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Impetigo

What is Impetigo?

A highly contagious skin infection, impetigo usually develops in infants and children although anyone can contract the infection. The most common occurrences of impetigo happen during the summer and early fall. Usually, impetigo is caused by the bacteria Staphylococcus aureus (staph) or Group A streptococcus (strep). Bacteria can live harmlessly on the body because the skin normally acts as a barrier to infection. If you have cuts and abrasions, these bacteria can enter the skin and produce impetigo which begins as small patches of blisters.

You contract impetigo either by coming in contact with someone that has the infection or when open sores cannot heal as in the cases that develop on the mouths and noses of young children. Impetigo spreads easily and thrives in environments like daycares and schools.

kid-at-doctor

What are the causes of Impetigo?

Impetigo is caused by bacterial infections, typically Staphylococcus aureus or Streptococcus pyogenes. The bacteria can enter the skin through cuts, scrapes, or other skin lesions and multiply, leading to the development of impetigo. Impetigo is highly contagious and can spread easily through close contact with infected individuals or by sharing towels, clothing, or other personal items that have come into contact with the bacteria.

Factors that increase the risk of developing impetigo include:

  • A weakened immune system
  • Crowded living conditions, such as in schools or daycare centers
  • Poor hygiene
  • Skin injuries, cuts, or abrasions
  • Humid or warm weather
  • Eczema or other skin conditions that cause dry, itchy skin.

It’s important to seek prompt treatment for impetigo to avoid spreading the infection and to prevent complications such as scarring or secondary skin infections.

What are the symtpoms of Impetigo?

The symptoms of impetigo typically include:

  • Blisters or sores that can be red, yellow, or honey-colored and filled with fluid.
  • Itching or burning skin around the affected area.
  • Redness and swelling around the affected area.
  • Crusting over of the blisters or sores.
  • Formation of new blisters or sores.

It’s important to see a dermatologist if you experience any of these symptoms, as impetigo is a highly contagious skin infection that requires prompt treatment to prevent the spread of the bacteria and avoid potential complications.

What treatments are available for Impetigo?

The main treatment for impetigo is antibiotics, either in topical or oral form, to kill the bacteria causing the infection. Treatment options may include:

  • Topical antibiotics: Antibiotic creams or ointments applied directly to the affected area can help clear up the infection.

  • Oral antibiotics: Antibiotics taken by mouth may be prescribed for more severe cases of impetigo or when the infection has spread beyond a localized area.

  • Antiseptic care: Keeping the affected area clean and dry and using antiseptic creams or ointments can help promote healing and prevent the spread of the infection.

In addition to antibiotics, it’s important to practice good hygiene, such as washing hands regularly and keeping wounds covered, to prevent the spread of impetigo and reduce the risk of reinfection.

If you experience symptoms of impetigo, it’s important to see a dermatologist for proper diagnosis and treatment. 

FAQ About Impetigo

Is impetigo contagious?

Yes, impetigo is highly contagious and can spread easily through close contact with infected individuals or by sharing personal items that have come into contact with the bacteria.

Can impetigo leave scars?

In some cases, impetigo can cause scarring, especially if the sores are not treated promptly or if the infection spreads to surrounding skin.

When should I see a dermatologist for impetigo?

You should see a dermatologist if you experience symptoms of impetigo or if you have been in close contact with someone who has the infection. Early treatment can help prevent the spread of the bacteria and reduce the risk of complications.

Is there a dermatologist near me in Kansas City that offers treatment for impetigo?

Yes. At our Kansas City dermatology office we offer treatment for impetigo to patients from Kansas City and the surrounding area. Contact our office today to schedule an appointment.

Boils

What are Boils?

Also called solar lentigines, age spots refer to the brownish areas that appear over time on your face and body. Age spots occur as a result of overexposure to the sun. Often seen on people over 40, anyone can have age spots.

Usually, age spots do not cause any problems and do not require medical care. If the spots are especially dark or have changed in appearance, have your physician exam them to make sure there is no risk of skin cancer. After a visual inspection, your doctor can determine if the area needs to be biopsied.

dermatology-exam

What causes Boils?

