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How Can I Get Rid of Eczema?

7 Questions to Ask Your Dermatologist if You’re Diagnosed With Eczema

If you’ve been diagnosed with eczema, you might feel a bit of relief at finally having an explanation for your itchy, bumpy skin. But your next order of business should be asking your dermatologist about the best treatment for eczema and how you can manage it. 

There are a lot of ways to treat eczema, as well as lifestyle changes you can make to relieve or prevent the symptoms. Your dermatologist will be able to help you navigate the options based on your specific type of eczema, your age, and your health history. 

First Thing’s First: What Type of Eczema Do You Have?

At Optima Dermatology, we won’t just diagnose you with eczema; we will tell you the specific type of eczema you have. Eczema manifests in different ways, and depending on which type you have, the best treatment for eczema can vary. 

Here is a quick rundown of the different types of eczema:

Atopic Dermatitis (AD)

An extremely common form of Eczema that begins with itchy skin that forms a rash. It affects infants, children, and adults. In adults, AD often manifests on the hands or eyes as dry, scaly, or patchy areas. Common symptoms include itching, and raw, bleeding, or oozing skin.  

Contact Dermatitis

Caused by an irritant that comes in contact with your skin and triggers an itchy, rashy reaction. In some cases, the cause is as simple as the laundry detergent you’re using, but it can also be more difficult to know what you are coming in contact with that is irritating your skin. 

Dyshidrotic Eczema

Also called Pompholyx, this type of eczema causes tiny, highly itchy blisters on the hands and feet and can become chronic. The most effective treatment is identifying the allergen that is triggering the blisters. 

Hand Eczema

Deep, painful cracks on the hands accompanied by excessively dry or chapped skin. It can lead to painful, bleeding blisters that are uncomfortable and hard to manage, and traditional hand creams and moisturizers do little to relieve the symptoms.

Neurodermatitis

Highly common among adults and tends to affect only one or two patches on the body, as opposed to other types of eczema that affect multiple areas at once. The cause of Neurodermatitis is unknown, but treatments are highly effective.

Nummular Eczema

Typically brought on by extremely dry skin, Nummular Eczema manifests as itchy, red bumps and can look similar to Atopic Dermatitis and Ringworm. Moisturizing treatments are the most helpful for preventing Nummular Eczema. 

Stasis Dermatitis

Primarily affects the lower legs and feet, causing inflammation, swelling, itchiness, scaling, and hyperpigmentation. In some cases, ulceration occurs. Stasis Dermatitis is caused by chronic edema or swelling, and treatment is highly focused on a self-care routine.

7 Questions to Ask Your Dermatologist About Treating and Managing Eczema

  1. Could my eczema be caused by an allergy or another health condition?

In children specifically, there is a link between allergies and eczema. WebMD presents several interesting statistics about the correlation between allergies and eczema in children and their parents:

While eczema is caused by a problem with the outer layer of your skin, symptoms can correlate with allergies or be exacerbated by certain allergens like pollen, dander, cosmetics, fabric softeners or soaps, and certain foods. 

Your dermatologist may recommend allergy testing or an elimination experiment to try and identify a potential allergen that could be causing your eczema to flare up. In some cases, patients may be diagnosed with another health condition like Celiac Disease or Lactose Intolerance that is creating larger problems for their eczema.  

  1. Can I enjoy a day outdoors in the sun without worrying about an eczema flare-up?

Sun exposure can make your eczema worse. When your skin heats up, perspiration or UV ray irritation can cause eczema to flare up or existing flareups to worsen. 

However, your dermatologist can work with you to help you manage your eczema without having to sacrifice quality of life. Days spent outside enjoying the fresh air are extremely healthy for your overall well being, and the right eczema treatment combined with sun protection measures, can help you keep your plans, and keep your eczema under control. 

  1. Do sweat and exercise make eczema worse?

Similar to the effects of sun exposure, sweating from exercise or vigorous activity can also cause an eczema flareup, or worsen an existing flare up. However, exercise is important for staying healthy and for reducing stress, and your dermatologist can help you manage your eczema so you can stay comfortable during exerting activities. 

  1. Can stress make my eczema flare up or worsen?

Emotional stress causes a “fight-or-flight” reaction in the body that produces the stress hormones Cortisol and Adrenaline. When too much Cortisol is produced, it causes an inflammatory response in the body, and this type of internal inflammation can cause your eczema to flare up. 

