Category: Skin Conditions

  • A Simple Remedy For Prickly Heat

    Skin Conditions

    Image of women sitting in grass field on sunny summer day.

    Feeling hot and sticky is bad enough. A visible sign of discomfort only makes it worse. Such is the case with prickly heat (also known as heat rash), identified by clusters of small blisters that itch and appear where you perspire the heaviest – the armpits, neck, back, or creases in the elbows (but not the face).

    Hot, humid weather, sensitive skin, and excess weight all aggravate prickly heat. Here are some simple ways to find relief:

    *  Wear loose, lightweight clothing.

    *  Dust the affected area with cornstarch.

    *  Take cool baths to reduce itching.

    *  Avoid hot, humid environments and stay in air-conditioned places, if possible.

    The key to managing prickly heat is to avoid sweating by staying in a cool environment. The rash will disappear in a couple of days.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Cellulitis

    Skin Conditions

    Cellulitis is an infection of the skin and tissues below it. Most often, cellulitis occurs on the arms and legs or on the face.

    Signs & Symptoms

    *  Red, swollen, painful, tender, and warm skin.

    *  Red lines that spread from the wound.

    *  Swollen lymph nodes near the wound.

    *  Chills and fever.

    Causes

    Cellulitis is caused by several types of bacteria. These usually enter the body through minor skin breaks (cuts, burns, other wounds). One cause for cellulitis that recurs is community-acquired MRSA (Methicillin- resistant Staphylococcus aureus.)

    Treatment

    Oral, topical, and/or IV antibiotics are given. The type(s) used depend on how serious the infection is. Medicine to relieve pain may be needed.

    Questions to Ask

    Self-Care / Prevention

    To Prevent Cellulitis

    *  Keep your skin clean and protect it from injury.

    *  Clean cuts, scrapes, and other skin wounds and injuries, thoroughly, with soap and water. Keep wounds and sores clean, dry, and covered until healed.

    *  To help prevent community-acquired MRSA, avoid contact with other people’s wounds or bandages in schools, health care settings and sports. Do not share towels, washcloths, razors, clothing, or uniforms that may have had contact with an infected wound or bandage. Shower right after sporting events, workouts, etc.

    To Treat Cellulitis

    *  Follow your treatment plan. Take all of your prescribed antibiotic(s).

    *  Take pain relievers as directed.

    *  Rest the affected area. Elevate it to reduce swelling.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Shingles

    Skin Conditions

    Shingles (herpes zoster) is a skin condition. It is triggered by the chicken pox virus, which is thought to lie dormant in the spinal cord until later in life. Most often, shingles occurs in people over 50 years old.

    Signs & Symptoms

    *  Pain, itching, or a tingling feeling before a rash appears.

    *  A rash of painful red blisters. These later crust over. Most often, the rash appears in a band on one side of the body or in a cluster on one side of the face.

    *  Fever and general weakness can occur.

    *  The crusts fall off, usually within 3 weeks.

    *  Pain can persist in the area of the rash. This usually goes away within 1 to 6 months. Chronic pain called postherpetic neuralgia (PHN) can last longer, even for years. The older you are, the greater the chance that this is the case. The recovery time may also take longer.

    *  Blindness can occur if the eye is affected.

    *  Most cases of shingles are mild.

    Image of the shingles.

    Causes

    The virus that causes chicken pox – varicella zoster virus (VZV) causes shingles. To get shingles, you must have had chicken pox. You are more likely to get shingles after an illness or taking medicine that lowers the immune system. Stress or trauma can also increase the risk for shingles.

    Treatment

    If you think you might have shingles, see your doctor right away! He or she can prescribe:

    *  An oral antiviral medicine. This can make symptoms less severe and help you get better sooner. To help, this medicine needs to be started within 24 to 72 hours after the rash first appears.

    *  Medicine for pain. This includes over-the-counter pain relievers and capsaicin topical cream. Prescribed medicine may be needed for pain. A skin patch called Lidoderm may be helpful for PHN.

    *  Other medicines to treat symptoms.

    Questions to Ask

    Self-Care / Prevention

    *  A Zoster vaccine may help prevent getting shingles. It can also reduce the pain due to shingles. The vaccine is advised for persons age 60 and older.

    *  Unless your doctor has prescribed pain medicine, take an over-the-counter one as directed.

