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December 29, 2020 Newsletter
According to the American Academy of Dermatology (AAD), more than 14 million people are living with rosacea. Most people who get rosacea are:
  • Between 30 and 50 years of age
  • Fair-skinned, and often have blonde hair and blue eyes
  • From Celtic or Scandinavian ancestry
  • Likely to have someone in their family tree with rosacea or severe acne
  • Likely to have had lots of acne — or acne cysts and/or nodules
Women are a bit more likely than men to get rosacea. Women, however, are not as likely as men to get severe rosacea. Some people are more likely to get rosacea, but anyone can get this skin disease. People of all colors get rosacea. Children get rosacea. It often begins with a tendency to blush or flush more easily than other people.
The redness can slowly spread beyond the nose and cheeks to the forehead and chin. Even the ears, chest, and back can be red all the time. Rosacea can cause more than redness. There are so many signs and symptoms that rosacea has four subtypes:
  1. Erythematotelangiectatic rosacea – Redness, flushing, visible blood vessels
  2. Papulopustular rosacea – Redness, swelling, and acne-like breakouts
  3. Phymatous rosacea – Skin thickens and has a bumpy texture
  4. Ocular rosacea – Eyes red and irritated, eyelids can be swollen, and the person may have what looks like a sty.
With time, people who have rosacea often see permanent redness in the center of their face. Some patients confuse symptoms of Acne with Rosacea.
Many things can trigger Rosacea outbursts. Things such as sun exposure, emotional stress, hot weather, wind, heavy exercise, alcohol consumption, hot baths, cold weather, spicy foods or a number of other factors can trigger Rosacea. When considering Rosacea triggers, the role of coffee and caffeine have been difficult to determine. Caffeine can vasoconstrict or shrink inflammation, possibly helping rosacea. Heat from a hot cup of coffee may cause vasodilation and make rosacea worse.
A recent study of data from the Nurses’ Health Study II that evaluated intake of coffee, tea, soda, and chocolate every 4 years in over 82,000 women shed some light on the role coffee may play (JAMA Dermatol. 2018 Dec 1;154[12]: 1394-1400). There were almost 5,000 cases of physician-diagnosed rosacea in the Study. When the investigators looked at caffeinated coffee consumption, the more caffeine and the more coffee they drank each day, the more likely it was for them not to have rosacea. Those who consumed four or more servings of caffeinated coffee a day had a significantly lower risk of rosacea, compared with those who consumed one or fewer servings per month.
But there was no significant association with decaffeinated coffee or with edibles that contained caffeine such as tea, soda, and chocolate. Something about caffeinated coffee seems to be protective for the development of rosacea.
One of the most prominent triggers for Rosacea is sun exposure. Even sun exposure coming through windows can cause Rosacea to flare. To prevent Rosacea flare-ups due to outdoor or indoor sun exposure, consider using a Topical sun-block. with zinc oxide over 6%. Topical sunblocks with zinc oxide over 6% can also often treat rosacea. Dr. Moore recommends products like Elta Clear, ISDIN Eryfotona, and Sente Pollution Shield (that also protects against pollution that can be a trigger).
Oral SUNISDIN includes ingredients that protect against sun-exposureVitamin A (as Beta-Carotene), Vitamin C (as Ascorbic Acid), Vitamin D3 (as Cholecalciferol), Vitamin E (as D-alpha Tocopherol), Selenium (as Sodium Selenite), Polypodium leucotomos Leaf Extract (Polypodium leucotomos L), Green Tea Leaf Extract (Camellia Sinensis (L) Kuntze), Grapeseed Extract (Vitis Vinifera), Lycopene, Lutein (Marigold Flower Extract) Other Ingredients: Sunflower Oil, Sunflower Lecithin, Maltodextrin, Dibasic Calcium Phosphate, Triglycerides, Starch, Arabic Gum, Yellow Beeswax, Medium Chain Triglycerides, Sodium Selenite. Inquire about this product in our office.
Dr. Moore provides a number of solutions for patients diagnosed with Rosacea. There are a number of prescription solutions as well as laser treatments that can reduce redness and minimize the appearance redness often accompanying Rosacea. See the December Special on Laser Treatment for Rosacea Below.
You may also qualify to participate in a Clinical Trial for Rosacea. For more information see your Arlington Center for Dermatology provider or call us at 817-795-7546 ext 339 or email us at studies@acderm.com.
Sources: AAD.org and Dermatology News February 2020

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December 29, 2020 Newsletter
Recent studies regarding diet and acne have concluded that a diet higher in fat, sugar, and milk may be a contributing factor to having acne in a cross-sectional study of approximately 24,000 adults in France.
Acne in adults has been associated with social, emotional, and psychological consequences similar to those found with chronic diseases such as asthma, arthritis, epilepsy, and diabetes.
The study, published in JAMA Dermatology (June, 2020), identified 24,452 adults who participated in the NutriNet-Santé study, an ongoing, web-based study in France. Approximately 75% of the participants were women, the average age was 57 years, and 46% reported past or current acne.
Participants responded to an 11-item questionnaire between November 2008 and July 2019. Questions were related to the occurrence and diagnosis of acne, as well as medical history. Based on their acne status, participants were identified as falling into the categories of never acne, past acne, or current acne, and their dietary intake was assessed at baseline and every 6 months using three nonconsecutive 24-hour dietary records for 2 weekdays and 1 weekend day.
In an analysis, current acne was significantly associated with consumption of fatty and sugary foods, as well as with consumption of sugary drinks and milk. In addition, carbohydrate intake and saturated fatty acid intake were significantly associated with current acne.
Three dietary patterns accounted for 42% of the identified acne. A healthy pattern of higher fruit, vegetable, and fish intake accounted for 18%, a fatty and sugary pattern of higher fat and sugar intake (including chocolate) accounted for 13%, and an animal product and cereal pattern of higher intake of meat, milk, and refined cereals accounted for 11% of acne cases.
Results appear to support the hypothesis that a Western diet (rich in animal products and fatty and sugary foods) is associated with the presence of acne in adulthood. Possible explanations for the findings include the effects of a high glycemic-load diet on circulating IGF-1 and insulin, which ultimately increases both oxidative stress and inflammation that promotes the development of acne.
The study findings were limited by several factors including the use of relatively homogenous younger and female patient population and the reliance on self-reported acne, as well as the observational design, which did not allow for identification of direct, causal associations between diet and acne. Larger studies are needed to examine the relationship between diet and adult acne to inform prevention and treatment, they wrote.
Much of the previous literature on the role of diet in acne has focused on the association of milk consumption and high glycemic (sugar)-load diet with acne. Dietary interventions should be implemented with caution because of the potential for other effects such as reduced calcium or vitamin D.
A recent study from Saudi Arabia examined the relationship between Vitamin D deficiencies and people with acne.
It is thought that because of vitamin D’s regulatory effect on the immune system as well as its antioxidant and anti-comedogenic properties, deficiencies could contribute to the pathogenesis of acne. The study was conducted in 2016-2017 examining 68 patients with acne vulgaris (27 male, 41 female) and 50 matched healthy controls (24 male, 26 female). Subjects in the patient and control groups had not taken any vitamin D supplementation and were not suffering from any comorbidity or complication of vitamin D deficiency.
Acne grading was classified as mild in 21 patients (30.88%), moderate in 24 (38.24%), and severe in 21 (30.88%). Inclusion criteria required that male and female patients had been diagnosed with acne vulgaris according to the global acne grading system (GAGS) score.
Our results indicate that serum concentrations of vitamin D in controls were significantly higher than those in acne vulgaris patients. These results were in line with several other studies that found no elevation of serum vitamin D levels in acne patients. The study data showed no relationship between sun exposure and improvement in vitamin D readings in patients with acne.
Patients with acne may suffer from psychological distress contributing to a general avoidance of spending extended periods outdoors. This suggests a possible explanation of low vitamin D levels in patients with acne vulgaris. These results were consistent with other studies that revealed lower levels of serum vitamin D in severe acne vulgaris patients might be due to psychological stress.
The study found no significant relationship between vitamin D deficiency and the severity of acne vulgaris. This study revealed a connection between patients with a statistical significantly low serum vitamin D levels with patients with acne vulgaris. This highlights the importance of screening patients with acne for vitamin D
insufficiency and deficiency. Further clinical trials are needed to determine if acne treatment with both topical vitamin D analogs and vitamin D supplementation is of significant effect.
Eating a healthy diet and monitoring Vitamin D levels may contribute to lower levels of acne in both adults and adolescents.
Dr. Moore and her team treat all levels of acne with a variety of topical and oral medications. Dr. Moore’s Research Center is also enrolling Acne patients in new Clinical Trials for Acne. Call (817-795-7546 x339) or email (studies@acderm.com) to get more information about this recent Acne Clinical Trial.

