Burn Treatment Myths De-Bunked

Getting a burn on any part of your body can be painful, especially based on its severity. When we get a burn, we may try to use homeopathic remedies as treatment. However, some of these homeopathic burn treatment options are either not recommended or have little to no research on whether they help or improve the healing process.

Here are some burn treatment myths and the facts to help you treat your burn wounds properly and avoid using potentially harmful remedies:

Myth #1: Using cold water to stop the burning process

A burn injury can damage your skin and disrupt or impair your body’s natural ability to regulate its temperature. This is why, after getting a burn, such as a sunburn, you may get cold more easily despite your skin feeling hot to the touch. Those who experience more severe burns are not only unable to regulate their body temperature but are at an increased risk of developing hypothermia.

Instead, use slightly warm or tepid water to rinse the affected area for 15-20 minutes before washing the burn with a gentle soap. Hot water should be avoided entirely because it can cause pain or make the burn worse.

Myth #2: Using ice to numb the burned area, cool it down, or reduce the swelling

Ice is not an effective way to treat a burn and shouldn’t be used, as it can irritate the burn and cause more damage to the wound bed. Ice also stops blood flow via vasoconstriction, which can worsen the injury.

Instead, run a towel under tepid water and wring it out so it isn’t soaking wet. Place the damp towel on the burn for ten-minute intervals to reduce swelling and pain. Be sure not to do this too often, as keeping the burn moist may promote the onset of infection.

Myth #3: Using butter and cooking oils to heal burns

Butter and cooking oils should not be used to treat burns. They can make the burn worse by trapping heat, keeping the area hot, and creating an environment that is conducive to bacterial infection.

Instead, use burn creams and antibiotic ointments to create a barrier between the wound bed and the outside environment to help prevent infection. Apply these creams and ointments directly to the affected area, then cover or wrap it with a dry, sterile bandage. Change the bandage often, as a dirty bandage promotes infection.

Myth #4: Using toothpaste to relieve pain from burns

Toothpaste often contains mint ingredients or flavoring, and this cooling sensation mimics the effects of lidocaine found in topical pain-relieving gels and creams. It isn’t recommended to put lidocaine or mint products such as toothpaste on burns, especially second- or third-degree burns, as it will make the wound painful, uncomfortable, and irritated. Additionally, toothpaste is not sanitary enough to put on any open wound and may increase the risk of infection.

Instead, use aloe vera, as it is the most natural treatment for minor burns because of its healing capabilities. Aloe vera reduces inflammation, promotes circulation, reduces bacterial colonization, and helps heal the affected area faster.

Myth #5: Using milk, flour, or egg whites to treat burns

When you eat a very spicy meal and your tongue is burning, you can drink milk to cool the burning sensation. However, putting milk on a burn may encourage infection of the wound bed, as it comes with the risk of certain harmful pathogens, such as Brucella, E. coli, Listeria, and Salmonella. Raw flour, like milk, is associated with the harmful pathogens Salmonella and E. coli. It also comes with the risk of infection, as it can dirty the wound, making it harder to clean and disinfect. Additionally, no evidence that applying eggs to a burn helps heal the wound. Using eggs to treat a burn carries the risk of salmonella poisoning, bacterial infection, and allergic reaction.

Instead, use cool water to clean the wound, and apply aloe vera, burn creams, or antibiotic ointments to help the wound heal.

Myth # 6: Using rubbing or drinking alcohol to sterilize a burn wound, and popping blisters

It may seem like a good idea to use rubbing or even drinking alcohol to sterilize a burn wound. However, they should not be used as an antibacterial solution, as they can irritate the burn, cause pain, and kill beneficial bacteria. Alcohol is also highly flammable and can catch fire if you are still near the source of the burn. Popping blisters can increase the risk of developing an infection. Blisters are not like pimples. The fluid buildup in the blister is the immune system’s attempt to protect you from further damage and infection.

Instead, use cool water to flush the wound and an antiseptic for burns to sterilize it. Also, avoid popping blisters. A healthcare provider who specializes in burns may pop the blisters for other clinical care.

If you are suffering from a burn injury and need treatment, you can schedule an appointment with a physician at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Men’s Health Month- Health Screenings for Men

June is Men’s Health Month. This observance aims to raise awareness about preventable health problems that affect men and boys.  

Statistics show men are less likely than women to seek medical attention when something affects their health. Men are also less likely to have preventative screenings and checkups with their healthcare providers. This is a problem as early detection of a medical condition is the best way to effectively treat and manage it. 

Additionally, avoiding or delaying checkups or screenings could result in a treatable condition becoming severe and/or fatal. 

The U.S. Preventative Services Task Force (USPSTF) publishes a list of recommended, age-specific screening guidelines for men to help them manage their health: 

Screenings guidelines recommended for men ages 18-39 include: 

  • Physical examinations 
  • Blood pressure screenings 
  • Cholesterol screenings 
  • Colon cancer screenings 
  • Dental examinations 
  • Prediabetes and type 2 diabetes screenings 
  • Eye examinations 
  • Immunizations  
  • Skin examinations 
  • Infectious disease screenings 

Screenings guidelines recommended for men ages 40-64 include: 

  • Physical examinations 
  • Blood pressure screenings 
  • Cholesterol screenings 
  • Colorectal cancer screenings 
  • Prostate cancer screenings 
  • Osteoporosis screening 
  • Lung cancer screening 
  • Infectious disease screening 
  • Immunizations 
  • Eye examinations 
  • Dental examinations 
  • Skin examinations 

It is important to visit your healthcare providers regularly, even if you are feeling healthy. These visits can help: 

  • Screen for any medical issues 
  • Encourage a healthy lifestyle 
  • Assess your risk for any future medical problems 
  • Update vaccinations and other preventative care services 
  • Help you get to know your healthcare provider in case of an illness 

If you are experiencing any medical problems or would like to receive health screenings, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center, by calling (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Hyperpigmentation

Hyperpigmentation is a common condition that makes some of the areas of the skin darker than others.  

Hyperpigmentation occurs when the skin cells that create melanin in the skin get damaged or become unhealthy and produce too much melanin. The extra melanin can clump and cause the area to appear darker and create brown, black, gray, red, or pink patches or spots.  

There are many things that can lead to hyperpigmentation, including: 

  • Adrenal disorders, such as Addison’s disease 
  • Hormone changes, such as those during pregnancy or puberty 
  • Genetics, such as families who have freckles 
  • An injury to the skin, such as acne, cuts, or burns 
  • Melasma 
  • Medications, such as birth control pills and drugs that cause sensitivity to light 
  • Not getting the correct number of vitamins, such as B12 and folic acid 
  • Thyroid disorders 
  • Sun damage 

Hyperpigmentation doesn’t cause any symptoms other than dark spots. If you have spots on your skin with any other symptoms, talk to your healthcare provider or a dermatologist. 

When diagnosing hyperpigmentation, a healthcare provider may: 

  • Ask about your medical history, including when the darkened skin began and what medications you are taking 
  • Perform a physical exam to look at your skin 
  • Order blood tests to check vitamins, hormones, and iron, as well as your thyroid function 
  • Examine your skin under a Wood lamp, which is a special ultraviolet light 
  • Take a small sample of your skin for a biopsy 

Depending on the causes for hyperpigmentation, your healthcare provider may suggest lifestyle changes, such as: 

  • Avoiding sun damage by staying out of the sun, using sunscreen, and wearing protective clothing 
  • Taking vitamins 
  • Stopping any medications that may be causing it 

Your healthcare provider may also recommend prescription or over-the-counter (OTC) topical therapy, such as: 

  • Azelaic acid 
  • Corticosteroids 
  • Glycolic acid 
  • Hydroquinone 
  • Kojic acid 
  • Salicylic acid 
  • Skin bleach  
  • Tretinoin  
  • Vitamin C or B3 

Other hyperpigmentation treatments may include: 

  • Chemical peels 
  • Cryotherapy 
  • Laser skin resurfacing 
  • Pigment lesion laser 

Hyperpigmentation can’t always be prevented. However, protecting your skin from the sun helps. Here are some tips to protect your skin from the sun, including: 

  • Applying a “broad spectrum” sunscreen with an SPF of 30 or higher every day 
  • Using physical blockers, such as titanium dioxide or zinc oxide 
  • Avoiding too much sun exposure 
  • Wearing protective clothing and hats 

If you are experiencing any signs of hyperpigmentation, you can schedule an appointment with a dermatologist at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Body Dysmorphia

Body dysmorphia or body dysmorphic disorder (BDD) is a mental health condition that causes you to unfairly and negatively think about how you see and feel about your body and appearance. A person who has body dysmorphia may feel embarrassed, ashamed, or anxious. Other common symptoms of body dysmorphia include: 

  • Constantly comparing yourself with others 
  • Constantly asking others if you look okay 
  • Not believing others when they say you look fine 
  • Hiding parts of your body under a hat, scarf, or makeup 
  • Constantly checking yourself in the mirror or avoiding them entirely 
  • Constantly grooming or exercising 
  • Picking at your skin with your fingers or tweezers 
  • Seeing several healthcare providers about your appearance 
  • Having unnecessary plastic surgeries 
  • Suicidal ideations 
  • Avoiding social situations 
  • Not leaving the house, especially during the day 

These symptoms can cause severe disruptions in a person’s life, affecting their thoughts, which can undermine their mental and physical well-being. 

Experts estimate that body dysmorphia affects about 2.4% of adults in the U.S. overall, and between 1.7% and 2.9% of people globally. 

Body dysmorphia is most likely to begin in the teen or early adult years. Two-thirds of people with body dysmorphia develop the condition before the age of 18, usually around 12 or 13 years old. However, it can also start in early adulthood. 

Experts don’t fully know how or why body dysmorphia occurs, but they believe multiple factors are involved, such as: 

  • Genetics 
  • Brain structure, chemistry, and activity differences 
  • Cultural influences and popular media 
  • A history of childhood abuse, neglect, or bullying 

People who suffer from body dysmorphia are more likely to have other mental conditions, including: 

  • Anxiety disorders 
  • Depression 
  • Eating disorders 
  • Obsessive-compulsive disorder (OCD) 
  • Substance use disorders 

The symptoms of body dysmorphia can take many shapes as a person who suffers from this condition can excessively focus on one or more parts of the body, such as their: 

  • Face, such as their nose, complexion, wrinkles, acne, and other blemishes 
  • Hair, such as its appearance or any thinning and/or baldness 
  • Skin and appearance of their veins 
  • Breast size 
  • Muscle size and tone 
  • Genitalia  

There aren’t any medical tests that can diagnose dysmorphia. A healthcare provider will perform a medical evaluation to help rule out other medical conditions and may refer you to a mental health professional for further evaluation. The mental health professional will diagnose body dysmorphia based on: 

  • A psychological evaluation, which assesses risk factors, thoughts, feelings, and behaviors related to negative self-image 
  • Your personal, social, family, and medical history 
  • Signs and symptoms that you have experienced 

The treatment for body dysmorphia often can include a combination of: 

  • Psychotherapies, such as cognitive behavioral therapy (CBT) and family therapy 
  • Medications, such as antidepressants 

You may find that negative thoughts about your body are hard to control, and you may even spend hours each day worrying about the way you look. Your thinking can become so negative and persistent that you may think about suicide at times. If you are having suicidal thoughts or behaviors, dial 988 on your phone to reach the Suicide and Crisis Lifeline. If there is an emergency, call 911. 

If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment. 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Lupus Awareness Month

May is observed as Lupus Awareness Month, a month used to educate, advocate, and support those affected by lupus. 

Lupus is an autoimmune disease that occurs when the body’s immune system attacks its tissues and organs. Inflammation caused by lupus can affect many different body systems, such as the joints, skin, kidneys, blood cells, brain, heart, and lungs. 

Healthcare providers sometimes call lupus systemic lupus erythematosus (SLE). It is the most common type of lupus, which means you have lupus throughout your body. Other types of lupus include: 

  • Cutaneous lupus erythematosus- is lupus that only affects your skin 
  • Drug-induced lupus- occurs when some medications trigger lupus symptoms as a side effect. It is usually temporary and might go away after you stop taking the medication that caused it 
  • Neonatal lupus- occurs when babies are sometimes born with lupus. Babies born to biological parents with lupus aren’t certain to have lupus, but they might have an increased risk 

No two cases of lupus are exactly alike. Signs and symptoms may come suddenly or develop slowly, may be mild or severe, and may be temporary or permanent. Most people with lupus have a mild form of the disease characterized by flare-ups, when signs and symptoms may get worse for a while, and then improve or disappear completely for a time. 

The signs and symptoms of lupus you experience will depend on which body systems are affected by the disease. The most common signs and symptoms include: 

  • Fatigue 
  • Fever 
  • Joint pain, stiffness, and swelling 
  • A butterfly-shaped rash on the face that covers the cheeks and bridge of the nose, or rashes elsewhere on the body 
  • Skin lesions that appear or worsen with sun exposure 
  • Fingers and toes that turn white or blue when exposed to cold or during stressful periods 
  • Shortness of breath 
  • Chest pain 
  • Dry eyes 
  • Headaches, confusion, and memory loss 

Lupus likely results from a combination of genetics and the environment. 

People with an inherited predisposition for lupus may develop the disease when they come into contact with an environmental trigger of the disease. Some potential triggers of lupus include: 

  • Sunlight 
  • Infections 

Diagnosing lupus is difficult because signs and symptoms can vary from person to person and may change over time, overlapping with those of many other disorders. 

No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and results of a physical examination can lead to a diagnosis. Blood and urine tests may include: 

  • A complete blood count 
  • Erythrocyte sedimentation rate 
  • Kidney and liver assessment 
  • Urinalysis 
  • Antinuclear antibody (ANA) test 

If your healthcare provider suspects that lupus is affecting your lungs or heart, they may suggest imaging tests that can include: 

  • A chest X-ray 
  • An echocardiogram 

Lupus can harm the kidneys in many ways, and treatments can vary depending on the type of damage it causes. Sometimes, a kidney biopsy is needed to determine the best treatment. A skin biopsy can be performed to confirm a diagnosis of lupus affecting the skin. 

A healthcare provider will suggest treatments for lupus that manage your symptoms. The goal is to minimize damage to the organs and how much lupus affects your day-to-day life. Most people with lupus need a combination of medications to help them prevent flare-ups and lessen the severity of symptoms during a flare-up. Medications you might need include: 

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) 
  • Corticosteroids 
  • Antimalarial drugs 
  • Immunosuppressants 
  • Biologics 

Simple measures can help prevent lupus flare-ups if they occur, and help you to better cope with the signs and symptoms you experience, including: 

  • Seeing your doctor regularly 
  • Being sun smart 
  • Getting regular exercise 
  • Quitting smoking 
  • Eating a healthy diet 
  • Asking your healthcare provider if you need vitamin D and calcium supplements 

If you would like to participate in Lupus Awareness Month, here are some ways you can do so: 

  • Learn about lupus 
  • Support those who are suffering from lupus 
  • Advocate for better research, more care, and more compassion 

For more information about the Lupus Center at the campus of Jamaica Hospital Medical Center or to make an appointment with a lupus doctor, call (718) 206-9888. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Reactive Arthritis

Reactive arthritis is a condition that occurs when the immune system reacts to an infection somewhere in the body and causes joint pain and inflammation. This infection usually starts in the digestive system, genitals, or urinary tract. Reactive arthritis usually affects the knees, ankles, and feet, but it can also cause inflammation in the eyes, skin, and urethra. Reactive arthritis is considered a form of a group of inflammatory diseases that mainly affect the spine, joints, and places where tendons and ligaments attach to bones called spondyloarthritis (SpA). 

Although reactive arthritis isn’t contagious, the bacteria that cause it can spread through sex or food. Several types of bacteria can trigger reactive arthritis, including: 

  • Chlamydia trachomatis 
  • Clostridium difficile (C. Difficile) 
  • Escherichia coli (E. Coli) 
  • Campylobacter 
  • Salmonella 
  • Shigella 
  • Yersinia  

While only a small number of people who are exposed to these bacteria develop reactive arthritis, certain factors increase the risk of developing the condition, including: 

  • Infection  
  • Age 
  • Sex assigned at birth 
  • Genetics  

The symptoms of reactive arthritis usually start one to four weeks after a triggering infection. Common symptoms include: 

  • Pain and stiffness 
  • Urinary issues 
  • Swollen toes or fingers 
  • Eye inflammation 
  • Inflammation of tendons and ligaments where they attach to bone 
  • Skin issues 
  • Lower back pain 

Reactive arthritis isn’t common and usually happens for a short period of time. For most people who experience this condition, symptoms can come and go, usually disappearing within a year.  

A healthcare provider can diagnose reactive arthritis with a physical exam, as they check the eyes and joints for inflammation, warmth, and tenderness, as well as the skin for rashes. They may also order blood tests, joint fluid tests, and imaging tests to help diagnose the condition. 