    *  Don’t wear clothing that irritates the skin area where sores are present.

    *  Keep sores open to the air. Until the blisters are completely crusted over, do not go near children or adults who have not yet had chicken pox. Do not go near persons who have a condition which weakens their immune system. Examples are cancer, HIV/AIDS, and chronic illnesses. They could get chicken pox from exposure to shingles.

    *  Wash blisters. Don’t scrub them.

    *  To relieve itching, apply calamine lotion to the affected area. You can also use a paste made of 3 teaspoons of baking soda mixed with 1 teaspoon of water.

    *  Avoid drafty areas.

    *  Put a cool compress, such as a cold cloth dipped in ice water, on the blisters. Do this for 20 minutes at a time.

    *  Drink lots of liquids.

    Resources

    National Institute of Allergy and Infectious Diseases (NIAID)

    www.niaid.nih.gov

    National Shingles Foundation

    212.222.3390

    www.vzvfoundation.org

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Cold Hands & Feet

    Skin Conditions

    Signs & Symptoms

    *  Fingers or toes turn pale white or blue, then red, in response to cold temperatures.

    *  Pain when the fingers or toes turn white.

    *  Tingling or numbness in the hands or feet.

    Causes

    Often the cause is unknown and not serious. Cold hands and feet can be a symptom of the conditions that follow.

    *  Poor circulation. This is most often due to diseased arteries.

    *  Raynaud’s disease. This is a disorder that affects the flow of blood to the fingers and sometimes to the toes.

    *  Any underlying disease that affects the blood flow in the tiny blood vessels of the skin. Women who smoke may be more prone to this.

    *  Frostbite.

    *  Stress.

    *  A side effect of taking certain medicines

    *  Cervical rib syndrome. This is a compression of the nerves and blood vessels in the neck that affects the shoulders, arms, and hands.

    Treatment

    Emergency care is needed for frostbite. If a medical condition causes cold hands and/or feet, treatment for the condition is needed.

    Questions to Ask

    Self-Care / Prevention

    *  Don’t smoke. If you smoke, quit.

    *  Avoid caffeine.

    *  Don’t handle cold objects with bare hands. Use ice tongs to pick up ice cubes, etc.

    *  Set your indoor thermostat at 65ºF or higher.

    *  Wear mittens and wool socks to keep hands and feet warm.

    *  Don’t wear tight-fitting footwear.

    *  Wiggle your toes. It may help keep them warm by increasing blood flow.

    *  Stretch your fingers straight out. Swing your arms in large circles like a baseball pitcher warming up for a game. This may increase blood flow to the fingers. Skip this tip if you have bursitis or back problems.

    *  Meditate. Learn and practice biofeedback.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Skin Cancer

    Skin Conditions

    Skin cancer is the most common kind of cancer in the U.S. When found early, skin cancer can be treated with success.

    Skin Cancer Warning Signs

    Contact your doctor if you notice any of these following signs:

    For basal cell and squamous cell skin cancers (types that seldom spread to other parts of the body):

    Small, smooth, shiny, pale, or waxy lump

    Firm red lump

    A lump that bleeds or develops a crust

    A flat, red spot that is rough, dry, or scaly

    For melanoma (can spread to other parts of the body and be fatal if not treated early). Look for any of these signs in an existing mole:

    A. Asymmetry – The shape of one half does not match the other.

    B. Border – The edges are ragged, notched or blurred.

    C. Color – The color is uneven.

    D. Diameter – The size changes and is often bigger than a pencil eraser.

    E. Evolving lesion – This is one that changes size, shape, shades of color or symptoms or has surface bleeding.

    Causes

    *  Recurrent exposure to ultraviolet (UV) radiation from the sun is the main cause.

    *  Artificial sources of UV radiation, such as sun lamps and tanning beds.

    Risk Factors

    *  Having skin cancer in the past.

    *  A family history of skin cancer.

    *  Having fair skin that freckles easily, especially with red or blond hair and blue or light-colored eyes.

    Treatment

    Depending on the size, type, and stage of the cancer, treatment includes:

    *  Surgery. There are many types.

    *  Chemotherapy. One form is a cream or lotion with anticancer drugs that is applied to the skin. Other forms are given through an IV.

    *  Radiation therapy. n Interferon drugs.

