it may be influenced by genetic factors, environmental factors, or certain triggers. Some of the possible triggers of lichen planus are:

  • Hepatitis C infection.
  • Pain relievers and other medicines.
  • An allergic reaction to the metal in dental fillings.

Lichen planus is not contagious and cannot be passed from one person to another.

What treatments are available at the dermatologist for Lichen Planus?

Some of the treatments that are available at the dermatologist for lichen planus are:

  • Corticosteroids: These are medicines that reduce inflammation and redness. They can be applied to the skin as creams or ointments, or taken as pills or injections.
  • Oral anti-infection drugs: These are medicines that fight infections that may trigger or worsen lichen planus. Examples are hydroxychloroquine (an antimalarial drug) and metronidazole (an antibiotic).
  • Antihistamines: These are medicines that relieve itching by blocking the effects of histamine, a chemical released by the immune system during an allergic reaction.
  • Light therapy: This is a treatment that exposes the affected skin to ultraviolet B light, which can help clear up lichen planus. It may cause some side effects such as skin color changes or sunburn.
  • Tacrolimus ointment or pimecrolimus cream: These are medicines that are used to treat eczema, another skin condition. They may also help with lichen planus by suppressing the immune system and reducing inflammation.
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FAQ About Lichen Planus

How is lichen planus diagnosed by a doctor or a dermatologist?

Lichen planus is diagnosed by a doctor or a dermatologist based on the appearance of the skin or mucous membranes and the medical history of the patient. The doctor may also perform some tests to confirm the diagnosis or rule out other conditions that may look similar to lichen planus.

Who is at risk of getting lichen planus?

Anyone can develop lichen planus, but it is more common in middle-aged adults, especially women. It is also more likely to affect people who have a family history of the condition, or who have other autoimmune diseases.

Is lichen planus contagious?

 No, lichen planus is not contagious. You cannot catch it from or spread it to another person.

Is lichen planus related to cancer?

Lichen planus is not a cancerous condition, but it may increase the risk of oral or genital cancer in rare cases. Therefore, it is important to have regular check-ups with your doctor if you have lichen planus of the mouth or genitals.

Is there a dermatologist near me in Richmond that offers treatment for Lichen Planus?

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

Seborrheic Dermatitis

What is Seborrheic Dermatitis?

Seborrheic dermatitis is a common skin condition that causes red, scaly, and itchy patches on the scalp, face, and other areas of the body. It is not contagious, but it can be uncomfortable and affect one’s appearance and self-esteem. Seborrheic dermatitis can be treated with medicated shampoos, creams, lotions, or other products that contain antifungal, anti-inflammatory, or moisturizing ingredients. Some natural remedies, such as fish oil, aloe vera, probiotics, or tea tree oil, may also help to soothe the skin and reduce symptoms.Seborrheic dermatitis is also known as seborrheic eczema or dandruff. It can affect people of any age, but it is more common in young adults and older people.

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What are the signs and symptoms of Seborrheic Dermatitis?

The signs and symptoms of seborrheic dermatitis may vary depending on the age, skin tone, and medical history of the person. However, some of the common signs and symptoms are:

  • Dry, flaky skin: This can develop on any part of the body that has seborrheic dermatitis, including the scalp, face, or chest. 
  • Rash: The rash can be red, pink, purple, or lighter or darker than the natural skin tone. It can be dry or greasy, and have white or yellow scales or crusts. 
  • Itchiness: The rash can cause mild to severe itching, which can be worse with stress, fatigue, or a change of season.
  • Burning or irritation: The rash can also cause a burning or stinging sensation, especially if it is scratched or rubbed.
  • Inflammation: The rash can cause swelling, redness, and warmth in the affected areas.
  • Infection: The rash can become infected if bacteria or fungi enter the broken skin. 

What treatments are available at the dermatologist for Seborrheic Dermatitis?

There are different treatments available at the dermatologist for seborrheic dermatitis, depending on the severity and location of the condition. Some of the possible treatments are:

  • Topical antifungals: These are products that contain ingredients that kill or inhibit the growth of Malassezia yeast, which may contribute to seborrheic dermatitis. They include ciclopirox, ketoconazole, or sertaconazole. 
  • Topical corticosteroids: These are products that contain ingredients that reduce inflammation and itching in the skin. They include hydrocortisone, fluocinolone, clobetasol, or desonide. These products are available in creams, lotions, ointments, or solutions that are applied to the affected areas once or twice daily for a short period of time and then tapered off. 
  • Topical calcineurin inhibitors: These are products that contain ingredients that modulate the immune response in the skin and prevent inflammation. They include tacrolimus or pimecrolimus.
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FAQ About Seborrheic Dermatitis

Is seborrheic dermatitis contagious?

No, seborrheic dermatitis is not contagious. You cannot catch it from someone else or spread it to other parts of your body.

Is seborrheic dermatitis hereditary?

Seborrheic dermatitis is not strictly hereditary, but it may have a genetic component. Some people may have a genetic predisposition or an underlying medical condition that affects their immune system or skin oil production, making them more susceptible to seborrheic dermatitis.

Is seborrheic dermatitis related to psoriasis?

Seborrheic dermatitis and psoriasis are two different skin conditions that can sometimes look similar or overlap. Psoriasis is an autoimmune disease that causes thick, red, scaly plaques on the skin that can be painful or itchy. Seborrheic dermatitis is a skin condition that causes red, scaly, and itchy patches on the scalp, face, and other areas of the body that are usually oily. Both conditions can affect the scalp and cause dandruff-like flakes.

Is there a dermatologist near me in Richmond that offers treatment for Seborrheic Dermatitis?

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

Pityriasis Rosea

What is Pityriasis Rosea?

