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CureFactor for Keloid

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Keloid:
Keloid is a rare dermatology condition due to overgrowth of damaged skin.
Keloid is condition characterised by overgrowth of collagenous scar tissue at the site of wound or trauma of skin.

ETIOLOGY:

Cicatrical

  • Infection of operation wounds.
  • Burns
  • Pyodermas
  • Acne
  • Injury,ear piercing,vaccination site,injection site are secondary effects.
  • Trauma
  • Pressure
  • Friction
  • Bruising
  • Race-common in blacks

Clinical Features:

  • Keloid is slow growing lesion having very insidious onset,affecting chest(common site),arms,back,ears.
  • Itching is key note of keloid and pain

How the lesions look:

  • Keloid starts as nodule or plaque,gradually enlarges,becomes elevated lesion,firm in consistency.
  • Reddish actively growing and itchy lesion
  • The colour of lesions is dark brown
  • Claw like lesions with irregular margins.

Complications:

  • First thing that bothers individual is cosmetic disfigurement.
  • There is chances malignancy.

Course:

  • Most keloid stop growing becomes stationary and less noticeable with passage of time.

General Management:

  • Individuals predisposed to keloids should avoid any knd of trauma.
  • If surgery is essential,it should be incised minimally.
  • Avoid injections and ear pricking.

 

CureFactor for Callosity

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CALLOSITY
Callosity is rare dermatology condition which results in thickening of skin. It is superficial skin disease.
Callosity is defined as circumscribed,localised,painless thickening of epidermal layer of skin.

ETIOLOGY:

  • Callosity is skin condition where in the superficial layer that is epidermis is thickening occurs
  • Constant repeated and prolonged presuure and friction of skin

Clinical Features:

  • Callosity usually has a very insidious onset,affecting points of friction like soles,feet and hands which are subjected to continues friction.

How the lesions look:

  • Callosity is convex thickening,rounded contour,tallow coloured
  • Thickness diminishes at periphery.
  • Gradually melts away into adjacent normal skin.

Course:

  • Callosity can not resolve if the underlying mechanical problem is not removed.

General Management:

  • Correct the underlying cause.
  • Use of doctor chappals to relieve undue pressure.
  • Avoid undue pressure of the affected part.

 

 

CureFactor for Corns

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Corn:
Corn very common dermatology condition that affects skin area especially pressure sites.
skin is usually divided into epidermis,dermis and subcutaneous layer,in epidermis is further divided into different layers and corns affects the horny layer of stratum corneum.
Corn is localised painful hypertrophy of horny layer of epidermis of skin.

ETIOLOGY:
Intermittent pressure and friction over prolonged period

  • Ill fitting foot wear.
  • Foot deformity.

Clinical Features:

  • Corn usually has a very insidious onset,affecting especially presuure sites over the heads of first and fifth metatarsal bones,heel

Symptoms:

  • Symptoms like pain in feet or heel on standing or walking
  • Variations in temperature,especially cold dampness which cause spontaneous pain.

How the lesions look:

  • Corn starts as conical papule which extends downward into skin and is localised lesion.
  • Flesh coloured lesion with surface smooth,consistency firm,intensely tender.

Course:

  • Persistent is underlying mechanical problem is not removed.

General Management:

  • Correct the underlying cause.
  • Wear well fitted,comfortable shoes.

 

 

CureFactor for Miliaria Rubra (prickly heat)

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Miliaria Rubra  (prickly heat)
Miliaria rubra is common dermatology condition that occurs especially in hot,humid weather due to over sweating which is common in hot weather.
Miliaria rubra is condition characterised by pruritic inflammatory eruptions of papules and minute vesicles at the orifices of sweat glands.

ETIOLOGY:

  • Blockage of sweat pores due to retention of Sweat.