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November 18, 2020 Newsletter

FDA is alerting consumers of Saniderm Products and UVT Inc.’s voluntary recall of Saniderm Advanced Hand Sanitizer. Following FDA’s recommendation, two distributors – Saniderm Products and UVT – agreed to recall Saniderm Advanced Hand Sanitizer packaged in 1-liter plastic bottles and labeled with “Made in Mexico” and “Produced by: Eskbiochem SA de CV.”

The UVT hand sanitizer is labeled with lot number 0530 and an expiration date of 04/2022. The Saniderm Products hand sanitizer is labeled with lot number 53131626 and “Manufactured on April/1/20.”

FDA advises consumers not to use any hand sanitizer manufactured by Eskbiochem SA de CV in Mexico, due to the potential presence of methanol (wood alcohol), a substance that can be toxic when absorbed through the skin or ingested. FDA has identified the following products manufactured by Eskbiochem:

  • All-Clean Hand Sanitizer (NDC: 74589-002-01) Esk Biochem Hand Sanitizer (NDC: 74589-007-01)
  • CleanCare NoGerm Advanced Hand Sanitizer 75% Alcohol (NDC: 74589-008-04)
  • Lavar 70 Gel Hand Sanitizer (NDC: 74589-006-01)
  • The Good Gel Antibacterial Gel Hand Sanitizer (NDC: 74589-010-10)
  • CleanCare NoGerm Advanced Hand Sanitizer 80% Alcohol (NDC: 74589-005-03)
  • CleanCare NoGerm Advanced Hand Sanitizer 75% Alcohol (NDC: 74589-009-01)
  • CleanCare NoGerm Advanced Hand Sanitizer 80% Alcohol (NDC: 74589-003-01)
  • Saniderm Advanced Hand Sanitizer (NDC: 74589-001-01)

FDA tested samples of Lavar Gel and CleanCare No Germ. Lavar Gel contains 81 percent (v/v) methanol and no ethyl alcohol, and CleanCare No Germ contains 28 percent (v/v) methanol. Methanol is not an acceptable ingredient for hand sanitizers and should not be used due to its toxic effects.

Consumers who have been exposed to hand sanitizer containing methanol should seek immediate treatment, which is critical for potential reversal of toxic effects of methanol poisoning. Substantial methanol exposure can result in nausea, vomiting, headache, blurred vision, permanent blindness, seizures, coma, permanent damage to the nervous system or death. Although all persons using these products on their hands are at risk, young children who accidently ingest these products and adolescents and adults who drink these products as an alcohol (ethanol) substitute, are most at risk for methanol poisoning.

On June 17, 2020, FDA contacted Eskbiochem to recommend the company remove its hand sanitizer products from the market due to the risks associated with methanol poisoning. To date, the company has not taken action to remove these potentially dangerous products from the market. Therefore, FDA recommends consumers stop using these hand sanitizers and dispose of them immediately in appropriate hazardous waste containers. Do not flush or pour these products down the drain.

FDA reminds consumers to wash their hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after coughing, sneezing, or blowing one’s nose. If soap and water are not readily available, the Centers for Disease Control and Prevention (CDC) recommend consumers use an alcohol-based hand sanitizer that contains at least 60 percent ethanol.

FDA remains vigilant and will continue to take action when quality issues arise with hand sanitizers. Additionally, the agency is concerned with false and misleading claims for hand sanitizers, for example that they can provide prolonged protection such as 24-hours against viruses including COVID-19, since there is no evidence to support these claims.

To date, FDA is not aware of any reports of adverse events associated with these hand sanitizer products. FDA encourages health care professionals, consumers and patients to report adverse events or quality problems experienced with the use of hand sanitizers to FDA’s MedWatch Adverse Event Reporting program:

Source: US Food and Drug Administration July 2020


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November 16, 2020 Newsletter

Good skin care involves more than just your face. Many users of washes, moisturizers and skin rejuvenation products apply them only to the visible regions of the face. Have you forgotten to take care of your neck while focusing on your face? Here are a few things which may help…..