    *  Skin grafting.

    Questions to Ask

    Self-Care / Prevention

    Start prevention in childhood to protect against skin cancer later in life.

    *  Limit time in the sun, especially between 10 a.m. and 4 p.m.

    *  Use a broad-spectrum sunscreen with a sun protection factor (SPF) of 15 or higher as directed.

    *  Reapply sunscreen at least every 2 hours, more often if you’re sweating or going in and out of the water.

    *  Cover skin exposed to the sun, such as long-sleeved tops, pants, sunglasses, and wide-brimmed hats.

    *  Avoid sun lamps and tanning beds.

    Skin Self-Exam

    *  Do a skin self-exam monthly. The best time to do this is after a shower or bath. To check your skin, use a well- lit room, a full-length mirror, and a hand-held mirror.

    *  Locate your birthmarks, moles, and blemishes. Know what they look like. Check for a sore that does not heal.

    *  Check all areas.

    1.  Look at the front and back of your body in the mirror. Then, raise your arms and look at the left and right sides.

    2.  Bend your elbows and look carefully at the palms of your hands. Make sure to look at both sides of your forearms and upper arms.

    3. Look at the back and front of the legs. Look between the buttocks and around the genital area.

    4.  Look at your face, neck, and scalp. Use a comb or blow dryer to move hair so that you can see the scalp better.

    5.  Sit and closely examine the feet. Look at the soles and the spaces between the toes.

    {Note: Get a skin exam from your doctor or health care provider as often as advised.}

    Resources

    National Cancer Institute

    800.4.CANCER (422.6237)

    www.cancer.gov

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Corns & Calluses

    Skin Conditions

    Corns and calluses are extra cells made in a skin area that gets repeated rubbing or squeezing.

    Signs & Symptoms

    *  Corns are areas of dead skin on the tops or sides of the joints or on the skin between the toes.

    *  Calluses are patches of dead skin usually found on the balls or heels of the feet, on the hands, and on the knees. Calluses are thick and feel hard to the touch.

    Illustration of corns and calluses on the bottom of a foot.

    Common sites on the bottom of the foot for corns and calluses.

    Causes

    Footwear that fits poorly causes corns and calluses. So can activities that cause friction on the hands, knees, and feet.

    Treatment

    Self-care treats most cases. If not, a family doctor or foot doctor (podiatrist) can scrape the hardened tissue and peel away the corn with stronger solutions. Sometimes warts lie beneath corns and need to be treated, too.

    Questions to Ask

    Self-Care / Prevention

    {Note: Persons with diabetes should see a doctor for treatment for foot problems.}

    For Corns

    *  Don’t pick at corns. Don’t use toenail scissors, clippers, or any sharp tool to cut off corns.

    *  Don’t wear shoes that fit poorly or that squeeze your toes together.

    *  Soak your feet in warm water to soften the corn.

    *  Cover the corn with a protective, nonmedicated pad or bandage which you can buy at drug stores.

    *  If the outer layers of a corn have peeled away, apply a nonprescription liquid of 5 to 10% salicylic acid. Gently rub the corn off with cotton gauze.

    *  Ask a shoe repair person to sew a metatarsal bar onto your shoe to use when a corn is healing.

    For Calluses

    *  Don’t try to cut a callus off.

    *  Soak your feet in warm water to soften the callus. Pat it dry.

    *  Rub the callus gently with a pumice stone.

    *  Cover calluses with protective pads. You can get these at drug stores.

    *  Don’t wear poorly fitting shoes or other sources of friction that may lead to calluses.

    *  Wear gloves for a hobby or work that puts pressure on your hands.

    *  Wear knee pads for activities that put pressure on your knees.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Skin Rashes

    Skin Conditions

    This is caused by the varicella-zoster virus. This condition is contagious.

    Chickenpox

    Signs & Symptoms

    Flat, red spots that become raised and look like small pimples. These develop into small blisters that break and crust over. Fatigue and mild fever occur 24 hours before rash appears. Itching may be intense.

    What To Do

    See doctor or health care provider if it occurs in an adult; if self-care measures don’t bring relief in children; or if there are signs of infection (e.g., pus, increased redness, swelling, or pain). A vaccine is given to prevent this disease.

