Archive for the ‘Utah Dermatology’ Category

If you visit a local Utah dermatology clinic, it’s important to understand what some of the terms are they refer to.

Some Dermatology Terms to Be Aware Of

(in no particular order)

Acne

Acne is a common skin problem that shows up as outbreaks of bumps, papules and/or pustules often called pimples or zits. Acne lesions usually appear on the face, neck, back, chest, and shoulders. Although most people associate the disorder with teenagers, acne can emerge at any age until menopause, especially during times of hormonal flux.

Acne occurs when excess sebum created by the sebaceous glands, builds up beneath the skin within a hair follicle (“pore”). This creates a small bump called a “comedo”. A comedo may be referred to as a “blackhead” if the sebum has darkened upon exposure to air. The sebum can become infected with bacteria (p. acnes) which causes the lesion to become red and inflamed. The severity of acne is determined by the extent of the lesions and the degree of inflammation.

Acne can be a source of emotional distress and severe acne, particularly “cystic” or “nodulocystic” acne can lead to permanent scars.

Treatment recommendations are based on the severity of the acne and other variables, and may include benzoyl peroxide, topical retinoids (Differin, Epiduo, Retin A Micro, Tazorac, tretinoin, and Ziana), dapsone (Aczone), topical antibiotics (Duac, Clindagel), oral antibiotics, birth control pills (Yaz, Ortho Tri-Cyclen), isotretinoin (Accutane, Sotret), and various laser and light sources, such as photodynamic therapy (PDT).

Blister
An enclosed collection (bubble) of fluid within or beneath the epidermis.

Cellulitis
An infection of the skin, usually by bacteria (staph and strep).

Chronic
Long-lasting. The opposite of acute.

Comedo (Blackheads and Whiteheads)
A dilated hair follicle and sebaceous gland filled with sebum and bacteria. A comedo may be “open” in which the sebum is exposed to the air causing the sebum inside to turn dark or black. This is referred to as a “blackhead.” A comedo may be “closed” in which the sebum inside remains white. This is referred to as a “whitehead.”

Dermatitis
A general term used to describe inflamed skin. There can be many causes of dermatitis, such as an allergic reaction or atopic dermatitis. Dermatitis can be short-term (“acute”) or long-term (“chronic”). Acute dermatitis causes the skin to appear red, blistered or swollen. Chronic dermatitis causes the skin to appear thickened, rough, and darker than the surrounding skin.

Epidermis
The top layer of skin that lies above the dermis. Epidermis is composed primarily of a type of squamous cell called a keratinocyte. Cells at the base of the epidermis (basal cells) generate keratinocytes that grow to the surface. The epidermis replaces itself every 12-14 days. There are no blood vessels in the epidermis so a cut or scrap of the epidermis does not bleed

Hair follicle
The part of the dermis from which hair grows. Sebaceous glands are often connected to hair follicles.

Immune system
A complex network of specialized cells and organs that work together to defend the body against “foreign” invaders such as bacteria and viruses. In some conditions, the immune system may not function properly and may even work against the body. This leads to “autoimmune” diseases, such as arthritis and lupus.

Ringworm
A fungal skin infection caused by a dermatophyte. Similar fungi may cause athlete’s foot or jock itch. Ringworm is not caused by a worm.

Sunscreen
This lotion, cream, or spray is the single most important anti-aging weapon you can buy. Sunscreen uses chemicals or physical blockers to prevent a certain percentage of ultraviolet light from getting to the skin and attacking and damaging the skin cells.

In order to guard against both UVA and UVB, you must wear a sunscreen labeled broad spectrum. Most broad-spectrum sunscreens contain the powerful UVA blocker avobenzone. However, since this ingredient breaks down after exposure to sunlight, some companies are stabilizing it with additives like Helioplex, which dramatically prolong the life span of the sunscreen. The latest UVA blocker to hit the United States is Mexoryl, which remains stable and effective even after four hours of sunlight exposure.

Topical
Something that is applied to the skin, such as an ointment or cream. A medication to be rubbed over a rash may be referred to as a topical medication.

iPLEDGE Program

Contrary to popular belief in Utah County, acne and diet are not closely related. Acne isn’t caused by sugar, chocolate, or greasy foods, although it’s generally a good idea to limit such snacks. Nor is acne caused by sexual activity, masturbation, or dirt on the skin. It can be aggravated by oily cosmetics, stress, picking at blemishes, rough cleansers, or hard scrubbing.

Another acne myth is that sunlight can make acne better. A suntan can temporarily lessen the appearance of acne lesions, but it won’t make it go away, and the sun can damage the skin in other ways (wrinkles, skin cancer).