Factors that can increase the risk of developing boils include:

  • Poor hygiene: Poor hygiene practices can increase the risk of skin infections, including boils.
  • Weak immune system: People with weakened immune systems, such as those with HIV/AIDS, diabetes, or other medical conditions, are more susceptible to skin infections, including boils.
  • Crowded living conditions: Crowded living conditions, such as in schools, prisons, and military barracks, can increase the risk of spreading skin infections, including boils.
  • Skin conditions: Certain skin conditions, such as eczema, can increase the risk of developing boils.
  • Using shared personal items: Sharing personal items, such as towels or razors, can increase the risk of spreading skin infections, including boils.
  • Poor nutrition: Poor nutrition, especially a lack of vitamin C, can weaken the immune system and increase the risk of skin infections, including boils.

What are the symptoms of Boils?

The symptoms of a boil typically include:

  • Painful, red, and swollen bump: A boil is a tender, red, and swollen bump that develops under the skin.
  • Pus-filled head: Over time, the boil will develop a yellow or white pus-filled head.
  • Pain or discomfort: Boils can cause pain or discomfort, especially when they are touched or pressed.
  • Increased size: Boils can grow larger over time as the infection spreads deeper into the skin.
  • Fever: In some cases, a person with a boil may develop a fever as the body fights off the infection.
  • Swelling: Boils can cause swelling in the affected area, making it difficult to move or use the affected limb.

What treatments are available for Boils?

The following treatments may be used to treat boils:

  • Drainage: The pus from the boil will need to be drained to allow it to heal. Your doctor may use a sterile needle or scalpel to make an opening in the boil, allowing the pus to drain out.
  • Antibiotics: In some cases, antibiotics may be prescribed to help clear the infection. This is especially true if the boil is caused by a methicillin-resistant Staphylococcus aureus (MRSA) infection.
  • Warm compresses: Applying warm compresses to the affected area can help increase blood flow and speed up the healing process.
  • Pain relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help relieve pain and discomfort associated with boils.
  • Incision and drainage: If the boil is large or if it’s not draining on its own, your doctor may need to make an incision and drain the pus to prevent the infection from spreading.

It’s important to seek prompt medical attention if you develop a boil, as untreated boils can spread and cause serious infections. Your doctor can help determine the best course of treatment based on your symptoms and medical history.

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How to Help Prevent Boils

There are several steps you can take to help prevent boils:

  • Practice good hygiene: Wash your hands frequently, especially after using the bathroom or before preparing food. Shower regularly and keep your skin clean and dry.
  • Avoid sharing personal items: Do not share towels, razors, or other personal items that can spread bacteria.
  • Keep cuts and scrapes clean: If you have a cut or scrape, clean it with soap and water and cover it with a bandage until it heals.
  • Avoid tight clothing: Wear loose-fitting clothing, especially in warm, moist areas where bacteria can thrive.
  • Treat skin conditions: If you have eczema or another skin condition that can increase your risk of developing boils, follow your doctor’s instructions for treatment.
  • Eat a balanced diet: A balanced diet, including adequate amounts of vitamins and minerals, can help keep your immune system strong and reduce your risk of skin infections, including boils.
  • Keep your skin healthy: Moisturize your skin and avoid using harsh soaps or other skin care products that can irritate the skin and increase your risk of developing boils.

By following these steps and seeking prompt medical attention if you develop a boil, you can help prevent boils and reduce the risk of serious infections.

FAQ About Boils

How are boils diagnosed?

Boils are typically diagnosed based on a physical exam, during which your doctor will examine the affected area and ask about your symptoms. In some cases, a sample of the pus may be taken for laboratory analysis to identify the underlying cause of the infection.

Can boils spread to other parts of the body?

Boils can spread to other parts of the body if the infection is not properly treated. In some cases, the bacteria can enter the bloodstream and cause a serious, life-threatening infection.

How long do boils last?

Boils can last anywhere from a few days to a few weeks, depending on the severity of the infection and the effectiveness of the treatment.

Can boils recur?

Boils can recur, especially if the underlying cause of the infection is not treated or if you have a weakened immune system.

When should you see a dermatologist for a boil?

You should see a dermatologist if you develop a boil, especially if it’s large or painful, or if you have a weakened immune system or other underlying medical condition that increases your risk of serious infections.  The dermatologist can help determine the best course of treatment based on your symptoms and medical history.

Is there a dermatologist near me in Kansas City that offers treatment for boils?

Yes. At our Kansas City dermatology office we offer treatment for boils to patients from Kansas City and the surrounding area. Contact our office today to schedule an appointment.

Candidiasis

What is Candidiasis?