    Self-Care

    Keep from scratching affected areas. Apply cool, wet washcloths with baking soda or calamine lotion to affected areas. Take acetaminophen for fever. Take an OTC antihistamine as advised by your doctor if itching is intense. Chickenpox can be prevented with a chickenpox vaccine.

    Contact Dermatitis

    Causes are direct contact with poison ivy, oak, or sumac or contact with an irritant (cleaning product, cosmetic, jewelry, etc.).

    Signs & Symptoms

    Dry, red, itchy patches of skin. Blisters which may drain and then crust over.

    What To Do

    See doctor or health care provider if self- care measures don’t bring relief or if there are signs of infection (e.g., red streaks, fever, pus, increased redness, swelling, or pain).

    Self-Care

    Try to identify the irritant and avoid direct contact with it. Don’t scratch the rash. For itching, apply calamine lotion or OTC hydrocortisone cream to the affected area. Bathe in warm (not hot) water. Add an oatmeal product to the water. Pat (don’t rub) the skin dry. Take an OTC antihistamine as advised.

    Cradle Cap

    This is due to hormones that pass through the placenta before birth.

    Signs & Symptoms

    Scaly, crusty rash (in newborns) that starts behind the ears and spreads to the scalp.

    What To Do

    Use self-care.

    Self-Care

    Apply mineral oil to the scalp to soften the hard crusts, then use an antidandruff shampoo. Do this 2 to 3 times a week, massaging the scalp with a soft brush or washcloth for 5 minutes. Be sure to wash all of the oil out.

    Eczema (Atopic Dermatitis)

    Image of eczema rash.

    This tends to run in families. It is common in persons with asthma or allergies. Contact with irritants may worsen eczema.

    Signs & Symptoms

    Patches of skin that are dry, red, scaly, blistered, swollen, and sometimes thick, discolored, or oozing and crusting. Commonly occurs in the bend of the elbow or behind the knee.

    What To Do

    See doctor or health care provider if self- care measures don’t bring relief or if there are signs of infection (e.g., red streaks, fever, pus, increased redness, swelling, or pain).

    Self-Care

    Use an OTC hydrocortisone cream on the affected area. Don’t scratch. Don’t bathe too often. When you do, use warm (not hot) water and a mild soap (or no soap). Use a light, nongreasy, unscented lotion (without alcohol) after you wash. Avoid items that worsen the eczema.

    Heat Rash (Prickly Heat)

    Heat rash (prickly heat) or chafing. This occurs from too much sweating.

    Signs & Symptoms

    Rash with small red pimples, pink blotchy skin, and itching. Common sites are between skin folds (armpits, under the breasts, the groin).

    What To Do

    Use self-care.

    Self-Care

    Bathe in cool water without soap every couple of hours. Let your skin air dry. Put cornstarch in body creases or apply calamine lotion to very itchy spots. Don’t use ointments and creams that can block sweat gland pores. Stay in a cool, dry area.

    Fifth Disease

    Image of fifth disease rash.

    This is caused by the Human parvovirus B19. This condition is contagious.

    Signs & Symptoms

    Red rash of varying shades that fades to a flat, lacy pattern. Rash comes and goes. It usually starts on the facial cheeks and then on the arms and legs. This is a mild disease, usually with no other symptoms.

    What To Do

    Use self-care, but no special treatment is required.

    Self-Care

    Avoid hot or even warm baths or showers. Keep cool.

    Hives

    Hives, usually due to an allergic reaction.

    Signs & Symptoms

    Red or pink, raised areas on the skin (weals) that can change shape, fade, then rapidly reappear. May come and go anywhere on the body. Itching.

    What To Do

    Call 9-1-1 if hives come with a hard time breathing or swallowing, wheezing, severe swelling all over or of the face, lips, tongue and/or throat (severe allergic reaction). {Note: If you have an emergency kit for an allergy, give the shot from the kit and follow other instructions before medical care.} For hives without a severe allergic reaction, see doctor for severe hives or for attacks of hives that recur.

    Self-Care

    Avoid substance that caused allergic reaction. Take an over-the-counter (OTC) antihistamine as advised by your doctor. Take a lukewarm (not hot) shower or bath. Add baking soda or an oatmeal bath product to bath water. Apply a cold compress or calamine lotion to itchy areas. Wear loose-fitting clothes. Don’t take aspirin, ibuprofen, ketoprofen, or naproxen sodium. Relax as much as you can.