How is teen acne treated?

Acne treatments range from over-the-counter (OTC) topical acne medications to oral drugs for the worst cases. In teens treating acne early is especially important to prevent it from getting worse or causing acne scars.

• Many people attempt to first treat their acne at home with non-prescription medications, such as Proactiv or Sensiclear. Unfortunately, many people discover that these over-the-counter medications take too long to work, prolonging the acne and increasing the risk of developing acne scars.
• For moderate acne, or mild acne that doesn’t respond to over-the-counter treatments, you may need a stronger prescription acne medication that acts faster and provides longer-lasting benefits. Physicians may prescribe a topical retinoid, a mainstay of acne therapy. Topical retinoids help to clear up acne quickly and provide ongoing clear skin. Brands of topical retinoids include Differin™(adapalene), Epiduo™(adapalene + benzoyl peroxide), Retin A Micro™(tretinoin), Tazorac™(tazarotene), or Ziana™(tretinoin + clindamycin). These medications may be used alone or in combination with other acne medications, such as antibiotics.
• For the most severe cases of acne (such as cystic acne), physicians may prescribe isotretinoin (Accutane, Sotret). This daily oral medication has shown to be an effective treatment when other medications have failed, but it has serious possible side effects and should never be taken by pregnant women. Women using isotretinoin must agree to use two types of birth control, and abstain from sex within a month before and after taking the medication.

Stick with it

No medication can do its job properly unless it is given time to work. It’s very important to be patient and take your medication as directed, for as long as directed. If you don’t see results right away, don’t be discouraged. Your medication is hard at work preventing new lesions from forming. Stopping treatment early will likely cause pimples and zits to reappear.

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©2010 Vivacare.
Last updated July 1, 2010.

This information is for general educational uses only. It may not apply to you and your specific medical needs. This information should not be used in place of a visit, call, consultation with or the advice of your physician or health care professional. Communicate promptly with your physician or other health care professional with any health-related questions or concerns.

Be sure to follow specific instructions given to you by your physician or health care professional.

Almost every Utah teenager can expect to get acne at some point during adolescence, but that doesn’t make it easier to bear. The emotional toll of acne is a familiar problem for many young people and can wreak havoc on adolescent self-confidence. Fortunately, almost all cases of acne are treatable

Who gets acne?

Anyone of any age can get acne, even adults, but it is most common in teenagers. In fact, acne is considered a normal part of adolescence. 100% of the population can expect to have acne at some time during adolescence, regardless of race or ethnicity. During puberty, elevated hormone levels stimulate higher sebum production than usual, increasing the chance of acne flares.

Boys are more likely to get it during adolescence because their skin tends to produce more sebum. In adulthood, women are more prone to acne than men, likely because of the hormonal swings of menstruation, pregnancy, and menopause.

People with a family history of acne are also more likely to get acne.

Sports and acne mechanica

Teens who play sports, wear a backpack, or play a musical instrument that comes into contact with the face and neck may get a form of acne called acne mechanica. This type of acne is caused by irritation to the skin from excessive heat or sweat, friction, or pressure. The American Academy of Dermatology lists these common sports-related sources of acne mechanica:

• Helmets and helmet straps, especially those worn by football and hockey players and motorcycle riders
• Shoulder pads and straps worn by football players
• Tight uniforms made of synthetic fabric
• Tight headbands worn by soccer players and runners
• Straps and packs on backpacks

Other common causes of acne mechanica are:

• Straps used by soldiers for weapons and equipment
• Headbands worn for long periods of time
• Musical instruments, such as the violin, tucked against the neck for hours
• Tight fur caps worn for long periods of time
• Tight clothing, such as jeans and underwear made of synthetic fabric
• Snug bra straps
• Adhesive tape that remains on the skin for several days (occasionally)

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If you’re looking for a Utah dermatologist, there are some things we recommend you take in to consideration.

First off, how long have you been researching your options?

Consumers are often perplexed about whether or not they really require a dermatologist. They’re just not convinced their skin care issue is bad enough to require dermatologist in Utah. Taking advantage of this guide should provide you with a better idea if a dermatologist is necessary for you.

• You’re seriously affected by your skin abrasion. No matter how bad your problem may appear, if you find that it falls into your every day processes, makes you think twice or be self conscious when talking to people, you must approach a dermatologist. This is unfortunate but there is really little you can do about it besides go to a professional and get the issue eradicated.
• Harshness of your problem. If you have acne, but only a few pimples, you probably do not have to have laser treatment with an expert. However, if your acne envelops your head and is a large factor for your lack of self esteem or unhappiness, seeing a dermatologist for an assessment is a smart idea.