Pityriasis rosea is a skin condition that causes a temporary rash of raised red scaly patches on the body. It is not contagious and usually goes away on its own within 6 to 10 weeks . The exact cause of pityriasis rosea is unknown, but it may be triggered by a viral infection or a reaction to certain drugs . The most common symptom of pityriasis rosea is a single large patch called the herald patch, which appears before the generalised rash of smaller oval patches . The rash may be itchy and may affect different parts of the body, such as the chest, back, abdomen, arms, and legs . Pityriasis rosea is diagnosed by examining the skin and sometimes by doing a skin biopsy or blood test . There is no specific treatment for pityriasis rosea, but some medications such as antihistamines or corticosteroids may help relieve the itching and inflammation . Pityriasis rosea usually does not cause any serious complications, but it may leave temporary spots of skin discoloration after the rash heals. Pityriasis rosea can affect anyone, but it is more common in young adults and middle-aged adults (20-49 year-olds).

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What are the signs and symptoms of Pityriasis Rosea?

The signs and symptoms of pityriasis rosea are:

  • A single large patch of red scaly skin, called the herald patch, that appears before the generalised rash. The herald patch is usually round or oval and may be 2 to 10 cm in diameter. It may be located on the chest, back, abdomen, neck, or face .
  • A generalised rash of smaller patches of red scaly skin, that appear 1 to 2 weeks after the herald patch. The smaller patches are usually oval and may be 0.5 to 1.5 cm in diameter. They may be arranged in a pattern that follows the lines of the skin, called the Christmas tree pattern. The rash may affect different parts of the body, such as the chest, back, abdomen, arms, and legs .
  • Itching, which may range from mild to severe. The itching may be worse at night or after a hot shower or bath .
  • Other symptoms, such as fever, headache, sore throat, fatigue, nausea, or joint pain, which may occur before or during the rash. These symptoms are usually mild and short-lived .

Pityriasis Rosea in Pregnancy

Pityriasis rosea is a skin condition that causes a temporary rash of raised red scaly patches on the body. It is not contagious and usually goes away on its own within 6 to 10 weeks. However, pityriasis rosea in pregnancy may be associated with an increased risk of fetal loss and other complications. Therefore, if a pregnant woman develops pityriasis rosea, she should seek urgent medical attention and discuss the management options with her doctor. Some of the possible complications of pityriasis rosea in pregnancy are:

  • Premature delivery
  • Low birth weight
  • Congenital anomalies
  • Neonatal death
  • Placental insufficiency
  • Fetal distress
  • Intrauterine growth restriction

The exact mechanism of how pityriasis rosea affects pregnancy outcomes is not clear, but it may be related to the viral infection or the immune response that triggers the rash.

What treatments are available at the dermatologist for Pityriasis Rosea?

Some of the treatments that are available at the dermatologist for pityriasis rosea are:

  • Corticosteroids: These are anti-inflammatory drugs that can be applied as creams or ointments to reduce itching and swelling of the rash. They can also be taken orally or injected in severe cases.
  • Antihistamines: These are drugs that can help relieve itching by blocking the effects of histamine, a chemical that causes allergic reactions. They can be taken orally or applied as creams or lotions.
  • Antivirals: These are drugs that can help fight viral infections that may be associated with pityriasis rosea, such as herpesviruses 6 and 7, H1N1 influenza A, or COVID-19. They can be taken orally, such as acyclovir.
  • UVB phototherapy: This is a light treatment that involves exposing the skin to ultraviolet B (UVB) rays, which can help reduce inflammation and speed up healing of the rash. It is usually given in a dermatologist’s office under controlled conditions.
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FAQ About Pityriasis Rosea

How is pityriasis rosea diagnosed?

In most cases, your health care provider can identify pityriasis rosea by looking at the rash. You might need a scraping or possibly a skin biopsy, which involves taking a small piece of the rash for testing. This test can help tell a pityriasis rosea rash from other, similar rashes.

Who is at risk of getting pityriasis rosea?

Pityriasis rosea can affect anyone, but it is more common in young adults and middle-aged adults (20-49 year-olds). It tends to occur more often in spring and autumn seasons.

What are some of the viral infections that have been associated with pityriasis rosea?

  • Herpesviruses 6 and 7, which are common viruses that usually do not cause any symptoms
  • H1N1 influenza A, which is a type of flu virus that can cause respiratory illness
  • COVID-19, which is a novel coronavirus that can cause severe acute respiratory syndrome

What are some of the drugs that have been linked to pityriasis rosea?

  • Hydrochlorothiazide, which is a diuretic that helps lower blood pressure
  • Captopril, which is an angiotensin-converting enzyme (ACE) inhibitor that helps treat heart failure and high blood pressure
  • Imatinib, which is a tyrosine kinase inhibitor that helps treat certain types of cancer

Is there a dermatologist near me in Richmond that offers treatment for Pityriasis Rosea?

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

Toxic Epidermal Necrolysis

What is Toxic Epidermal Necrolysis?

Toxic epidermal necrolysis (TEN) is a rare and serious skin condition that causes the skin to blister and peel off. It is often triggered by a reaction to certain medications, such as antibiotics, anticonvulsants, or gout drugsTEN can affect any part of the body, including the mucous membranes of the mouth, eyes, and genitals.

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What are the signs and symptoms of Toxic Epidermal Necrolysis?

The signs and symptoms of toxic epidermal necrolysis (T.E.N) vary depending on the stage and severity of the condition. However, some common symptoms include:

  • Widespread skin pain and a spreading rash covering more than 30% of the body.
  • Blisters and large areas of peeling skin that may ooze or weep.
  • Sores, swelling and crusting on the mucous membranes, including the mouth, eyes and vagina.
  • Flu-like symptoms, such as fever, chills, headache, cough and body aches.
  • Redness and inflammation in the eyes.