    Impetigo

    This is caused by a bacterial infection. This condition is contagious.

    Signs & Symptoms

    In infants, pus-filled blisters and red skin. In older children, golden crusts on red sores. Areas affected are the arms, legs, face, and around the nose first, then most of body. Sometimes fever. Occasional itching.

    What To Do

    See doctor or health care provider, especially if self-care measures don’t bring relief, if blisters are larger than 1 inch across, or if a red streak runs from the infection. An antibiotic may need to be prescribed.

    Self-Care

    Clean the area with an antibacterial soap several times a day. Apply an OTC antibiotic ointment 3 times a day after the scab falls off. Wash your hands after contact with the rash area. Don’t share towels, etc.

    Lyme Disease

    This is caused by a deer tick bite.

    Signs & Symptoms

    A fever and red rash 3 days to 2 weeks after a deer tick bite. The rash has raised edges with pale centers. It fades after a few days. Joint pain may develop later.

    What To Do

    See doctor or health care provider for diagnosis. Can be treated with an antibiotic.

    Self-Care

    Follow your doctor’s advice.

    Measles

    This is caused by a virus. This condition is contagious. MMR vaccines prevent measles.

    Signs & Symptoms

    Blotchy red rash that starts on the face and spreads to the rest of the body. Rash lasts about 7 days. These signs come before the rash: Fever; runny nose; sneezing; cough; eyes that look red and are sensitive to light; and blue-white spots in the mouth.

    What To Do

    Call doctor right away to be sure the problem is measles. If it is, follow the doctor’s advice. Let the child’s school and the local health department know.

    Self-Care

    Rest until fever and rash go away. Drink lots of liquids. For fever, take acetaminophen. Treat cough. Avoid lights, TV, reading, etc. while eyes are sensitive to light. Usually okay to return to school about 7 to 10 days after rash and fever are gone.

    Meningococcemia

    Meningococcemia from a meningitis infection. These conditions are contagious.

    Signs & Symptoms

    Rash of deep red or purple spots that don’t fade when the skin is pressed. Other symptoms include high fever; stiff neck; severe headache that persists; vomiting; lethargy; seizure; sensitivity to light; and bulging of the fontanelle (soft spot of the skull) in an infant.

    What To Do

    Get medical care fast!

    Self-Care

    After medical care, follow your doctor’s advice.

    Psoriasis

    Image of psoriasis.

    This is a chronic skin disease that tends to run in families. The exact cause is not known.

    Signs & Symptoms

    Itchy, red patches covered with silvery-white flaky skin. Common sites are the scalp, elbows, forearms, knees, and legs.

    What To Do

    See doctor or health care provider if psoriasis affects large areas of skin and/or if self-care measures don’t bring relief.

    Self-Care

    To prevent dryness, use a moisturizer. Use an OTC hydrocortisone or coal tar cream or ointment. If psoriasis affects your scalp, use an antidandruff shampoo. Take a bath with mineral salts or an oatmeal bath product.

    Ringworm

    This is caused by a fungal infection. This condition is contagious.

    Signs & Symptoms

    Redness, itchy, scaly patches on the skin or scalp that are round with distinct edges that grow outward as the infection spreads. Moistness in the folds of the skin (under the breasts or in the groin area). Bald spots may appear on the scalp.

    What To Do

    See doctor or health care provider for diagnosis and treatment, especially if you have not had this before or if ringworm occurs on the scalp or in several patches on the skin.

    Self-Care

    Follow your doctor’s advice.

    Rocky Mountain Spotted Fever

    Rocky mountain spotted fever, 1 to 14 days after a bite from an American dog tick or Rocky Mountain woodtick. These conditions are contagious.

    Signs & Symptoms

    Pink to red rash on the arms, legs, and palms of the hands. Often starts near the wrists and ankles, then spreads inward. Rash darkens in color, spreads, and can bleed. Sudden high fever with chills, severe headache, and delirium also occur.

    What To Do

    Contact doctor right away.

    Self-Care

    Follow your doctor’s advice.

    Rosacea (Adult Acne)

    The exact cause is not known. It may result from overuse of corticosteroid creams or alcohol use.

    Signs & Symptoms

    Red rash on the face. Red nose that looks swollen and puffy cheeks. May have pus-filled spots without blackheads or whiteheads.