Eczema caused by stress can turn into a vicious cycle when you are also experiencing stress because of your eczema. Stress management is the most important step in managing eczema caused by stress, and your dermatologist can help you pursue the appropriate mental health care to manage your stress and your eczema. 

  1. Can eczema cause other skin conditions or lead to other health complications?

Because eczema is an inflammatory condition, it may put additional stress on the body that makes individuals with eczema more susceptible to other health problems. While eczema has been linked with certain allergies, like hay fever, asthma, or food allergies, it has also been linked to more serious conditions like obesity and heart disease.

Other issues include a greater risk of different skin conditions, mental health challenges caused by feelings of self-consciousness or depression from dealing with eczema symptoms, and even poor sleep habits. 

At Optima Dermatology, our goal is to understand every aspect of your skin condition, including those that may not be direct symptoms. Treating the whole person is the only way to improve quality of life and avoid additional health challenges down the road. 

  1. Is there a skincare routine I can follow to prevent flare-ups?

Taking care of your skin is important whether or not you have eczema, but for eczema symptoms, a skincare routine that involves daily moisturizing with a fragrance-free cream can be helpful. It is recommended that you apply the moisturizer after bathing as water also adds moisture to the skin. 

You can also use ointments or creams with high oil content. Oil won’t burn or sting affected skin as much as a water-based lotion, and it helps seal moisture into your skin.

The National Eczema Association also recommends skin barrier creams. These contain lipids and ceramides, which are naturally occurring substances that support healthy function of the skin. Lipids are part of what makes up the structure and function of skin cells, and ceramides help form a barrier in the skin. Both substances can help the skin heal and be more resistant to eczema symptoms. 

Your dermatologist can help you create a healthy daily skincare routine to complement additional eczema treatment. Understanding how to care for your skin, even when you’re not experiencing a flare-up, promotes habits for healthy skin into the future. 

  1. What lifestyle changes can I make to prevent flare-ups?

If you are diagnosed with eczema, you will likely begin a treatment plan after consulting with your dermatologist that can include medicated solutions. However, there are also lifestyle changes that can help keep your eczema stay under control. 

We have already mentioned the importance of adopting a healthy skincare routine and taking precautions when spending time in the sun or when exercising. To further prevent flare-ups and worsening eczema symptoms, wear lighter, loose-fitting clothing made with breathable fabrics, avoid scratching the affected skin, and consider adjusting your diet to avoid foods that can cause an inflammatory response in the body, such as sugar. 

Eczema manifests in different forms and can affect everyone differently. All types of eczema are treatable using a combination of medicated solutions and self-directed care, such as adopting a healthy skincare routine and identifying and avoiding allergens and triggers. 

Your first step in treating and managing eczema should be asking your dermatologist these 7 important questions and understanding how to keep your eczema under control while maintaining your quality of life. At Optima Dermatology, our expert, board-certified dermatologists know the best approach to treating and managing your eczema.

Book a free consultation with our board-certified dermatologists at one of our locations in Indiana, Maine, New Hampshire, or Ohio to discuss your eczema treatment plan.

(855) 277–9689

Identifying, Treating, and Preventing Skin Conditions in Young Athletes

Tips for Parents As Kids Head Back to School

The occasional pulled muscle, ankle sprain, or even broken bone are well-known, albeit unfortunate, byproducts of playing any sport. A lesser-realized risk, however, are the skin conditions in young athletes that, while common, have the potential to sideline a player.

Athletes in particular are at greater risk of developing a skin condition because of being in close contact with other players, and the presence of sweat and wetness against the skin that provides an ideal environment for bacteria. 

In most cases, skin conditions in young athletes won’t prevent their participation in a sport, but there are more serious skin infections where contact should be avoided. However, with sports clubs and teams starting up with back-to-school in the fall, both you and your young athletes should be aware of different skin conditions, how to treat them, and how they can be prevented. 

Skin Conditions in Young Athletes You Should Know About

Due to the unique conditions of gyms and the environment that is present in contact sports, bacteria often grow easily and can infect unsuspecting young athletes who simply suffered a scrape or forgot to bandage an open wound. 

In some cases, these skin conditions and infections can be more long-term and require ongoing treatment, and depending on the severity, they can impact a player’s ability to participate. Early identification and treatment, however, can make a significant difference. 