• A permanent skin issue. This is where dermatologists are a necessity. If you have a scar, tattoo, birthmark, stretch mark, etc., dermatologists are experts at taking off or seriously decreasing the concern and breaking it down significantly.

• You have insurance and cash to spare. Dermatologists are not necessarily overly costly, but they are still in the medical industry, and expenses can mount up. You must have the resources to utilize to make sure that you can afford a surgery or procedure that is not definitively needed for your well being.

As you think about these issues, make sure to contact Aspen Dermatology. We’ll be happy to answer any questions and take care of your skin care needs.

• What makes my acne worse or better?
• What treatment options do I have for acne?
• How can I keep my acne under control?
• What specific things can I do to take care of or prevent acne?

This is part 2 of a 2 part series on the basics of acne.

What factors make acne worse?

Acne lesions can come and go. These factors can cause acne to flare:

• Changing hormone levels in women 2 to 7 days before their menstrual period, during pregnancy, or when starting or stopping birth control pills
• Oil from skin products (moisturizers or cosmetics) or grease in the workplace (for example, a kitchen with fry vats)
• Pressure from sports helmets or equipment, backpacks, tight collars, or tight uniforms
• Environmental irritants, such as pollution and high humidity
• Squeezing or picking at blemishes
• Hard scrubbing of the skin

What are the treatment options for acne?

Almost all cases of acne can be effectively treated. Treatment goals are to heal existing lesions, stop new lesions from forming, and prevent scarring.

Acne treatments aim to control one or more of the underlying causes of acne. For instance, topical retinoids, such as Differin or Retin A Micro, may help unclog sebaceous glands and keep pores open. Antibiotics may be used to fight the P. acnes bacteria. Accutane or hormonal agents, such as birth control pills, may be used to reduce sebum (oil) production.

Your doctor will recommend a treatment based on these factors:

• Severity of your acne. Mild acne may respond well to a topical retinoid alone. Moderate acne may respond better to a combination of topical retinoid with an antibiotic or other medication. Severe acne with scarring may need treatment with an oral retinoid (Accutane, Sotret).
• Results of previous treatments. Medications may be added in a step-wise fashion, only if previous treatments are found to be ineffective.
• Degree of scarring. More aggressive therapies may be started earlier if acne scars have already started developing.
• Gender. Some treatments are available only for females, such as birth control pills.

Whatever your treatment plan, it is important that you give it enough time to work. This may mean waiting 6 to 8 weeks to see results. While the older acne lesions are healing, the medication is hard at work keeping new lesions from forming. Staying on your medication is the most important step to getting acne under control.

How can I keep my acne under control?

After your acne clears, your doctor may recommend that you continue therapy with a topical retinoid to keep it under control. It is always a good idea to maintain good skin care and use skin care products labeled as “non-comedogenic” (do not promote acne)

What about self care and prevention?

For ongoing acne skin care and prevention of acne, follow a few simple guidelines:

• Clean skin gently—Use a mild skin cleanser twice a day, and pat skin dry. Harsh cleansers and astringents can actually worsen acne.
• Do not pop, squeeze, or pick at acne lesions, as this can promote inflammation and infection. Keep hands away from your face and other acne-prone parts of the skin.
• Limit sun exposure—Tanning only masks acne at best. At worst, sun exposure can lead to skin damage, especially if you are using an acne treatment that makes your skin more sensitive to sunlight and UV rays (this includes tanning booths).
• Choose cosmetics with care—As mentioned above, choose non-greasy skin products, and look for words like “non-comedogenic,” “oil-free,” and “water-based.” Some facial products contain active acne-fighting ingredients, such as benzoyl peroxide or salicylic acid, to help keep mild acne at bay.
• Be patient with your treatment—Find out how much time it should take for your acne treatment to work (generally 6-8 weeks) and then stick with it. Stopping treatment early may prevent you from seeing good results or even cause a relapse of symptoms. Your skin may look worse before it begins to improve. You may need to try more than one type of treatment.

Do you have questions like these?

• What causes acne?
• What are the different types of acne?
• Why do I get acne?
• What makes my acne worse or better?
• What treatment options do I have for acne?
• How can I keep my acne under control?
• What specific things can I do to take care of or prevent acne?

If you do have these questions, you’re definitely not alone. These are questions we are asked all the time as Utah dermatologists.

Over the next few weeks, we’ll answer these questions in depth for you.