Predisposing causes:

  • Hot humid weather
  • Excessive perspiration
  • Overclothing during hot weathers
  • Obesity- fat deposition is more in obese individual which brings about moire sweat on least exertion conpared to lean thin individual.
  • Working in hot and ill ventilated areas.
  • Chronic alcoholism

Clinical Features:

  • Miliaria rubra has sudden onset,affecting face,trunk,neck,popliteal and cubital fossae.

Symptoms are burning and itching.

How the lesions look:

  • Miliaria rubra starts as pin head sized papules and vesicles surrounded by erythema.
  • Lesions are discrete
  • Vesicles become opaque which dry up leaving minutes scabs.
  • Scabs desquamte without leaving any scar.

Course:

  • Miliaria rubra is self limiting condition.
  • Recurrence common on over exertion,alcohol.

General Management:

  • Wear light,loose,cotton clothes.
  • Avoid wearing of warm clothes in hot,humid weather.
  • Adequate ventilation during working time.
  • Frequent cold baths to reduce the itch.
  • Use body powders to reduce the itch like dermicool.

 

CureFactor for Chilblains

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Chilblains:
Chilblains is common skin condition that occurs on exposure to cold.
Chilblains is condition characterised by exudative erythema and swelling of affected area due to exposure to cold.

ETIOLOGY:

  • Chilblains is caused due exposure to cold
  • Predisposing causes
  • Poor peripheral circulation
  • General ill health
  • Vasomotor irritability
  • Individual who are fat and individuals who are thin strung,nervous subjects are susceptible to suffer Chilblains easily.
  • As a rule commonly seen in cold areas like kashmir,shimla and in winter weather.
  • Common occurence more in females due to their hysterical and sensitive predisposition.

Clinical Features:

  • Chilblains is acut condition which has immediate onset on exposure,affecting toes,fingers,ears,tip of nose all exposed area that can catch cold easily.

Symptoms:

  • Chilblains symptoms are intense,distressing itching and burning pain.
  • Chilblains is worse from change from cold to hot.

How the lesions look

  • In Chilblains the affected part looks dusky red,cold,bilaterally symmetrical.
  • Oedema of affected parts,heals with change of weather
  • Mild desquamation occurs at site of lesion leaving brownish mark on resolution.

Complications:

  • Ulceration

Course:

  • Prognosis is good
  • Recurrence is seasonal which is common.

General Management:

  • Avoid exposure to cold.
  • Keep your feets warm by wearing warm shoes and gloves.
  • General improvement of health.
  • Washing hands and feet with warm water.

 

CureFactor for Urticaria (Hives)

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Urticaria:
Urticaria is common dermatology condition that has its action all over the body characterised with intense itching and burning.
Urticaria is a condition characterised  by sudden and transient appears of wheals(skin lesion) which is accompanied with intense itching and burning.

ETIOLOGY:
Urticaria is is skin reaction towards exogenous factors whic results into hypersensitivity reaction of skin which appears in the form of erythematous wheals.

Exogenous Factors:

  • Insect bites-bugs,wasps,nettles
  • Plants
  • Foods-few individuals are sensitive to few foods products commonly eggs,mushroom,food preservatives,artificial colours.
  • Drug sensitivity
  • Parasites- parasites are believed to be one of the cause for Urticaria like round worm,hook worm,tape worm…etc.
  • Psychogenic cause-over exertion,emotional depression
  • Few systemic diseases like SLE,RA.
  • Genetic predisposition is common.

Clinical Features:

  • Urticaria has abrupt onset,affecting any part of skin either locally or genralised. Urticaria also affects mucous membrane of lips,mouth,pharynx,larynx.

Symptoms:

  • Urticaria starts with symptoms like intense itching and burning.

How the lesions look:

  • Urticaria starts as red erythematous macules,soon becomes oedematous wheals,with irregular,asymmetrical.
  • Urticaria are velvetty to touch and erythema are well defined

CureFactor- Urticaria disappears on pressure.

  • Urticaria subsides within few hours.

Compliactions:

  • Angioneurotic oedema
  • Odema of glottis is medical emergency.

General Management:

  • Reassurance,identify the cause and eliminate it.
  • Avoid all precipitating causes keep yourself free from all kind mental stress
  • Have bland,simple diet during acute attack
  • Avoid tea,coffee,alcohol.

 

 

CureFactor for Alopecia areata

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Alopecia areata:
Alopecia areata is rare dermatology condition effecting the scalp,resulting in hair loss.
Alopecia areata is condition affecting the scalp characterised by well circumscribed round or oval patchy hair loss without structural changes in the skin.

ETIOLOGY:

  1. Exact cause of Alopecia areata is not known. it is thought to be autoimmune disorder where in the antibodies are produced towards ones own body.
  2. Genetic predisposition is common.

Precipitating cause:

  • Physical and mental stress is thought to be precipitating cause.
  • General ill health.

Alopecia areata is thought to have some association with thyroid disorders.

Clinical Features:

  • Alopecia areata is fast growing condition having a rapid onset,affecting the scalp first then involves whole body(very rarely).

How the lesions of Alopecia areata look:
Alopecia areata starts as patch which can be of any shape and size(oval or round) with hair loss.

  • Scalp shiny slightly thin and depressed,with no signs of inflammation,scarring or atropy.
  • Alopecia areata spreads peripherally(active patch).
  • The stationary area the hair are firmly attached,can extend(stationary patch)
  • In active patch the hair are loose at periphery sin spreading
  • In stationary patch hair are firmly attached.
  • Condition may become diffuse involving whole of scalp (Alopecia totalis).
  • In severe cases hair loss in whole of the hairy araes(Alopecia universalis).
  • How to identify that the condition is recovering or not? exclamation mark of hair suggests recovery and is seen in patch where hairs are growing back.

Course:

  • Course is unpredictable and slow.
  • Recurrence is common
  • Good prognostic indicators are small patches and young adults.

General Management:

  • Reassurance and general improvement of general health.

 

 

CureFactor for Pityriasis capitis (dandruff)

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Pityriasis capitis (dandruff):
Pityriasis capitis commonly called dandruff is common dermatology condition which almost effects the major group of people especially during pubertal age.
Pityriasis capitis is a condition characterised by easily detectable  epidermal scaliness of scalp.

ETIOLOGY:

  • In hair follicles,sebaceous glands secrete sebaceous secretion(sebum) in normal composition. but in Pityriasis capitis excessive scretion of sebaceous scretion occurs
  • Pitryosporon of malassez is secondary invader.

Predisposing Factors:

  • Endocrine disorders.
  • Chronic illness.
  • Imbalance diet.

Clinical Features:

  • Pityriasis capitis has insidious onset and affection of Pityriasis capitis is more on scalp extending to eyebrows,eyelids,beard.
  • Pityriasis capitis is of two varity Pityriasis sicca(dry variety) and Pityriasis stertoides(greasy variety).
  • Pityriasis sicca is common in individuals with dry skin and commonly occurs in winter season.
  • Pityriasis stertoides is common in seborrhoiec skin and occurs in warm,humid weather.

Pityriasis sicca lesions are covered with grayish white scales and crusts,easily detachable,constantly falls on clothes. Hair dry lustreless.

Course:

  • Resolves with correction of cause
  • Good prognosis

Pityriasis stertoides lesions are covered with yellowish,thick,waxy scales and crusts,beneathe which the scalp is red,dry. Matting of hair,gradually thinning of hairs which fall of easily.

Course:

  • Prognosis variable

General Management:

  • Correcting the underlying cause.
  • Frequent washing of the scalp.
  • Avoid using fancy soaps,switch to non irritanting mild soaps.
  • Avoid oiling of scalp especially in greasy variety.
  • Regular massaging of hair in dry variety.
  • Improve general health.

 

 

CureFactor for Acne vulgaris

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Acne vulgaris:
Acne vulgaris is common dermatology disease and is commonly seen in adolescent age.
Acne vulgaris is defined as chronic inflammation of pilo-sebaceous follicles commonly seen in adolescents characterised by comedons.

ETIOLOGY:

  1. Seborrheic diathesis- seborrhoeic diathesis is tendency towards seborrheic affections.
  2. Hormonal imbalance- especially during puberty,menstrual irregularities adn individuals depended on contraceptive pills.
  3. Occupation-working in oily,greasy preoccupations.

Predisposing causes:

  • Naaemia,eating food rich in fat and starches,excessive use of cosmetics,intestinal stasis(constipation).

Clinical Features:

  • Acne vulgaris are seen to appears and seen especially during adolescent age,having insidious onset and having affection more on face,neck,upper part of chest,back,shoulders and buttocks.

Symptoms:

  • Local pain and tenderness,sometimes itching.
  • Acne vulgaris are symmetrical lesions.

Acne vulgaris  is commonly seen in two phases

  1. Primary lesion also called comedones.
  2. Secondary lesions.

Primary lesion:

  • Acne vulgaris appears as plug composed of dried sebum,epithelial cells and keratinous scales filling the pilo sebaceous canal which blocks the normal passage of sebum.
  • Initially acne vulgaris appears as white dot later on the content sulpur content of sebum gets converted into sulphide by the action of sulphide and appears as black dot(black head).
  • The comedon formed when squeezed cheesy matter comes out of it.
  • Primary lesions are usually inflamed.

Secondary lesions:

  • In this phase two acne vulgaris is seen as papule(acne papulosapapulosa) and nodule(acne indurata)

In acne papulosa firm red coloured,bean sized papules gradually resolve leaving no scar marks,but if the papules get secondarily infected the papule turns into pustule which when heals leaves a scar mark.
In acne indurata firm peri follicular nodule is formed which is of bluish red in colour,may transform into cyst,which persists discharging thin purulent fluid. scarring is seen in psychoneurotic individuals who keep picking acne.

Complications:

  • Rarely few develop keloid(hypertrophied scar mark) on chest.
  • Girls especially teenagers go into anxiety state and loose self esteem and confidence
  • People go into depression concern about their looks.

Course:

  • Frequent recurrence is commonly seen

General Management:

  • Give them reassurance
  • Adequate rest,sleep and relaxation because sometimes inadequate sleep can cause genral health issue which can trigger acne lesions.
  • Diet is important in acne vulgaris avoid junk,oily food,food rich in fat…etc
  • Fresh fruit juice,vegetables.
  • Wash your face twice daily.
  • Avoid cosmetics it can haarm your face
  • Dont pick at the acnes
  • Cut nails short.

 

CureFactor for Vitiligo

0

Vitiligo:
Vitiligo is rare dermatology disease having genetic predisposition and is believed to be an AUTOIMMUNE disorder.
Vitiligo is defined as skin disorder characterised by appearance of white ill defined patches of varying size and shapes. vitiligo is believed to be an autoimmune disorder where in the melanocytes(which produce melanin that gives the skin its natural colour) is destroyed resulting in decreased melanin secretion.

ETIOLOGY:
Exact cause is not known but is believed to be an autoimmune disorder with genetic predisposition.

  • Predisposing factors-emotional stress
  • Nutritional deficiencies
  • Drugs

Clinical Features:

  • Vitiligo is a very slow growing skin disease which has a very insidious onset,commonly affecting sites are pressure points that is knuckles,elbows,lips.

Symptoms:

  • Vitiligo is non itching skin disease.

How the lesions looks like

  • Vitiligo starts as a patch first seen on shoulder or arm,small erythematous area with mild scaling.
  • After 5-8 days,small oval macules appear on trunk ,limbs with symmetrical distribution.
  • Rose coloured margin of scales,in few dasy the macule starts peeling off and becomes wrinkled.
  • Increase in number and size spreads peripheral with clearance at the centre,no scar formation.

Course:

  • Course is 6-12 weeks
  • Heals spontaneously

General Management:

  • No specific treatment
  • Maintain good general hygiene.