What are the causes of Toxic Epidermal Necrolysis?

Toxic epidermal necrolysis (TEN) is most often caused by a reaction to certain medications, such as antibiotics, sulfonamides, NSAIDs, allopurinol and anticonvulsantsRarely, TEN can also be caused by infections or vaccinationsTEN is a severe form of Stevens-Johnson syndrome (SJS), which is on the same disease spectrum as TEN.

What treatments are available at the dermatologist for Toxic Epidermal Necrolysis?

  • Discontinuing the harmful drug or medication that caused TEN, if known.
  • Providing fluid replacement and nutrition to prevent dehydration and malnutrition.
  • Applying wound care to the affected skin, such as gentle cleansing, special dressings, and antibiotics to prevent infection.
  • Controlling pain with painkillers and numbing mouthwashes.
  • Providing eye care to prevent eye damage, such as artificial tears, corticosteroid eye drops, and consultation with an eye specialist (ophthalmologist).
  • Administering systemic drugs that affect the whole body, such as cyclosporine, etanercept, or intravenous immunoglobulin (IVIG), to reduce inflammation and immune response. However, the effectiveness of these drugs is not well established and further research is needed.
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FAQ About Toxic Epidermal Necrolysis

How is TEN diagnosed?

TEN is diagnosed based on the clinical features of the condition, such as the extent of skin involvement, the pattern of skin lesions, and the history of drug exposure. A skin biopsy may be performed to confirm the diagnosis and rule out other causes of skin peeling.

Is there a dermatologist near me in Richmond that offers treatment for Toxic Epidermal Necrolysis?

Yes. At our Richmond dermatology office we offer treatment for Toxic Epidermal Necrolysis to patients from Richmond and the surrounding area. Contact our office today to schedule an appointment.

Tinea (Athlete’s Foot / Ringworm)

What is Tinea?

Tinea is a type of fungal infection that affects the skin or nails. It is caused by a group of fungi called dermatophytes, which feed on keratin, a protein found in the outer layer of the skin, hair and nails. Tinea can affect different parts of the body and cause various symptoms, such as redness, itching, scaling, cracking and blistering

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What are the signs and symptoms of Tinea?

The signs and symptoms of tinea vary depending on the type and location of the infection.

Some common signs and symptoms are:

  • Redness, itching, scaling, cracking and blistering of the skin or nails .
  • Round or oval patches with raised edges and clear centers on the body .
  • Red, scaly and itchy rashes that may have blisters or pus-filled bumps on the groin, inner thighs and buttocks .
  • Hair loss, scaling, redness and sometimes swollen lymph nodes on the scalp, eyebrows and eyelashes .
  • Thickening, discoloration, brittleness and crumbling of the fingernails or toenails .

What are some of the causes of Tinea?

Some factors that can trigger the overgrowth of these fungi and cause tinea are:

  • Hot, humid weather
  • Oily skin
  • Hormonal changes
  • Weakened immune system
  • Direct contact with an infected person or animal
  • Sharing personal items with an infected person or animal
  • Contact with infected soil

What treatments are available at the dermatologist for Tinea?

Some possible treatments for tinea that are available at the dermatologist are:

  • Topical antifungal medications: These are creams, lotions, gels or shampoos that are applied to the affected skin or nails to kill the fungus or stop its growth. Some examples are ketoconazole, ciclopirox, selenium sulfide and terbinafine.
  • Oral antifungal medications: These are pills or capsules that are swallowed to treat more severe or widespread cases of tinea. Some examples are fluconazole and itraconazole.
  • Medicated cleansers: These are products that can be used once or twice a month to prevent tinea from recurring, especially in hot and humid climates.

The choice of treatment depends on several factors, such as the type and location of the infection, the severity and extent of the symptoms, the patient’s medical history and preferences, and the potential side effects of the medications.

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What are some common places where the Tinea fungus thrives and grows?

Some common places where the Tinea fungus thrives and grows are:

  • The feet, especially between the toes and on the soles. This is called tinea pedis or athlete’s foot.
  • The groin, inner thighs and buttocks. This is called tinea cruris or jock itch.
  • The scalp, eyebrows and eyelashes. This is called tinea capitis or scalp ringworm.
  • The body, especially the trunk, arms and legs. This is called tinea corporis or ringworm.
  • The fingernails or toenails. This is called tinea unguium or nail fungus.

FAQ About Tinea

Is tinea contagious?

Yes, tinea is contagious and can spread from person to person through direct contact or sharing personal items, such as towels, clothing, shoes or combs. It can also spread from animals to humans, especially from cats and dogs that have ringworm.

Is tinea dangerous?

Tinea is not usually dangerous, but it can cause discomfort, embarrassment or self-consciousness due to its appearance and symptoms. Tinea can also lead to complications such as bacterial infections, scarring or permanent hair loss if left untreated or if the infection is severe.

Is tinea the same as ringworm?

Yes, tinea is also known as ringworm, because it can cause red patches on the skin in the shape of rings. But it is not caused by worms, it is caused by fungi.

Is tinea the same as athlete’s foot?

Yes, tinea pedis is also known as athlete’s foot, because it often affects people who sweat a lot or wear closed shoes. It affects the feet, especially between the toes and on the soles.

Is there a dermatologist near me in Richmond that offers treatment for Tinea?

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

Pemphigus Vulgaris

What is Pemphigus Vulgaris?

Pemphigus vulgaris is a rare chronic blistering skin disease that affects the skin and mucous membranes, such as the mouth, nose, throat, genitals and anus. It is caused by an autoimmune reaction, in which the body produces antibodies that attack the cells that hold the skin layers together. This results in blisters and sores that are painful and prone to infection.