Nourish Your Neck
Have you noticed that your skin is starting to look a bit dull? When the harsh summer sun gives way to the dryness of indoor heat, your skin may also turn dry and dull. Smooth your moisturizer and/or hydrator down past the collarbone area to keep both neck and décolleté soft and firm.

Protect It
Apply sunscreen every day! We recommend sunscreens that contain zinc oxide >6% which protects you from burns, skin cancers, and premature aging. Even while indoors or driving, you are exposed to UV (under fluorescent lighting, through windows, etc.) Over the years, sun exposure/burn can lead to dark spots, wrinkles, and skin laxity. Apply to face, neck, and décolleté. Physician-grade sunscreens include the following: Elta MD has several formulations of sunscreen with zinc oxide >9%; Eraclea 4 in 1 has 20.5% zinc oxide; ISDN Eryfotona has 11% zinc oxide and is formulated not only to protect but also to repair sun damage.

Moisturizers
Over the counter moisturizers for the neck include Cerave Moisturizing Cream, Cetaphil Restoraderm, and Neutrogena Hydro Boost. Physician-grade moisturizers (from physicians’ offices and not over-the-counter) include Sorbolene, Avene Xeracalm Balm, Sente Dermal Repair (see below), Skinbetter Face and Neck Cream, and Skin Better Trio.

Sente Dermal Repair Cream is another great moisturizing option. This product contains Heparan Sulfate Analog (in the same family as injectable hyaluronic acid fillers), a revolutionary repairing molecule that helps reduce redness, delivers deep hydration, and support the skin’s ability to repair itself. In a clinical study, 100% of subjects had increased skin hydration starting from week 2 through study completion at week 8. 73% of subjects showed improvements in fine lines and wrinkles at week 8.

Hydrators
How are moisturization and hydration different? Simply put, hydration equals water, and moisture equals oil. If your skin is dehydrated, it is lacking water. To hydrate your skin, drinking plenty of water is key. Reminder that drinking caffeine dehydrates. Topical hydration products that are physician-grade include Eraclea Hydration Serum.

Firm Up
Apply products specifically made for the neck. They can nourish as well as regenerate. Physician-grade products include Sente Neck Firming Cream, which is formulated with patented Heparan Sulfate Analog (HSA) technology ((in the same family as injectable hyaluronic acid fillers) to rapidly and profoundly hydrate and strengthen the skin’s natural ability to repair itself. This cream improves the appearance of crepey skin and horizontal neck lines. It also contains caffeine, an ingredient known to help tighten and brighten the skin.

Get Even
For fading dark spots, use a physician-grade brightener such as Eraclea Reveal (containing Nicinamide PC, Synovea® HR a safe and effective hexylresorcinol that is used as a skin lightener and is clinically proven to be four-times more effective than Hydroquinone. Licorice Extract – used for its antioxidant and lightening properties. Kojic Acid is used as a skin toner and lightener.) or SkinBetter Even Tone. Even Tone, featuring the patented a ground-breaking, non-hydroquinone, non-retinol formula that delivers a visibly dramatic reduction in the appearance of hyperpigmentation.

Smooth Those Lines
Retrinals and Retin-A are the best to smooth wrinkles. Apply in the evening to help exfoliate and stimulate collagen. Consider a physician grade skin smoothing cream like SkinBetter AlphaRet. AlphaRet is the latest innovation in retinoid renewal delivering remarkable results, with little-to-no irritation compared to other retinoids and retinoid-based products.

Posture
Be aware of your posture as you read your smart phone or work at the computer. Constantly bending your head down can exaggerate wrinkles. Try sleeping on your back so you don’t press wrinkles into your cheeks or chest.

FOR ADVANCED NECK CARE….

Pelleve radio-frequcncy treatments can firm and tighten the skin. This is an in-office procedure with very minimal downtime. See before and after pics here

Kybella treatments can permanently remove fat and produce secondary tightening of skin. This is an in-office injection performed by Dr Moore.

For more information, simply ask your Provider at your next office visit or call Pat at 817-795-7546 ext 304 or orders@acderm.com


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November 13, 2020 Newsletter

Eczema is not just a childhood disease. Adults can get any type of eczema, including atopic dermatitis (AD), even though many people consider eczema only a childhood disease. Eczema can occur at any stage of life. A peak time for developing adult-onset AD is in your 50s.