    What To Do

    See doctor or health care provider if rosacea affects large areas of skin and/or if self-care measures don’t bring relief.

    Self-Care

    Avoid hot and/or spicy foods, alcohol, and caffeine. Don’t rub or massage the face. Avoid strong sunlight.

    Roseola

    This is caused by the Herpes type-6 virus.

    Signs & Symptoms

    Flat, rosy red rash on the chest and abdomen. A high fever occurs 2 to 4 days before the rash. The child feels only mildly ill when the fever is present.

    What To Do

    See doctor or health care provider if high fever causes febrile seizure.

    Self-Care

    Take acetaminophen for fever. Apply cool, wet washcloths or take baths with tepid (not cold) water.

    Scabies

    This is caused by skin parasites called itch mites. This condition is contagious.

    Signs & Symptoms

    Tiny red pimples that itch intensely, usually between the fingers, on the wrists and genitals; in the armpits; and along the belt line. Scabs and sores may form.

    What To Do

    See doctor or health care provider for diagnosis. Can be treated with a prescribed topical medicine.

    Self-Care

    Follow your doctor’s instructions. Wash clothing and bedding in hot water and detergent.

    Scarlet Fever

    Image of scarlet fever.

    This is caused by a bacterial infection. These conditions are contagious.

    Signs & Symptoms

    Rough, bright red rash (feels like sandpaper) on the face, neck, elbows, armpits, and groin. It spreads rapidly to entire body. A high fever and weakness occur before the rash. Other symptoms include sore throat, peeling of the skin, vomiting, and swollen tongue.

    What To Do

    See doctor or health care provider for diagnosis. Can be treated with an antibiotic.

    Self-Care

    Take acetaminophen for fever. Rest and drink plenty of fluids.

    Seborrhea

    This is a type of dermatitis. The glands in the skin make too much oil.

    Signs & Symptoms

    Scaly, oily rash with small, reddish-yellow patches. Areas affected are usually oily ones (the edge of the scalp, forehead, nose, and eyebrows) and the back and chest.

    What To Do

    See doctor or health care provider if self- care measures don’t bring relief or if there are signs of infection (e.g., red streaks, fever, pus, increased redness, swelling, or pain).

    Self-Care

    Use an OTC antidandruff shampoo with salicylic acid on the scalp area. Use OTC hydrocortisone cream on the affected skin areas. Handle the skin gently. Don’t scratch. Don’t use irritants like detergents.

    Shingles

    Image of the shingles.

    Shingles from the herpes zoster virus.* (Persons who have not had chicken pox or a vaccine for it can get chicken pox from exposure to shingles.) These conditions are contagious.

    Signs & Symptoms

    Rash of painful red blisters (most often on only one side and in only one area of the body). Pain, itching, burning, or tingling feeling before the rash appeared.

    What To Do

    See doctor or health care provider within 24 to 72 hours for an oral antiviral medicine. This can shorten the course of shingles and make symptoms less severe. {Note: All adults 60 years of age and older are advised to get a vaccine that can help prevent shingles and reduce the pain due to shingles.}

    Self-Care

    Take pain relievers as advised by your doctor. For itching, apply calamine lotion or a paste made of 3 teaspoons of baking soda mixed with 1 teaspoon of water to the affected area. Apply a cool, wet compress to blisters for 20 minutes at a time. Wash (don’t scrub) blisters until they crust over. Drink plenty of liquids.

    Syphilis

    This is a sexually transmitted disease caused by a specific bacterial infection. This condition is contagious.

    Signs & Symptoms

    Widespread red rash on the palms of the hands, soles of the feet, and sometimes around the mouth and nose. The small, red, scaly bumps do not itch. Other types of rashes, swollen lymph nodes, fever, and flu-like symptoms may also occur.

    What To Do

    See doctor or health care provider for diagnosis. Can be treated with an antibiotic.

    Self-Care

    Follow your doctor’s advice.

    West Nile Virus

    West Nile virus, 3 to 15 days after a bite from a mosquito infected with the virus.

    Signs & Symptoms

    Rash on the trunk of the body with fever, headache, bodyaches, and swollen lymph glands.

    What To Do

    See doctor right away.

    Self-Care

    Follow your doctor’s advice.