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What are the signs and symptoms of Pemphigus Vulgaris?

The signs and symptoms of pemphigus vulgaris are:

  • Fluid-filled blisters that start in the mouth or skin areas.
  • Skin blisters near the surface of the skin that come and go.
  • Oozing, crusting, or peeling at the blister site.
  • Pain on or around the blisters.
  • Infection of the blisters, which may cause pus, fever, swelling, or increased pain.

What are the causes of Pemphigus Vulgaris?

Pemphigus vulgaris is not contagious, which means it cannot be spread from person to person. The exact trigger for the immune system to produce these antibodies is unknown, but some possible factors that may contribute to pemphigus vulgaris include:

  • Genetic factors: Some people may have a genetic predisposition to develop pemphigus vulgaris, especially those of Jewish or Mediterranean descent.
  • Environmental factors: Some substances or conditions that may irritate or damage the skin, such as sunlight, chemicals, infections, or stress, may trigger or worsen pemphigus vulgaris.
  • Medications: Some drugs, such as penicillamine, captopril, enalapril, and some antibiotics, may induce or aggravate pemphigus vulgaris in some people.

What treatments are available at the dermatologist for Pemphigus Vulgaris?

Pemphigus vulgaris is a serious skin condition that requires treatment from a dermatologist. Some of the treatments that are available at the dermatologist for pemphigus vulgaris are:

  • Corticosteroids: These are medications that reduce inflammation and suppress the immune system. They can be applied as creams or ointments on the skin, or taken as pills or injections. 
  • Steroid-sparing immunosuppressants: These are medications that also suppress the immune system, but have less side effects than corticosteroids. They can be used alone or in combination with corticosteroids to lower the dose and duration of steroid treatment.
  • Intravenous immunoglobulin (IVIG): This is a treatment that involves infusing antibodies from donated blood into the bloodstream. It can help block the harmful antibodies that cause pemphigus vulgaris and reduce the severity of symptoms.
  • Other medications: These include drugs that may help with specific symptoms or complications of pemphigus vulgaris, such as painkillers, antibiotics, antiseptics, antifungals, and anti-inflammatory agents.
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FAQ About Pemphigus Vulgaris

How is pemphigus vulgaris diagnosed?

Pemphigus vulgaris is diagnosed by a dermatologist (a doctor who specializes in skin diseases). The diagnosis is based on the appearance of the blisters and sores, the medical history of the patient, and some tests.

How common is pemphigus vulgaris?

Pemphigus vulgaris is a rare disease that affects about one to five people per million population per year worldwide. The prevalence (the number of people who have the disease at a given time) varies depending on the region and ethnicity. 

Is pemphigus vulgaris contagious?

No, pemphigus vulgaris is not contagious. It cannot be spread from person to person by contact with the blisters or sores. Pemphigus vulgaris is an autoimmune disease that occurs when the body’s own immune system attacks the skin cells.

Is there a dermatologist near me in Richmond that offers treatment for pemphigus vulgaris?

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

Erythema Multiforme

What is Erythema Multiforme

Erythema multiforme is a skin condition that can cause red, circular patches on the skin, sometimes with blisters or ulcers. It can be triggered by infections, medications, or other factorsIt’s usually mild and goes away in a few weeks, but there’s also a rare, severe form that can affect the mouth, genitals and eyes and can be life-threatening.

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What are the signs and symptoms of Erythema Multiforme

Some of the signs and symptoms of erythema multiforme are:

  • A red to purple rash that causes your skin to puff up (swell) and be painful to the touch.
  • Pimple-like blisters on your skin or inside of your mouth.
  • Round mark on your skin that looks like a bulls-eye on a target, with a dark center that may have a blister or crust, surrounded by a pale pink ring and a darker outermost ring. This is also called a target lesion.
  • Itchy skin.
  • Headache, fever, feeling unwell, joint pain, eye sensitivity, blurred vision, sore eyes and red eyes. These symptoms are more common in the severe form of erythema multiforme.

What are the causes of Erythema Multiforme

Infections

Most cases are caused by a viral infection – often the herpes simplex (cold sore) virus. This virus usually lies inactive in the body, but it can become reactivated from time to time. Some people will get a cold sore a few days before the rash starts. Erythema multiforme can also be triggered by mycoplasma bacteria, a type of bacteria that sometimes cause chest infections.

Medications

Some medicines can occasionally cause the more severe form of erythema multiforme. Possible medicine triggers include:

  • antibiotics, such as sulfonamides, tetracyclines, amoxicillin and ampicillin
  • non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen
  • anticonvulsants (used to treat epilepsy), such as phenytoin and barbiturates

What treatments are available at the dermatologist for Erythema Multiforme

The treatments for erythema multiforme depend on the severity and the cause of the condition. Some possible treatments that a dermatologist can offer are:

  • Topical steroids or antihistamines for itching.
  • Stopping a medication that causes erythema multiforme.
  • Oral acyclovir, valacyclovir, or famciclovir for recurrent erythema multiforme associated with the herpes simplex virus.
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FAQ About Erythema multiforme

How is erythema multiforme diagnosed and treated?

EM is usually diagnosed by looking at the rash and asking about the possible triggers, such as infections or medications. EM is usually treated by stopping the trigger, if possible, and managing the symptoms.

How long does erythema multiforme last?

Erythema multiforme usually lasts for two to four weeks, but it may recur in some people who have recurrent infections or exposure to medications

Is there a dermatologist near me in Richmond that offers treatment for erythema multiforme?

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

Dermatomyositis

What is Dermatomyositis?