For some children, the AD never goes away, so it’s a lifelong disease. This happened to Peter Moffat, the award-winning writer of the British TV series Criminal Justice. You can read about how AD affects his life by going to: Adults with eczema too often suffer in silence.

Even if you had AD as a child, your skin can look and feel differently when you have AD as an adult. That’s actually one of the most striking differences between AD in adults and AD in children.

In adults, the skin tends to be extremely dry and scaly where the AD appears. If you’ve had AD for years, patches of your skin may be thick, leathery, and darker (or lighter) than the surrounding skin. Years of scratching causes this. The thickened skin can itch all the time. Adults also tend to get AD on different parts of their bodies than do children. When an adult has AD, it’s most likely to form in one or more of these areas:

  • Backs of the knees
  • Crooks of the elbows
  • Back of the neck
  • Face

Adults, unlike children, often have AD around their eyes. You’ll often see thickened, darker skin circling the eyes, as shown in the picture on this page. The skin around the eyes also tends to be very itchy.

AD shows up with many of the following symptoms in both adults and children:

  • Appear anywhere on the skin
  • Be intensely itchy
  • Cause sleep loss due to the itch
  • Make you feel depressed, anxious, or both
  • Lead to skin infections
  • Increase your risk of developing asthma, hay fever, and other allergies
  • Decrease your quality of life if left untreated

The numbers are showing that more children and adults are developing AD than ever before. Dermatologists are not sure why this increase in AD cases is happening. What they have discovered is that AD can worsen without treatment. While AD causes some obvious signs and symptoms, other types of eczema can cause intensely itchy patches of skin. These include:

  • Nummular eczema
  • Neurodermatitis
  • Hand eczema
  • Dyshidrotic eczema
  • Pityriasis alba

Each of these skin conditions requires different treatment, so it’s important to know which one you have. By seeing a board-certified dermatologist, you’ll get the expertise you need for an accurate diagnosis. A dermatologist can also create a treatment plan tailored to your individual needs. And that can bring welcomed relief.

Dr. Moore treats atopic dermatitis and may have a clinical trial with free medicine and treatment. Please ask about this on your next visit in our office.
(Source AAD.org)


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November 12, 2020 Newsletter

Psoriasis, a condition that manifests with itchy raised areas of red skin that often scale and flake, has been found to affect more than 8 million people in the US. These red, scaly bumpy growths of skin often appear on the scalp, knees, elbows, face or other parts of the body and are often quite painful. Many patients suffer most from the appearance of plaque psoriasis, feeling rejected or distanced by other people afraid of this non-contagious skin disease.

Newer treatments called biologics are restricted for use for about 25% of Psoriasis patients with extreme manifestations of the disease. Only about 6% of psoriasis patients use biologic treatments. These treatments involve injections and can have severe side affects as these treatments lower the ability of your immune system to fight off other disease.

Topical treatments for psoriasis are used by about 90% of patients. There has been no new mechanism of action for topical treatment of psoriasis for over 20 years. Just recently new studies have shown promise for a new medication for the topical treatment of psoriasis.

The New England Journal of Medicine has published in its July 2020 issue that a new topical cream called Roflumilast has shown positive results in treatment of plaque psoriasis. Patients with moderate psoriasis treated with a 0.3% cream or a 0.15% cream experienced an almost clear condition after 6 weeks of treatment (28% and 23% of patients respectively). Patients with mild cases of psoriasis experienced a clear state of skin after 12 weeks of use the 0.3% cream (93% of these cases). Ninety-seven percent of adverse reactions were rated mild or moderate in severity.

These initial test results show positive potential for a new and effective once-daily topical treatment for psoriasis patients with mild to moderate cases of the disease. The product seems well tolerated and is significantly successful in reducing or removing psoriasis without injections or immunity suppression.

Dr. Moore and her research team are enrolling patients in Arcutis Clinical Trials for this new topical treatment of psoriasis. This same medication is being tested with other inflammatory skin conditions such as Seborrheic Dermatitis and Atopic Dermatitis. Please contact our Clinical Trials (click here) department if you or someone you know might be a candidate for this free treatment. Contact us at 817-795-7546 extension 339
(Source New England Journal of Medicine, July 2020)


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November 10, 2020 Newsletter

Skin Lightening Products May Contain Dangerous Levels of Mercury

Skin-lightening products containing mercury are illegal in the US. But they are available, and dangerous. A recent report from the Center for Disease Control (CDC) highlighted the alarming trend of illegal skin lighteners from other countries that are being sold and used in the United States.

A 47-year-old Mexican American woman living in California presented with dysesthesias (abnormal sensations such as burning, electric shock, or a general tightening around the body) and weakness in her arms. Over the next 2 weeks, she began experiencing dysarthria, blurry vision, and gait unsteadiness. She was hospitalized and developed agitated delirium. Two weeks after admission, screening blood and urine tests showed mercury concentrations exceeding the upper limit of quantification. It was discovered the woman had been applying, twice per day for seven years, a skin-lightening cream from Mexico. An analysis showed the cream contained 12,000 parts per million (ppm) of mercury. (The maximum allowable limit for mercury in cosmetic products, per FDA regulations is 1 ppm.) Despite treatment, the woman’s condition deteriorated. According to the report, she is unable to verbalize or care for herself and requires tube feeding for nutritional support.

Patients should be aware that mercury-containing skin lightening products exist and should be avoided when selecting and using skin-lightening products.

The American Academy of Dermatology has issued warnings regarding skin lightening substances that contain mercury.

Please consult with your dermatology provider if you are using a skin lightener or are considering to be begin use.

Source: Dermatology World, April 2020


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September 9, 2020 Newsletter

Dr. Angela Moore and her team are now contracted with Blue Cross Blue Shield (BCBS). If you are a BCBS member or just recently switched to BCBS, please present your BCBS Insurance Card over the phone when scheduling and to our front office staff upon arrival and they will be happy to update your insurance information and we will work to file your insurance claims with BCBS. This BCBS coverage will be active for treatment and office visits as of August 27, 2020.

 

For a full list of insurance accepted, please visit our insurance page.


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September 8, 2020 Newsletter

Masks play a vital role in reducing the spread of the coronavirus. Masks can also be hard on your skin, causing problems that range from acne and peeling skin to rashes and itchiness. Gentle skin care can prevent your mask from causing skin problems. To help prevent skin problems from developing under your mask, board-board-certified dermatologists recommend:

1. Cleanse and moisturize your face daily. Gentle skin care can prevent skin problems. When washing your face, use a mild, fragrance-free cleanser and follow these steps:

2. Dry skin is a common face-mask skin problem. Applying moisturizer adds a protective layer that can reduce dryness. You want to apply moisturizer immediately after washing your face. To get the most benefit from a moisturizer, try using a moisturizer with one of the following ingredients: Ceramides, Hyaluronic acid, Dimethicone (which can also create a barrier that helps reduce irritated skin), or other ingredients that repair your skin barrier.

If you have acne or tend to break out with cystic acne, you can still use a gel moisturizer. Avoid popping pimples or blackheads as a general rule, but especially in areas covered by a mask. Broken skin is much more susceptible to infection if covered by a mask that is retaining breath and mouth droplets. If you are interested in acne treatment while wearing masks, please consult with your dermatologist. Also, you may qualify for one of our Acne Clinical Trials. Contact 817-795-7546 x339 or click here for more info.

3. Apply moisturizer before and after wearing a mask. Moisturizers can prevent problems, especially if you have dry or sensitive skin.

4. Protect your lips by applying petroleum jelly. Dry skin and chapped lips are common face-mask skin problems. You can prevent chapped lips by applying petroleum jelly to your lips:
● After washing your face
● Before you put on your mask
● Before bed
To prevent breakouts, take care to apply the petroleum jelly only to your lips and not to the surrounding skin.

5. Skip the makeup when wearing a mask. Beneath a mask, makeup is more likely to clog your pores and lead to breakouts. If makeup is necessary, use only products labeled “non-comedogenic” or “oil free.”

6. Avoid trying new skin care products that can irritate your skin. Wearing a mask for even a short time can make your skin more sensitive. To reduce skin problems, avoid trying harsh products, such as a chemical peel, exfoliant, or retinoid, for the first time, unless prescribed by your doctor. Retinoids can irritate your skin. If you must use a retinoid, apply it at bedtime and use only a very thin layer.

7. Use less of certain skin care products if your face becomes irritated. Remember that “more” is NOT better when applying acne medications and other skin care products. When you cover your face with a mask, some skin care products may irritate your skin. If this happens, use a thinner layer of products that can irritate your skin, such as leave-on salicylic acid, retinoids you apply to your face, and aftershave.

8. Wear the right mask. To reduce skin problems, look for masks that offer the following:
● A snug, but comfortable fit
● Soft, natural, and breathable fabric, such as cotton
● Fabric on the inside that feels soft if you have sensitive skin
● Cotton material inside if you have acne or oily skin

Wearing a mask that offers a snug, but comfortable fit helps to protect you and others from the coronavirus. You want a snug fit across your nose, on the sides, and under your chin. A snug, comfortable fit also reduces skin problems. If the mask feels too tight or slides around on your face, it can irritate your skin. You’re also more likely to adjust a poorly fitting mask. When you touch your mask, you can transfer germs to your mask and your face. The fabric is also important. Avoid synthetic fabrics, such as nylon, polyester, and rayon. These are more likely to irritate your skin and cause breakouts. To stop behind-the-ear soreness, find masks with different types of ties and ear loops and wear a different type each day.

9. Take a 15-minute mask break every 4 hours. Health care workers on the frontlines of the coronavirus pandemic have found that this helps save their skin. Of course, only remove your mask when it’s safe to do so and after washing your hands. Safe places to remove your mask include:
● Outdoors, when you can stay at least six feet away from people
● Inside your car when you’re alone
● At home

10. Wash your cloth masks. Many health care organizations now recommend that you wash a cloth mask after each use. Washing it also removes oils and skin cells that collect inside the mask, which could lead to a skin problem. You can wash a cloth mask in a washing machine or by hand. Both ways remove germs and other particles. Just be sure to:
● Follow the washing instructions on each mask.
● Wash the masks in hot water unless the instructions say otherwise.
● Use a fragrance-free, hypoallergenic laundry detergent.
● After washing your mask, check its shape. If a mask no longer fits snugly (and comfortably), it is less protective.

Continue the treatment plan that your dermatologist created for you. If you have a skin condition, such as acne or rosacea, it’s especially important to follow your treatment plan. This can help keep the condition under control. If a skin problem develops under your mask, consult with your dermatologists for solutions that would allow you to continue skin treatments while continuing to wear a mask.

“The American Academy of Dermatology supports the Centers for Disease Control and Prevention’s recommendation to wear a cloth face covering in public settings and when around people who don’t live in your household, especially when social distancing measures are difficult to maintain. A growing body of evidence has shown that masks play a vital role in reducing the spread of COVID-19. The AAD encourages people to wear face masks in public, practice social distancing, and frequently wash your hands to help protect yourself, your family and your community.” ─ AAD President Bruce H. Thiers, MD, FAAD

(Source: AAD.org)


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August 21, 2020 Newsletter

What Do Poison Ivy Plants Look Like?
Poison Ivy is not the only cause of painful skin irritations. Poison ivy happens to be the only one major irritant plants that always has three leaves, one on each side and one in the center. Poison Ivy leaves are shiny with smooth or slightly notched edges. Poison Oak looks similar, but the leaves are larger and more rounded like an oak leaf. They have a textured, hairy surface. There may be groups of three, five, or seven leaves. Poison Sumac leaves grow in clusters of seven to 13 leaves, with one by itself at the end.

Where Does Poison Ivy Grow?
Poison ivy, oak, and sumac grow in wooded or marshy areas throughout the US. They have a sticky, long-lasting oil called urushiol that causes an itchy, blistering rash after it touches your skin. Even slight contact, like brushing up against the leaves, can leave the oil behind. Poison ivy and poison oak grow as vines or shrubs. Poison sumac is a shrub or tree.

What Should I Do If I Touch Poison Ivy?
Acting quickly after touching poison ivy, oak, or sumac may save you much pain and discomfort. You may be able to avoid a poison ivy rash or a poison oak rash or lessen its effect by washing your skin with a poison plant wash and then rinsing thoroughly. Immediately wash the part of your skin that touched the plant with one of the following: Rubbing alcohol, Poison ivy wash (cleanser, soap, or towelettes), Dishwashing soap, or Laundry detergent. Wash your skin gently. Scrubbing can cause a rash because you rub the plant’s oil, which is what leads to a rash, into your skin. Thoroughly rinse with plenty of cool water. This removes the rubbing alcohol or other product from your skin. Leaving one of these products on your skin could irritate your skin, causing a different type of rash. Also be sure to wash under your nails. This will remove any oil that may have gotten trapped there.

What Does The Rash Look Like?
It may take some time for the rash to appear. A rash can develop in a few hours if you’ve had a rash from one of these plants before. If you’ve never had a rash from poison ivy, oak, or sumac, it can take 2 to 3 weeks before you see a rash. The skin usually itches intensely where the rash will appear. The itch can be so intense that it wakes you from a sound sleep. Shortly after your skin starts to itch, the rash appears. Most people develop an itchy, red, and blistering rash. If you have blisters, they break open and leak fluid. The blisters crust over, and the rash clears in 2 to 3 weeks. The rash will clear without treatment, but it can be extremely itchy until it clears completely.

Why Does The Rash Seem to Spread?
While it may look like the rash is spreading, what’s most likely happening is that you’re developing one or more new rashes. This happens because the urushiol (the oil from these plants that causes the rash) came in contact with more than one area of your skin. Typically, the skin with the most oil on it develops a rash first. Skin with less oil tends to react later. Many people also mistakenly believe that when they touch their rash, they can spread the rash from one part of their body to another. You cannot spread the rash. Sometimes you can spread the oil causing the rash. Your skin absorbs the oil quickly, so you can only spread the oil from one part of your skin to another for a short amount of time.

How Long Does a Rash Last?
For people who have had previous rashes from poison ivy, the current rash tends to last 1 to 14 days before it clears on its own. Those who have never had the rash before may have a rash last for 21 days or longer before it goes away. The rash is not contagious, but the oil causing the rash can be spread to others if not washed away quickly. The oil can also be spread by clothing, pets or working utensils such as rakes and shovels.

How Can I Treat Poison Ivy Rash?
If you have any of the following, go to the emergency room immediately:

  • Difficulty breathing or swallowing
  • A rash around one or both eyes, your mouth, or on your genitals
  • Swelling on your face, especially if an eye swells shut
  • Itching that worsens or makes it impossible to sleep
  • Rashes on most of your body
  • A fever

These are signs of a severe reaction that require immediate medical care.

You can treat the rash at home if you:

  • Have a mild rash
  • Developed a rash on a small section of skin
  • Are certain that the rash is due to poison ivy, oak, or sumac

For poison ivy treatment, immediately rinse your skin with lukewarm, soapy water. If you can rinse your skin immediately after touching poison ivy, poison oak, or poison sumac, you may be able to rinse off some of the oil. If not washed off, the oil can spread from person to person and to other areas of your body. Wash your clothing. Thoroughly wash all of the clothes you were wearing when you came into contact with the poisonous plant. The oil can stick to clothing, and if it touches your skin, it can cause another rash.

Do not scratch, as scratching can cause an infection. Leave blisters alone. If blisters open, do not remove the overlying skin, as the skin can protect the raw wound underneath and prevent infection.

What Can I Do To Relieve The Itch?
Take short, lukewarm baths. To ease the itch, take short, lukewarm baths in a colloidal oatmeal preparation, which you can buy at your local drugstore. You can also draw a bath and add one cup of baking soda to the running water. Taking short, cool showers may also help.

Use calamine lotion or hydrocortisone cream. Calamine lotion can reduce the itch. If you have a mild case, a hydrocortisone cream or lotion is another treatment that can alleviate the itch.
Apply cool compresses to the itchy skin. You can make a cool compress by wetting a clean washcloth with cold water and wringing it out so that it does not drip. Then, apply the cool cloth to the itchy skin.
Consider taking antihistamine pills. These pills can help reduce itching. You should not apply an antihistamine to your skin, as doing so can worsen the rash and the itch.

If your rash is not improving after 7 to 10 days, or you think your rash may be infected, see a board-certified dermatologist. A dermatologist can treat your rash and any infection and help relieve the itch.

Dermatologists emphasize that you only treat the rash if you’re absolutely certain that poison ivy, oak, or sumac caused it. If you’ve never had a poison ivy rash, see a doctor for a diagnosis.

Source https://www.aad.org/public/everyday-care/itchy-skin/poison-ivy


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