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Daily Defense Against Dandruff

    Skin Conditions

    Image of women holding shampoo bottles.

    Dandruff is harmless. But it can be annoying to have white flecks accumulate on the clothes on your back and shoulders.

    Dandruff (or seborrheic dermatitis, in medical terms) affects the scalp and eyebrows – areas of the skin where oil glands are most active – leaving them oily and flaky. Unchecked, dandruff can collect around your ears and cascade down your neck and back.

    While dandruff seems to run in families, no one knows exactly what causes it. Possible contributing factors include:

    *  Stress.

    *  Infrequent shampooing.

    *  Oily skin in general.

    *  Extremes in weather (hot and humid or cold and dry conditions).

    Whatever the cause of your dandruff, thorough, daily shampooing is the most successful home treatment. To make shampooing more effective:

    *  Wash your hair thoroughly to loosen scaly skin, but be gentle, taking care not to scratch or irritate the scalp and increase the risk of infection. Change shampoos if the one you’re using isn’t helping or stops working after you’ve used it awhile.

    *  Use an antidandruff shampoo. Over-the-counter shampoos with selenium sulfide are often effective for mild cases. More severe dandruff may require a prescription medication containing coal tar or a scalp lotion with cortisone, which is rubbed into the scalp.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Skin Safety

    Skin Conditions

    The skin is your body’s largest organ. It protects your internal organs from environmental irritants, infections, and ultraviolet light; all of which can be harmful. Take good care of your skin so it can do its job. Keep your skin clean and protect it from injury.

    Tattoo and Body Piercing Safety

    You may already have one or more tattoos and/or area(s) of your body pierced. You may be thinking about getting one of these procedures done as a way to fit in and look like others; as a way to express your individuality; and/or to get noticed. Before you get a tattoo or a part of your body pierced, consider the following:

    *  In many states, the law does not allow minors to get tattoos. Find out about this in your state.

    *  Unsterile tattooing equipment and needles can transmit serious infectious diseases, such as tetanus, hepatitis B, and HIV. Never do one of these procedures on yourself or have anyone else do it that is not certified by the Association of Professional Piercers (APP) or the Alliance of Professional Tattooists (APT). Certified members are trained in strict safety and health requirements. Because of the high risk of infection, you cannot donate blood for one year after getting a tattoo.

    *  Tattoos and body piercings also carry the risk of less serious local infections. You will need to follow proper care procedures for weeks or months after the procedure to reduce the risk of getting an infection. You may also get large growths of scar tissues called keloids.

    *  Tattoos are not easily removed and in some cases may cause permanent discoloration. Keep a record of the dyes used in the tattoo you get. This includes the lot number of each pigment. If you choose to get a tattoo removed in the future, this information will be helpful. Think carefully before getting a tattoo and consider the possibility of an allergic reaction. Know that it is expensive, too, to get a tattoo removed. Don’t get a tattoo or body piercing done on an impulse. Wait at least 24 hours.

    *  Visit several tattoo parlors to see whether the tattooist follows recommended safety guidelines and sterilization techniques, such as using a heat sterilization machine regulated by the Food and Drug Administration (FDA).

    *  For body piercing, to avoid allergic reactions and infections, jewelry made from non- corrosive, non-toxic metals should be used. Examples are solid 14K gold (not gold-plated), niobium, surgical stainless steel, and titanium.

    *  After the procedure, follow the skin care guidelines provided by your skin piercer or tattooist. Care of the site will depend on its location and/or the procedure you had done.

    *  According to the APT guidelines, these practices should be followed:

    – The tattooist should have an autoclave (a heat sterilization machine regulated by the FDA) on the premises.

    – Consent forms (which the customer must sign) should be handed out before tattooing.

    – Immediately before tattooing, the tattooist should wash and dry his or her hands thoroughly and put on medical latex gloves, which should be worn at all times during application of the tattoo.

    – Needle bars and tubes should be autoclaved after each customer. Non-autoclavable surfaces, such as pigment bottles, drawer pulls, chairs, tables, sinks, and the immediate floor area, should be cleaned with a disinfectant, such as a bleach solution.

    – Used absorbent tissues should be placed in a special puncture-resistant, leak-proof container for disposal.