Dermatomyositis is a rare inflammatory disease that affects both the skin and the muscles. It causes a distinctive skin rash, usually on the face, eyelids, chest, and joints, and muscle weakness, especially in the neck, arms, and hips. The cause of dermatomyositis is unknown, but it may be related to an autoimmune disorder or a viral infection. Dermatomyositis can also be associated with some types of cancer. 

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What are the signs and symptoms of Dermatomyositis?

Some of the signs and symptoms of dermatomyositis are:

  • A violet-colored or dusky red rash that develops on your face, eyelids, chest, back, knuckles, elbows, knees, and joints. The rash can be itchy and painful.
  • Muscle weakness that affects the muscles closest to the trunk, such as those in your hips, thighs, shoulders, upper arms, and neck. The weakness is progressive and affects both sides of your body.
  • Difficulty swallowing, which can cause weight loss, malnutrition, and aspiration pneumonia.
  • Breathing problems, which can result from inflammation of the chest muscles or lung damage.
  • Calcium deposits under the skin, which can cause pain and infection.
  • Raynaud’s phenomenon, which causes your fingers, toes, cheeks, nose, and ears to turn pale when exposed to cold temperatures

What are the causes of Dermatomyositis?

The causes of dermatomyositis are not fully understood, but they may involve a combination of genetic and environmental factors. Some possible causes are:

  • Autoimmune disorders: These are conditions where your immune system mistakenly attacks your own healthy cells. Dermatomyositis may be similar to some autoimmune diseases, such as lupus, rheumatoid arthritis, and scleroderma.
  • Viral infections: Some viruses may trigger or worsen dermatomyositis, such as coxsackievirus, human immunodeficiency virus (HIV), and human T-cell leukemia virus type 1 (HTLV-1).
  • Sun exposure: Ultraviolet (UV) rays from the sun may damage your skin and cause inflammation. This may increase your risk of developing dermatomyositis or make your symptoms worse.
  • Certain medications: Some drugs may cause a reaction that resembles dermatomyositis, such as hydroxyurea, penicillamine, and statins. This is called drug-induced dermatomyositis and usually improves after stopping the medication.
  • Smoking: Smoking may increase the inflammation in your body and affect your blood vessels. This may contribute to the development or progression of dermatomyositis.

What treatments are available at the dermatologist for Dermatomyositis?

Some of the treatments that are available at the dermatologist for dermatomyositis are:

  • Antimalarial medications: These are drugs that can help reduce the skin rash and inflammation caused by dermatomyositis
  • Sunscreens: These are products that can protect your skin from sun exposure, which can worsen the rash and inflammation of dermatomyositis.
  • Skin or muscle biopsy: These are procedures that can help confirm the diagnosis of dermatomyositis and rule out other skin or muscle conditions. A dermatologist can perform a skin biopsy by taking a small sample of skin from the affected area and examining it under a microscope
  • Arthroscopy: This is a surgical procedure that can help remove painful calcium deposits that may form under the skin in some cases of dermatomyositis.
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How to Recognize Dermatomyositis

To recognize dermatomyositis, you need to pay attention to the following signs and symptoms:

  • Skin changes
  • Muscle weaknes
  • Difficulty swallowing
  • Breathing problems
  • Calcium deposits
  • Raynaud’s phenomenon

FAQ About Dermatomyositis

What are the potential complications or risks of dermatomyositis?

Dermatomyositis is a rare inflammatory disease that affects both the skin and the muscles. It can cause various complications or risks, such as Difficulty swallowing, Breathing problems, Calcium deposits, Raynaud’s phenomenon, Other connective tissue diseases, Cardiovascular disease & Cancer

What are some of the characteristic skin manifestations of dermatomyositis?

Some of the characteristic skin manifestations of dermatomyositis are Heliotrope rash, Gottron’s papules, Shawl sign, V sign, Holster sign, Mechanic’s hands, Nail fold changes & Calcinosis cutis

What are some of the rare or unusual forms of dermatomyositis?

Some of the rare or unusual forms of dermatomyositis are Dermatomyositis sine myositis, Clinically amyopathic dermatomyositis, Juvenile dermatomyositis, Paraneoplastic dermatomyositis & Overlap syndromes

Is there a dermatologist near me in Richmond that offers treatment for dermatomyositis?

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

Dandruff

What is Dandruff?

Dandruff is a common condition that causes the skin on the scalp to flake and itch. It can be caused by various factors, such as irritated, oily or dry skin, a yeastlike fungus, sensitivity to hair products, or other skin conditions.

close-up-man-with-dandruff-problems

What are the signs and symptoms of Dandruff?

Some signs and symptoms of dandruff are:

  • Skin flakes on your scalp, hair, eyebrows, beard or mustache, and shoulders. The flakes can be white, grey, or yellow in color and vary in size.
  • Itchy scalp that may be dry, red, or scaly.
  • Scaly, crusty, or red patches on the scalp, face, or other parts of the body. These patches may be caused by seborrheic dermatitis, a skin condition that is related to dandruff.
  • Sensitivity or irritation to hair care products, such as shampoos, conditioners, gels, or sprays. This may cause contact dermatitis, a type of allergic reaction that can worsen dandruff.
  • Hair loss or thinning in some cases, especially if the dandruff is caused by a fungal infection called tinea capitis or ringworm.

What are the causes of Dandruff?

  • Irritated, oily skin. This condition, also known as seborrheic dermatitis, can affect the scalp and other areas of the body. It causes redness, inflammation, and flaking of the skin.
  • Dry skin. This can make the scalp more prone to peeling and itching, especially in cold and dry weather.
  • A yeastlike fungus (malassezia). This fungus normally lives on the scalp of most adults, but sometimes it can grow out of control and feed on the oils on the scalp. This can irritate the skin and cause more skin cells to grow and shed.
  • Sensitivity to hair care products (contact dermatitis). Some people may have an allergic reaction to certain ingredients in shampoos, conditioners, gels, or sprays. This can cause redness, itching, and scaling of the scalp.
  • Other skin conditions, such as psoriasis and eczema. These can cause inflammation, dryness, and flaking of the skin on the scalp and other parts of the body.

