Scleroderma

RECENTLY IN THE NEWS:

NBC News (3/5/2015) reports on its website that "family practioners, gynecologists and even dentists are getting into the cosmetic procedure business, and dermatologists say they're seeing the side effects."  Several dermatologists "from around the country told NBC News that they've had to the fix the mistakes of physicians who are dabbling in their specialty."  In a statement, the American Academy of Dermatology said, "A dermatologist is a licensed medical doctor and the only residency-trained physician fully educated in the science of cutaneous medicine, which includes medical and surgical conditions of the skin, hair, nails, and mucous membranes."

DRY SKIN CARE:

Keep your bathing to a minimum!  Wash with lukewarm water and keep your bathing to less than 10 minutes.  Wash with a soapless cleanser such as Dove and avoid harsh soaps such as Ivory or Irish Spring.  After bathing, moisturize within a few minutes of patting dry with a towel.  Moisturize with a sensitive-skin moisturizer without fragrance.  If you have a skin condition such as eczema, you will need to moisturize a few times per day.

WOUND CARE:

The day after your procedure, allow the cleanser and water to wash over the site.  That is adequate cleaning of the wound.  Thereafter, apply a generous layer of petroleum jelly (Vaseline) or another greasy substance such as Aquaphor healing ointment.  If the area is in contact with clothing, we advise you to cover it with a dressing.  Repeat the same procedure the next day and every day until the wound has healed.

HOW TO APPLY YOUR TOPICAL RETINOID (ACNE PATIENTS):

Topical retinoids include adapalene (Differin), tretinoin (Retin-A, Atralin, Ziana, Veltin, Tretin-X).  Apply a pea-sized amount to your entire face a few minutes after washing your face at bedtime (since most retinoids are inactivated by sunlight).  If your face is dry with the retinoid, apply a moisturizer prior to the application of the retinoid.  

CARE FOR SKIN IN THE SUN:

Use a daily moisturizer with a sunscreen of SPF 15 or higher on the areas that will be exposed.  If you're going to be directly out in the sun, wear an SPF of 30 or higher and make sure the sunscreen says that it is "broad spectrum."  Remember to reapply after two hours and after swimming or any exercising.  Physical sunscreens which contain titanium dioxide and/or zinc oxide are gentle and will not react with the skin.   Seek shade between the hours of 10 am-4 pm.

Check your skin for any new, changing, non-healing or itching lesions four times a year or every major holiday.  If you notice anything that is new or changing or not healing, please call and get it checked.

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As always, you can contact our office to answer any questions or concerns.

Roughly 300,000 people in the United States suffer from scleroderma. This chronic connective tissue disease results from an over-production of collagen in the skin and other organs. Scleroderma usually appears in people between the ages of 25 and 55. Women get scleroderma more often than men. The disease worsens slowly over years.

There are two types of scleroderma: localized scleroderma, which involves only the skin, and systemic scleroderma, which involves the skin and other organs, such as the heart, lungs, kidneys, intestine and gallbladder. Typical symptoms of the skin include skin hardening, skin that is abnormally dark or light, skin thickening, shiny hands and forearms, small white lumps beneath the skin's surface, tight facial skin, ulcerations on the fingers or toes and change in color of the fingers and toes from exposure to heat or cold. Other symptoms impact bones, muscles, lungs and the digestive tract.

There is no known cause of scleroderma, nor is there a cure. There are individualized treatments that are designed to help alleviate certain symptoms and decrease the activity of the immune system to further slow down the disease.