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Common Skin Conditions

Your skin is very important for many body functions.

One of the skin’s most important jobs is to protects our bodies from a multitude of bacteria and viruses as well as from ultraviolet rays.

The epidermis is the visible layer of our skin and is responsible for many of these functions. It also gives the skin its color, protects it, and makes new skin cells.

The middle layer of the skin is known as the dermis, which contains nerves and blood vessels. Because the dermis is made primarily of collagen, it is responsible for giving skin its tremendous flexibility and strength. Oil glands, sweat glands, and hair follicles are also located in this layer of skin. Therefore it is not surprising that the dermis grows hair and produces oils and perspiration. The nerve endings located in the dermis give us a sense of pain, touch, pressure, temperature, and much more. A very important aspect of the dermis is the lymphatic blood vessels and their ability to fight infections and ward off other harmful substances.

The innermost layer of our skin is known as the hypodermis or subcutaneous fat. It obtained this nickname because it is mostly made of fatty tissue. The main purpose of this fatty layer is to protect our bodies from extreme temperatures. The hypodermis provides us with a sort of cushion to insulate our organs, bones, and muscles, and protect us from injuries. In addition to this important function, the hypodermis is a source of energy storage for our bodies.

As you can see, the various layers of our skin protect us from our everyday lives and perform essential functions for our bodies. We would not be able to survive without the support of our skin. Therefore, it is vital to take good care of it. To do that, we need to be aware of common skin conditions that take a toll on our skin’s health.

Common Skin Abnormalities

Below are abnormalities that you should be aware of when inspecting your skin.

Moles & Warts. The human papillomavirus is responsible for the formation of warts. These growths commonly occur on the hands and feet but can also be found elsewhere on the body.

Warts are identified as dots on the skin. If you notice black dots within your wart, it may be a sign of infection due to blocked blood vessels. In this case, it is important to treat your wart to eliminate the infection. Treatments for warts include applying mild irritation by freezing, using chemicals, and sometimes lasers to the growth areas.

Moles, on the other hand, appear on the skin in a variety of colors. These include black, brown, red, and sometimes even skin-colored. Additionally, they can be raised or flat. It is essential to keep an eye on moles in order to identify any changes to them. If you notice that your mole has changed shape, color, or size, it is necessary to get it checked by a dermatologist to ensure that your mole is not an early detector of cancer or other underlying issue.

Acne & Eczema. When hair follicles become clogged, oil and dead skin build-up underneath, and acne forms. This blockage creates an infected pore due to bacteria build-up. Acne appears as red or pink bumps on the skin and most commonly presents itself on the face, chest, and back. There are treatments for acne including a variety topical products and antibiotics.

Eczema can sometimes be mistaken for acne. It appears on the skin as red, inflamed patches. It typically is present in similar areas as acne but also frequently forms on the neck, hands, and behind knees and elbows. Eczema is a condition that comes and goes. Sometimes, it is triggered by specific irritants, and other times it occurs on its own. Eczema can damage the skin barrier function of your skin if left untreated. This can cause increased sensitivity of the skin, and resulting in lower immunity function and dryness.

Psoriasis. This is a condition of the skin where the autoimmune system attacks healthy skin cells. This causes new skin cells to multiplying at a faster rate than the older ones are decaying, creating thick scaly areas. These patches on the skin are known as plaques and can appear on the scalp, elbows, torso, and knees. It is common for psoriasis to cause a painful burning sensation or itchiness.

The great majority of individuals who experience psoriasis can attribute their flare-ups to genetics. However, many patients are not 100% sure of the cause of their psoriasis. There are several reasons for the immune system to attack itself including injury, smoking, stress, infection, certain medications, and even extremely cold temperatures. It is important to address psoriasis as early as possible because it can significantly affect the body beneath the skin.

Psoriasis complications include arthritis, cardiovascular disease, psychosocial disorders, among other health concerns. Topical medications and injectable drugs are available to provide relief for psoriasis patients. It is also important for people with psoriasis to manage stress levels and alcohol intake, as well as practice a healthy diet. These relevant lifestyle changes can potentially help prevent future flare-ups and resulting complications.

Skin Cancer. There are several types of skin cancers, each carrying different levels of concern.

Basal Cell Carcinoma appears on the skin as pink or pearl-colored areas typically on the ears, neck, or face. BCS is the most common type of skin cancer. It is important to treat this type of skin cancer immediately. Although Basal Cell Carcinoma rarely spreads beyond the initial tumor site, it has the potential to grow and become much more dangerous.

Squamous Cell Carcinoma is the second most common type of skin cancer and presents itself as scaly patches or sores on the skin. They are typically pink or white. Although this type of cancer is generally not life-threatening, it is important to get it taken care of as soon as possible. If left untreated, this type of cancer can grow, spread to other areas of the body, and eventually create serious health complications.

Melanoma is the rarest but also the most serious type of skin cancer. It typically appears as dark spots on the skin, which eventually change in appearance or bleed. It is crucial to seek medical treatment early – Melanoma is responsible for the majority of skin cancer deaths.