What treatments are available at the dermatologist for Dandruff?

Some treatments that are available at the dermatologist for dandruff are:

  • Topical steroids or steroid shampoos. These can help reduce inflammation and itching caused by dandruff.
  • Prescription-strength shampoos. These may contain stronger concentrations of active ingredients such as zinc pyrithione, selenium sulfide, coal tar, or ketoconazole. These can help loosen the flakes, reduce inflammation, or fight the fungus that causes dandruff.
  • Other medications. These may include antifungal pills, antibiotics, or immunosuppressants. These can help treat underlying conditions that may be causing or worsening dandruff, such as seborrheic dermatitis, psoriasis, fungal infections, or eczema.
dandruff-cleansing-young-woman

How to Deal with Dandruff in the Winter

  • Use a dandruff shampoo that contains ingredients such as zinc pyrithione, selenium sulfide, coal tar, or ketoconazole. These can help loosen the flakes, reduce inflammation, or fight the fungus that causes dandruff. 
  • Apply coconut oil or aloe vera gel to your scalp before washing your hair. These natural remedies may help moisturize your scalp, prevent dryness, and reduce itching.
  • Avoid using harsh or irritating hair products, such as shampoos, conditioners, gels, or sprays that contain alcohol, fragrances, or sulfates.

How Dandruff Affects Your Scalp Health and Hair Growth

 Some of the effects of dandruff are:

  • Inflammation and irritation. Dandruff can cause redness, swelling, and itching of the scalp, which can damage the skin barrier and make it more prone to infections and inflammation. This can also affect the hair follicles and interfere with their normal function and growth cycle.
  • Dryness and brittleness. Dandruff can make the scalp and hair dry and dull, especially in cold and dry weather. This can lead to hair breakage, split ends, and reduced shine and elasticity. Dryness can also worsen the flaking and itching of the scalp.
  • Hair loss or thinning. Dandruff can cause temporary or permanent hair loss or thinning in some cases, depending on the severity and cause of the condition. For example, dandruff caused by a fungal infection called tinea capitis or ringworm can lead to scarring alopecia, which is irreversible hair loss due to scar tissue formation on the scalp. 
  • Low self-esteem and confidence. Dandruff can affect your appearance and social interactions, as it can be visible on your hair, shoulders, and clothing. It can also make you feel embarrassed, self-conscious, or anxious about your scalp condition. 

FAQ About Dandruff

Is dandruff contagious?

No, dandruff is not contagious. You cannot catch it from someone else or spread it to others. However, some types of fungal infections that cause dandruff may be contagious. For example, tinea capitis or ringworm is a fungal infection that can cause scaly patches and hair loss on the scalp. It can be transmitted by direct contact with infected people or animals, or by sharing combs, brushes, hats, or towels.

Can children and babies get dandruff?

Yes, children and babies can get dandruff too. In infants, dandruff is often called cradle cap. It is a common condition that causes scaly, crusty patches on the scalp. It usually clears up on its own within a few months. 

Can diet affect dandruff?

There is no clear evidence that diet directly causes or cures dandruff. However, some studies suggest that certain nutrients may help improve your scalp health and reduce inflammation

Can I dye my hair if I have dandruff?

Yes, you can dye your hair if you have dandruff. However, you should be careful about the type of dye you use and how often you use it. Some hair dyes contain harsh chemicals that can irritate your scalp and worsen your dandruff. You should avoid using permanent or semi-permanent dyes that contain ammonia or peroxide. Instead, you can use temporary or natural dyes that are gentler on your scalp and hair. You should also avoid dyeing your hair too frequently, as this can dry out your scalp and hair.

Is there a dermatologist near me in Richmond that offers treatment for Dandruff?

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

Cutaneous Lupus Erythematosus

What is Cutaneous Lupus Erythematosus?

Cutaneous lupus erythematosus is a type of lupus that affects the skin. Lupus is an autoimmune disease that causes your body to attack healthy tissues. Cutaneous lupus erythematosus can cause different types of rashes, such as red, scaly, round or ring-shaped patches. These rashes often appear on the face, ears, scalp, neck, chest, arms or trunk. They may be itchy, painful or cause scarring and discoloration.

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What are the signs and symptoms of Cutaneous Lupus Erythematosus?

The signs and symptoms of cutaneous lupus erythematosus vary depending on the type of cutaneous lupus. Some common signs and symptoms include:

  • Red, scaly, round or ring-shaped patches on the skin, especially on the face, ears, scalp, neck, chest, arms or trunk.
  • Skin lesions that appear or worsen with sun exposure.
  • Pain, itching or burning sensation in the affected areas.
  • Scarring and discoloration of the skin (skin can turn darker or lighter).
  • Hair loss, which may be permanent if the scalp is involved.
  • Fingers and toes that turn white or blue when exposed to cold or during stressful periods (Raynaud’s phenomenon).

What are the causes of Cutaneous Lupus Erythematosus?

Some factors that may trigger or worsen cutaneous lupus erythematosus include:

  • Genetics: Some people may have a genetic predisposition for lupus, which means they inherit certain genes that make them more likely to develop the disease.
  • Environment: Some environmental factors, such as infections, certain drugs, or sunlight, may activate the immune system and cause it to attack the skin.
  • Hormones: Some hormones, such as estrogen, may play a role in the development or progression of lupus. Women are more likely to have lupus than men, and some women may experience flares of lupus during pregnancy or menstruation.

