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Scabies

What are Scabies?

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

What causes Scabies?

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

What treatments are available for Scabies?

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

Permethrin cream: This topical medication is applied to the entire body from the neck down and left on for 8-14 hours before being washed off.
Ivermectin pills: This oral medication is taken as a single dose, and is effective in treating scabies in individuals with weakened immune systems.
Lindane lotion: This topical medication is used in some cases, but is not recommended as a first-line treatment due to potential toxic side effects.

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

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

FAQ About Scabies

How is scabies diagnosed?

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

Is scabies curable?

Yes, scabies is curable with proper treatment.

How long does it take for scabies to go away?

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

Can scabies be spread through bedding and clothing?

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

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

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

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

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

Eczema (Dermatitis)

What is Eczema?

Affecting between nine and thirty percent of the U.S. population, eczema refers to inflammation of the skin. The term eczema actually covers many various skin conditions that produce itchy, dry skin patches. Although it can appear anywhere on the body, eczema usually appears on the creases on the face, arms and legs. Because of the intense itching that accompanies eczema, people often scratch the skin which leads to crusting and oozing.

A non-contagious skin condition, eczema has no known cause. It does appear to have a hereditary component. Certain things, such as stress, weather and environmental factors can trigger a flare-up of eczema. People with eczema often live with cycles of flare-ups and remissions.

In mild cases of eczema, over-the-counter topical creams and antihistamines can relieve the symptoms. More severe eczema may require stronger medications, such as steroid creams, oral steroids (corticosteroids), and antibiotic pills or antifungal creams to treat any potential infection. Using mild cleansers and keeping skin moist can help control your eczema.

What are the signs and symptoms of Eczema?

Eczema is a condition that causes your skin to become dry, itchy and inflamed. The signs and symptoms of eczema can vary depending on the type, severity and stage of the condition. Some common signs and symptoms of eczema are:

Dry, cracked, scaly or flaky skin
Red, pink, purple, brown or gray patches of skin
Itching, which may be worse at night or during flare-ups
Small, raised bumps that may ooze or crust over
Thickened, leathery or discolored skin from scratching
Swelling or inflammation of the skin
Rash on the face, neck, hands, elbows, knees, ankles, feet or other areas of the body

What are the causes of Eczema?

Eczema is a condition that causes your skin to become dry, itchy and inflamed. The causes of eczema are not fully understood, but they may include:

A genetic variation that affects the skin’s ability to provide protection from bacteria, irritants, allergens and environmental factors.
An imbalance of the bacteria on the skin, which disrupts the skin’s barrier function and triggers an immune system response.
A contact with a trigger in your environment, such as dry weather, fabrics, makeup, smoke, soaps or detergents.
A history or diagnosis of dermatitis, allergies, hay fever or asthma.
A physical or emotional stress, which can cause inflammation in the body.

What treatments are available at the dermatologist for Eczema?

There are different treatments available at the dermatologist for eczema, depending on the type, severity and cause of the condition.

Some of the possible treatments are:

Medicated creams or ointments that control itching, inflammation and infection. These may include corticosteroids, calcineurin inhibitors, antibiotics or antifungals.
Oral medications that suppress the immune system or reduce inflammation. These may include cyclosporine, methotrexate, prednisone, azathioprine or biologics.
Phototherapy or light therapy, which uses ultraviolet (UV) rays to improve the skin’s condition and reduce symptoms.
Patch testing or allergy testing, which helps identify specific substances that trigger or worsen eczema.
Wet wraps or paste bandages, which cover the skin with moist dressings to soothe and protect it.
Lifestyle changes, such as avoiding triggers, moisturizing regularly, using gentle skin care products and managing stress.

The best treatment for eczema depends on your individual situation and preferences. Your dermatologist can help you find the most suitable and effective treatment for your eczema.