Candidiasis, commonly known as a yeast infection, is caused by an overgrowth of Candida, a type of yeast normally found on the skin, mucous membranes, and in the digestive tract. When conditions favor its proliferation, Candida can lead to infections in various body parts. These infections include oral thrush (mouth and throat), vaginal yeast infections (genital area), and skin-related issues like redness and itching. Symptoms vary depending on the location of the infection.

Treatment typically involves antifungal medications, either applied topically or taken orally. Candidiasis can affect anyone, especially when the immune system is compromised or the body’s microbial balance is disrupted. Seeking medical advice is important for proper diagnosis and effective management, especially in cases of recurrent or severe infections.

dermatology-exam

What are the causes of Candidiasis?

Candidiasis is caused by an overgrowth of Candida, a type of yeast that is normally present in small amounts on the skin, mucous membranes, and in the digestive tract. Several factors can contribute to this overgrowth, leading to the development of Candidiasis:
 

  • Weakened Immune System: A compromised immune system due to conditions such as HIV/AIDS, certain medications (e.g., steroids or immunosuppressants), or other illnesses can create an environment where Candida can thrive.

  • Antibiotics: Antibiotic use can disrupt the balance of microorganisms in the body, including beneficial bacteria that help control Candida growth, potentially allowing Candida to overgrow.

  • Hormonal Changes: Hormonal fluctuations, such as those occurring during pregnancy, menstruation, or menopause, can make the body more susceptible to Candidiasis.

  • Diabetes: Poorly controlled diabetes can lead to elevated levels of sugar in bodily fluids, providing an ideal environment for Candida to multiply.

  • High Sugar Diet: Diets high in sugar and refined carbohydrates can promote the growth of Candida, as yeast feeds on sugar.

  • Weakened Skin Barrier: Skin damage, cuts, or abrasions can create openings for Candida to enter the body and cause infections.

  • Humid Environments: Warm and moist areas of the body, such as skin folds, provide a conducive environment for Candida to thrive.

  • Tight or Non-Breathable Clothing: Wearing tight or non-breathable clothing can create a warm, damp environment that promotes Candida growth.

  • Sexual Activity: Sexual activity can sometimes introduce Candida into the genital area, leading to infections like vaginal yeast infections.

  • Use of Corticosteroids: Long-term use of corticosteroid medications can weaken the immune system and increase the risk of Candidiasis.

  • Medical Procedures: Certain medical procedures, such as catheter insertion or oral devices, can introduce Candida to the body and lead to infection.

Types of Candidiasis

The most common forms of Candidiasis are:

  • Thrush
    An oral yeast infection, thrush shows redness, cracking or white patches in the mouth
  • Cutaneous
    Patches of red, raw skin that develops in creases, like under the breasts, belly or groin; itching may also occur
  • Vaginitis
    Yeast infection in the vagina that is often accompanied by cottage-cheese like discharge, pain and burning
  • Esophagitis
    Located in the esophagus, this yeast infection may cause painful swallowing and chest pains

Symptoms

Depending on the area affected, signs of Candidiasis vary and may include:

  • Burning
  • Difficulty swallowing
  • Irritation
  • Itching
  • Soreness
  • Redness
  • White skin lesions

Some patients experience no symptoms at all.

What treatments are available for Candidiasis?

Treatment options for Candidiasis vary depending on the location and severity of the infection. Here are some common treatment approaches:

 

  • Antifungal Medications: Topical antifungal creams, ointments, or suppositories are often used to treat localized Candidiasis, such as vaginal yeast infections or oral thrush. Over-the-counter or prescription options are available.
  • Oral Antifungal Medications: For more widespread or severe infections, oral antifungal medications may be prescribed. These medications work systemically to target the underlying fungal overgrowth.
  • Prescription-Strength Creams: In cases of cutaneous candidiasis (skin infections), your doctor may prescribe stronger antifungal creams or ointments to apply to the affected area.
  • Antifungal Tablets or Capsules: Certain types of Candidiasis, such as esophagitis or systemic infections, may require oral antifungal tablets or capsules for effective treatment.
  • Home Remedies: Some individuals may find relief from mild cases of Candidiasis using natural remedies like yogurt, garlic, or coconut oil. However, these remedies may not be as effective as medical treatments and should be discussed with a healthcare provider.
  • Addressing Underlying Conditions: Treating underlying conditions that contribute to Candidiasis, such as diabetes or immune system disorders, can help prevent recurrence.
  • Lifestyle and Hygiene: Maintaining good hygiene, wearing breathable clothing, and avoiding irritants can help prevent and manage Candidiasis.
  • Dietary Changes: Some people may benefit from reducing sugar and refined carbohydrate intake, as Candida thrives on sugar. A balanced diet can help support overall health and immune function.
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FAQ About Candidiasis

Can Candidiasis affect men as well as women?