It is safe to assume that our skin is a very important aspect of the human body. Not only does it perform many great functions but can also be an indicator of serious underlying health issues. That is why it is important to take great care of our skin and be on the lookout for any abnormal changes. The skin conditions depicted above are just a few instances where you should seek treatment or professional help. Doing so could prevent extensive damage to your skin and avoid potential health complications.

It is important for people of all ages to perform regular self-checks as well as visit a professional dermatologist annually. Dr. Gurgen is a dermatologist in The Villages and Leesburg, Florida, specializing in skin care treatment and Mohs Surgery.

If you haven’t been to the dermatologist in over a year or notice any changes to your skin, contact our office for an appointment.

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New Year’s Resolution- Take Better Care of Your Skin

As the holiday season comes to an end, many of us consider numerous New Year’s resolutions. It is natural to want to improve our lives and make every year better than the last. Many times, we tend to abandon these ambitions when life becomes hectic and overwhelming. However, this should not stop us from trying to strive for a better version of ourselves. When contemplating which New Year’s resolution you wish to tackle this year, one should consider a healthier skincare routine. Maintaining healthy skin is not only influential for an individual’s physical appearance but is also important for many body functions. Below is a list of tips to help you reach your skincare resolution and acquire that clearer, softer, and more youthful-looking skin.

  1. Protect Your Skin from the Sun—It is crucial to invest in lotions containing sunscreen. Some people trust that only wearing sunscreen on our bodies will suffice. However, it is important to apply sunscreen to our faces. This tip applies to our daily lives, not just when we plan to spend long days at the beach or park with a great amount of UV exposure. Many daily moisturizers contain a small level of SPF for everyday application.
  2. Wash Your Face— It is imperative to wash your face before you go to bed. This tip is particularly relevant for women who wear makeup. Sleeping with makeup clogs our pores which causes breakouts and dry skin, leading to premature wrinkles. Your skin regenerates while you sleep, so practicing a consistent skincare regimen is important.
  3. Stay Hydrated—Drinking plenty of water and herbal drinks can have exceptional results on your skin. You may notice your skin becoming itchy, flaky, or red when you are dehydrated. Skin that lacks hydration can cause shrinkage of skin cells and loss of elasticity. This results in rough-feeling skin and exaggerated wrinkles and fine lines. Staying hydrated is one of the most important aspects of healthy skin and appearance. Try keeping a bottle of water with you at all times. Even if you do not consider yourself a major “water-drinker”, attempt other flavor techniques such as adding fruit slices.
  4. Healthy diet—As I am sure dieting may already be on many people’s New Year’s resolutions; a healthy diet proposes more than just one benefit. Improved skin might be that extra motivation you need to not fall back into comfortable eating habits. Healthy fats, fruits, veggies, and select proteins are essential elements for great skin. A poor diet, on the other hand, can cause breakouts or dull-looking skin.
  5. Exercise—This is another tip that you may already be planning to indulge in with the coming New Year. Exercise gets the heart rate up and therefore improves blood circulation. This process delivers oxygen and nutrients to the skin.
  6. Sleep—engaging in a sufficient sleep schedule can help manage healthy skin believe it or not. Blood flow increases while you sleep, allowing for rejuvenation, damage repair, and collagen build-up. 7-8 hours of sleep is suggested. Not only can this act reduce the dark circles underneath your eyes but can also reduce your stress levels.
  7. Manage Stress Levels—As stated in the previous tip, sleep acts as an aid for minimizing our stress levels. However, there are other activities one can entertain to manage their stress. It is important to make time for hobbies and set aside time for things that you enjoy doing. Your relaxed hobby may include playing golf, doing an art project, reading, playing card games, or even simply watching a movie.
  8. Stop Smoking—Tobacco contains thousands of chemicals that are harmful to the collagen and elasticity of your skin. These fibers give your skin the strength it needs to maintain its health and avoid premature aging.
  9. Be Gentle with Your Skin—Many individuals believe that harsh peels and foaming washes are the best things for your skin. You may think that if the product hurts, it must be working. However, this is not the case. With that being said, avoid irritants, chemicals, and drying ingredients. Additionally, do not over-exfoliate or over-wash your skin. Try not to excessively rub or pick at blemishes. This can cause wrinkles and sometimes even scarring.
  10. Throw Out Old Products—Many of us hoard products with the intention of eventually using them. This is often not the case as our medicine cabinets and makeup bags fill with expired items. Hanging on to these beauty products is not doing your skin any favors and could be the root of your skin problems.
  11. Adapt to Your Skin’s Needs—Everyone’s skin is different and requires different regimens. Have you reevaluated your particular needs recently? A skincare routine you adopted in your adolescent years may not be the best method now. The products that kept your skin healthy-looking and fresh in the past may not be as effective on aged skin. Age is not the only factor one should consider when evaluating their skincare practice. It may even be necessary to adapt to the current season as certain times of the year calls for dryer skin.
  12. Perform Self Checks—Regular skin self-exams are especially important. Individuals with low immunity or who have a high risk for cancer should make this tip a priority. Early detection of skin cancer or other abnormalities can reduce the amount of damage to your skin. Get to know your body and the pattern of moles, freckles, blemishes, or other marks on your skin.
  13. Visit a dermatologist—Lastly, it is crucial to see a health care provider annually regarding your skin’s health. Although self-exams are beneficial, we are sometimes not able to detect certain irregularities. This may be due to the location or just a lack of education. A dermatologist can provide you with this confidence and peace of mind. They are experts in detecting skin cancers early on and can also discuss preventative strategies as well as personalized skincare recommendations. If you haven’t been to the dermatologist in over a year, it is time to schedule an appointment!  Dr. Gurgen is a dermatologist in The Villages and Leesburg, Florida, specializing in skin care treatment and Mohs Surgery. If you notice changes to your skin or if it is time for your annual skin check, contact our office for an appointment.
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When Should I See a Dermatologist?

Dermatologists are physicians who are experts on skin, hair and nails. They are able to provide information about proper care, irregularities and diseases, as well as treatments for ailments involving your skin, hair and nails. Although the sun can feel welcoming on a long day, it is important to look out for particular signs and symptoms of serious skin damage. We have identified some signs that may be concerning, where an appointment with your dermatologist is advisable.

Itchy, red scalp:

Scalp Psoriasis is a common condition that appears in raised, reddish, scaly patches. This disorder is itchy and can affect your entire scalp. Not only could this issue have your co-workers serving you odd looks and scooting away from you in the office, but can be extremely bothersome. Fortunately, scalp psoriasis is treatable and not something you have to live with forever.

Hair Loss:

Hair loss could be caused by a variety of sources, ranging from genetics, to alopecia or other medical condition. If you are experiencing excessive hair loss or a sudden bald patch, your dermatologist can help to determine the cause and proper course of treatment. Although some over-the-counter products may resolve the issue for some time, it is important to see a physician to get to the root cause of the problem.

Bad Sunburn:

Every time a person experiences a bad sunburn, they increase their risk of developing squamous-cell carcinoma considerably. Sun burn can cause skin damage and can result in tender, wart-like lumps. If you notice this type of reaction or any other changes to your skin after time spent in the sun, you should visit your dermatologist right away. Don’t worry for the rest of summer. Avoid wasting time and discomfort – Get it checked right away.

New Skin Growth:

It is generally recommended by most dermatologists to check your skin regularly. By performing regular skin inspections, you will be able to detect any irregularities, new growths, or changes to your skin. If you notice an abnormal growth that doesn’t go away in 2-3 weeks, it may be cause for concern. Although the new mark may be benign, there is always a chance that it is Melanoma, a form of deadly skin cancer. The important thing to remember is that Melanoma doesn’t have to be deadly. It can be cured through surgical removal if it is detected early enough. With that being said, perform those self-examinations regularly, and don’t put off visiting your physician if you discover something unusual.

Worsening Acne:

Many individuals with difficult acne, think that they are stuck with it. Not only can serious acne be embarrassing and uncomfortable, but it can permanently damage your skin. Dermatologists have remedies beyond over-the-counter creams that can be very effective. They are also very familiar with the scarring that severe acne can leave, and can help you to prevent this from happening. See a dermatologist if you struggle with long-term acne or notice an increase in break-outs.

Changing Mole:

A mole that has changed in size, color, or starts to itch or bleed, should be taken seriously. If you notice any of these types of changes, it is time to see a dermatologist. On the chance that it is skin cancer, the faster you notice the issue and take action, the better.

When it comes to changing moles, check out our article on self-exams and ABCDEs- what to look for.

Change in nail growth:

A dermatologist also treats nails. Pus under your nail, discoloration, a raised nail bed, and general prolonged pain are all good reasons to see a dermatologist. If you have a nail infection, it is important to treat it before it spreads. Also, if you notice a change in the strength or color of your nails, your dermatologist can help and you should schedule an appointment.

Aging Skin:

Despite the fact that we all experience natural aging, some people get wrinkles and begin to age prematurely. This is not necessarily a condition that you have to accept. Your dermatologist can provide tips and products to keep you looking your best. Rather than investing in expensive skin care and treatments right off the bat, it is best to consult with your physician. They can save you a lot of money and time by helping you identify the products that will be most effective for you.

Permanent Blushing:

A condition known as rosacea presents itself as red, flushed skin, broken vessels, inflammation, and often red bumps that look like acne. Even though the exact cause of the disorder is not certain, it is still possible to treat. Sun exposure, wind, cold weather, hot beverages, alcohol, spicy foods, stress, exercise and other factors can contribute to the severity of rosacea. Unfortunately, many of these causes are aspects of life that most people enjoy or cannot avoid. IPL, intense pulsed light, is a treatment recommended by many dermatologists. During this procedure, the rosacea is treated through the delivery of intense pulsed light in precise amounts on the face, neck and chest. See a dermatologist to find out if this may be right for you.

New Rash:

Rashes are very complex conditions to diagnose accurately without the expertise of a dermatologist. You can find yourself Googling an extensive amount of images that appear very similar. If you are experiencing a rash that covers a large portion of the body it should be examined by a physician. Additionally, if your rash is accompanied by pain or fever, you should consult a dermatologist as soon as possible. Eczema and other chronic skin conditions often present themselves like an ordinary rash, so it is important to get diagnosed and obtain the proper treatment.

A Sore That Isn’t Healing:

Similar to moles and other changes to your skin, a sore can also be an early warning sign of possible skin cancer. It is crucial to pay attention to any skin sores and to keep track of how long they have been there. If you notice a sore that isn’t healing properly, you should visit a dermatologist.

Oftentimes, patients think the sore is just a stubborn pimple. Oftentimes, these turn out to be cancerous. Don’t worry right away if you are experiencing a sore for a couple weeks because some bug bites can last up to month. However, generally pimples and big bites heal within the 30-day mark. A skin condition, on the other hand, persists and usually worsens. If you are experiencing a sore that lasts longer than a month, make an appointment.

Excessive Sweating:

Good news! The embarrassing, excessive perspiration that you may be experiencing can also be treated. Dermatologists provide an array of options including Botox and other treatments for individuals living with overactive sweat glands. If you struggle with sweating or if your skin has become noticeably drier, this may be the result of a hormonal imbalance which can be addressed. Contact your dermatologist.

If it Has Been Over a Year Since Your Last Visit:

Did you know that the most common cancer in people 20 to 30-years-old is Melanoma? This is why it is important for people of all ages to be checked for serious skin disorders on a regular basis. Self -examination is good, but analyzing all of your skin by yourself is difficult. There are many spots on the body that you simply cannot check by yourself. Dermatologists are not only experts in detecting skin cancers early on but can also discuss preventative strategies and personalized skin care recommendations. If you haven’t been to the dermatologist in over a year, schedule an appointment.

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Types and Treatments for Psoriasis

Are you experiencing bumpy red patches with white scales on your skin? A skin condition known as Psoriasis effects many individuals today ranging in type and severity. This disorder is caused by the body’s over production of skin cells and the inability to shed normally. The good news is that there are several effective treatments for psoriasis. Unfortunately, this complication is the result of an over active immune system and can cause irritation and itchiness.

Types of Psoriasis

  1. Plaque Psoriasis: Often times, physicians mistakenly diagnose Plaque Psoriasis as dermatitis or eczema because of its red and scaly appearance. It is the most common form of psoriasis as 90% of the individuals diagnosed with this condition suffer from this type. Although this disorder can appear all over the body, it is commonly noticed in areas such as the elbows, knees, lower back and scalp.
  2. Erythrodermic Psoriasis: Despite the fact that Erythrodermic Psoriasis is rare, it still disturbs the life of 3% of those with psoriasis. This bright red rash is considerably more aggressive than other types and spreads quickly. Because of the fact that it can spread to over 60% of the body and is typically accompanied by chills or a fever, it is critical to see a physician immediately. This case of psoriasis could be considered a medical emergency.
  3. Guttate Psoriasis: This type of psoriasis is not as common as plaque psoriasis but is considered the second most common type. It reveals itself as small, red, and scaly droplet-shaped patches. It is typically seen in areas on the chest, back, arms and legs. Streptococcus (strep throat), a bacterial infection, is the common cause of a Guttate outbreak.
  4. Inverse Psoriasis: As its name would suggest, Inverse Psoriasis occurs in the skin folds of the body. These areas would include under the arms, in the groin, or even under the breast. This condition tends to be very painful and manifests itself as flat red patches. Generally, yeast is also present.
  5. Pustular Psoriasis: The name given to this disorder also gives insight on the nature of it. The word pustule represents a small blister that contains pus. Pustular Psoriasis commonly appears on the palms of the hand and soles of the feet as little blisters filled with fluid. This form of psoriasis can potentially be disabling due to its location and is the hardest to treat.
  6. Psoriatic Arthritis: This type of arthritis only occurs in individuals with psoriasis. It causes pain and swelling in joints. Every case of Psoriatic Arthritis is different, ranging from slow development with mild symptoms to more severe cases that develop quickly. In more serious cases, an individual may experience increased difficulty to perform common, every day activities.  Some people suffering with this disorder may experience periods of remission, but it is important to remain aware and to visit a dermatologist when symptoms emerge. A small number of individuals will experience joint pain before skin abnormalizes. If left untreated or unidentified for some time, joint changes may be permanent.

Psoriasis Treatments

There are several treatments for Psoriasis available.

Topical Therapy: The two types of Topical treatments include steroidal creams and nonsteroidal creams. Steroidal creams contain a drug known as cortisone that works towards reducing the swelling and inflammation of the body. Physicians instruct their patients in ways to prevent damaging the skin. Failing to follow direction could result in stretch marks, easily bruised skin, or thinning of the skin. Over the counter, non-steroidal medications include tar and salicylic acid. Both of these products are proficient in either reducing the growth of cells or shed scales on the skin. To increase the effectiveness of these drugs, they are sometimes prescribed with the addition of other topical therapies. Other medications that aid in the removal of scales and work towards flattening lesions are topical retinoids and vitamin D products. This type of treatment is offered through a variety of forms such as lotion, gel, foam, spray, ointment and cream. Typically, lotion and foams provide patients an easier application of the product.

