CHICAGO, Aug. 5 -- The U.S. Census Bureau predicts that the Asian-American population will total 40 million people by 2050. While as a whole this group is characterized by very dark hair and dark eyes, there is much diversity in Asian skin tones – from very light, pale skin to light or dark brown skin. One common thread is the pigmentation issues that Asian Americans often face as after-effects of other dermatologic problems that can be as troublesome as the original condition itself.
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
At the American Academy of Dermatology's Summer Academy Meeting 2010 in Chicago, dermatologist Roopal V. Kundu, MD, FAAD, assistant professor and director of the Center for Ethnic Skin in the department of dermatology at Northwestern University Feinberg School of Medicine in Chicago, discussed two of the most common skin conditions in Asians and how treatment also involves addressing the ensuing pigmentation problems.
"The standards of beauty for Asian skin differ by region, but smooth skin and a flawless complexion are highly desired for most Asians," said Dr. Kundu. "That is why treating the initial concern as well as any pigmentation problems that may occur as the result of the treatment are so important."
Clearing Acne Step by Step
Acne is one of the most common skin conditions that affects Asians, and Dr. Kundu explained that this population tends to experience inflammatory acne. By its very nature, Asian skin has an increased amount of melanin (the pigment in skin), and the cells that make melanin tend to be more sensitive to any type of inflammation or injury. Because Asian skin becomes more inflamed with deeper acne pustules and papules, patients are often left with post-inflammatory hyperpigmentation (PIH), which refers to increased pigmentation or dark spots at the sites of inflammation.
"In my practice, Asian acne patients often are much more concerned with the after-effects of acne and how their skin may be affected by the resulting discoloration or scarring rather than the acne itself," said Dr. Kundu. "However, the first goal of any successful treatment regimen is to control the acne with topical and/or systemic medications depending on the severity of the acne."
In conjunction with medications she prescribes to clear acne, Dr. Kundu also recommends medications or over-the-counter products to even out the tone of Asian skin – which can help reduce the incidence of PIH. One such product that Dr. Kundu finds very effective in protecting Asian skin from uneven skin tone is sunscreen.
"Many of my Asian patients do not realize how important regular sun protection is to prevent the signs of aging skin, including preserving skin tone and helping minimize pigmentation problems from acne," said Dr. Kundu. "Minimizing intense sun exposure, wearing sun protective clothing and wide-brimmed hats, along with applying a broad-spectrum sunscreen with an SPF 30 is a must for treating Asian skin for this reason."
Another important component of treating acne in this population is exfoliation. Dr. Kundu often recommends glycolic acid, salicylic acid or topical retinoids to her patients to remove the surface skin cells and improve both acne and hyperpigmentation. Once acne is under control, the second goal is to address the resulting pigmentation problems. Dr. Kundu typically recommends bleaching agents, such as hydroquinone (considered the gold standard for bleaching), as well as chemical peels and cosmeceuticals. However, she cautioned that patients should be careful about where they purchase bleaching creams. Some establishments have been cited for selling products that contain too high levels of hydroquinone and even tested positive for toxic levels of mercury.
"It is very important for all patients to talk to their dermatologist before trying any at-home treatments designed to improve their skin tone, as some products can do more harm than good," advised Dr. Kundu. "Your dermatologist can recommend proven therapies and preventive care to keep your skin healthy and looking its best, even when you are experiencing a skin condition like acne."
Unmasking the Mystery of Melasma
Another common skin condition in Asians that can impact the appearance of the skin is melasma. Often referred to as the "mask of pregnancy," melasma is characterized by brown patches commonly on the cheeks, upper lip, nose and forehead. While the exact cause of melasma is unknown, it is thought to result from a combination of genetic and hormonal factors, as well as UV exposure. Dr. Kundu reported that melasma is more common in women and in Hispanics and Asians.
Treatments for melasma include similar therapies used to treat pigmentation problems resulting from acne, such as bleaching agents, hydroquinone, topical retinoids and chemical peels. In addition, certain laser and light therapies have been shown to be safe and effective in Asians.
Dr. Kundu reported that fractionated lasers and intense-pulsed light (IPL) therapies can be performed safely in Asians, but cautioned that these procedures need to be administered carefully by dermatologists.
"In some cases, laser and light procedures can worsen melasma if they destroy pigment cells – which leave white spots in the treated areas," said Dr. Kundu. "But they can be safe and effective in treating melasma, so patients need to discuss these procedures with their dermatologist to make sure they are good candidates first."
As is recommended in treating acne in Asian patients, Dr. Kundu added that avoiding the sun and using sunscreen daily are essential in the treatment of melasma and also in limiting potential side effects of laser and light treatments.
For information on Melasma treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=242
Cultural Practices Can Spell Trouble for the Skin
Many of the deep-rooted cultural practices in Asian populations are still evident today, and Dr. Kundu noted that some can pose skin problems that need to be addressed by a dermatologist.
For example, cupping and moxibustion are two ancient healing techniques that complement acupuncture therapy by the use of heat to stimulate circulation. However, Dr. Kundu reported that people who regularly practice cupping and moxibustion can get bruising or scarring that sometimes require dermatologic care to minimize PIH. Similarly, the practice of coin rubbing – which involves using oils on the skin and repetitive rubbing of coins firmly over the area to promote healing – can create deep abrasions and bruising that may need medical attention.
Another common cultural practice among certain Asian cultures is the application of black henna tattoos. These popular tattoos could contain high concentrations of a chemical known as para-phenylenediamine, or PPD, used to create longer-lasting black henna tattoos. However, Dr. Kundu explained that PPD is an allergen that could cause allergic contact dermatitis, with symptoms ranging from mild eczema to blistering and scarring.
"While people of Asian descent may be more prone to pigmentation problems resulting from dermatologic conditions or from cultural practices, there are many ways that dermatologists can help patients maintain good skin health and minimize potential skin problems," said Dr. Kundu
Headquartered in Schaumburg, Ill., the American Academy of Dermatology (Academy), founded in 1938, is the largest, most influential, and most representative of all dermatologic associations. With a membership of more than 16,000 physicians worldwide, the Academy is committed to: advancing the diagnosis and medical, surgical and cosmetic treatment of the skin, hair and nails; advocating high standards in clinical practice, education, and research in dermatology; and supporting and enhancing patient care for a lifetime of healthier skin, hair and nails. For more information, contact the Academy at 1-888-462-DERM (3376) or www.aad.org.
SOURCE American Academy of Dermatology
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
Showing posts with label acne. Show all posts
Showing posts with label acne. Show all posts
Thursday, October 7, 2010
Wednesday, July 28, 2010
New Treatments Helping Patients Control Acne and Rosacea
Acne and rosacea are two seemingly different skin conditions that have one important thing in common: both are chronic and extremely common skin conditions. However, dermatologists recommend that with proper diagnosis, treatment and a healthy dose of good, old-fashioned skin care, acne and rosacea can be less of a nuisance for patients.
Speaking today at the 68th Annual Meeting of the American Academy of Dermatology (Academy), dermatologist Jenny J. Kim, MD, PhD, FAAD, associate professor of dermatology at the University of California, Los Angeles, (UCLA) David Geffen School of Medicine in Los Angeles, discussed the latest treatments for acne and rosacea and how ongoing research into the causes of these conditions holds promise for future therapies.
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
“Sometimes it is hard for patients dealing with acne or rosacea to understand why, even with ongoing treatment, they cannot get rid of their symptoms forever,” said Dr. Kim. “I explain to them that these conditions are similar to having any chronic disease, like having diabetes – there is no cure yet, but we can control the symptoms. Just like insulin helps maintain a diabetic’s blood sugar, patients with acne and rosacea need to find a treatment regimen that works for them to maintain clear skin.”
Acne: An Equal-Opportunity Skin Condition
It is estimated that 40 million to 50 million Americans are affected by some form of acne. While acne is commonly associated with teenagers struggling with the growing pains of adolescence, this skin condition can strike at any age. In fact, Dr. Kim emphasized that it affects adults in their 20s, 30s, 40s and even in their 50s, especially in women and even in people who never had acne as teenagers. The causes of acne include excess oil production,skin inflammation, skin cells in the hair follicles that shed too quickly and an increased number of the acne-causing bacteria Propionbacterium acnes. However, hormones also influence both oil production and the shedding of skin cells, thereby contributing to the formation of acne lesions. For example, when androgens (the male hormones present in both men and women) over-stimulate the oil glands and hair follicles in the skin, hormonal acne flares can occur.
In the past, most cases of acne were treated solely with antibiotics. While these treatments can be very successful, a growing concern about long-term antibiotic use is that bacteria are evolving to become resistant to these medications. As a result, the development of other effective therapies and combination therapies has evolved.
For example, Dr. Kim noted that some of the newer therapies for acne are anti-inflammatories, which can be used in some cases to lessen the severity of acne. Controlled-release of lower dose doxycycline is a newer anti-inflammatory oral medication that some dermatologists use to reduce the redness and swelling of acne. Combination therapies, which may include an anti-inflammatory and antimicrobial effects that can decrease resistance and are more convenient to use for patients, has made combination therapeutics increasingly common treatments used to manage acne.
Another newer approach to treating acne is the use of lasers and light-based technologies as a complementary treatment to traditional medical therapies. Dr. Kim noted that these technologies include the pulsed-dye laser, red and blue light, and photodynamic therapy, which target the sebaceous (or oil) glands and can reduce acne flares. While Dr. Kim does not recommend lasers and light-based technologies as first-line therapies for acne, she believes it is a promising new area of research.
“Patients are becoming increasingly concerned about the long-term use of oral medications to fight acne, so lasers and light sources appeal to them,” said Dr. Kim. “The problem is that there are limited large, prospective, well-controlled studies that demonstrate the effectiveness of laser and light technology at this point, so that will be an area we need to explore in the future. It’s very likely that with the advancement in dermatologic research, we will see sebaceous gland targeting lasers in the future that will be effective for the treatment of acne.”
Dr. Kim added that many patients are concerned about scarring that can result from acne, and many acne scars can be very aggressive and difficult to treat. For mild scarring, retinoids, chemical peels, microdermabrasion, and lasers can give mild improvement. In addition, fillers can be used successfully to fill in depressed areas and improve the appearance of scars.
Another therapy that is approved by the Food and Drug Administration (FDA) for acne scarring is fractional laser resurfacing. This laser technology works by targeting damaged skin in columns of microscopic treatment zones, which include the outermost and underlying layers of skin known as the epidermis and the dermis. Fractional laser resurfacing thermally damages the tiny columns of scarred skin while the surrounding healthy skin is left intact.
“One of the main benefits of fractional resurfacing is wound healing and increased collagen production that reduces acne scars,” said Dr. Kim. “However, most patients will notice only a modest improvement in acne scarring and multiple treatments are required. For more severe scarring, such as deep ‘ice pick’ scars, several acne surgical procedures can be used – including punch grafting or punch excision – to remove, raise, fill or separate the scar tissue from the underlying skin. These surgical procedures in combination with other therapies, including lasers and fillers, can produce improvement for severe acne scarring.”
Rosacea Triggers and Treatments
Rosacea, another chronic skin condition, affects an estimated 14 million people in the United States and is characterized by redness, flushing and prominent blood vessels on the face. Dr. Kim explained that rosacea commonly occurs in older people, and there are many known triggers for this bothersome condition – including sunlight, alcohol, spicy foods, caffeine, heat, citric acid, and stress.
While the exact cause of rosacea is not fully understood, Dr. Kim noted that a recent study suggests that the presence of an abnormal peptide (a small protein) in the skin of rosacea patients may contribute to the disease.
“There is some evidence to suggest that the peptide cathelicidin within the skin is processed differently in rosacea patients than in individuals not affected by rosacea and induces inflammation that may contribute to rosacea,” explained Dr. Kim. “These findings are encouraging, as we can identify better treatments for the disease if we have a better understanding of what the cause might be.”
Over the years, lasers have been shown to be effective in treating the symptoms of rosacea. For example, Dr. Kim mentioned that pulsed-dye lasers work well for rosacea patients with lots of broken blood vessels, and both pulsed-dye laser and intense-pulsed light treatments are effective at treating redness on the face and flushing associated with rosacea.
"Patients undergoing laser therapy for rosacea will likely need multiple treatments. However, I have found lasers and light treatments to be very effective and produce long-lasting results,” said Dr. Kim.
In addition to oral treatments, a number of topical medications have been introduced to treat rosacea, and Dr. Kim explained that metronidazole and azeleic acid are two topicals that are tolerated well and effective in reducing the symptoms of rosacea.
Good Skin Care: Good for All
For patients with acne or rosacea whose skin is often sensitive, Dr. Kim emphasized that proper skin care is very important as part of their overall treatment regimen. In addition to avoiding products or behaviors that tend to make acne or rosacea worse, patients may find that gentle skin care can help alleviate some of the redness or irritation common with these conditions.
“I advise my patients to use a mild cleanser and sun protection that is non-irritating to the skin every day, particularly a moisturizer that contains sunscreen,” said Dr. Kim. “While skin care products containing too many acids can be irritating to sensitive skin, I find that products containing salicylic acid are useful for some acne patients. Separating treatments, such as using salicylic acid or benzoyl peroxide in the morning and a retinol-based product at night, might be helpful for patients with sensitive skin.”
Dr. Kim also noted that while over-the-counter products containing salicylic acid or benzoyl peroxide may help control mild acne, patients should avoid using too many products at once on their skin to try to manage acne.
“The old adage ‘less is more’ applies to patients with sensitive skin,” said Dr. Kim. “The best advice is to discuss your skin care regimen with your dermatologist who can recommend products based on not only your specific skin condition, but your individual skin type as well.”
To learn more about acne and rosacea, visit www.skincarephysicians.com, a Web site developed by dermatologists that provides patients with up-to-date information on the treatment and management of conditions of the skin, hair and nails.
Headquartered in Schaumburg, Ill., the American Academy of Dermatology (Academy), founded in 1938, is the largest, most influential, and most representative of all dermatologic associations. With a membership of more than 16,000 physicians worldwide, the Academy is committed to: advancing the diagnosis and medical, surgical and cosmetic treatment of the skin, hair and nails; advocating high standards in clinical practice, education, and research in dermatology; and supporting and enhancing patient care for a lifetime of healthier skin, hair and nails. For more information, contact the Academy at 1-888-462-DERM (3376) or www.aad.org.
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
Speaking today at the 68th Annual Meeting of the American Academy of Dermatology (Academy), dermatologist Jenny J. Kim, MD, PhD, FAAD, associate professor of dermatology at the University of California, Los Angeles, (UCLA) David Geffen School of Medicine in Los Angeles, discussed the latest treatments for acne and rosacea and how ongoing research into the causes of these conditions holds promise for future therapies.
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
“Sometimes it is hard for patients dealing with acne or rosacea to understand why, even with ongoing treatment, they cannot get rid of their symptoms forever,” said Dr. Kim. “I explain to them that these conditions are similar to having any chronic disease, like having diabetes – there is no cure yet, but we can control the symptoms. Just like insulin helps maintain a diabetic’s blood sugar, patients with acne and rosacea need to find a treatment regimen that works for them to maintain clear skin.”
Acne: An Equal-Opportunity Skin Condition
It is estimated that 40 million to 50 million Americans are affected by some form of acne. While acne is commonly associated with teenagers struggling with the growing pains of adolescence, this skin condition can strike at any age. In fact, Dr. Kim emphasized that it affects adults in their 20s, 30s, 40s and even in their 50s, especially in women and even in people who never had acne as teenagers. The causes of acne include excess oil production,skin inflammation, skin cells in the hair follicles that shed too quickly and an increased number of the acne-causing bacteria Propionbacterium acnes. However, hormones also influence both oil production and the shedding of skin cells, thereby contributing to the formation of acne lesions. For example, when androgens (the male hormones present in both men and women) over-stimulate the oil glands and hair follicles in the skin, hormonal acne flares can occur.
In the past, most cases of acne were treated solely with antibiotics. While these treatments can be very successful, a growing concern about long-term antibiotic use is that bacteria are evolving to become resistant to these medications. As a result, the development of other effective therapies and combination therapies has evolved.
For example, Dr. Kim noted that some of the newer therapies for acne are anti-inflammatories, which can be used in some cases to lessen the severity of acne. Controlled-release of lower dose doxycycline is a newer anti-inflammatory oral medication that some dermatologists use to reduce the redness and swelling of acne. Combination therapies, which may include an anti-inflammatory and antimicrobial effects that can decrease resistance and are more convenient to use for patients, has made combination therapeutics increasingly common treatments used to manage acne.
Another newer approach to treating acne is the use of lasers and light-based technologies as a complementary treatment to traditional medical therapies. Dr. Kim noted that these technologies include the pulsed-dye laser, red and blue light, and photodynamic therapy, which target the sebaceous (or oil) glands and can reduce acne flares. While Dr. Kim does not recommend lasers and light-based technologies as first-line therapies for acne, she believes it is a promising new area of research.
“Patients are becoming increasingly concerned about the long-term use of oral medications to fight acne, so lasers and light sources appeal to them,” said Dr. Kim. “The problem is that there are limited large, prospective, well-controlled studies that demonstrate the effectiveness of laser and light technology at this point, so that will be an area we need to explore in the future. It’s very likely that with the advancement in dermatologic research, we will see sebaceous gland targeting lasers in the future that will be effective for the treatment of acne.”
Dr. Kim added that many patients are concerned about scarring that can result from acne, and many acne scars can be very aggressive and difficult to treat. For mild scarring, retinoids, chemical peels, microdermabrasion, and lasers can give mild improvement. In addition, fillers can be used successfully to fill in depressed areas and improve the appearance of scars.
Another therapy that is approved by the Food and Drug Administration (FDA) for acne scarring is fractional laser resurfacing. This laser technology works by targeting damaged skin in columns of microscopic treatment zones, which include the outermost and underlying layers of skin known as the epidermis and the dermis. Fractional laser resurfacing thermally damages the tiny columns of scarred skin while the surrounding healthy skin is left intact.
“One of the main benefits of fractional resurfacing is wound healing and increased collagen production that reduces acne scars,” said Dr. Kim. “However, most patients will notice only a modest improvement in acne scarring and multiple treatments are required. For more severe scarring, such as deep ‘ice pick’ scars, several acne surgical procedures can be used – including punch grafting or punch excision – to remove, raise, fill or separate the scar tissue from the underlying skin. These surgical procedures in combination with other therapies, including lasers and fillers, can produce improvement for severe acne scarring.”
Rosacea Triggers and Treatments
Rosacea, another chronic skin condition, affects an estimated 14 million people in the United States and is characterized by redness, flushing and prominent blood vessels on the face. Dr. Kim explained that rosacea commonly occurs in older people, and there are many known triggers for this bothersome condition – including sunlight, alcohol, spicy foods, caffeine, heat, citric acid, and stress.
While the exact cause of rosacea is not fully understood, Dr. Kim noted that a recent study suggests that the presence of an abnormal peptide (a small protein) in the skin of rosacea patients may contribute to the disease.
“There is some evidence to suggest that the peptide cathelicidin within the skin is processed differently in rosacea patients than in individuals not affected by rosacea and induces inflammation that may contribute to rosacea,” explained Dr. Kim. “These findings are encouraging, as we can identify better treatments for the disease if we have a better understanding of what the cause might be.”
Over the years, lasers have been shown to be effective in treating the symptoms of rosacea. For example, Dr. Kim mentioned that pulsed-dye lasers work well for rosacea patients with lots of broken blood vessels, and both pulsed-dye laser and intense-pulsed light treatments are effective at treating redness on the face and flushing associated with rosacea.
"Patients undergoing laser therapy for rosacea will likely need multiple treatments. However, I have found lasers and light treatments to be very effective and produce long-lasting results,” said Dr. Kim.
In addition to oral treatments, a number of topical medications have been introduced to treat rosacea, and Dr. Kim explained that metronidazole and azeleic acid are two topicals that are tolerated well and effective in reducing the symptoms of rosacea.
Good Skin Care: Good for All
For patients with acne or rosacea whose skin is often sensitive, Dr. Kim emphasized that proper skin care is very important as part of their overall treatment regimen. In addition to avoiding products or behaviors that tend to make acne or rosacea worse, patients may find that gentle skin care can help alleviate some of the redness or irritation common with these conditions.
“I advise my patients to use a mild cleanser and sun protection that is non-irritating to the skin every day, particularly a moisturizer that contains sunscreen,” said Dr. Kim. “While skin care products containing too many acids can be irritating to sensitive skin, I find that products containing salicylic acid are useful for some acne patients. Separating treatments, such as using salicylic acid or benzoyl peroxide in the morning and a retinol-based product at night, might be helpful for patients with sensitive skin.”
Dr. Kim also noted that while over-the-counter products containing salicylic acid or benzoyl peroxide may help control mild acne, patients should avoid using too many products at once on their skin to try to manage acne.
“The old adage ‘less is more’ applies to patients with sensitive skin,” said Dr. Kim. “The best advice is to discuss your skin care regimen with your dermatologist who can recommend products based on not only your specific skin condition, but your individual skin type as well.”
To learn more about acne and rosacea, visit www.skincarephysicians.com, a Web site developed by dermatologists that provides patients with up-to-date information on the treatment and management of conditions of the skin, hair and nails.
Headquartered in Schaumburg, Ill., the American Academy of Dermatology (Academy), founded in 1938, is the largest, most influential, and most representative of all dermatologic associations. With a membership of more than 16,000 physicians worldwide, the Academy is committed to: advancing the diagnosis and medical, surgical and cosmetic treatment of the skin, hair and nails; advocating high standards in clinical practice, education, and research in dermatology; and supporting and enhancing patient care for a lifetime of healthier skin, hair and nails. For more information, contact the Academy at 1-888-462-DERM (3376) or www.aad.org.
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
Wednesday, March 10, 2010
Hormones Imbalances Can Come Earlier Than You Think
It’s a new year, and most people have made resolutions to make a change. Some are to lose weight, increase financial gains, taking a much needed vacation, and so forth. But how many people made the resolution this year to actually FEEL GREAT. Most people struggle through each day feeling fatigued and lethargic with headaches and tension in the shoulders due to heavy stress loads. Afterwards, they go home exhausted, but yet sometimes struggle with insomnia all night long. Then the alarm goes off in the morning, and they feel more tired than when they went to bed. Did you ever think that this problem is most likely due to hormones being out of balance?
When most people think of Bioidentical Hormone Therapy, the first image in their minds is a woman in her 50’s with hot flashes who is going through menopause. Now, this is a common trend I see in patients at Derma Health Institute, but there is so much more that hormones do in our bodies besides controlling our temperature. Hormones have a powerful influence over both our mental and physical health. They begin influencing our bodies at birth, and stimulated us to grow. Hormones play an essential part of helping our bodies maintain a healthy environment throughout our entire lives. They have a significant impact on our cardiovascular and mental health. Both men and women of all ages can have hormonal imbalances that sometimes can be so severe that it impacts not only their quality of life but also their ability to function normally. These imbalances can actually increase their risks of developing severe cardiovascular or mental illness, like strokes, heart attacks, and dementia. Many physicians believe that keeping our hormones balanced is the most important thing we can do to improve our health, second only to diet and exercise.
At Derma Health Institute, I commonly see patients for skin problems, but underneath it all most of my clients have issues that stem from their hormones changing. Women especially can begin to have severe hormonal imbalances as early as their late 20’s to early 30’s. One or more of the following symptoms is present in every one of my patients: fatigue, irritability, insomnia, anxiety, depression, difficult concentration, brain fog, weight gain or difficulty losing weight, acne, aging skin, frequent common colds, and a lack of excitement for life. I have a deep passion for hormone balancing and how it can impact your life, because I personally suffered for a long time feeling miserable, only to finally discover on my own that a few little hormones were imbalanced. It was so simple to fix that I wanted to kick myself for waiting so long to do something about it. Now it’s my goal to make sure everyone knows they do not have to go through each day feeling terrible. If you wake up every morning feeling exhausted already, it will set the tone for the rest of your day to be miserable. Stop dragging yourself through life, and make a change. No one should ever settle for less than feeling great. You need to test your hormones, find out what is out of balance, and begin on your journey to the best health of your life!
For more information about Bio-Match All-Natural Hormone treatments, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=250
Ahwatukee Foothills’ Dr. Ann Watwood specializes in medical aesthetics and anti-aging medicine. She is certified in advanced laser skin care treatments and is a graduate of Arizona State University. Watwood received her medical degree from the Southwest College of Naturopathic Medicine. She is a member of the Naturopathic Board of Aesthetic Medicine in Arizona. You can find Dr. Watwood at Derma Health Institute at 1345 E. Chandler Blvd., #105 Phoenix, AZ 85048, (480) 460-1505.
When most people think of Bioidentical Hormone Therapy, the first image in their minds is a woman in her 50’s with hot flashes who is going through menopause. Now, this is a common trend I see in patients at Derma Health Institute, but there is so much more that hormones do in our bodies besides controlling our temperature. Hormones have a powerful influence over both our mental and physical health. They begin influencing our bodies at birth, and stimulated us to grow. Hormones play an essential part of helping our bodies maintain a healthy environment throughout our entire lives. They have a significant impact on our cardiovascular and mental health. Both men and women of all ages can have hormonal imbalances that sometimes can be so severe that it impacts not only their quality of life but also their ability to function normally. These imbalances can actually increase their risks of developing severe cardiovascular or mental illness, like strokes, heart attacks, and dementia. Many physicians believe that keeping our hormones balanced is the most important thing we can do to improve our health, second only to diet and exercise.
At Derma Health Institute, I commonly see patients for skin problems, but underneath it all most of my clients have issues that stem from their hormones changing. Women especially can begin to have severe hormonal imbalances as early as their late 20’s to early 30’s. One or more of the following symptoms is present in every one of my patients: fatigue, irritability, insomnia, anxiety, depression, difficult concentration, brain fog, weight gain or difficulty losing weight, acne, aging skin, frequent common colds, and a lack of excitement for life. I have a deep passion for hormone balancing and how it can impact your life, because I personally suffered for a long time feeling miserable, only to finally discover on my own that a few little hormones were imbalanced. It was so simple to fix that I wanted to kick myself for waiting so long to do something about it. Now it’s my goal to make sure everyone knows they do not have to go through each day feeling terrible. If you wake up every morning feeling exhausted already, it will set the tone for the rest of your day to be miserable. Stop dragging yourself through life, and make a change. No one should ever settle for less than feeling great. You need to test your hormones, find out what is out of balance, and begin on your journey to the best health of your life!
For more information about Bio-Match All-Natural Hormone treatments, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=250
Ahwatukee Foothills’ Dr. Ann Watwood specializes in medical aesthetics and anti-aging medicine. She is certified in advanced laser skin care treatments and is a graduate of Arizona State University. Watwood received her medical degree from the Southwest College of Naturopathic Medicine. She is a member of the Naturopathic Board of Aesthetic Medicine in Arizona. You can find Dr. Watwood at Derma Health Institute at 1345 E. Chandler Blvd., #105 Phoenix, AZ 85048, (480) 460-1505.
Monday, August 31, 2009
FDA: Facing Facts About Acne
Though it's often portrayed as a scourge of the teen years, acne can affect people of all ages. According to the National Institutes of Health (NIH), about 80 percent of people between the ages of 11 and 30 have outbreaks of the skin disorder at some point.
"Many see their acne go away by the time they reach their 30s," says Jane Liedtka, a medical officer at the Food and Drug Administration's (FDA) Center for Drug Evaluation and Research (CDER). "But for some, acne persists into their 40s and 50s."
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
Spurred by inflammation of skin glands and of tiny, narrow canals in the skin known as hair follicles, acne is marked by pimples and other lesions. It commonly appears on the face, neck, back, chest, and shoulders.
Acne is not usually a serious health condition. "But it can cause significant emotional distress, as well as permanent scarring of skin tissue," says Liedtka, who has 15 years of clinical experience treating acne. She now works in CDER's Division of Dermatology and Dental Products.
A Disease of the PSUs
Clinically, acne is described as a disease of features known as pilosebaceous units (PSUs). Found just under the skin, PSUs are numerous on the face, upper back, and chest, and contain sebaceous glands that are connected to hair follicles. The sebaceous glands produce sebum, an oily substance that empties onto the skin via the hair follicle.
Liedtka explains, "it is known that acne is partly the result of the action of hormones on the skin's oil glands and the hair follicles," she says. "The earliest lesion of acne is a plugging of the pores of the skin."
Factors believed to be related to acne formation include increases in sex hormones called androgens that occur in both boys and girls during puberty. Androgens cause sebaceous glands to enlarge and make more sebum in hair follicles hormonal changes related to pregnancy or to starting or stopping use of birth control pills genetics.
Beware of Myths
"There are many misconceptions out there about how acne forms, as well as on how to treat the condition," says Liedtka.
Here are some facts about acne:
There is no known way to prevent the development of acne.
Acne is not caused by poor hygiene, sweating, or not washing. "These factors do not cause the clogged pores that contribute to acne development," says Liedtka. While medicated washes containing benzoyl peroxide, resorcinol, salicylic acid, and sulfur are one form of treatment for acne, simple soap and water does not treat the condition, she adds.