    Protect Your Skin From Sun Damage

    Do you look forward to semester breaks so you can relax in the sun and get a tan? Many students do. A suntan looks good, but it is a sign that your skin is trying to protect itself from damage. Be especially careful not to get sunburned. In fact, you should never get sunburned! It can lead to premature aging, wrinkling of the skin, and skin cancer. (Be extra cautious if you have a family history of skin cancer.) Even if you are not concerned about these problems now, the pain and blisters that come with a severe sunburn can make spring break unbearable.

    The risk for sunburn is increased for persons with fair skin, blue eyes, red or blond hair, and for persons taking some medicines. These include birth control pills; some antibiotics, such as tetracycline and sulfa drugs; and Benadryl, an over-the-counter antihistamine.

    To Prevent Sunburn

    *  Avoid exposure to the midday sun (10 a.m. to 4 p.m. standard time or 11 a.m. to 5 p.m. daylight saving time).

    *  Use sunscreen with a sun protection factor (SPF) of 15 to 30 or more when exposed to the sun. The lighter your skin, the higher the SPF number should be. Apply the sunscreen 15 to 30 minutes before you go out in the sun. Use about 2 tablespoons to adequately cover all exposed body parts. Reapply sunscreen every 60 to 90 minutes, even if the sunscreen is water-resistant.

    *  Along with sunscreen, use moisturizers, makeup, lip balm, etc. that contain sunscreen. Use water- based ones if you have acne.

    *  Wear a wide-brimmed hat and long sleeves.

    *  Wear clothing with sunscreen protection or muted colors, such as tan. Bright colors and white reflect the sun onto the face.

    *  Wear sunglasses that absorb at least 90% of both UVA and UVB rays.

    Student Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Aging Dry Skin

    Skin Conditions

    The skin naturally becomes drier with age. The body produces less oil and moisture. The skin also becomes thinner and less elastic.

    Signs & Symptoms

    *  Itchy skin. The skin can be red from scratching it.

    *  Chapped skin

    *  Skin that cracks, peels, and/or flakes

    Causes, Risk Factors & Care

    *  Aging

    *  Cold winter weather

    *  Dry air or heat

    *  Harsh skin products

    *  Washing the skin often

    *  Some medications

    *  Allergies

    *  An underactive thyroid gland; diabetes; and/or kidney disease

    *  Other skin conditions, such as psoriasis

    Dry skin is not a serious health risk. With self-care, it can be easily managed. When it is a symptom of a health condition, treating the condition treats the dry skin.

    Self-Care / Prevention

    *  Drink 8 or more glasses of water a day.

    *  Moisturize your skin daily. Use an oil-based lotion.

    *  Don’t overexpose your skin to water, such as with washing dishes. Wear rubber gloves when you wash dishes.

    *  Take a shower instead of a bath. Use warm (not hot) water. Apply a moisturizing cream while your skin is damp. Use products with lanolin.

    *  If you prefer to bathe, bathe for only 15 to 20 minutes in lukewarm water. Pat yourself dry. Do not rub. Use a bath oil on your skin after bathing.

    *  Try sponge baths.

    *  Use a washcloth instead of soaping the skin directly.

    *  Use a mild liquid soap, like Cetaphil Lotion, or a fatted soap. Avoid deodorant, medicated, or alkaline soaps.

    *  Don’t use moisturizers with fragrances, preservatives, or alcohol.

    *  Use a night cream for the face.

    *  Stay out of the strong sun.

    *  Do not use tanning salons.

    *  Use a sunblock with a sun protection factor (SPF) of 15 or higher.

    *  If you get symptoms of dry skin:

    – Don’t scratch or rub the skin.

    – Apply oil-based moisturizers often.

    – Lessen exposure of the affected area to water.

    When to Seek Medical Care

    Contact Doctor When:

    *  You have any of these problems with dry skin:

    – Deep cracks on the hands or feet

    – Tight, shiny, or hardened skin

    – Itchy skin areas that are raised, have red borders, and are covered with large white or silver-white scales

    *  You have signs of an infection (fever; increased redness, swelling, pain, or tenderness; pus; blisters; red streaks from the affected area).

    *  You have diabetes and the dry skin is troublesome.

    *  You have symptoms of low thyroid.

    *  You have dry skin without a rash and you itch all over.

    *  Severe itching keeps you from sleeping.

    *  Self-care brings no relief.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine