Also known as dermatitis, eczema is one of the most common inflammatory skin conditions where, in the acute phase, the victims develop red raised lesions, oozing and crusting. At this stage, the patients are advised to avoid rubbing or scratching which may lead to the chronic stage of the disease, characterized by the red, darkened, thickened and scaly patches of the skin. On the basis of the particular cause and appearance, different types of eczema have been identified and all the cases are usually very itchy and red and may spread and worsen with scratching. More precisely, the symptoms involve irritating patches of dry, swollen, scaly, rough, cracked and reddened skin visible on the scalp, legs, ears, nose, arms and certain other areas
Recurrent erythema multiforme (EM) is an uncommon skin condition with unclear etiology considered to be a hypersensitivity reaction presenting commonly in young adults with distinctive targetoid skin lesions with or without mucosal lesions. These cases are typically treated with antiviral therapies or immunosuppressive agents in more extreme cases. We present a case of recurrent EM in a young adult that resolved completely after treatment with Otezla (apremilast), an oral medication originally developed for the treatment of psoriasis and psoriatic arthritis.
3. Nummular dermatitis. Nummular dermatitis is a chronic inflammatory skin disease characterized by multiple, pruritic, coin-shaped eczematous lesions involving the extremities and the trunk. Nummular dermatitis is often considered to be a form of idiopathic eczema. It is usually seen in females over the age of 50. Numerous factors have been known to cause this condition such as decreased cutaneous lipid production, staphylococcus infections, allergy to metals, and sensitivity to yeast and dust mites. Patients with this condition present with highly pruritic, round, coin-shaped patches of eczematous dermatitis ranging in diameter from 1 to 10 cm. The legs and the upper extremities are the sites most frequently involved and the trunk is less
Erythema Infectiosum is called fifth disease. It is a mild illness caused by a virus. This virus most commonly occurs in children. The disease usually causes a bright red rash that appears on both cheeks. The rash has a "slapped cheek" appearance. Before the rash, the patient usually has a low-grade fever, mild upper respiratory symptoms, and a headache. One to three days after the cheek rash appears, a pink, lacy rash appears on the body, arms, and legs. This rash may come and go for up to 5 weeks. It often gets brighter following warm baths, exercise, and sun exposure. Your child may have no other symptoms or only a slight runny nose, sore throat, and very low fever. Complications are rare. This illness is quite
Erythema multiform: target lesion is the classic presentation, and the 3 skin manifestations are dusky center, inner pale ring, and erythematous outer border. It usually affect age 10-40y/o. Hypersensitivity reaction is most commonly triggered by infection so treat the underlying cause. HSV is most common cause so treat with acyclovir. It is a self limiting condition.
Soap removes the protective superficial fat layer and washing the skin triggers water binding salts (e.g., urea and sodium lactate), which helps to retain water in the skin. Use bath oil in the shower and bath and lubricate afterwards with moisturizing creams.
The first encounter was a follow up patient with a history of rheumatoid arthritis, currently on disease modifying drugs which has developed Lichen Sclerosus. The patient came to the clinic, seeking naturopathic treatment and recommendation for Lichen Sclerosus. Vitamin E local application has been prescribed, but patient has not noticed significant improvement. After reviewing the condition the intern educated her to follow the stress reduction breathing exercise and given another herbal cream.
(Moore, p.65, 2015). There is variability in the course of the disease in this stage. Approximately 50% of infected patients will also develop flu-like symptoms (Nichols & Windermuth, 2013). Twenty percent of infected patients will present with repeated erythema migrans, forty percent will present with multiple rashes and in one-third of fortunate patients, the disease will not continue to progress (Kruger, p.24, 2010).
Also known as atopic dermatitis, eczema is a chronic inflammatory skin condition. Though eczema is more common during childhood the adult stage can present with skin lesions similar to this patient. They present with extremely pruritic, erythematous, scaly lesions. Acute lesions can be vesicular with exudation and crusting. Adult stage is characterized by thickened skin with lichenification. Atopic dermatitis has a more localized distribution in adults, involving primarily the hands and feet, but in severe cases any area of the body can be involved. In contrast to our patient eczema usually has a relapsing nature and pruritus is a cardinal feature.
Elos Plus treatment requires no recovery time. You can continue you daily routing immediately after the treatment. You may have some small red dots in the treatment area that disappear after two to four weeks. It is important to use a SPF 30 or higher sunscreen to protect the treated area during the course of the treatment and for at least one month after the last treatment.
Ms. Lee is complaining of severe pain to her RLE for the past two days, unrelieved by soaking, heat and massage. She has edema to only one of her lower extremities.
The patient is a 41-year-old female comes in because for the past four days, she has had a rash on her elbows bilaterally. It is quite itchy. It made it difficult to sleep last night. She states she has never had a rash like this before, she has no history of eczema. She has been working in a new situation and perhaps got exposed to new work environment. She does spend time at her computer with her elbows on the table. She otherwise is feeling well, no fevers, no other rashes.
If lesions occur all over the body rather than in certain areas, seek immediate medical treatment as this could be a sign of serious problems.
Urticaria also known as hives affects about 20% of people at some point in their lives. Hives start as an itchy path of skin that turns into swollen welts some have a white center. Itching can range from mild to severe. Many things can worsen the itching. There is two categories acute hives and chronic hives. With acute hives, it can last up to 6 weeks. Chronic hives lasts longer than 6 weeks. There is also another type of hives and that is physical hives. Urticaria is apart in a serious allergic reaction, which is anaphylaxis.
They are initially asymptomatic and slowly progressive but many go on to ulcerate, bleed or become painful. These lesions grow slowly over months to several decades and eventually develop rubbery nodules within plaques. Growth often accelerates once nodules appear [14]. These lesions usually vary in size from 1–5 cm but can reach 20 cm or more in advanced cases. [10,14] DFSP are most commonly located on the trunk (50 to 60%), proximal extremities (20%), and head and neck (10 to 15%). [13] Acral and genital DFSPs are