The main goals of treatment for reactive arthritis are to relieve symptoms and treat any infection that may still be present. Since reactive arthritis can affect different parts of the body, there may need to be multiple doctors or healthcare providers involved in treating this condition. Treatments for reactive arthritis can include: 

  • Medicines such as nonsteroidal anti-inflammatory drugs (NSAIDs), steroids, and rheumatoid arthritis medicines 
  • Physical therapy exercises that strengthen the muscles around the affected joints, improve flexibility, and prevent stiffness 

Although genetics is a risk factor for developing reactive arthritis, that risk can be lowered by reducing exposure to bacteria that cause infections by: 

  • Practicing food safety 
  • Preventing sexually transmitted infections 

If you are experiencing any symptoms of reactive arthritis, you can schedule an appointment with a rheumatologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Athlete’s Foot

Athlete’s foot, also known as tinea pedis, is a skin infection caused by dermatophytes, which are the same fungi that cause jock itch and ringworm. However, unlike jock itch and ringworm, athlete’s foot can often come back. 

The fungi that cause athlete’s foot thrive in warm, damp places, which can occur when feet get hot and sweaty inside closed shoes, creating sweaty socks. They can also live on wet towels.  

The fungi that cause athlete’s foot can spread easily to other people because they can travel on hands, towels, and other surfaces. A person can get athlete’s foot through contact with someone who has it and by touching surfaces where fungi are present. It can also spread from the feet to other parts of the body and may happen when a person uses a towel to dry their feet and then uses the same towel to dry the rest of their body, such as the groin area, which causes jock itch. 

Athlete’s foot can affect one or both feet, usually starting between the toes. It causes common symptoms that include: 

  • Dry, scaly skin on the bottom and sides of the feet  
  • Itchy skin, occurring especially right after taking off shoes and socks 
  • Swollen skin that may look red, purple, or gray, depending on skin color 
  • A burning or stinging sensation 
  • Blisters 
  • Scaly, peeling, or cracked skin between the toes 

A person has a higher risk of developing athlete’s foot if they: 

  • Sweat a lot  
  • Often wear closed shoes 
  • Walk barefoot in public showers, pools, or locker rooms 
  • Share towels, shoes, rugs, or bed linens with someone who has athlete’s foot 

Athlete’s foot can cause complications for people with weakened immune systems, such as those with diabetes, leading to a bacterial skin infection called cellulitis.  

A healthcare provider may be able to diagnose athlete’s foot after an examination. Some types of athlete’s foot can look similar to dry skin or dermatitis. To help rule out other conditions, your provider may take a small skin sample of the affected area for lab testing.  

Treatment for athlete’s foot may involve self-care and over-the-counter products such as antifungal cream, spray, or powder. If these over-the-counter products do not work, a healthcare provider may prescribe a stronger antifungal medicine to apply to the affected area. 

Several tips can help ease the symptoms of athlete’s foot and lower the risk of it coming back. They include: 

  • Keeping your feet clean and dry 
  • Wearing different shoes every day 
  • Changing socks regularly 
  • Wearing breathable and lightweight footwear 
  • Using an antifungal product 
  • Wearing waterproof shoes or sandals around public pools, showers, and locker rooms 
  • Not scratching the rash in the affected area 
  • Not sharing shoes 

If you are experiencing symptoms of athlete’s foot or another fungal infection, you can call (718) 206- 6742 or (718) 206-7001 to make an appointment. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Hidradenitis Suppurativa

Hidradenitis suppurativa, also known as acne inversa, is a condition that causes small, painful lumps to form underneath the skin. These lumps usually develop in areas such as the armpits, the groin, buttocks, and breasts where the skin rubs together.  

Hidradenitis suppurativa starts after puberty and usually before the age of 40. It can last for many years, worsening over time.  

Hidradenitis suppurativa can affect one or more areas of the body, with several signs and symptoms, including: 

  • Blackheads- small, pitted areas of the skin that often appear in pairs 
  • Painful pea-sized lumps that form under the skin in areas where more sweat and oil glands are present, or where the skin rubs together, that can last for weeks or months 
  • Leaking bumps or sores that can get bigger, break open, and drain pus with an odor 
  • Tunnels that form under the skin. These tunnels connect lumps and heal slowly, and drain blood and pus 

Some people who have hidradenitis suppurative experience only mild symptoms; however, the course of the disease varies extremely. Excess weight and smoking are associated with worse symptoms, but people who are thin and smoke can also experience severe symptoms of the disease. 

Hidradenitis suppurativa occurs when hair follicles become blocked. The cause of the blockage isn’t known; however, experts think it may be connected to hormones, genetic predisposition, cigarette smoking, or excess weight.  

Several risk factors can increase the chance of developing hidradenitis suppurativa. They include: 

  • Age 
  • Sex 
  • Race 
  • Family history 
  • Certain conditions 
  • Smoking 

Severe and persistent hidradenitis can cause complications, including: 

  • Infection in the affected area 
  • Restricted movement due to sores and scar tissue  
  • Skin cancer, such as squamous cell carcinoma, has been reported with long-term hidradenitis suppurativa 
  • Scars and skin changes after wounds have healed, leaving pitted skin and rope-like scars 
  • Swelling in the arms, legs, or genital area, due to scar tissue caused by hidradenitis that blocks the lymph nodes in those areas from draining 
  • Psychological effects and social isolation, such as depression, anxiety, or not wanting to go out in public due to the location, drainage, and odor of the sores 
  • Lifelong pain 

Hidradenitis suppurativa can often be mistaken for acne or pimples. A healthcare provider can make a diagnosis based on signs and symptoms, skin appearance, and medical history. Hidradenitis suppurativa can be difficult to diagnose and requires specialized care, so a healthcare provider may refer a patient to a dermatologist.  

There aren’t any laboratory tests available to diagnose hidradenitis suppurativa; however, if there is pus or drainage present in the wounds, samples may be taken for testing. 

Treatment for hidradenitis suppurativa can include medications, surgeries, or both to help control symptoms and prevent complications of the condition.  

Medications used to treat hidradenitis suppurativa can include: 

  • Antibiotics 
  • Steroid injections 
  • Hormonal therapy 
  • Biologics 
  • Retinoids 
  • Pain medicine 

Surgical procedures used to treat hidradenitis suppurativa include: 

  • Uncovering the tunnels under the skin by removing tissue to expose them 
  • Punch debridement, which removes a single inflamed bump 
  • Laser therapy 
  • Surgical removal of all the infected skin 

If you or a loved one is suffering from hidradenitis suppurativa, you can visit Jamaica Hospital Medical Center’s Division of Dermatology. To make an appointment, please call (718) 206- 6742. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

World Vitiligo Day

June 25th is World Vitiligo Day. Vitiligo is a disease that causes skin to lose color or pigmentation. Smooth white or light areas called macules or patches appear on the skin. It generally starts on the hands, forearms, feet, and face.

Vitiligo occurs when the cells that produce melanin, melanocytes, stop making it or die. It is unclear what exactly causes vitiligo; however, it may be related to the following:

  • An autoimmune condition
  • Family history
  • A trigger event, such as stress, severe sunburn, or skin trauma, such as a chemical burn

About 1% of the global population has vitiligo. It affects all races and sexes equally. Vitiligo is more visible in people with darker skin tones. Although the disease can develop at any age, macules or patches usually become apparent before the age of 30.

A person may be at a higher risk of developing vitiligo if they have certain autoimmune conditions, such as:

  • Addison’s disease
  • Anemia
  • Type 1 diabetes
  • Lupus
  • Psoriasis
  • Rheumatoid arthritis
  • Thyroid disease

There are several types of vitiligo, including:

  • Generalized- the most common type of vitiligo that causes macules to appear in various places on the body
  • Segmental- this type only affects one side of the body or one area, such as the hands or face
  • Mucosal- this type affects the mucous membranes of the mouth and/or genitals
  • Focal- this rare type is where the macules develop in a small area and don’t spread in a certain pattern within one to two years
  • Trichome- this type causes a bullseye with a white or colorless center, then an area of lighter pigmentation, and an area of the person’s natural skin tone
  • Universal- this rare type causes more than 80% of the skin to lose pigment

The signs and symptoms of vitiligo include:

  • Patches of skin or mucous membranes that lose color and appear white or lighter than your natural skin tone
  • Patches of hair on the body turn silver, gray, or white

Symptoms can be mild and only affect a small area of the body or severe, affecting a large area of the skin. Some people with vitiligo experience itchy skin before depigmentation starts.

To diagnose vitiligo, a healthcare provider will ask about your medical history and examine your skin, possibly with a special lamp. This evaluation may also include a skin biopsy and blood tests.