How to Avoid Common Eczema Triggers and Irritants

Use a thick moisturizer (emollient) as a soap substitute when washing your body or hands. Avoid soap, bubble bath and shower gel completely, as they can remove the natural oils from your skin and make it dry and itchy.
Wear cotton clothes next to your skin rather than potentially irritating fabrics such as wool. Wash your clothes with non-biological detergents and rinse them well. Avoid fabric conditioners, as they can also cause eczema to flare up.
Keep your skin moisturized regularly, especially after bathing or showering. Apply a non-fragranced, dye-free cream or ointment to lock in the moisture and protect your skin barrier.
Avoid contact with irritating chemicals and substances, such as fragrances, dyes, perfumes, alcohols, soaps and detergents. Wear rubber gloves with a cotton lining when using these products or working with similar chemicals.

The Benefits of Phototherapy for Eczema

Phototherapy is a treatment option that uses ultraviolet (UV) light to improve the symptoms of eczema, such as redness, itching, inflammation and infection. Some of the benefits of phototherapy for eczema are:

It may help clear your skin by reducing the inflammation and destroying the bacteria that cause eczema.
You may experience fewer eczema rashes in the future by strengthening your skin barrier and preventing the entry of external triggers.
It may decrease the need for using topical medications, which can have side effects or lose effectiveness over time.
It may also improve your mood and quality of life by relieving the discomfort and stress caused by eczema.

FAQ About Eczema

Are there different types of eczema?

There are different types of eczema, based on the age of onset and severity of symptoms. The most common type is known as “atopic dermatitis” and it usually begins in infancy and improves or resolves by the age of 6. Another type is “contact dermatitis” which is caused by an allergic reaction to a specific substance.

What are the symptoms of eczema?

Symptoms of eczema can vary from person to person and can range from mild to severe. Common symptoms include: dry, itchy skin, redness and swelling, scaling, cracking, and even bleeding.

How is eczema diagnosed?

Eczema is typically diagnosed by a dermatologist, who will examine the skin and ask about the patient’s symptoms and medical history. A skin biopsy may be done in some cases to rule out other skin conditions.

Can eczema affect other parts of the body besides the skin?

Eczema can affect the eyes, ears, and scalp. In some cases, eczema can also lead to complications such as asthma, allergies, and sleep disturbances.

Can certain foods trigger eczema?

Certain foods, such as dairy, eggs, nuts, soy, and wheat, can trigger eczema in some people. It’s important for individuals with eczema to work with a dermatologist or a dietitian to identify any specific food triggers and to develop a diet plan that works best for them.

Is there a dermatologist near me in Newport News that offers treatment for exzema?

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

Shingles (Herpes Zoster)

What is Shingles (Herpes Zoster)?

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

What are the causes of Shingles?

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

Several factors can increase the risk of shingles, including:

Age: The risk of shingles increases with age, especially after the age of 50.
Weakened immune system: People with weakened immune systems, such as those with HIV or cancer, are more likely to develop shingles.
Chronic medical conditions: Certain medical conditions, such as diabetes, heart disease, and chronic lung disease, can increase the risk of shingles.
Certain medications: Certain medications, such as corticosteroids, chemotherapy drugs, and immunosuppressants, can weaken the immune system and increase the risk of shingles.
Previous episode of shingles: A person who has had shingles in the past is at risk of developing it again.

What are the symptoms of Shingles?

The symptoms of shingles include:

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

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

What treatments are available for Shingles?

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

Your Partner in Shingles Care:

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

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

How to Help Prevent Shingles?

The following steps can help prevent shingles:

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

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

FAQ About Shingles

Who is at risk of getting shingles?

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

How is shingles diagnosed?

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

Is shingles contagious?

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

Can shingles recur?

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

Can shingles cause long-term complications?

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

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

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

Chicken Pox

What is Chickenpox?

Chickenpox is a highly contagious illness caused by the varicella-zoster virus. It is characterized by a rash of itchy, fluid-filled blisters that appear on the face, body, and scalp. Chickenpox is most commonly seen in children, but can occur in people of all ages.