Acne is a skin problem that is very common. It shows up as outbreaks of bumps called pimples or zits. These usually appear on the face, neck, back, chest, and shoulders. Acne can be a source of emotional distress, and severe cases can lead to permanent scarring.

What causes acne?

Acne begins when the pores in the skin become clogged and can no longer drain sebum (an oil made by the sebaceous glands that protects and moisturizes the skin.) The sebum build-up causes the surrounding hair follicle to swell.

Hair follicles swollen with sebum are called comedones. If the sebum stays beneath the skin, the comedones produce white bumps called whiteheads. If the sebum reaches the surface of the skin, the comedones produce darkened bumps called blackheads. This black discoloration is due to sebum darkening when it is exposed to air. It is not due to dirt. Both whiteheads and blackheads may stay in the skin for a long time.

Bacteria called Propionibacterium acnes (P. acnes) that normally live on the top of the skin can enter the clogged pores and infect the sebum. This causes the skin to become swollen, red, and painful.

Infected sebaceous glands may burst, releasing sebum and bacteria into the surrounding skin, creating additional inflammation. In severe cases, larger nodules and cysts may form in the deeper layers of the skin.

What are the different types of acne?

Acne can be categorized by its severity:

1. Mild acne: a few scattered whiteheads or blackheads with minimal inflammation.
2. Moderate acne: a denser collection of whiteheads or blackheads as well as red, inflamed, pus-filled lesions.
3. Severe acne: also called nodular or cystic acne, describes widespread and deep lesions that are painful, inflamed, and red. This form of acne is likely to lead to scarring if left untreated.

Why do I get acne?

Anyone can get acne, but acne in teenagers, whose surging levels of androgen (a type of hormone) create larger and more active sebaceous glands. Acne may continue for people in their twenties and thirties, and even women over forty. Acne also appears more commonly in people whose parents had acne.

More to come on Acne Basics

These are the topics will cover next time about acne causes and treatments in Utah.

• What makes my acne worse or better?
• What treatment options do I have for acne?
• How can I keep my acne under control?
• What specific things can I do to take care of or prevent acne?

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Attention Utah Women!

Interested in waxing, pedicures, facials, and makeup?

MyAspenDerm.com is having a Girls Night Out!

When:

March 4th at 6:00p.m. to 9:00p.m.

Where:

Aspen Dermatology
114 E 800 N
Spanish Fork, UT 84660

What:

Waxing, pedicures, facials, and makeup $35, must R.S.V.P.

Bring a friend!

Food and beverages will be provided.

Post a comment with any questions.

Call 801-794-1490 to R.S.V.P.

Are you looking for a Utah Dermatologist?

Dermatologists in Utah are often consulted for conditions such as acne, rashes, questionable moles or cosmetic procedures. Acne is often bothersome and can make you feel self-conscious. It is in your best interest to consult a dermatologist to help alleviate the symptoms and avoid unnecessary self-consciousness.

Dermatologists are doctors that treat skin conditions and often will take biopsies to get further answers. A Utah dermatologist should always be sensitive to your fears regarding the treatment, and be willing to explain just how his treatment will work. He will also let you know how long it will take, and what you should expect.

Usually, people who look for dermatology treatments are those who have a bothersome skin condition or wish to improve their appearance with a wrinkle reducer or collagen filler application. For acne the problems can include blackheads, whiteheads, cysts, and pimples. A dermatologist will examine the problem and decide on a treatment. Rashes can require a number of follow up visits as they may be difficult to diagnose right away, require biopsies and possibly allergy testing.

Utah Dermatologist: Factors to Consider

• The level of comfort you have when speaking with the doctor.
• The doctor should treat you with respect.
• The doctor should be willing to listen to all of your issues to come up with a solution that will make you happier.
• You want a doctor that will promptly return your calls and answer all of your questions.

For those with a rash, it can be difficult to show the problem to someone and if it is in private areas the patient can feel awkward.

Other Things to Consider

Ask about the dermatology fees at the beginning, as many doctors are willing to make adjustments for those whose needs outweigh their ability to pay. A friend of mine went to a dermatologist for a few shots of botox to enhance her appearance. The dermatologist a few minutes later asked her if she wanted a few additional injections. My friend assumed these were free, but in fact she was charged for each one. This is something to clarify at the time of appointment as you need to know what you are spending and what is included in the treatment. Because she was given an initial estimate for the injection spots, she assumed his additional botox sites that he added during treatment were not going to cost her anything additional. Speak with the office manager before the appointment to avoid any misunderstandings.