The choice of treatment for vitiligo depends on your age, how much skin is involved and where, how quickly the disease is progressing, and how it’s affecting your life.

Medications and light-based therapies are available to help restore skin color or even skin tone, though results may vary and are unpredictable. Some treatments have serious side effects, so a healthcare provider may suggest that you try changing the appearance of your skin by applying a self-tanning product or makeup first.

If you and a healthcare provider decide to treat your condition with a drug, surgery, or therapy, it may take several months to judge its effectiveness. You may also have to try a combination of approaches before finding what works best.

If you have vitiligo, certain self-care tactics may help you care for your skin and improve its appearance, including:

  • Protecting your skin from the sun and artificial sources of UV light
  • Concealing affected skin
  • Not getting a tattoo

To schedule an appointment with a dermatologist at Jamaica Hospital Medical Center, please call (718) 206-7001.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Lupus Awareness Month

May is observed as Lupus Awareness Month, a month used to educate, advocate, and support those affected by lupus.

Lupus is an autoimmune disease that occurs when the body’s immune system attacks its tissues and organs. Inflammation caused by lupus can affect many different body systems, such as the joints, skin, kidneys, blood cells, brain, heart, and lungs.

Healthcare providers sometimes call lupus systemic lupus erythematosus (SLE). It is the most common type of lupus, which means you have lupus throughout your body. Other types of lupus include:

  • Cutaneous lupus erythematosus is lupus that only affects your skin
  • Drug-induced lupus occurs when some medications trigger lupus symptoms as a side effect. It is usually temporary and might go away after you stop taking the medication that caused it
  • Neonatal lupus occurs when babies are sometimes born with lupus. Babies born to biological parents with lupus aren’t certain to have lupus, but they might have an increased risk

No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly, may be mild or severe, and may be temporary or permanent. Most people with lupus have a mild form of the disease characterized by flare-ups, when signs and symptoms may get worse for a while, and then improve or disappear completely for a time.

The signs and symptoms of lupus you experience will depend on which body systems are affected by the disease. The most common signs and symptoms include:

  • Fatigue
  • Fever
  • Joint pain, stiffness, and swelling
  • A butterfly-shaped rash on the face that covers the cheeks and bridge of the nose, or rashes elsewhere on the body
  • Skin lesions that appear or worsen with sun exposure
  • Fingers and toes that turn white or blue when exposed to cold or during stressful periods
  • Shortness of breath
  • Chest pain
  • Dry eyes
  • Headaches, confusion, and memory loss

Lupus likely results from a combination of genetics and environment.

People with an inherited predisposition for lupus may develop the disease when they come into contact with an environmental trigger of the disease. Some potential triggers of lupus include:

  • Sunlight
  • Infections

Diagnosing lupus is difficult because signs and symptoms can vary from person to person and may change over time, overlapping with those of many other disorders.

No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and results of a physical examination can lead to a diagnosis. Blood and urine tests may include:

  • A complete blood count
  • Erythrocyte sedimentation rate
  • Kidney and liver assessment
  • Urinalysis
  • Antinuclear antibody (ANA) test

If your healthcare provider suspects that lupus is affecting your lungs or heart, they may suggest imaging tests that can include:

  • A chest X-ray
  • An echocardiogram

Lupus can harm the kidneys in many ways, and treatments can vary depending on the type of damage it causes. Sometimes, a kidney biopsy is needed to determine the best treatment. A skin biopsy can be performed to confirm a diagnosis of lupus affecting the skin.

A healthcare provider will suggest treatments for lupus that manage your symptoms. The goal is to minimize damage to the organs and how much lupus affects your day-to-day life. Most people with lupus need a combination of medications to help them prevent flare-ups and lessen the severity of symptoms during one. Medications you might need include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Corticosteroids
  • Antimalarial drugs
  • Immunosuppressants
  • Biologics

Simple measures can help prevent lupus flare-ups if they occur, and help you to better cope with the signs and symptoms you experience, including:

  • Seeing your doctor regularly
  • Being sun smart
  • Getting regular exercise
  • Quitting smoking
  • Eating a healthy diet
  • Asking your healthcare provider if you need vitamin D and calcium supplements

For more information about the Lupus Center at the campus of Jamaica Hospital Medical Center or to make an appointment with a lupus doctor, call (718) 206-9888 or the Lupus Hotline at 1-877-33-LUPUS.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.