The initial symptoms of chickenpox typically include fever, fatigue, and loss of appetite, followed by the rash. The virus spreads easily from person to person through the air or by direct contact with the fluid from the blisters. Most people who get chickenpox will recover fully within a few weeks, but some people can develop more serious complications, particularly if they have a weakened immune system.

A vaccine is available to prevent chickenpox, and is recommended for all children and for people who have not had chickenpox in the past and are not already immune. The vaccine is safe and effective, and can significantly reduce the risk of chickenpox and its complications.

What are the causes of Chickenpox?

Chickenpox is caused by the varicella-zoster virus, a highly contagious virus that spreads easily from person to person through the air or by direct contact with the fluid from the blisters. Once a person has had chickenpox, the virus remains dormant in the body and can reactivate later in life as shingles.

People who have not had chickenpox or been vaccinated against it can get the virus by being in close contact with an infected person, either through the air or by touching an open blister. The virus can also be spread from a pregnant woman to her fetus during pregnancy or to a newborn during delivery.

Chickenpox is most common in children, but can occur in people of all ages. People who have weakened immune systems, such as those with cancer, HIV, or other conditions that impair the immune system, are at higher risk for more severe and complicated cases of chickenpox.

What are the symptoms of Chickenpox?

The symptoms of chickenpox typically include:

Rash: A rash that starts as small, red bumps that turn into fluid-filled blisters. The rash may be present on the face, scalp, chest, back, arms, and legs.
Fever: A mild to moderate fever is often present during the early stages of the illness.
Itching: The rash is usually itchy, which can be uncomfortable or even painful.
Fatigue: Many people experience fatigue and a general feeling of malaise during a chickenpox infection.
Headache: Some people may experience a headache during a chickenpox infection.
Muscle aches: Some people may experience muscle aches or joint pain during a chickenpox infection.
Loss of appetite: Some people may experience a loss of appetite during a chickenpox infection.

The symptoms of chickenpox can range from mild to severe, and can last anywhere from 7 to 10 days.

What treatments are available for Chickenpox?

Treatment for chickenpox focuses on relieving symptoms and preventing complications. The following measures can be helpful:

Over-the-counter pain relievers: Over-the-counter pain relievers such as acetaminophen (Tylenol) can help reduce fever and relieve discomfort. Aspirin should not be given to children with chickenpox due to the risk of a serious condition called Reye’s syndrome.
Cool baths: Cool baths with colloidal oatmeal or baking soda can soothe itchy skin.
Calamine lotion: Calamine lotion can be applied to the skin to relieve itching.
Antihistamines: Antihistamines, such as diphenhydramine (Benadryl), can relieve itching and help you sleep.
Antiviral medications: Antiviral medications, such as acyclovir (Zovirax), can help reduce the severity and duration of chickenpox in people with weakened immune systems or those who develop severe symptoms.
Immune globulin: Immune globulin, a preparation of antibodies, can be given to people who are at high risk of complications from chickenpox.

FAQ About Chickenpox

How long does it take for Chickenpox to go away?

Chickenpox usually lasts 5 to 10 days, but the rash can take several weeks to heal completely.

Can you get Chickenpox more than once?

In most cases, people who have had chickenpox do not get it again. However, in rare cases, the virus can reactivate later in life as shingles.

Can the Chickenpox vaccine prevent chickenpox?

Yes, the chickenpox vaccine is highly effective in preventing chickenpox and its complications.

What should I do if I think I have Chickenpox?

If you think you have chickenpox, it’s important to see a doctor as soon as possible, especially if you are pregnant, have a weakened immune system, or are otherwise at high risk for complications. Early treatment can help reduce the severity and duration of the illness.

How is Chickenpox spread?

Anyone can get chickenpox, but it is most common in children under the age of 15.

Is Chickenpox a serious condition?

While chickenpox is usually a mild illness, it can be serious for certain populations, such as newborns, pregnant women, and people with weakened immune systems.

Can Chickenpox cause complications?

Yes, chickenpox can cause complications such as pneumonia, encephalitis, and skin infections.

Is there a dermatologist near me in Newport News that offers treatment for Chickenpox?

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

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