My Blog
By Avery Scheiner, MD LLC
June 18, 2021
Category: Skin Conditions
Seborrheic DermatitisAre you dealing with a red, itchy, and flaky scalp? It could just be dandruff, or you could be dealing with a skin condition known as seborrheic dermatitis (sometimes referred to as seborrheic eczema). While this condition most often affects the scalp, some people may also develop symptoms on the face or body (typically in areas where there are more sebaceous glands such as the nose or back). How do you know that you’re dealing with seborrheic dermatitis?
 
Symptoms of Seborrheic Dermatitis

In infants, this skin condition is known as cradle cap and it results in greasy, scaly patches of skin on the head. Puberty often brings with it oilier skin, and this is often when we see teens and adults complaining of redness, swelling, or scaling on the scalp, eyebrows, nose, armpits, groin, or upper back.
 
Causes of Seborrheic Dermatitis

While dermatologists see this condition in a wide range of patients ranging from newborns to seniors, this condition most often occurs between 30-60 years old. While the root cause still hasn’t been determined, there are certain beliefs as to what might cause seborrheic dermatitis, including a reaction to a type of yeast that’s normally found on our skin. Certain chronic conditions such as rosacea, psoriasis, HIV, or epilepsy may also increase your risk for developing seborrheic dermatitis.
 
If you have been diagnosed with seborrheic dermatitis by a dermatologist, it’s important to figure out what might trigger symptoms. As with many skin conditions, seborrheic dermatitis may flare up and then go away for weeks or even months at a time. Some triggers include,
  • Hormone fluctuations and imbalances
  • Weather changes (e.g. cold or dry weather)
  • Certain prescription medications
  • Detergents, soaps, and cleaning products
  • Stress
Managing Seborrheic Dermatitis

In most cases, your dermatologist can prescribe specialized skin products that can help to keep skin moisturized while preventing scaly patches from forming. Cleansers, shampoos, and other products that contain zinc pyrithione are often most effective for treating seborrheic dermatitis symptoms. Some products can be purchased over-the-counter, but for those with more severe symptoms, you may require a prescription from your dermatologist.

Lifestyle modifications such as getting more sleep, eating a healthy diet, and reducing stress can also reduce the number of flare-ups you experience. A dermatologist can help map out a treatment plan for you to better manage your symptoms.
 
While seborrheic dermatitis may go away without treatment and isn’t usually a cause for concern, you may want to consult your dermatologist if the symptoms are severe, they impact your appearance, or they affect your everyday routine.
By Avery Scheiner, MD LLC
June 09, 2021
Category: Skin Conditions
Tags: Alopecia  
AlopeciaIt can be incredibly distressing when you start to lose your hair unexpectedly. Alopecia is something that affects both men and women and this autoimmune disorder causes patches of hair to fall out. This condition is most often found in women under 30.
 
Alopecia Can Be Hereditary

If you develop alopecia you may want to point a finger at your genetics. In fact, both parents have the ability to pass down alopecia to their children. So, if you have a family member with alopecia areata then you may be more likely to develop this condition at some point during your lifetime. Of course, genetics isn’t the only factor that plays a role in whether or not you develop alopecia. There are other deciding factors, as well.
 
Alopecia Targets the Hair Follicles

As we mentioned above, alopecia areata is an autoimmune disorder, which means that the body attacks the hair follicles, causing them to slow or even halt hair growth. There are different kinds of alopecia and people experience different symptom severities. Some people may notice hair regrowth in a few months while others may not. Again, you must have a dermatologist that you can turn to for answers.
 
There are Solutions for Managing Alopecia

While there is no cure, there are treatment options out there that can help stimulate hair growth and reduce the immune system response. The type and severity of your alopecia, along with your age and the severity of your hair loss will play major roles in what types of treatment options are best for you. This is something that a skincare professional can discuss with you during your consultation.
 
For those with milder symptoms, there are injectable and topical medications that could help. Common treatments include,
  • Topical or injectable corticosteroids
  • Minoxidil solution (applied to the scalp to regrow hair)
  • Anthralin cream
Those with more severe symptoms may respond better to these treatment options,
  • Oral steroids
  • Immunomodulatory medications
  • Topical immunotherapy
If you are dealing with sudden hair loss, it’s important to talk with a dermatologist to find out what’s going on, so you know the best way to treat it. Alopecia can be distressing, but your dermatologist can provide you with options to improve hair regrowth and to once again boost your confidence in your appearance.
Skin Cancer ScreeningWhen was the last time you saw a dermatologist? We’re pretty sure most people don’t know or perhaps have never stepped foot inside a dermatologist’s office; however, 1 in 5 Americans will develop skin cancer by the age of 70, and more than two people die every hour in the US from skin cancer. This is why everyone needs to visit their dermatologist for regular skin exams and skin cancer screenings.

What should I expect from a skin cancer screening?

There is nothing uncomfortable, painful, or invasive about a skin cancer screening. This can be a relief to know and may even make someone more likely to come in for the screening they need. A skin cancer screening involves a simple, non-invasive visual examination that is performed by a qualified dermatologist. Your skin doctor will examine all growths, moles, and birthmarks to check for any changes in shape, color, size, or texture that could be warning signs of cancer.