Acne is not caused by diet. No scientific connection has been found between diet and acne. No food—not chocolate, fries, pizza, or any other food—has been shown to cause acne.
Acne does not need to be allowed to run its course. "The condition can be treated," says Liedtka. "There are prescription and over-the-counter (OTC) products for it. If products you have tried haven’t worked, consider seeing a dermatologist."
Types of Acne
Every mark on the skin produced by acne is a type of lesion. The mildest cases of acne produce blackheads and whiteheads. (The color of these is determined by whether the plugged follicle remains open or closed. If it is closed, it is a whitehead.)
More troublesome acne lesions include:
papules – inflamed lesions that usually appear as small, pink bumps on the skin and can be tender to the touch
pustules (pimples) – white or yellow pus-filled lesions that may be red at the base
nodules – large, painful, solid lesions lodged deep within the skin
cysts – deep, painful, pus-filled lesions that can cause scarring
Treatments
The type of treatment people with acne get depends on the severity of the outbreak. "There are OTC products for mild cases, while a visit to a health care professional such as a dermatologist may be in order for the more stubborn cases," says Liedtka.
Acne treatments are regulated by FDA under the same provisions of the Federal Food, Drug, and Cosmetic Act covering prescription and non-prescription (or OTC) products.
Topical OTC medicines are applied to the skin and come in many forms, including gels, lotions, creams, soaps, and pads. Typical OTC treatments for mild acne include benzoyl peroxide, resorcinol, salicylic acid, and sulfur.
"It is best to read the labels or talk to your health care professional before you use any of these products, so that you know which is right for you, what if any side effects may occur, and when you can expect to see results," says Liedtka.
Types of prescription topical medicines used to treat acne include antibiotics, benzoyl peroxide, azelaic acid, dapsone, and vitamin A derivatives known as retinoids.
People with moderate to severe inflammatory acne may be treated with prescription topical or oral medicines, alone or in combination. And people with nodules or cysts should be treated by a dermatologist.
Caution with Isotretinoin
Patients with severe nodular acne that does not improve with the use of other treatments may be prescribed isotretinoin, which is sold under the brand names Accutane, Sotret, Claravis, and Amnesteem.
Isotretinoin is a vitamin A derivative that is taken orally once or twice a day with food for 15 to 20 weeks. It reduces the size of the oil glands so that less oil is produced.
Although effective, isotretinoin is associated with serious side effects, especially for pregnant women. According to the medication guides for these products, isotretinoin can cause serious birth defects in the developing fetus of a pregnant woman. It is vital that women of childbearing age are not pregnant and do not get pregnant while they take isotretinoin, or for 30 days after completion of treatment.
Because isotretinoin can cause birth defects, it is only for patients who can understand and agree to carry out all of the instructions in iPLEDGE, a mandatory distribution program intended to prevent the use of the drug during pregnancy due to the high risk of birth defects.
Products containing isotretinoin may cause serious mental health problems in persons taking the drug. Other side effects include dry eyes, mouth, lips, nose, or skin; itching; nosebleeds; muscle aches; sensitivity to the sun; poor night vision; changes in the blood, such as an increase in fats in the blood; and changes in liver function.
Keeping Acne in Check
Meanwhile, it helps to know what can cause or worsen an outbreak. According to the National Institutes of Health, these factors can make acne worse:
changes in hormone levels in adolescent girls and adult women 2 to 7 days before their menstrual period starts oil from skin products (moisturizers or cosmetics) or grease encountered in the work environment (for example, a kitchen with fry vats) pressure from sports helmets or equipment, backpacks, tight collars, or tight sports uniforms environmental irritants, such as pollution and high humidity squeezing or picking at blemishes hard scrubbing of the skin
stress The Web site KidsHealth.org suggests that if you use skin products, such as lotions or makeup, look for ones that are noncomedogenic or nonacnegenic, which means that they don't clog pores.
"Acne can cause a lot of distress," says Liedtka. "But consumers have treatment options. Just remember to learn as many facts as possible, and to disregard the myths. And do not hesitate to talk to a health care professional about your treatment options."
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
Source: This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products
"Many see their acne go away by the time they reach their 30s," says Jane Liedtka, a medical officer at the Food and Drug Administration's (FDA) Center for Drug Evaluation and Research (CDER). "But for some, acne persists into their 40s and 50s."
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
Spurred by inflammation of skin glands and of tiny, narrow canals in the skin known as hair follicles, acne is marked by pimples and other lesions. It commonly appears on the face, neck, back, chest, and shoulders.
Acne is not usually a serious health condition. "But it can cause significant emotional distress, as well as permanent scarring of skin tissue," says Liedtka, who has 15 years of clinical experience treating acne. She now works in CDER's Division of Dermatology and Dental Products.
A Disease of the PSUs
Clinically, acne is described as a disease of features known as pilosebaceous units (PSUs). Found just under the skin, PSUs are numerous on the face, upper back, and chest, and contain sebaceous glands that are connected to hair follicles. The sebaceous glands produce sebum, an oily substance that empties onto the skin via the hair follicle.
Liedtka explains, "it is known that acne is partly the result of the action of hormones on the skin's oil glands and the hair follicles," she says. "The earliest lesion of acne is a plugging of the pores of the skin."
Factors believed to be related to acne formation include increases in sex hormones called androgens that occur in both boys and girls during puberty. Androgens cause sebaceous glands to enlarge and make more sebum in hair follicles hormonal changes related to pregnancy or to starting or stopping use of birth control pills genetics.
Beware of Myths
"There are many misconceptions out there about how acne forms, as well as on how to treat the condition," says Liedtka.
Here are some facts about acne:
There is no known way to prevent the development of acne.
Acne is not caused by poor hygiene, sweating, or not washing. "These factors do not cause the clogged pores that contribute to acne development," says Liedtka. While medicated washes containing benzoyl peroxide, resorcinol, salicylic acid, and sulfur are one form of treatment for acne, simple soap and water does not treat the condition, she adds.
Acne is not caused by diet. No scientific connection has been found between diet and acne. No food—not chocolate, fries, pizza, or any other food—has been shown to cause acne.
Acne does not need to be allowed to run its course. "The condition can be treated," says Liedtka. "There are prescription and over-the-counter (OTC) products for it. If products you have tried haven’t worked, consider seeing a dermatologist."
Types of Acne
Every mark on the skin produced by acne is a type of lesion. The mildest cases of acne produce blackheads and whiteheads. (The color of these is determined by whether the plugged follicle remains open or closed. If it is closed, it is a whitehead.)
More troublesome acne lesions include:
papules – inflamed lesions that usually appear as small, pink bumps on the skin and can be tender to the touch
pustules (pimples) – white or yellow pus-filled lesions that may be red at the base
nodules – large, painful, solid lesions lodged deep within the skin
cysts – deep, painful, pus-filled lesions that can cause scarring
Treatments
The type of treatment people with acne get depends on the severity of the outbreak. "There are OTC products for mild cases, while a visit to a health care professional such as a dermatologist may be in order for the more stubborn cases," says Liedtka.
Acne treatments are regulated by FDA under the same provisions of the Federal Food, Drug, and Cosmetic Act covering prescription and non-prescription (or OTC) products.
Topical OTC medicines are applied to the skin and come in many forms, including gels, lotions, creams, soaps, and pads. Typical OTC treatments for mild acne include benzoyl peroxide, resorcinol, salicylic acid, and sulfur.
"It is best to read the labels or talk to your health care professional before you use any of these products, so that you know which is right for you, what if any side effects may occur, and when you can expect to see results," says Liedtka.
Types of prescription topical medicines used to treat acne include antibiotics, benzoyl peroxide, azelaic acid, dapsone, and vitamin A derivatives known as retinoids.
People with moderate to severe inflammatory acne may be treated with prescription topical or oral medicines, alone or in combination. And people with nodules or cysts should be treated by a dermatologist.
Caution with Isotretinoin
Patients with severe nodular acne that does not improve with the use of other treatments may be prescribed isotretinoin, which is sold under the brand names Accutane, Sotret, Claravis, and Amnesteem.
Isotretinoin is a vitamin A derivative that is taken orally once or twice a day with food for 15 to 20 weeks. It reduces the size of the oil glands so that less oil is produced.
Although effective, isotretinoin is associated with serious side effects, especially for pregnant women. According to the medication guides for these products, isotretinoin can cause serious birth defects in the developing fetus of a pregnant woman. It is vital that women of childbearing age are not pregnant and do not get pregnant while they take isotretinoin, or for 30 days after completion of treatment.
Because isotretinoin can cause birth defects, it is only for patients who can understand and agree to carry out all of the instructions in iPLEDGE, a mandatory distribution program intended to prevent the use of the drug during pregnancy due to the high risk of birth defects.
Products containing isotretinoin may cause serious mental health problems in persons taking the drug. Other side effects include dry eyes, mouth, lips, nose, or skin; itching; nosebleeds; muscle aches; sensitivity to the sun; poor night vision; changes in the blood, such as an increase in fats in the blood; and changes in liver function.
Keeping Acne in Check
Meanwhile, it helps to know what can cause or worsen an outbreak. According to the National Institutes of Health, these factors can make acne worse:
changes in hormone levels in adolescent girls and adult women 2 to 7 days before their menstrual period starts oil from skin products (moisturizers or cosmetics) or grease encountered in the work environment (for example, a kitchen with fry vats) pressure from sports helmets or equipment, backpacks, tight collars, or tight sports uniforms environmental irritants, such as pollution and high humidity squeezing or picking at blemishes hard scrubbing of the skin
stress The Web site KidsHealth.org suggests that if you use skin products, such as lotions or makeup, look for ones that are noncomedogenic or nonacnegenic, which means that they don't clog pores.
"Acne can cause a lot of distress," says Liedtka. "But consumers have treatment options. Just remember to learn as many facts as possible, and to disregard the myths. And do not hesitate to talk to a health care professional about your treatment options."
For more information about Acne Treatments at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=177
Source: This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products
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