What treatments are available at the dermatologist for Cutaneous Lupus Erythematosus?

Some treatments that are available at the dermatologist for cutaneous lupus erythematosus are:

  • A corticosteroid: This is a type of medication that can reduce inflammation and suppress the immune system. It can be applied to the skin as a cream, ointment or gel, or taken as a pill or injection.
  • An antimalarial medication: This is a type of medication that can prevent or treat malaria, but also has anti-inflammatory and immunomodulatory effects. It can help clear skin rashes and prevent lupus flares. The most common antimalarial medications used for cutaneous lupus are hydroxychloroquine and chloroquine.
  • A biologic medication: This is a type of medication that can target specific molecules involved in the immune system. It can help reduce inflammation and prevent organ damage. Two biologic medications that are sometimes used for severe cutaneous lupus are rituximab and belimumab.

These treatments may have different side effects and interactions, so it is important to consult your dermatologist before starting or changing any medication.

 

dermatologist-with-patient-with-hands-on-face

FAQ About Cutaneous Lupus Erythematosus

What are the main types of cutaneous lupus erythematosus?

The main types of cutaneous lupus erythematosus are Acute cutaneous lupus erythematosus, Subacute cutaneous lupus erythematosus & Chronic cutaneous lupus erythematosus.

What are the potential complications or outcomes of cutaneous lupus erythematosus?

The prognosis of CLE depends on several factors, such as the type, severity, duration and treatment of the disease. Some types of CLE, such as acute cutaneous lupus erythematosus (ACLE) and subacute cutaneous lupus erythematosus (SCLE), may resolve spontaneously or with treatment. Other types of CLE, such as DLE and lupus profundus (LP), may persist or recur despite treatment. The prognosis also depends on the presence or absence of systemic involvement. CLE that is associated with SLE may have a worse outcome than CLE that is isolated to the skin. The prognosis also depends on the development of complications

What are the common triggers or risk factors for developing cutaneous lupus erythematosus?

The common triggers or risk factors for developing cutaneous lupus erythematosus (CLE) are Genetics, Hormones & Environment

What are some tips or advice for living well with cutaneous lupus erythematosus?

Protect your skin from the sun and artificial light every day. Use sunscreen, clothing, hats and sunglasses to block UV rays. Avoid sun exposure and fluorescent lights as much as possible. Quit smoking if you smoke. Smoking can worsen your skin condition and reduce the effectiveness of some treatments. Follow your treatment plan and take your medications as prescribed. Talk to your doctor if you have any questions or concerns about your treatment or side effects.

Is there a dermatologist near me in Richmond that offers treatment for Cutaneous Lupus Erythematosus?

Yes. At our Richmond dermatology office we offer treatment for Cutaneous Lupus Erythematosus to patients from Richmond and the surrounding area. Contact our office today to schedule an appointment.

Contact Dermatitis

What is Contact Dermatitis?

Contact dermatitis is a skin condition that occurs when your skin comes in contact with a substance that causes an allergic or irritant reaction. It can cause symptoms such as itching, redness, swelling, blisters, dryness, and cracking. Contact dermatitis is not contagious, but it can be uncomfortable and sometimes painful.

skin allergy arm

What are the signs and symptoms of Contact Dermatitis?

 Some common symptoms are:

  • Itchiness, which can range from mild to intense
  • Redness, which can be more noticeable on lighter skin tones
  • Dryness, which can make the skin feel rough and cracked
  • Blisters, which can be small and fluid-filled or large and oozing
  • Burning, which can be a sensation of heat or pain on the affected area
  • Swelling, which can affect the skin or the nearby tissues

Contact dermatitis usually affects the area of skin that came in contact with the substance, but it can also spread to other parts of the body. The symptoms may appear within minutes to hours of exposure, or they may take days to weeks to develop.

What are the causes of Contact Dermatitis?

 There are two main types of contact dermatitis: irritant contact dermatitis and allergic contact dermatitis.

  • Irritant contact dermatitis is caused by a substance that directly damages the outer layer of skin, such as soap, detergent, solvent, or acid. The severity of the reaction depends on how long and how often the skin is exposed to the irritant. Irritant contact dermatitis is more common than allergic contact dermatitis.
  • Allergic contact dermatitis is caused by a substance that triggers an immune system response in the skin, such as nickel, latex, perfume, or cosmetics. The reaction usually occurs after repeated or prolonged exposure to the allergen. Allergic contact dermatitis is less common but can be more severe than irritant contact dermatitis.

What treatments are available at the dermatologist for Contact Dermatitis?

Some treatments that are available at the dermatologist for contact dermatitis are:

  • Steroid creams or ointments. These are applied to the skin to help soothe the rash. You might apply prescription topical steroids, such as clobetasol 0.05% or triamcinolone 0.1%.
  • Pills. In severe cases, your dermatologist may prescribe pills you take by mouth (oral medications) to reduce swelling, relieve itching or fight a bacterial infection.
  • Patch testing. This is a test to identify the cause of your rash by applying small amounts of potential allergens on your skin and checking for reactions.
  • Antihistamine drugs. These are drugs that can help reduce itching and allergic reactions by blocking the effects of histamine, a chemical released by your immune system.
dermatology-consultation

FAQ About Contact Dermatitis

What are the complications and risks of contact dermatitis?

Contact dermatitis is a skin condition that occurs when your skin comes in contact with a substance that causes an allergic or irritant reaction. It can cause symptoms such as itching, redness, swelling, blisters, dryness, and cracking.

What are some common substances that can cause contact dermatitis?

Some common substances that can cause contact dermatitis are Irritants & Allergens

What are some natural or alternative remedies for contact dermatitis?