Just as with any health screening, a skin cancer screening can help your dermatologist detect skin cancer during the very early stages when it’s highly treatable. If your dermatologist does detect a suspicious growth, they may recommend a biopsy. A biopsy simply means that your dermatologist will remove a small amount of tissue from the area to test for cancer cells.

Who should get a skin cancer screening?

Everyone can benefit from a skin cancer screening; however, certain risk factors can increase your odds of developing skin cancer over your lifetime. It’s important to know your risk level so you can talk with your dermatologist about how often you should come in for screenings. Those at increased risk may need to come in more than once a year. These risk factors include,
  • Being fair-skinned
  • Having blonde or red hair
  • Light eyes
  • Skin that burns or freckles easily
  • A history of sunburns
  • Family history of skin cancer
  • Extensive sun exposure (e.g. working outdoors)
If it’s been more than a year since your last skin cancer screening you must schedule your exam with a dermatologist as soon as possible. While wearing sunscreen and protecting your skin from the sun can certainly help, it’s still necessary to see a dermatologist at least once a year.
By Avery Scheiner, MD LLC
May 06, 2021
Category: Skin Care
Tags: Rash  
Skin RashFrom coming in contact with poison ivy to dealing with a high dose of stress, there are many reasons a rash might appear. Most of the time, a rash will go away on its own without treatment; however, it’s also important to recognize when a rash may warrant turning to a dermatologist for treatment.

What causes rashes?

There are so many reasons why a rash may surface. Rashes may be the result of a bacterial, fungal, or viral infection, or it could be caused by an allergy. Common causes of a rash include,
  • Atopic or contact dermatitis
  • Eczema
  • Pityriasis rosea
  • Hives
  • Insect bites and stings
  • Poison ivy, oak, or sumac
  • Rosacea
  • Measles
  • Ringworm
  • Impetigo
  • Psoriasis
  • Diaper rash
  • Shingles
  • Lichen planus
  • Chickenpox
  • Lupus
  • Scabies
  • Allergy to a drug/medication
How do I treat a rash?

Most rashes are mild, self-limiting, and can be treated on your own without having to turn to a doctor. Some ways to ease a rash and promote faster healing is by,
  • Using only gentle cleansers and soaps that do not contain harsh chemicals or fragrances
  • Avoiding hot water and only using lukewarm or cold water
  • Being gentle when cleansing, bathing, and handling the skin
  • Not covering the rash (let it breathe)
  • Using only unscented products
  • Applying calamine lotion to control itching
  • Using hydrocortisone cream to reduce itchiness, swelling, and redness
  • Not scratching the rash, as this can lead to an infection
When should I see a dermatologist about my rash?

It’s important to recognize when a rash probably requires medical attention. You should schedule an appointment with your dermatologist if,
  • The rash is widespread and takes over most of your body (this could be a sign of an allergic reaction, which requires immediate attention)
  • The rash is spreading quickly and suddenly
  • Your rash is accompanied by a fever (this is often a sign of serious infection)
  • The rash is painful or contains blisters
  • There are signs of infection such as oozing, crusting, or skin that’s warm to the touch
Dealing with a rash that is painful or causing your concern? If in doubt, don’t hesitate to call your dermatologist. We can discuss your symptoms over the phone and determine whether you should come in for a consultation.
By Avery Scheiner, MD LLC
April 19, 2021
Category: Skin Conditions
Tags: Bed Sores  
Bed SoresIf you or a loved one is bed-bound, one of the main concerns is bedsores, which can develop when there is persistent pressure placed on the skin for extended periods. Bedsores can develop within as little as 2-3 hours. Bedsores most often develop on bonier areas of the body where there isn’t as much skin, such as the shoulder blades, buttocks, hips, and tailbone.

It’s important to follow these tips to treat bedsores,
  • Immediately take the pressure off the area
  • Apply dressings to the area to cover the wound
  • Make sure to clean and dress the wound daily to prevent infection
If the person has diabetes or any chronic health problems, you must turn to your doctor right away for treatment, as even minor bedsores can lead to ulcers and serious infections.

A dermatologist can easily remove damaged or dead tissue and prescribe medications such as antibiotics to treat any infection that may be present. Your doctor will need to closely monitor bed sores to make sure it is responding to treatment and isn’t getting worse. If you or a loved one is dealing with bedsores, call your physician immediately.

How do you prevent bedsores?

Even though they are called bedsores, these ulcers can develop in any part of the body in which a lot of pressure is being placed. Therefore, people who are sitting or lying down for long periods, as well as those who are wheelchair-bound, are more at risk for developing bedsores. The person must be checked every day for redness and early signs of bedsores so the problem can be treated right away.

Some ways to reduce your risk for developing bedsores include,
  • Moving or at least changing position every 2-3 hours
  • Using additional pads or cushions in your bed or wheelchair to help take the pressure off certain areas of the body that are prone to bedsores
  • Making sure that you get adequate and proper nutrition to assist in healing
  • Properly care for and clean the skin every day
If you notice any changes in the skin that indicate bedsores, you must continue to change positions every 2-3 hours every day. If symptoms don’t improve within a day, or if there are signs of an infection, it’s important to see your dermatologist immediately for care.




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