Yes, Candidiasis can affect both men and women. While vaginal yeast infections are more common in women, men can develop genital yeast infections (balanitis) or other forms of Candidiasis on the skin or mouth.

Candidiasis contagious? Can it be spread through physical contact?

Candidiasis is not usually considered contagious. It is caused by the body’s own yeast overgrowth and is not transmitted through casual physical contact. However, in rare cases, it may be possible to spread Candida through intimate contact.

Can Candidiasis lead to complications if left untreated?

Yes, untreated Candidiasis can potentially lead to complications. In some cases, the infection can spread, causing more discomfort and affecting different areas of the body. Severe or recurring infections may also indicate underlying health issues.

Are there any specific risk factors that make someone more susceptible to recurrent Candidiasis?

Certain factors such as frequent antibiotic use, weakened immune system, uncontrolled diabetes, or hormonal changes can increase the risk of recurrent Candidiasis.

Can stress or emotional factors contribute to the development of Candidiasis?

While stress alone may not directly cause Candidiasis, it can weaken the immune system, making the body more susceptible to infections, including Candida overgrowth.

Is there a link between Candidiasis and other health conditions, such as allergies or autoimmune disorders?

Some studies suggest a potential connection between Candidiasis and allergies/autoimmune conditions, but more research is needed to establish a definitive link.

Can Candidiasis affect children, and what are the common manifestations in pediatric cases?

Yes, Candidiasis can affect children. Common manifestations in children include diaper rash (diaper dermatitis) and oral thrush (white patches in the mouth).

Is it possible for Candidiasis to occur internally, affecting organs other than the mouth, genitals, or skin?

Yes, Candidiasis can affect internal organs in individuals with weakened immune systems, leading to conditions like invasive candidiasis, which may affect the bloodstream, heart, or other organs.

How does Candidiasis in the nailbeds (onychomycosis) differ from other types of fungal nail infections?

Onychomycosis caused by Candida can be similar to other fungal nail infections, but it may require different treatment approaches. Candida-related onychomycosis can often cause a white or yellow discoloration of the nails.

Is there a dermatologist near me in Kansas City that offers treatment for Candidiasis?

Yes. At our Kansas City dermatology office we offer treatment for Candidiasis to patients from Kansas City and the surrounding area. Contact our office today to schedule an appointment.

Eczema (Dermatitis)

What is Eczema?

Affecting between nine and thirty percent of the U.S. population, eczema refers to inflammation of the skin. The term eczema actually covers many various skin conditions that produce itchy, dry skin patches. Although it can appear anywhere on the body, eczema usually appears on the creases on the face, arms and legs. Because of the intense itching that accompanies eczema, people often scratch the skin which leads to crusting and oozing.

A non-contagious skin condition, eczema has no known cause. It does appear to have a hereditary component. Certain things, such as stress, weather and environmental factors can trigger a flare-up of eczema. People with eczema often live with cycles of flare-ups and remissions.

In mild cases of eczema, over-the-counter topical creams and antihistamines can relieve the symptoms. More severe eczema may require stronger medications, such as steroid creams, oral steroids (corticosteroids), and antibiotic pills or antifungal creams to treat any potential infection. Using mild cleansers and keeping skin moist can help control your eczema.

eczema on arms

What are the signs and symptoms of Eczema?

Eczema is a condition that causes your skin to become dry, itchy and inflamed. The signs and symptoms of eczema can vary depending on the type, severity and stage of the condition. Some common signs and symptoms of eczema are:

  • Dry, cracked, scaly or flaky skin
  • Red, pink, purple, brown or gray patches of skin
  • Itching, which may be worse at night or during flare-ups
  • Small, raised bumps that may ooze or crust over
  • Thickened, leathery or discolored skin from scratching
  • Swelling or inflammation of the skin
  • Rash on the face, neck, hands, elbows, knees, ankles, feet or other areas of the body

What are the causes of Eczema?