Some natural or alternative remedies for contact dermatitis are Coconut oil , Aloe vera , Oatmeal , Neem , Baking soda , Olive oil & Apple cider vinegar.

How can contact dermatitis affect your quality of life and mental health?

These symptoms can affect your quality of life and mental health in several ways like Physical discomfort, Social stigma, Emotional distress & Low self-esteem.

Is there a dermatologist near me in Richmond that offers treatment for contact dermatitis?

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

Bullous Pemphigoid

What is Bullous Pemphigoid?

Bullous pemphigoid is a rare skin condition that causes large, fluid-filled blisters on the skin due to an autoimmune attack on the basement membrane zoneIt is most common in older adults and can be triggered by certain medications, light and radiation therapy, medical conditions, or an unknown causeIt can be diagnosed by skin biopsy, blood tests, and immunofluorescence testsIt can be treated by topical or oral corticosteroids, immunosuppressive drugs, or plasmapheresis. It can last for a few months to several years, and may recur after treatment.

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What are the signs and symptoms of Bullous Pemphigoid?

Bullous pemphigoid is a rare skin condition that causes large, fluid-filled blisters on the skin, usually on areas that often flex, such as the lower abdomen, upper thighs or armpitsThe blisters can be itchy and painful, and may become infected or lead to scarringBefore the blisters appear, some people may have itching skin, a pink rash, or eczema-like patchesSome people may also have blisters or sores in the mouth or other mucous membranes.

What are the causes of Bullous Pemphigoid?

Bullous pemphigoid is caused by a problem with the immune system, which attacks the skin instead of germs. The immune system produces antibodies that damage the basement membrane zone, a thin layer of tissue below the outer layer of skin. This leads to inflammation and blisters on the skin. The reason for this abnormal immune response is unknown, although it may be triggered by certain medications, light and radiation therapy, medical conditions, or skin damage.

What treatments are available at the dermatologist for Bullous Pemphigoid?

  • Corticosteroids: These are anti-inflammatory drugs that can help heal the skin, prevent new blisters, and relieve itching. They can be applied as creams or ointments on the affected skin, or taken as pills by mouth.
  • Immunosuppressants: These are drugs that suppress the immune system and reduce the production of antibodies that attack the skin. They can be used alone or in combination with corticosteroids to lower the dose and minimize the side effects.
  • Plasmapheresis: This is a procedure that removes antibodies from the blood by filtering it through a machine. It can be used for severe cases of bullous pemphigoid that do not respond to other treatments.
  • Other treatments: These include antibiotics for infection, antihistamines for itching, moisturizers for dry skin, and wound care for blisters.

 

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The complications and prognosis of Bullous Pemphigoid

Bullous Pemphigoid can cause serious problems, such as:

  • Infection of the skin or the bloodstream, which can be life-threatening if not treated promptly.
  • Malnutrition, because painful mouth sores can make it difficult to eat.
  • Eye damage, such as scarring, inflammation, or blindness, if the blisters affect the eyes.
  • Bleeding disorders, such as low platelet count or hemolytic anemia, due to the immune system attacking the blood cells.
  • Increased mortality, especially for older people who have other health problems or a weakened immune system.

The prognosis of bullous pemphigoid depends on the severity and extent of the disease, the response and tolerance to treatment, and the presence of other health problems. The condition may last for a few months to several years, and may recur after treatment. Some people may achieve remission, which means they have no symptoms or need for treatment for a long period of time.

FAQ About Bullous Pemphigoid

How is bullous pemphigoid different from other blistering skin diseases?

Bullous pemphigoid is different from other blistering skin diseases by the location and appearance of the blisters, the type of antibodies involved, and the response to treatment. Bullous pemphigoid affects the subepidermal layer of the skin, while other diseases such as pemphigus vulgaris or pemphigus foliaceus affect the epidermal layer. Bullous pemphigoid produces large, tense blisters that do not rupture easily, while other diseases produce small, fragile blisters that break open easily.

What are the risk factors for developing bullous pemphigoid?

The risk factors for developing bullous pemphigoid include old age, genetic predisposition, neurological diseases, certain medications, light and radiation therapy, and internal malignancy. Old age is the most common risk factor, as most cases occur in people over 60 years old. Genetic predisposition may play a role in some cases, as some people have a variation in the HLA-DQB1 gene that increases their susceptibility to bullous pemphigoid. Neurological diseases such as dementia, Parkinson’s disease, stroke, epilepsy, and multiple sclerosis may trigger or worsen bullous pemphigoid. Certain medications such as etanercept, sulfasalazine, furosemide, and penicillin may induce or exacerbate bullous pemphigoid.

How can I prevent or reduce the recurrence of bullous pemphigoid?

There is no definitive way to prevent or reduce the recurrence of bullous pemphigoid, but some measures may help. These include avoiding or reducing exposure to potential triggers such as certain medications, light and radiation therapy, medical conditions, or skin damage. Applying sunscreen and wearing protective clothing to prevent sunburn and further skin damage. Using gentle skin care products and moisturizers to keep the skin hydrated and prevent irritation.

How does bullous pemphigoid affect the quality of life and mental health of patients and caregivers?

Bullous pemphigoid can affect the quality of life and mental health of patients and caregivers in various ways. The physical symptoms such as itching, pain, infection, scarring, and eye damage can impair daily activities such as eating, sleeping, dressing, working, and socializing. The psychological impact such as anxiety, depression, stress, isolation, stigma, and low self-esteem can affect emotional well-being and interpersonal relationships. The financial burden such as medical costs and loss of income can cause economic hardship and insecurity.

Is there a dermatologist near me in Richmond that offers treatment for bullous pemphigoid?

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