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Entries in Dermatology Tomball (265)

Saturday
May212011

Eczema - Juvenile Plantar Dermatosis

Juvenile Plantar Dermatosis is a type of Eczema that occurs in children and I occasionally encounter this skin disease in both my The Woodlands dermatology and Conroe dermatology offices.  Typically, a scaly red plaque develops on the large toe and progresses to the weight bearing areas of the feet with a predominance for the forefoot and sparing of the heel.  Juvenile Plantar Dermatosis is most often seen in children with Eczema.  Children whose feet become macerated and wet especially with prolonged wearing of shoes are especially prone to Juvenile Plantar Dermatosis.  The treatment is allowing the feet to air out by wearing open toe shoes and preventing occlusion.  Topical steroids are of little benefit.

Juvenile Plantar Dermatosis (http://www.dermnetnz.org/dermatitis/img/jpd1-s.jpg)

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Sunday
May152011

Eczema - Xerotic Eczema

Xerosis, dry skin, is one of the most common causes of Eczema and I encounter this form daily in both my The Woodlands dermatology and Conroe dermatology offices.  Xerotic Eczema is also called "Winter's Itch" as the decrease in humidity during the Winter and increase usage of heaters exacerbates this condition.  Clinically, Xerotic Eczema appears very dry and usually has fine fissures and cracks traversing through the eczematous plaques.  The extremities are the most common sites involved by Xerotic Eczema.  Hydration of the skin is of utmost importance in treating Xerotic Eczema.  I counsel my patients to avoid high detergent soaps such as Dial, Ivory and Irish Spring and use a synthetic soap with a more neutral pH such as Dove body wash.  Topical emollients such as Lubriderm and Aquaphor are used at least twice a day to moisturize the skin.  A topical steroid is typically prescribed to treat the inflammatory response in the Eczema.

 

Xerotic Eczema(http://medicalpicturesinfo.com/wp-content/uploads/2011/08/Asteatotic-Eczema-1.jpg)

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Saturday
May142011

Eczema - Hand Dermatitis

Hand Dermatitis is a very common form of Eczema that I encounter on a daily basis in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, the hands develop scaly red plaques that on the fingers and palms which can ultimately become very thick and develop cracks and fissures.  Excessive hand washing worsens Hand Dermatitis as does the use of alcohol based hand sanitizers.  Hand Dermatitis is extremely common in ICU nurses who have to wash their hands over 20 times per day.  In severe cases, small water filled blisters form beneath the skin which are due to inflammation and this condition is called Pompholyx or Dyshidrosis.  Emotional stress also exacerbates Hand Dermatitis in many patients.  The nails can become dystrophic if the Eczema involves the proximal nail fold of the distal fingers.  Treatment involves minimizing hand washing and using a gentle liquid soap such as Dove.  It is very important to use a moisturizing cream or ointment after each hand washing.  Aquaphor is an excellent ointment that improves Hand Dermatitis.  I typically prescribe an ultrapotent steroid cream to be used twice a day to minimize the inflammation.  In patients with fissures and cracks, these can be sealed with superglue and filed down smooth to limit exposure to external antigens and irritants.  Some patients have Hand Dermatitis due to occupational exposure or allergens/irritants they encounter during their daily activities.

 

 

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Sunday
May082011

Eczema - Nummular Eczema

Nummular Eczema is a very common type of Eczema, which I encounter on a very frequent basis in both my The Woodlands dermatology and Conroe dermatology offices.  Nummular Eczema is most often found on the legs and arms and occasionally on the trunk.  The itching in Nummular Eczema can be severe.  Clinically, the skin lesions in Nummular Eczema appear as small round circular red scaly plaques.  Nummular Eczema is a type of Eczema most often seen in adolescents and adults and is usually not encountered in children.  The typical atopic skin care regimen of emollients and steroid creams is used to treat Nummular Eczema.

 

Nummular Eczema (http://www.healthcentral.com/common/images/2/2407_10189_5.jpg)

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Sunday
May012011

Eczema - Nipple Eczema

Nipple Eczema is a very common skin condition, which I encounter frequently in both my The Woodlands dermatology and Conroe dermatology offices.  Nipple eczema appears as scaly red plaques on the areola or nipple.  It is typically bilateral (on both sides) and is more concerning if it is unilateral (on one side only) as there is a type of breast cancer called Paget's disease that can clinically mimic Nipple Eczema.  Nipple Eczema usually responds rapidly to treatment with topical steroids.  Persistent or unilateral Nipple Eczema usually warrants a biopsy to rule out Paget's disease.

Nipple Eczema (http://www.oncoprof.net/Generale2000/g01_HistoireGenerale/Images/PagetSein.jpg)

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