Phototherapy: This procedure is effective in reducing the skin’s cell growth. It works through the use of light treatments that are usually administered in doctor’s offices. However, occasionally, a physician will allow usage of the unit at the patient’s home. The first type of light, Broadband UVB, is composed of 290-320 nanometers of wavelength. Because a common side effect of phototherapy is a sunburn reaction, this type of treatment is conducted through shorter treatment times. A more modern UVB treatment is known as Narrowband, which is composed of 311-312 nanometers of wavelength. With this newer type of treatment, patients are able to experience longer remission times and tend to have less sunburn type reactions.

PUVA, an alternative kind of phototherapy, exercises the use of medication alongside UVA light. Oxsoralen is the prescribed medication that should be taken as a capsule 90 minutes before the light therapy. This type of therapy poses a risk for developing a multitude of side effects such as headaches, burning, itching, nausea, vomiting, dizziness. The chance on developing skin cancer also increases.

If the psoriasis covers less than 10 percent of the body’s skin, an alternative form of treatment is an option. Pharos excimer laser is a unique treatment because of its ability to concentrate on localized areas of the body. It applies a NB UVB light to these regions. Comparable to the side effects of other therapies, it also causes itchiness, dry skin, and poses as an increased risk for skin cancer.

Medications: There are a variety of medications available for patients suffering with Psoriasis. If a physician notices that the use of topical treatments or light therapies have become ineffective, they may prescribe an oral medication. Methotrexate and Acitretin are the most common systemic oral medications implemented today. Although this kind of remedy requires numerous office visits and a continued commitment of the patient, it holds the greatest success rate.

  • Methotrexate: This is one of the original treatments for psoriasis dating back to the 70’s. Methotrexate is filtered through the liver and affects the immune system by preventing the rapid turnover of skin cells. Because of its effect on the liver, it is important for patients to undergo a liver biopsy to determine if it is the right treatment for them. Patients not advised to receive this medication include people with a history with alcohol abuse or renal, hepatic or other hematological irregularities. Methotrexate is frequently used in combination with light therapy, but the two should not be administered within 48-72 hours of each other. This drug can cause patients to become hypersensitive to light. Therefore, it is crucial to be cautious and monitor the body.
  • Acitretin: Also known as Soriatane, this drug is derived from vitamin A and works to control cell growth and produce shedding. Just like Methotrexate, Soriatane also discourages its use for particular individuals such as women in their child bearing ages and individuals suffering from depression. However, it is very effective in men and women of non-childing bearing potential. It is also advised for the physician to administer blood tests to monitor cholesterol and triglycerides due to the fact that the drug can affect lipid levels. Long term use of this kind of therapy also calls for bone density scans or x-rays.

Biologic Drugs: Biologic drugs control the growth of cells by blocking specific immune cells. In contrast to other treatments, this type of drug works through the injection and infusion of proteins, rather than chemicals. Because this medication was developed fairly recently, the long-term effects are unfamiliar to physicians currently. However, they do not display very many side effects. The value in using biologic drugs is its ability to target a specific area of the immune system, without imposing on the rest. Every individual receiving this type of treatment will get an individualized strategy depending on their situation. Additionally, it accommodates individuals and gives them the convivence of performing the injection at home.

Get Help

Dr. Gurgen offers proven, powerful treatment techniques that reduce pain associated with psoriasis and encourage your body’s overall health. Schedule an appointment today.

Skin Rashes Associated with COVID-19

COVID-19, otherwise known as the Coronavirus, has been all you see in the news these days. What you don’t see much about is the fact that many people infected with the Coronavirus have also experienced rashes on their bodies. Since people infected with the virus typically don’t exhibit symptoms for up to 14 days, this warning may help identify those with the Coronavirus early on.

COVID-19 is an infectious respiratory disease that is spread from person to person. The most common symptoms that occur in COVID-19 patients include fever, cough, shortness of breath, and fatigue. However, just as a skin rash may be a sign of other serious underlying health problems, it may also suggest that you have COVID-19. Rashes typically occur as the immune system’s response to a bacterial infection, an allergy, or can often be a sign of a viral infection.

Although rashes are not included in the typical list of the symptoms for the Coronavirus, there have been numerous reports of individuals who experienced different types of skin rashes while infected with COVID-19. As a result, it is now believed that there are a variety of rashes that may be associated with this virus. The rashes range in size, location, and form. There have been reports of larger lesions, both flat and raised, as well as small red dots.

Is “COVID Toes” a real thing?

One of the more bizarre locations for these rashes has resulted in the name, “COVID Toes.” It involves purple, red or pink discoloration on the tips of the patient’s toes, which may be attributed to lack of blood flow to that area of the body. The appearance of this toe rash can appear different depending on the cause and is very similar in patients with Chilblains (Pernio). Many times, these patients report mild to no other symptoms. See also Chilblain-Like Lesions below.

Types of Rashes

Below we detail the various types of rashes that have been associated with the Coronavirus, how they appear, and what to look for. If you have a rash that resembles these descriptions, you should schedule an appointment with your dermatologist and/or get a COVID-19 test.

  • Chilblain-Like Lesions: This type of rash is abnormal or asymmetrical in shape, and red or purplish in color. Occasionally, the rash also has small nodules. Someone experiencing chilblain lesions, may report itchiness and pain. These lesions are found on the hands and feet, and may cause toes to swell making it too painful to wear shoes. It is said to be associated with mild infections, with the majority of cases involving children and young adults. Unfortunately, this symptom of the COVID-19 virus isn’t often used as an indicator for diagnosis because it appears later in the course of the infection. However, several people with this rash who have tested positive for COVID-19, have otherwise been without symptoms. The rash is said to last around 12 days, with some cases clearing up sooner. This type of lesion accounts for 19 percent of rash cases associated with the Coronavirus.
  • Small Blisters: This type of rash when associated with COVID-19 has often presented itself in middle-aged patients, and accounts for 9 percent of all cases involving a rash. These small blisters usually appear on the trunk and the limbs of the body and are often itchy and uncomfortable. Also, small blister types of rash can be used as an indicator to suggest that an individual has COVID-19 because it typically appears early on in the course of the infection. Early diagnosis can help individuals from unknowingly passing the virus to others.
  • Maculopapular Rash: At up to 47%, this particular type of rash accounts for the majority of coronavirus cases involving a rash. Maculopapules appear as red bumps that can be flat or raised and are often itchy and uncomfortable. This rash has been found to develop at the same time as the typical Coronavirus symptoms. This form of rash is often seen in patients with more severe cases of COVID-19, and has been said to last around 7 to 9 days. Although discovery of this rash may not help identify the virus any sooner, history has shown that it can be an indicator for more severe cases and may warrant closer attention.
  • Livedo (also known as Necrosis): Due to the lack of circulation, this rash appears as red or blue blotches in a lace-like pattern on the skin. It has frequently surfaced in older patients with severe infections or other illnesses. This type of rash only accounts for around 6% of cases.
  • Nettle-Like Rash: Appearing as either pink or white in color, this rash has reports of being quite itchy, and can resemble hives. The majority of these cases were located on the trunk of the body. However, in some situations, it has also appeared on the palms of the hands. The rash lasted for an average of about 7 days and was associated with more severe cases of Coronavirus. Again, detection of this type of rash may indicate a patient be observed more closely.

Conclusion

Doctors and researchers are continuing to study the occurrence of these rashes, and to search for answers as to why these skin rashes are appearing in some COVID patients. Health care professionals are particularity interested in the varying forms of rashes and how they can be tied to better or worse outcomes for their patients. In addition, rashes may also give us clues as to the potential severity of the viral infection.

A lot is still unknown regarding to what extent a person with a COVID-19 rash with no other apparent symptoms, may be contagious to those around them. To protect those around you it is important to get any rash resembling the descriptions above reviewed by a licensed dermatologist.

Dr. Gurgen and his office of dermatology specialists are available for carefully administered office visits during this COVID-19 Coronavirus pandemic. We are practicing all of the social distancing policies recommended by the CDC (Center for Disease Control) to avoid any possible exposure or spread of the COVID-19 virus. Currently, all of our patients wait in their cars for their scheduled appointments. They are required to complete an infectious disease screening form prior to admission to office and once admitted are escorted directly to their sanitized exam room. All healthcare providers and employees will be wearing N95 masks.

Because of this Coronavirus screening and for the protection of our patients, we will not be able to admit anyone exhibiting other symptoms of COVID-19 like fever or cough. If you have additional symptoms, you should get tested as soon as possible by a COVID-19 Testing Center. Click Here to find a testing center near you.

 

Does My Rash Needs Medical Attention?

Are you experiencing unexplained, irritated or swollen skin? Sometimes itchy red bumps appear on our skin out of the blue. The average person may have a difficult time deciphering the seriousness of it and whether or not to seek medical attention. Oftentimes, rashes look very similar in appearance, but some can be more dangerous than others. Listed below is a variety tips to determine whether the use of over-the-counter product will suffice or if visiting a physician is indicated.

  • If a rash covers the entirely of the body, there may be reason for concern. Generally, this type of reaction occurs due to an allergy or an infection of the body and should be assessed by an expert to determine the cause.
  • If an individual is experiencing a rash that is accompanied by a fever, it can also be due to an infection or an allergic reaction. Scarlet fever, measles, mononucleosis, and shingles are a few rashes that are the result of an infection, and one should seek medical attention immediately.
  • A rash that appears suddenly and spreads rapidly can be serious. Generally, if a rash develops in this way, it is due to an allergic reaction. The body’s immune system sometimes interprets foreign substances as harmful and initiates this reaction. In this case, this kind of rash can be serious because it may interfere with breathing and other essential body functioning. A trip to the emergency room is advised.
  • Blistering on a rash can be dangerous. The causes of a blistering rash include an allergic reaction to medication or another internal cause. In a situation where a blistering rash occurs in areas around the mouth, eyes, or genitals, one should urgently seek medical attention.
  • A painful rash can indicate an underlying issue and should be evaluated by an expert.
  • An infected rash may develop yellow or green fluid, swollen skin, a scab, or a red streak. Additionally, the affected area may feel warm and painful. People have the tendency to scratch an irritated rash, but this can make the problem much worse.
  • Sudden spreading of bruise-like lesions is another indicator that it is time to visit a physician. Such an occurrence can reveal an underlying issue such as defect in your clotting cells. This is called vasculitis.
  • If a rash isn’t getting better with time and treatment, it may a sign that an infection has occurred as well. In this case, see a physician.
  • If you notice purple spots on your hands and feet, this may signify a bacterial infection of the heart. In this circumstance, it is important to seek advice from a medical professional.
  • A circular shaped rash could suggest Lyme disease. Seek attention if you notice a rash appearing round.

Stop using over-the- counter medication if your rash becomes itchy or blistery. Some individuals have an allergy to topical antibiotics such as bacitracin or neomycin, which are assessable in drug stores. It is also advised to take pictures of the rash when it first appears and as it progresses over time. This can be extremely helpful to the physician when establishing the severity of the situation.

Additionally your rash could be a result of undiagnosed dermatitis, eczema, psoriasis, or a variety of other skin conditions that can improve with proper medical treatment. A visit to the dermatologist can determine the cause and proper treatment so that you can find relief.

Dr. Gurgen and his team of dermatology experts can help you determine if your rash is something minor, or if there is a more urgent underlying reason for the rash. Our dermatology offices in The Villages and Leesburg remain open, and we are practicing CDC recommended procedures to prohibit the possible spread of COVID-19. Contact our office to schedule an appointment. (352)435-7695.

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Experiencing Rough Scaly Patches on Your Face or Scalp That Will Not Go Away?

 

If you have rough scaly patches on your face, arms or scalp, you may be experiencing actinic keratosis or AKs. This is a pre-cancerous condition that can develop into squamous cell carcinoma if it is left untreated. However if diagnosed early, your dermatologist can successfully treat these spots eliminating the risk of further damage. AK’s typically develop as a result of prolonged sun exposure and have the potential to become cancerous if not treated early.

Risk Factors of Actinic Keratosis 

Although the entire population is at risk of developing this condition, you pose a greater risk if you:

  • Live in an area with a lot of sun light like Central Florida
  • Are easily sunburned or tend to freckle due to sunlight
  • Have light colored eyes and/or hair
  • Have a history of AKs
  • Are older than 40 years old
  • Have a weakened immune system due to chemotherapy, leukemia, AIDs, organ transplant medications, etc.

What Exactly is Actinic Keratosis? 

As mentioned above, actinic keratosis has the potential to progress into squamous cell carcinoma. They are precancerous lesions that appear as skin toned or reddish-brown scaly dry patches with a rough texture that will not go away. Sometimes they appear as small as a pinhead and other times larger than a quarter. They are typically found in areas that receive more sunlight, such as the face, scalp or ears.

Why Should AK’s be Treated? 

Squamous cell carcinoma (SCC) is the second most common form of skin cancer today. Statistics show that 10% of all individuals who experience AK’s will develop SCC within two years. There is no way to determine which actinic keratosis will develop into cancerous cells, so it is important to have regular checkups with a dermatologist for professional skin exams.

What Can We Offer You? 

Our practice has the medical advances and technology necessary to give you the latest and most effective treatments. Our staff is highly trained with the medical education and experience needed to provide our patients with a comfortable, productive, and supportive environment. Occasionally, these rough patches are something else altogether. As dermatologists, our office is committed to preventing and treating a variety of skin conditions.

Lady Lake Dermatology & Mohs Surgery in The Villages and Leesburg Dermatology & Mohs Surgery in Leesburg Florida are experts regarding cancerous and pre-cancerous skin conditions. In our area of Central Florida, it is wise to consult a dermatologist annually. Contact our office for an appointment today.

 

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Types of Skin Cancer – Know What to Look For

What is Skin Cancer? It is simply skin cells with abnormal growth. Most frequently, skin cancer is found in the areas of skin that are exposed to the sun. Although light-skin people who burn easily in the sun have a higher risk of skin cancer, it does affect people of every race and color.

Many of My Patients Want to Know: “What does skin cancer look like?”

There are several types of skin cancer. They each present different skin symptoms and appearances. If you have any unusual bumps, moles, sores or lesions on your body, you should consult a dermatologist as soon as possible.

(AK) Actinic Keratoses

Actinic Keratoses AKAK is dry, scaly spots or patches of skin, and are considered pre-cancerous growths. Typically fair skinned people are more prone to Actinic Keratoses. Because AKs develop after several years of sun exposure, they are more prevalent in people over 40. AKs are usually in the areas of the body that get the most sun exposure: the head, neck, arms and hands. Treatment of Actinic Keratoses is very important because it will often progress to a type of cancer called Squamous Cell Carcinoma (SCC).

(BCC) Basal Cell Carcinoma

Basal Cell Carcinoma BCCThe most common type of skin cancer is Basal Cell Carcinoma (BCC). This type of skin cancer can occur in people of any color or type of skin, but are most often in people with fair skin. BCCs appear like a pinkish patch of skin, or a flesh-colored bump (like a pearl). They typically develop after years of indoor tanning or repeated sun exposure. BCCs are most commonly located on the head, neck and arms. However, our office has seen them in many other locations including the legs, abdomen, back and chest. Early diagnosis is extremely important for successful treatment. BCC can spread to surrounding tissue, affecting nerves and bones, resulting in further damage and disfigurement.

(SCC) Squamous Cell Carcinoma

Squamous Cell Carcinoma SCCThe 2nd most common type of skin cancer is Squamous Cell Carcinoma (SCC). Although light-skinned people are again the most susceptible to SCCs, dark-skinned people are definitely not immune. SCC presents as a firm red bump, persistent scaley patch, or a wound that gets better and then re-opens. SCC usually forms on areas of the skin that get lots of sun like the face, neck, back, arms and chest. It can grow deep into the skin tissue, causing extensive damage and disfigurement. The earlier SCC is diagnosed and treated, the less likely it is to spread to other areas of the body.

Melanoma

MelanomaMelanoma is the most dangerous form of skin cancer, and can be deadly if not treated early. Melanoma often suddenly appears as a new dark spot on the skin. It can also develop in an existing mole. Catching Melanoma early is critical for effective treatment. Knowing the warning signs of Melanoma, performing monthly self-examinations, and seeing your dermatologist every year are your best defense.

Dr. Gurgen’s offices are located in The Villages and Leesburg, Florida. As one of the leading cancer physicians and Mohs Surgeons in the country, Dr. Gurgen and his staff diagnose and treat skin cancer regularly. If you have concerns about a spot you have discovered or have not had a skin examination recently, contact our office.

 

What Skin Conditions are Commonly Caused by Stress?

Stress is your body’s reaction to various challenges or demands in life. Although stress is natural, too much stress can take a toll on your general, emotional and mental health. Your hair, skin, and nails can become affected as stress begins to regress their overall strength and well-being. Even if stress is not the direct cause of a skin problems or diseases, this type of strain can exacerbate or prolong the issue. Some examples of skin issues often related to stress include: Eczema, psoriasis, acne, rosacea, ichthyosis, vitiligo, hives, seborrheic dermatitis, and fever blisters, to name the most common. Many of these conditions are related to the fact that your body creates natural hormones in response to stress. For example, cortisol which is produced by your body’s adrenal glands in response to stress, increases the overall oil content within the body when it is released. This excess oil can be the root cause associated with the development of many of these skin problems.

Individuals experiencing a lot of stress in their lives, also tend to spend less time on their overall skin care. However, this is the first step toward easing the effects of stress on the skin. This idea goes hand-in-hand with people taking times for themselves and setting limits. It’s crucial to understand that saying “no” is okay if it means lowering your stress level. Additional self-supporting actions may include taking a walk around the block, incorporating some stress management techniques like yoga, or even partaking in activities that you enjoy like reading a good book or taking a bath. Physicians and other caregivers emphasize the importance of getting adequate sleep and exercise. Finally, it is essential to recognize when your stress level has reached the point of overwhelming – It may be time to talk with someone about the issue or issues causing stress. Seeking support from a professional or even a friend is extremely beneficial and a person can oftentimes alleviate the concern just talking to another person.

More on the most common stress-related skin issues previously mentioned:

  1. Eczema: Also commonly referred to as Atopic Dermatitis, eczema is a skin rash that can appear anywhere on the body. It can lead to intense itching, which can cause the skin to break and bleed. This painful skin condition’s cause is unknown, but as previously mentioned, stress can lead to the spread and worsening of the rash.
  2. Psoriasis: This is a disease of the skin where excessive skin cells are created leading to what appears as scaly patches on the body. Just like eczema, this autoimmune disease can be quite painful and itchy. Stress can definitely intensify the problem..
  3. Acne: Cortisol, the hormone that was mentioned earlier, plays a huge role in causing the kind of acne that everyone experiences at various times in their life. Stress causes the release of Cortisol, which increases the oil content within the human body, in turn creating more acne, and likely more stress.
  4. Rosacea: This common skin disease tends to leave people looking more flushed than the average individual. It typically occurs in adults around the age of 30 beginning with the face, but it can spread to other areas of the body as well. Stress can aggravate this issue and can create a negative feedback loop resulting in more prominent breakouts.
  5. Vitiligo– This is also an auto immune disease characterized by white patches of skin that have lost their pigment. This de-pigmentation is due to the deterioration of cells that give the skin its color. Although the exact cause of vitiligo is unclear, the major contributing factor to the spread of the disease is too much stress.
  6. Hives: Hives are a very common rash that people often experience at least once in their lives. It is characterized by raised itchy bumps or plaques on the skin. Generally, hives appear suddenly as a result of a particular allergy or sensitivity, and most commonly caused by stress.
  7. Seborrheic Dermatitis: This is a universal skin condition that mainly affects the scalp but can appear in other places of the body. Individuals already suffering from eczema can develop this condition as well. It is also identified by redness and itching skin. Once again, stress is the major factor that may aggravate the symptoms of this condition.
  8. Fever Blisters: Commonly referred to as cold sores, fever blister are caused by certain strains of the herpes simplex virus (HSV). These blisters can be painful, grow in clusters, and are contagious as they can be passed from one person to the next. A person with a lot of stress would have a weakened immune system and in turn could trigger a cold sore outbreak.

If you are suffering from any of these skin diseases or conditions, even where stress is involved, there is a lot of help available from your local dermatologist. Contact Lady Lake Dermatology & Mohs Surgery in The Villages, or Leesburg Dermatology & Mohs Surgery for a consultation today.