Staph infections. The risk of contracting a staph infection is one of the primary reasons why it is important to bandage any open sore before going to a gym facility or playing a contact sport. The bacteria, staphylococcus aureus, spreads through skin-to-skin contact and enters the body easily through open wounds. Staph can cause a number of different types of infections; the most common to athletic environments are cellulitis and skin abscesses, both of which affect the inner layer of the skin. 

Ringworm. Primarily a risk for young athletes who come in close contact with one another and share equipment like helmets or gloves, Ringworm, which is caused by a fungus (not a worm), can cause a number of different skin reactions. Ringworm spreads easily between infected people, animals, or objects contaminated with the fungus, such as a piece of equipment or a locker room floor. Depending on which part of the body it affects, Ringworm has different names: when it impacts the feet it is known as Athlete’s Foot; when it impacts the groin it is often called Jock Itch, and when it impacts the scalp it is known as Scalp Ringworm.

Warts. There are many different types of warts individuals can develop as a result of physical contact, and young athletes in particular contract them easily, commonly on the bottom of the feet or in-between fingers. They may impact participation in sports depending on where they are located and how severe they are, but warts are typically very treatable. 

Molluscum. This contagious skin infection causes raised lesions or bumps called Mollusca on the skin primarily in exposed areas. Mollusca live only in the top layer of the skin, and this skin infection is especially prevalent among young athletes because it can easily be spread through person-to-person contact. 

Impetigo. Caused by strains of both staphylococcus aureus bacteria and streptococcus bacteria, Impetigo is highly contagious but easy to treat. It is more common among children and spreads easily in athletic environments due to close contact between players and the prevalence of a warm or humid environment. 

Other Skin Conditions

Young athletes are prone to developing skin conditions that are temporary or non-contagious and, depending on severity, unlikely to impact their participation in a sport. These skin conditions are more common and rarely are cause for concern.

Cuts, scrapes, and other skin sores. Young athletes often develop skin injuries like cuts, scrapes, blisters, or friction burns. While common and often seen as minor, these injuries should be treated and well-bandaged to prevent blood or other fluids from coming into contact with other players. As long as the player can still comfortably participate, these skin injuries shouldn’t impact participation. 

Folliculitis. Easily spread through skin-to-skin contact, Folliculitis manifests as small, itchy red bumps or white head pimples and occurs when the hair follicles become infected and inflamed. Folliculitis can appear anywhere on the skin and is typically caused by bacterial or fungal infections. Bacterial Folliculitis is generally caused by staphylococcus aureus after it enters the body through an open wound. Folliculitis typically clears on its own, but in more severe cases, a dermatologist may prescribe an antibiotic or antifungal cream.

Psoriasis. This itchy, chronic, autoimmune skin disease is not caused by athletics; rather, certain athletic conditions can cause flare ups or discomfort for individuals who suffer from psoriasis. For young athletes, avoiding scrapes and skin lesions during play can help reduce the onset of psoriasis symptoms. During flare ups, players should avoid synthetic fabrics, use skin-protecting lotions and sunblock, stay hydrated, and clean off immediately to limit the amount of time sweat stays on the body. Psoriasis is not contagious. Click here to learn more about psoriasis.

How Young Athletes Can Avoid Contracting Skin Conditions and Infections

Contact between players is often inevitable in sports, but there are precautions young athletes can take to minimize their exposure to and risk of a skin condition or infection. 

Young athletes are likely not thinking about the risks of skin conditions and infections when they’re out on the field or in the gym, but prevention is far easier than having to treat what can be severe or highly uncomfortable symptoms.

Additionally, many of these skin conditions or infections can impact an entire team – not just a single player – if allowed to spread. The earlier they are identified and treated, the better. It is a good idea to routinely conduct skin checks on young athletes to be sure there are no skin anomalies present. 

In the event of a skin condition or infection in your young athlete, Optima Dermatology is here to help. We are committed to helping our patients navigate treatment and get young athletes back in the game as soon as possible.

Book a free consultation with our board-certified dermatologists at one of our locations in Indiana, Maine, New Hampshire, or Ohio for a routine back-to-school skin check or to explore treatment.

(855) 277–9689

What is Psoriasis? Causes, Symptoms, and Treatment

How to Identify and Manage this Common, Inflammatory Skin Disease

There can be many causes of itchy, red, burning or stinging skin, but if it is persistent and won’t go away on its own, you may have psoriasis. What is psoriasis? It’s a chronic skin disease that can affect any part of the body, but is often found on the knees, elbows, or scalp.

The National Psoriasis Foundation explains that psoriasis is caused by an overactive immune system in which the growth of skin cells occurs very quickly. It takes about a month for normal skin cells to finish growing and be shed from the body. With psoriasis, skin cells finish growing every few days, and instead of shedding, they pile up on the surface of the skin.

In most cases, psoriasis is characterized by raised areas, or plaques, on the skin that are typically red, itchy, and can burn or sting.

Psoriasis is not contagious, and is not always hereditary. It can be difficult to pinpoint exactly what causes psoriasis in a certain individual, but we do know that it occurs when the immune system is reacting to a triggering event, which can include illness, stress, exposure to hot or cold temperatures, contact with an allergen, or even trauma to the skin, such as a burn or scrape.

Do I Have Psoriasis?

If you are experiencing itchy, red, burning or stinging skin, always contact your dermatologist for a clear diagnosis. Individuals who suffer from psoriasis describe it as a persistent burning, stinging itch; different from something more benign like a rash or irritation.

There are actually five primary types of psoriasis that can all affect different parts of the body. Some individuals have more than one type of psoriasis. 

Plaque Psoriasis: This most common type affects 80-90 percent of individuals diagnosed with psoriasis. Plaque psoriasis manifests as raised patches of skin called plaques, which are itchy, red, inflamed, and often appear to have silvery scales or even a dark coloration, depending on skin type.

Inverse Psoriasis: Affecting about 25% of those living with psoriasis, inverse psoriasis is most commonly identified by the lack of scales on the skin that are so common with plaque psoriasis. It is also most often found within skin folds – under arms, under the breasts, or in the genital or buttocks areas.

Guttate Psoriasis: Slightly different in appearance from other types of psoriasis, guttate psoriasis typically manifests as small red spots, and is frequently found on the arms, legs, chest, stomach, or back. Guttate psoriasis is less common, affecting about 8 percent of those living with psoriasis.

Pustular Psoriasis: A far smaller population of people (about 3 percent) are affected by this type of psoriasis, which is characterized by pus-filled bumps that are painful and irritated. While it is most commonly found on the hands and feet, it can also appear on any area of the body.

Erythrodermic Psoriasis: Very rarely, individuals with psoriasis may develop erythrodermic psoriasis, which causes redness and excessive shedding of skin layers. About 2 percent of people with psoriasis suffer from erythrodermic psoriasis, and it can be severe enough to be life threatening. Symptoms include itching and pain, an almost burned appearance of the skin, as well as more serious conditions such as changes in heart rate or dehydration.

In some cases, psoriasis can lead to other health conditions, including psoriatic arthritis, which can cause symptoms of arthritis in the joints, and affects about 30 percent of individuals with psoriasis. Psoriasis can also affect fingernails and toenails, causing pain, pitting of the nail, separation of the nail from the nail bed, or coloration changes.

While these types of psoriasis vary widely in how they affect people, and can be more mild or more severe depending on the flare-up and other physical or environmental factors, you should always contact your healthcare provider or dermatologist to ensure a proper diagnosis and treatment.

Eczema vs. Psoriasis: What’s the Difference?

Like psoriasis, eczema is a very common skin condition that causes red, itchy, and sometimes flaky patches on the skin. While individuals with psoriasis report more burning and stinging associated with their flare-ups, eczema can look and feel very similar, making it difficult to self-diagnose.

Ultimately, your dermatologist needs to make the final call, but there are a few characteristics of eczema that set it apart from psoriasis.

When considering eczema vs. psoriasis, there are almost more similarities than differences, which underscores the need to consult your doctor for an accurate diagnosis.

Psoriasis Treatment: How to Manage Symptoms

About 7.5 million Americans, and 125 million people worldwide, are living with psoriasis. Psoriasis currently has no definitive cure, and because it’s a chronic disease, those who have it will have it for life. While psoriasis can occur at any age, it first appears most commonly in individuals between the ages of 15 and 35.

The symptoms of psoriasis do come and go, and the onset of symptoms, or flare-ups, can vary in severity. The goals of psoriasis treatment are to reduce the occurrence of flare-ups, and to reduce the severity of those flare-ups when they happen.

There are a few different ways to manage psoriasis. Patients may try multiple approaches before finding one or more that make a difference.

Within the last few years, different prescription drug treatments, or biologics, have come onto the market to help people manage their psoriasis, and have been found to be highly effective in treating psoriasis symptoms. However, individuals should consult with their doctor prior to taking a biologic, as these drugs can suppress the immune system in ways that can lead to serious infections, such as tuberculosis.

Biologic treatments are often considered for individuals who are not responding to any other type of psoriasis treatment, but there are other medications available that can be used when other drugs can’t be given.

These drugs can be administered orally in liquid or pill form, or through an injection or intravenous infusion. It is best to speak with your dermatologist about the right medication to treat your psoriasis.

Creating Greater Awareness Around Psoriasis

Finding a treatment is important for reducing the discomfort that can come with psoriasis flare-ups, but for many individuals suffering from psoriasis, there is an emotional impact as well. Even mild psoriasis can make individuals feel self-conscious or lead to social and mental health consequences. With stress being considered a trigger for psoriasis, it can create a challenging cycle for individuals feeling anxious about the appearance of their psoriasis when in public settings.

Fortunately, awareness about psoriasis has grown exponentially. The month of August is National Psoriasis Month, helping to spread information about this disease and make those who suffer from it feel less isolated. Coupled with television commercials for psoriasis drug treatments and billboards and other advertising highlighting the challenges of psoriasis, there is far more acceptance and hope for people with psoriasis than ever before.

At Optima Dermatology, we are committed to helping our patients find the right psoriasis treatment. Our goal is to give you power over your psoriasis so you can manage your flare-ups and get back to your life.

Book a free consultation with our board-certified dermatologists at one of our locations in Indiana, Maine, New Hampshire, or Ohio for a diagnosis and to begin conquering your psoriasis.

(855) 277–9689

5 Tips to Protect Your Children’s Skin This Summer

Did you know, it only takes one serious sun burn during childhood or adolescence to nearly double a person’s chance of developing melanoma later in life? Unfortunately, skin cancer is the most common cancer in the United States. Fortunately, you can decrease chances of developing melanoma by practicing proper skin protection with your children from day one.

Here are 5 tips to protect your child from harmful UV rays and overexposure. 

Stay in the Shade

This may seem obvious, but shade is the best form of protection from the sun. Keep your child in the shade as much as possible. Be ready to create your own by having an umbrella, canopy, or stroller hood handy. A wide-brimmed hat and sunglasses are also great ways to provide personal shade.

Sun-Protective Clothing

Resist the urge to put your little one in shorts and a sleeveless shirt on a hot day. Light, long-sleeved shirts and pants are an excellent protective layer for their sensitive skin. UPF clothing, specifically designed to protect skin from UV rays, is another great option. When purchasing UPF protective clothing, keep an eye out for the UPF rating. UPF ratings indicate what fraction of the sun’s ultraviolet rays can penetrate the fabric. A fabric must have a UPF rating of more than 15 to be considered sun protective. A rating of UPF 30 is sufficient, but UPF 50 will provide the best sun protection.

Apply Sunscreen, Properly

If your child is younger than six months old, limit the frequency and amount with which you apply sunscreen on them. For children older than six months 30 SPF, broad-spectrum, water-resistant sunscreen with titanium dioxide or zinc oxide is recommended. Have you heard of the “teaspoon and shot glass rule”? To make sure you are applying the correct amount of sunscreen, Harvard Health recommends 1 teaspoon of sunscreen to cover the face and neck, and enough to fit a shot glass (approximately 1 ounce) for remaining exposed areas. Always remember to reapply immediately after swimming (even if it is water-resistant!) and every two hours.

Avoid the Strongest Rays

Direct sunlight is dangerous, and it is typically strongest from 10 a.m. through 4 p.m. Try to stay in the shade, dress in sun-protective clothing and apply sunscreen properly during these hours. Be cautious even on cloudy and overcast days. The “invisible sun” can cause sun damage and sun burns!

Be Careful Around Water and Sand

Water and sand reflect sunlight, making the damaging rays of the sun much stronger. If your child is out and about near sun and water, be sure to practice the sun protection practices we’ve outlined here.

Protecting your children from the dangers of skin cancer (let alone parenting in general) is a daunting task. With these tips and expert recommendations, you will have an excellent foundation to keep your child safe and raise skin cancer awareness in your family.  Remember that these practices are important all year round! While risk is heightened during the warmer summer months, skin damage can occur year-round.

Book a free consultation with our board-certified dermatologists at one of our locations in Indiana, Maine, New Hampshire, or Ohio if you are looking for an annual skin check, dermatology services, or just want to know more.”