Eczema is a condition that causes your skin to become dry, itchy and inflamed. The causes of eczema are not fully understood, but they may include:

  • A genetic variation that affects the skin’s ability to provide protection from bacteria, irritants, allergens and environmental factors.
  • An imbalance of the bacteria on the skin, which disrupts the skin’s barrier function and triggers an immune system response.
  • A contact with a trigger in your environment, such as dry weather, fabrics, makeup, smoke, soaps or detergents.
  • A history or diagnosis of dermatitis, allergies, hay fever or asthma.
  • A physical or emotional stress, which can cause inflammation in the body.

What treatments are available at the dermatologist for Eczema?

There are different treatments available at the dermatologist for eczema, depending on the type, severity and cause of the condition. 

Some of the possible treatments are:

  • Medicated creams or ointments that control itching, inflammation and infection. These may include corticosteroids, calcineurin inhibitors, antibiotics or antifungals.
  • Oral medications that suppress the immune system or reduce inflammation. These may include cyclosporine, methotrexate, prednisone, azathioprine or biologics.
  • Phototherapy or light therapy, which uses ultraviolet (UV) rays to improve the skin’s condition and reduce symptoms.
  • Patch testing or allergy testing, which helps identify specific substances that trigger or worsen eczema.
  • Wet wraps or paste bandages, which cover the skin with moist dressings to soothe and protect it.
  • Lifestyle changes, such as avoiding triggers, moisturizing regularly, using gentle skin care products and managing stress.

The best treatment for eczema depends on your individual situation and preferences. Your dermatologist can help you find the most suitable and effective treatment for your eczema.

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How to Avoid Common Eczema Triggers and Irritants

  • Use a thick moisturizer (emollient) as a soap substitute when washing your body or hands. Avoid soap, bubble bath and shower gel completely, as they can remove the natural oils from your skin and make it dry and itchy.
  • Wear cotton clothes next to your skin rather than potentially irritating fabrics such as wool. Wash your clothes with non-biological detergents and rinse them well. Avoid fabric conditioners, as they can also cause eczema to flare up.
  • Keep your skin moisturized regularly, especially after bathing or showering. Apply a non-fragranced, dye-free cream or ointment to lock in the moisture and protect your skin barrier.
  • Avoid contact with irritating chemicals and substances, such as fragrances, dyes, perfumes, alcohols, soaps and detergents. Wear rubber gloves with a cotton lining when using these products or working with similar chemicals.

The Benefits of Phototherapy for Eczema

Phototherapy is a treatment option that uses ultraviolet (UV) light to improve the symptoms of eczema, such as redness, itching, inflammation and infection. Some of the benefits of phototherapy for eczema are:

  • It may help clear your skin by reducing the inflammation and destroying the bacteria that cause eczema.
  • You may experience fewer eczema rashes in the future by strengthening your skin barrier and preventing the entry of external triggers.
  • It may decrease the need for using topical medications, which can have side effects or lose effectiveness over time.
  • It may also improve your mood and quality of life by relieving the discomfort and stress caused by eczema.

FAQ About Eczema

Are there different types of eczema?

There are different types of eczema, based on the age of onset and severity of symptoms. The most common type is known as “atopic dermatitis” and it usually begins in infancy and improves or resolves by the age of 6. Another type is “contact dermatitis” which is caused by an allergic reaction to a specific substance.

What are the symptoms of eczema?

Symptoms of eczema can vary from person to person and can range from mild to severe. Common symptoms include: dry, itchy skin, redness and swelling, scaling, cracking, and even bleeding.

How is eczema diagnosed?

Eczema is typically diagnosed by a dermatologist, who will examine the skin and ask about the patient’s symptoms and medical history. A skin biopsy may be done in some cases to rule out other skin conditions.

Can eczema affect other parts of the body besides the skin?

Eczema can affect the eyes, ears, and scalp. In some cases, eczema can also lead to complications such as asthma, allergies, and sleep disturbances.

Can certain foods trigger eczema?

Certain foods, such as dairy, eggs, nuts, soy, and wheat, can trigger eczema in some people. It’s important for individuals with eczema to work with a dermatologist or a dietitian to identify any specific food triggers and to develop a diet plan that works best for them.

Is there a dermatologist near me in Kansas City that offers treatment for exzema?

Yes. At our Kansas City dermatology office we offer treatment for eczema to patients from Kansas City and the surrounding area. Contact our office today to schedule an appointment.