Human Skin Information Portal For Professionals

11May/12Off

American Academy of Dermatology Association's Statement on FDA's Decision to Extend Deadline for New Sunscreen Labels

Daniel M. Siegel, MD, FAAD, President, American Academy of Dermatology Association

Newswise — The American Academy of Dermatology Association (Academy) understands the Food and Drug Administration’s (FDA) decision to extend the compliance dates for the sunscreen labeling and testing requirements in the interest of protecting public health.

Research has shown that broad-spectrum protection in sunscreen helps reduce the risk of skin cancer and is essential to protecting the public from UV radiation. Extending the compliance date allows manufacturers the necessary time to test their products for broad-spectrum protection and properly label them. The Academy joins the FDA in encouraging manufacturers to bring products into compliance as soon as possible in order to help the public make informed choices regarding the most effective sunscreens for prevention of sunburn and skin cancer.

Until sunscreens meet the FDA’s new labeling and testing requirements, the Academy recommends that the public take these steps to protect themselves from the sun:

• Read the label on your sunscreen. Use only sunscreen that tells you it offers:

o Broad-spectrum coverage (label may say “broad spectrum,” “protects against UVA/UVB” or “UVA/UVB protection”).
o SPF 30 or higher.
o Water resistance.

• Re-apply the sunscreen every two hours when outdoors.

• Seek shade whenever you are taller than your shadow.

• Wear protective clothing, which includes long sleeves, pants, wide-brimmed hat, and sunglasses.

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. A sister organization to the Academy, the American Academy of Dermatology Association is the resource for government affairs, health policy and practice information for dermatologists, and plays a major role in formulating policies that can enhance the quality of dermatologic care. With a membership of more than 17,000 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 visit www.aad.org. Follow the Academy on Facebook (American Academy of Dermatology) or Twitter (@AADskin).


Article source: http://www.newswise.com/articles/view/589217/?sc=rsmn

11May/12Off

UV Camera Reveals Cancer-Causing Skin Damage

Main Category: Dermatology
Also Included In: Melanoma / Skin Cancer;  Pediatrics / Children's Health
Article Date: 11 May 2012 - 1:00 PDT

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With high UV levels continuing in Queensland this autumn, young people are at risk of suffering the worst skin damage they will receive during their lifetime, research from Queensland University of Technology (QUT) has found.

Researcher Professor Michael Kimlin from QUT's AusSun Research Lab said the study found UV exposure during a person's first 18 years of life was the most critical for cancer-causing skin damage and skin aging.

Professor Kimlin said while people aged over 50 had the slowest rate of skin degradation, results indicated that damage still occurred even at that age, so lifetime sun protection was important.

The study used a unique, non-invasive "UV camera", which took images of skin damage and aging invisible to the naked eye, to measure the relationship between lifetime sun exposure and skin cancer risk.

Professor Kimlin said the majority of skin damage occurred in the early years of sun exposure, with a much slower increase in damage in subsequent years over the age of 50.

"We looked at how age impacted on the skin damage we saw and found it's not a simple one to one relationship," said Professor Kimlin.

"The message from this research is to look after your skin when you are a child and teenager to prevent wrinkles and skin damage.

"Sun protection when you are young sets you on a lifetime of good skin health."

One hundred and eighty people aged 18 to 83 years old were imaged with the UV camera and interviewed to determine the level of their sun exposure.

The study measured hyperpigmentation of the skin to determine level of damage and wrinkles to indicate skin aging.

Professor Kimlin said using the UV camera meant people's skin could be examined for skin cancer risk factors without an invasive biopsy.

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Article source: http://www.medicalnewstoday.com/releases/245238.php

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11May/12Off

Investigating Potential Link Between Sunscreen Ingredient And Endometriosis

Main Category: Women's Health / Gynecology
Also Included In: Dermatology
Article Date: 11 May 2012 - 0:00 PDT

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Scientists are reporting a possible link between the use of sunscreen containing a certain ingredient that mimics the effects of the female sex hormone estrogen and an increased risk of being diagnosed with endometriosis, a painful condition in which uterine tissue grows outside the uterus. They describe the report, published in ACS' journal Environmental Science Technology, as the first to examine whether such a connection may exist.

Kurunthachalam Kannan and colleagues explain that some sunscreens and other personal care products contain benzophenone (BP)-type ingredients that are very effective in blocking potentially harmful ultraviolet rays from the sun. Small amounts of BPs can pass through the skin and be absorbed into the blood, where they mimic the effects of estrogen. Endometriosis, which affects up to 1-in-10 women of reproductive age, needs estrogen to develop. Despite those facts, scientists until now had not checked for a connection between the use of BP sunscreens and the likelihood of being diagnosed with endometriosis.

To fill that knowledge gap, the scientists analyzed BP levels in the urine of 625 women who underwent surgery for endometriosis. They found that high levels of one BP called 2,4OH-BP were associated with an increased risk of an endometriosis diagnosis. Women tended to have higher levels of BPs during the summer months and if they lived in sunny California, further suggesting a link with sunscreens. "Our results invite the speculation that exposure to elevated 2,4OH-BP levels may be associated with endometriosis," say the researchers.

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Article source: http://www.medicalnewstoday.com/releases/245221.php

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9May/12Off

Lakes Dermatology Announces the Latest Advances in Anti Aging for the Whole Body

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Venus Freeze

Venus Freeze can be used on any body part!

"It's warm and smooth, unlike any other treatment I've ever had and I saw results on my first visit."
Leslie, Denver, CO

Las Vegas, NV (PRWEB) May 09, 2012

Lakes Dermatology and the Spa at Lakes Dermatology are proud to announce the Venus Freeze. Dr. Rueckl is the first physician in Nevada to offer this innovative technology. Venus Freeze® or (MP)² is a revolutionary, non-invasive skin tightening and body contouring solution that can be used on the face, neck, and body. Although the name "freeze" gives the idea this treatment is cold, it's actually a radio frequency (RF) technology combined with pulsed magnetic fields that gives off a warm, deep heat. These two types of energy work in synergy to effectively deliver remarkable clinical results.

What is Venus Freeze and what does it do?

Venus Freeze is a revolutionary technology that offers non-invasive skin tightening and wrinkle reduction, cellulite reduction, and circumferential fat reduction. Radio frequency and pulsed magnetic fields on the hand piece create a unique combination that has the ability to penetrate deeply, quickly, comfortably, and safely into the skin. This technology is FDA-approved. Unlike other lasers and machines, because Venus Freeze has no lights or laser components, this treatment can be done on any skin type. Patients can just relax during the treatment feeling only a warm sensation. Venus Freeze was created by Venus Concept, and people can read more about their developments, this technology, and see clinical before and after photos at http://www.venus-concept.com.

The magnetic pulse component induces the release of growth factors required for the stimulation of new blood vessels, as well as for proliferation of dermal fibroblast. Simultaneously, the RF component induces collagen and elastin synthesis by causing controlled thermal damage in the dermis, which triggers the self-repair mechanism of skin tissue as well as enzyme-mediated lipolysis. The result is a marked improvement in skin tightness and elasticity, decreased subcutaneous fat mass, improved blood circulation, and stabilization of collagen strands, resulting in cellulite reduction and generally firmer and tighter skin. Venus Freeze treatments are done as a series, usually with one session a week, with a total of 6-8 treatments performed (depending upon whether the face or body is being treated). A maintenance program is suggested after the initial treatments are completed to help maintain long-term results.

What areas are treated with Venus Freeze?

There are two treatment heads of different sizes that allow multiple areas of the body to be treated. For the face and neck, each procedure takes about 45 minutes, with targeted heat points met and maintained during the treatment time. For the body, the most common treated areas are the thighs (front and/or back), hips, and buttocks. However, the stomach or waist can also be treated, as can the arms. Most patients select 1-2 large areas for body treatments (about the size of an 8x10 paper) to be treated within each 30-60 minute procedure. Venus Freeze treatments may be done on their own, or they may be combined with mesotherapy treatments done by Lakes Dermatology in Las Vegas for deeper fat and adipose tissue.

What is a Venus Freeze treatment like?

Before the patient begins a Venus Freeze series, photos and/or measurements may be taken for later comparison and a consent will be reviewed and signed. During each treatment, a technician will apply a glycerin gel to the treatment area and will glide the Venus Freeze head over the selected areas. Radio frequency will deeply penetrate into the skin, heating it. Specific temperatures will be taken with a heat gun during the course of the treatment so that the proper temperature is reached and maintained for targeted amounts of time. During a Venus Freeze treatment, the patient will feel a heat sensation as the machine moves over the patient's skin and concentrates on the affected areas. The patient should have a warm feeling and some slight heat from the treated area for about a few hours after the procedure. Although very rare, one might have some minimal bruising from a treatment, but this should be very light, if any. There is a very small, but possible chance of a burn to the skin if the machine head stops in a skin area for too long or if the treatment area becomes too hot. Treatments require no patient downtime and you can return to work or other normal activities immediately.

What kind of results can a patient expect from Venus Freeze?

The patient should have realistic expectations about his/her treatments and remember that Venus Freeze should be done in conjunction with regular exercise and healthy eating. Venus Freeze treatments should not be used as a weight-loss program. Multiple sessions are required for the best results, and one should expect progress to improve with each visit. Venus Freeze is not permanent so a maintenance program will need to be done to maintain results long-term. One should expect to see general skin tightening and wrinkle reduction, cellulite reduction, and circumferential fat reduction.

How much does Venus Freeze cost?

For the body, Venus Freeze is offered as a package of eight 60-minute treatments for $2,500, treating 2 large areas at Lakes Dermatology in Las Vegas, Nevada. If additional areas need to be added for more time, those can be priced during a consultation. For the face and neck, six 45-minute treatments cost $2,500. After the patient has completed an initial package, maintenance Venus Freeze treatments are offered at discounted rates. Should the patient wish to do smaller areas of the body for less than 60 minutes, or wish to add mesotherapy to their Venus Freeze treatments, Lakes Dermatology can price those during their free consultation with their technicians or with Dr. Rueckl of Lakes Dermatology. Some patients may elect to begin doing Venus Freeze treatments instead of Velashape treatments or ST Refirme treatments; if this is the case, they can go over additional pricing options.

Lakes Dermatology’s prices are based upon their technicians' high levels of experience, the care you receive, their value-added benefits, the direct supervision of a Board-certified dermatologist, and the consumable costs for their treatments. While other offices may offer different pricing structures, Lakes Dermatology is confident that the patient will not receive the same level of care from any other facility.

To see more about the Venus Freeze at Lakes Dermatology, please see the YouTube they produced last week. Just click the link below, or visit http://www.lakesdermatology.com/services-by-technicians/venus-freeze.html

http://youtu.be/gnAGNlK6p8U

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Article source: http://www.prweb.com/releases/2012/5/prweb9482187.htm

9May/12Off

Edmond doctors lead new dermatology center

EDMOND —
Edmond residents will find the treatment of skin conditions more accessible with the development of the Saints Dermatology Center of Excellence. The dermatology center will specialize in skin cancer, cosmetic and medical dermatology treatment of all skin conditions.

Plans are for the 9,000-square-foot facility to open in December on the Broadway Extension, just north of Britton Road, said Dr. Renee Grau, board certified dermatologist and medical director. Patients will be seen there beginning Jan. 13.

“We chose that location so that no matter where you’re coming from in the state, you’re coming down a major highway artery,” said Grau, an Edmond resident. “Citizens of Edmond can get there in 7 to 10 minutes.”

Through its affiliation with St. Anthony Hospital in Oklahoma City, the Saints Dermatology COE will house a teledermatology suite to enhance skin cancer awareness and early detection throughout the state. The link will be a resource for primary care physicians at rural hospitals and clinics in diagnosing and treating patients, Grau said.

“The array of comprehensive services they will offer will be unrivaled in the region, and the use of new technology such as teledermatology will result in earlier detection of skin disorders and more convenient access to needed medical expertise for residents outside the metropolitan area,” said Steve Powell, vice president, Healthfirst Physician Management Services.

There are 65 dermatologists in Oklahoma, most of whom have offices in Oklahoma City or Tulsa, Grau said. The average current wait time to see a dermatologist in the Oklahoma City metropolitan area is 60 days, she said.

“We’re hoping to become the major dermatology center in the region,” Grau said. “We’re going to offer services that currently aren’t offered in Oklahoma.”

A light therapy will be used for psoriasis, eczema, morphea and lymphoma of the skin. Comprehensive cosmetic procedures will include laser therapy and Ultherapy, two Mohs surgery suites, one for treating skin cancer and the other dedicated to general and medical dermatology.

A new non-surgical procedure, Ultherapy is a non-invasive ultrasound procedure for the face that uses the body’s own natural healing process to tighten loose skin.

Grau is partnering with Dr. Tiffany Brazeal of Edmond. Amy Hughes will work as Grau’s physician assistant. Edmond native, Dr. Emily Archbald, is a cosmetic dermatologist. Dr. Roy Rindler and Dr. Lenny Henderson of Edmond, will serve as skin cancer directors and specialists.

Skin cancer is the most common form of cancer in the United States, said Grau, who diagnoses an average of five Basal cell skin cancers a day. More than 3.5 million skin cancers in more than two million people are diagnosed annually.

“Most of the time patients don’t know they are there,” she said. “… We’re trying to do more early detection.”

Saints Dermatology already has a satellite clinic in Enid. Another satellite clinic will be opened in Midwest City with Saints Dermatology COE serving as the hub or referral center.

MORE INFORMATION about the dermatologists practicing at Saints Dermatology Center of Excellence can be found at www.saintsdermatology.com.

THE DETAILS

SKIN CANCER FACTS

Skin cancers are associated with significant morbidity, mortality and economic burden. The incidence of melanoma and non-melanoma skin cancers has doubled in the past decade.

Each year there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung and colon. One in five Americans will develop skin cancer in the course of a lifetime.

Nearly 800,000 Americans are living with a history of melanoma and 13 million are living with a history of non-melanoma skin cancer, typically diagnosed as basal cell carcinoma or squamous cell carcinoma.

Basal cell carcinoma is the most common form of skin cancer; an estimated 2.8 million are diagnosed annually in the U.S. BCCs are rarely fatal, but can be highly disfiguring if allowed to grow.

Squamous cell carcinoma is the second most common form of skin cancer. An estimated 700,000 cases are diagnosed each year in the U.S., 10 resulting in about 2,500 deaths.

Between 40 percent and 50 percent of Americans who live to age 65 will have either skin cancer at least once.

SOURCE: Saints Dermatology Center of Excellence

Article source: http://www.edmondsun.com/local/x241727155/Edmond-doctors-lead-new-dermatology-center

8May/12Off

Multi-Center Study Reveals That Eye Color May Indicate Risk For Serious Skin Conditions

Main Category: Dermatology
Also Included In: Melanoma / Skin Cancer;  Arthritis / Rheumatology
Article Date: 08 May 2012 - 1:00 PDT

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Eye color may be an indicator of whether a person is high-risk for certain serious skin conditions. A study, led by the University of Colorado School of Medicine, shows people with blue eyes are less likely to have vitiligo. It then follows, according to scientists, that people with brown eyes may be less likely to have melanoma. Vitiligo is an autoimmune skin disease in which pigment loss results in irregular white patches of skin and hair. Melanoma is the most dangerous kind of skin cancer.

The study is published online by the journal Nature Genetics. It looked at almost 3,000 people with vitiligo of Non-Hispanic European ancestry, identifying 13 new genes that predispose to vitiligo. Among the vitiligo patients, approximately 27 percent had blue/gray eyes, 43 percent had tan or brown eyes and 30 percent had green or hazel eyes, which is significantly different from the normal distribution of eye color where approximately 52 percent of Americans of Non-Hispanic European ancestry have blue/gray eyes, 22 percent have green/hazel eyes, and 27 percent have tan or brown eyes.

Richard Spritz, MD, is director of the Human Medical Genetics and Genomics Program at the CU School of Medicine, the coordinating center for the research. Spritz said the study primarily looked at vitiligo but also has implications for melanoma.

"Genetically, in some ways vitiligo and melanoma are polar opposites. Some of the same genetic variations that make one more likely to have vitiligo make one less likely to have melanoma, and vice-versa," said Spritz. "Vitiligo is an autoimmune disease, in which a person's immune system attacks their normal pigment cells. We think that vitiligo represents over-activity of a normal process by which one's immune system searches out and destroys early cancerous melanoma cells."

People with vitiligo are at higher risk for various other autoimmune diseases, such as thyroid disease, type 1 diabetes, rheumatoid arthritis and lupus. Vitiligo patients' close relatives also are at higher risk for these same diseases, even if they don't have vitiligo. Spritz said this means there must be some genes that push towards these autoimmune diseases in general, while other genes and environmental triggers determine which autoimmune disease occurs and when. So, as scientists learn about the genetics of vitiligo, they also are learning about the genetics of these other autoimmune diseases.

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Article source: http://www.medicalnewstoday.com/releases/245073.php

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8May/12Off

AADA Responds to USPSTF Recommendations on Sun-Protection Counseling

Statement from Daniel M. Siegel, MD, FAAD
President, American Academy of Dermatology Association

Newswise — The American Academy of Dermatology Association commends the USPSTF for recognizing the importance of behavioral counseling on skin cancer prevention for children, adolescents, and young adults. Melanoma is now the second most common form of cancer for those 15-29 years old, with rates continuing to increase, especially in females from this age group.1,2 The Academy greatly appreciates that the USPSTF recognizes these alarming statistics, as well as the growing body of scientific literature, and is recommending behavioral counseling for children, adolescents and young adults, particularly with fair skin. We believe that early counseling will yield healthier lifelong habits regarding exposure to ultraviolet radiation (UVR) from the sun and indoor tanning devices that will drastically decrease the incidence of skin cancer in the future.

The Academy strongly supports the USPSTF’s recommendation for counseling children, adolescents and young adults; however, we firmly believe that behavior counseling is essential for all populations, including the adult population. As stated in the USPSTF’s February 2011 evidence report, increasing intermittent sun exposure in childhood and during one’s lifetime is associated with an increased risk of both squamous cell carcinoma and basal cell carcinoma, and sunbathing vacations during both childhood and adulthood statistically increase the risk for melanoma.3 Current statistics also indicate that Caucasians and men older than 50 are at a higher risk of developing melanoma than the general population.4 In addition, more than 3.5 million skin cancers are diagnosed in more than 2 million people annually, with current estimates that 1 in 5 Americans will develop skin cancer in their lifetime.5,6

While we recognize the challenges associated with counseling the adult population on safer practices associated with UVR from the sun and indoor tanning, and the limitations of published clinical trials, we believe there is benefit in counseling Americans of all ages about the dangers of UVR exposure and the importance of consistent sun-protection practices. Given this, we will continue our efforts to educate the public on skin cancer prevention, and encourage our members to conduct additional research in this important area.

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. A sister organization to the Academy, the American Academy of Dermatology Association is the resource for government affairs, health policy and practice information for dermatologists, and plays a major role in formulating policies that can enhance the quality of dermatologic care. With a membership of more than 17,000 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. Follow the Academy on Facebook (American Academy of Dermatology) or Twitter (@AADskin).

1 Linos E, Swetter S, Cockburn MG, Colditz GA, Clarke CA. Increasing burden of melanoma in the United States. J Invest Derm. 8 January 2009 doi:10.1038/jid.2008.423.
2 Cancer Epidemiology in Older Adolescents Young Adults. SEER AYA Monograph Pages 53-57. 2007.
3 Lin JS, Eder M, Weinmann S, Zuber SP, Beil TL, Plaut D, Lutz K. Behavioral Counseling to Prevent Skin Cancer: A review of the evidence for the U.S. Preventative Health Services Task Force. Ann Intern Med 2011;154:190-201.
4 Melanoma of the Skin, Cancer Fact Sheets, National Cancer Institute, SEER database, 2007. http://seer.cancer.gov.
5 Rogers HW, Weinstock MA, Harris AR et al. Incidence estimate of nonmelanoma skin cancer in the United States, 2006. Arch Dermatol 2010; 146(3):283-287.
6 Stern RS. Prevalence of a history of skin cancer in 2007: results of an incidence-based model. Arch Dermatol. 2010; 146(3):279-82.


Article source: http://www.newswise.com/articles/view/589038/?sc=rsmn

8May/12Off

What Is Vitiligo? What Causes Vitiligo?

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Main Category: Dermatology
Article Date: 07 May 2012 - 0:00 PDT

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Vitiligo is a continual and long term skin problem that produces white depigmentation patches that develop and enlarge only in certain sections of the skin.

These white patches appear because the patient has very little or no skin cells - called melanocytes - which are the cells in charge of producing the skin pigmentation, called melanin, which gives the color of the skin and protects it from the sun´s UV rays.

It is impossible to predict how much of the skin can be affected. In the majority of cases, the affected areas remain affected for the rest of the person's life.

According to Medilexicon's medical dictionary, Vitiligo is:

"The appearance on otherwise normal skin of nonpigmented white patches of varied sizes often symmetrically distributed and usually bordered by hyper pigmented areas; hair in the affected areas is usually white. Epidermal melanocytes are completely lost in depigmented areas by an autoimmune process."

What are the causes of vitiligo? How common is vitiligo?

Surprisingly, the causes of vitiligo are yet to be precisely established, but most of the research so far points to the following:

  • An autoimmune disorder - the patient's immune system becomes overactive, and destroys the melanocytes
  • Genetic oxidative stress imbalance
  • A stressful event
  • Harm to the skin due to a critical sunburn or cut
  • Exposure to certain chemicals
  • A neural cause
  • A viral cause

Vitiligo is not transmittable; people cannot catch it from each other.


Depigmentation of sections of skin and hair in 48-year-old man
Less than 1% of the population is affected by the appearance of Vitiligo in their skin, meaning, it is not too common. It has no age, sex or ethnic discrimination, but studies have concluded that a larger percentage of the cases has been detected starting the age of 20.

Vitiligo signs and symptoms varies considerably from person-to-person. It is by far more perceptible in people with dark or tanned skinned. Some people may only acquire a handful of white dots which develops no further, while others develop larger white patches that join together affecting larger areas of the skin.

Types of Vitiligo

To easier explain this condition, scientists have separated vitiligo in basically two types which are called: non segmental, and segmental vitiligo.

NonSegmental Vitiligo

It is the most common type of vitiligo and occurs in up to 90% of the people who have this disorder.

In non-segmental vitiligo, the patches often become visible equally on both sides of the body, with some kind of symmetry. These unusual symmetrical patches most commonly appear on skin that is exposed daily to the sun, such as the face, neck, and hands, but it also appears on these other areas:

  • backs of the hands
  • arms
  • eyes
  • knees
  • elbows
  • feet
  • mouth

Non-segmental vitiligo has sub-categories:

  • Generalized Vitiligo: the most familiar pattern, it has no specific area or size when the white patches start occurring
  • Acrofacial Vitiligo: This type of vitiligo is considered only when the appearance is mostly on the fingers or toes
  • Mucosal Vitiligo: The appearance of the depigmentation generally around the mucous membranes and lips
  • Universal Vitiligo: It is very rare since depigmentation has to cover most of the body
  • Focal Vitiligo: one or a few scattered white patches in a small certain areas. It is often noticeable in young children

Segmental Vitiligo

Segmental Vitiligo has a different form of appearance. This condition spreads more rapidly, but is considered more constant and stable than non segmental. It is definitively much less common, and it affects only about 10% of people with this condition. But unpredictably, segmental vitiligo is more noticeable in the early ages affecting about 30% of the children that have been diagnosed with vitiligo.

It is non-symmetrical and usually tends to affect dorsal roots of the spine. It is more stable, less erratic, and responds well to topical treatments.

What Are The Signs and Symptoms of Vitiligo?

A symptom is felt by the patient, such as a headache dizziness or pain, and described to other people, including doctors and nurses. A sign can be spotted by everybody, including the patient, such as lighter patches of skin, a rash, or loss of hair.

The only sign of Vitiligo is the appearance of flat white spots or patches on the skin. Most of the times, the first white spot that becomes noticeable is usually on an area of the body that is exposed continuously to the sun.

At first, the vitiligo starts as a simple spot, a little paler than the rest of the skin. But gradually, as time passes, this spot will become much paler until reaching the white color.

The shape of these patches are completely irregular, and at times the edges can become a little inflamed with a slight red tone, and may sometimes result in itchiness. Other than the negative appearance and some itchiness of Vitiligo, it does not cause any discomfort, irritation, soreness or dryness in the skin.

Vitiligo is photosensitive; the patient should avoid prolonged skin exposure to direct sunlight.

To predict whether Vitiligo will spread, and by how much is particularly difficult. The spreading of the white patches to some might occur considerably in a matter of weeks, and to others it can rest without growing for months or even years.

If the first symptoms of the white patches are symetrical (non segmental vitiligo,) in other words, in the same areas of both parts of the body, the development is much slower than if the patches are in only one area of the body (segmental vitiligo).

What are the treatment options for vitiligo?

There are a number of remedies that can be performed in order to decrease the visibility of Vitiligo on the affected areas of the skin.

Phototerapy With UVB Light

Exposing the affected skin to UVB lamps is a very common practice and one of the simplest treatments, since it can easily be performed at home with a small lamp.

This home-alone treatment is recommended, and is highly effective since the person can do it daily. If these same treatments are done in clinics, the patient needs to go to the clinic 2-3 times per week, which slows down recuperation time.

If the white spots are located in large areas of the body, UVB phototherapy will have to be performed in a hospital with a full body treatment. It is important to mention the fact that even if evidence has suggested that UVB phototherapy, particularly when combined with other treatments, has a positive effect on vitiligo, it is still quite unpredictable and undependable.

There is still no real treatment that will totally re-pigment the skin to its full potential.

Phototerapy With UVA Light

This other Ultraviolet light (UVA) treatment is most commonly done in a hospital clinic. A drug that increases the skin´s sensitivity to ultra violet light, called psoralen, must be taken while the patient undergoes UVA light therapy. The affected skin goes through a series of UVA treatments, exposing the specific areas to high doses of UVA light.

In order to get any noticeable improvement, the patient will have to do several sessions. Progress will be evident usually after 6-12 month of twice-weekly sessions.

Skin Camouflage

In many cases, when vitiligo is still considered mild, some of the white patches can be camouflaged with cosmetic colored creams and makeup. The patient should select tones that best match his/her skin features.

Applying the creams is not too difficult, although some training will have to be done. If these creams and make up are correctly applied, they will last between 12-18 hours in the face, and up to 96 hours in the rest of the body. Most of the topical applications are water-proof.

Depigmenting

When the affected area is very widespread, in at least more than 50% of the body, de-pigmentation can be a viable solution. Depigmentation reduces the skin color in the areas that are not affected, in order to match the tone colors as much as possible.

Depigmentation is achieved by the use of several choices of strong topical lotions or oinments, like monobenzone, mequinol, or hydroquinone.

When the cream is applied to the areas with pigmentation, the pigmentation itself is eliminated.

Most of the times,l this treatment is considered permanent, and makes the skin more fragile. Special attention would have to be considered to avoid long exposures to the sun. The complete treatment of depigmentation will take between 12 to 14 months.

Topical Corticosteroids

Corticosteroids ointments or creams contain steroids. Some studies have concluded that topical corticosteroids when applied in the white patches can stop the spread. In other cases, experts have reported total restoration of the original skin color. Corticosteroids should never be used in the face.

If after one month of using any type of corticosteroid, the general practitioner sees that the vitiligo patches are not improving, or side effects are noticeable, treatment must stop.

If vitiligo, on the other hand, has shown some improvement, the treatment should be paused for a couple of weeks before starting it again.

Skin Grafts

A skin graft is a surgical procedure which entails carefully removing healthy patches of pigmented skin and using them to cover affected areas. This procedure is not very common because it is time consuming, and can result in scaring in two places - areas where the skin was taken out and also where it will be placed.

Skin graft procedure should never be performed in children. It should be performed in adults only if no new white patches have appeared or gotten worse in at least a year, and if the vitiligo was not originally triggered by damaging the skin due to a sever sunburn.

Are there any complications linked to vitiligo?

Although the vitiligo itself cannot develop into another condition, people with the condition are more likely to have some other autoimmune disorder, such as a thyroid problem, diabetes type 1, or pernicious anemia. The majority of vitiligo patients do not have these conditions, but a healthcare professional may recommend tests to rule them out.

If the vitiligo is noticeable by other people, embarrassment can lead to self-esteem problems, and in some cases depression.

Written by Christian Nordqvist

Copyright: Medical News Today

Not to be reproduced without permission of Medical News Today

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8May/12Off

What Is Vitiligo? What Causes Vitiligo

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Main Category: Dermatology
Article Date: 07 May 2012 - 0:00 PDT

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Vitiligo is a continual and long term skin problem that produces white depigmentation patches that develop and enlarge only in certain sections of the skin. These white patches appear because the patient has very little or no skin cells - called melanocytes - which are the cells in charge of producing the skin pigmentation, called melanin, which gives the color of the skin and protects it from the sun´s UV rays.

It is impossible to predict how much of the skin can be affected. In the majority of cases, the affected areas remain affected for the rest of the person's life.

According to Medilexicon's medical dictionary, VITILIGO is:

"The appearance on otherwise normal skin of nonpigmented white patches of varied sizes often symmetrically distributed and usually bordered by hyper pigmented areas; hair in the affected areas is usually white. Epidermal melanocytes are completely lost in depigmented areas by an autoimmune process."

What are the causes of vitiligo? How common is vitiligo?

Surprisingly, the causes of vitiligo are yet to be precisely established, but most of the research so far points to the following:

  • An autoimmune disorder - the patient's immune system becomes overactive, and destroys the melanocytes
  • Genetic oxidative stress imbalance
  • A stressful event
  • Harm to the skin due to a critical sunburn or cut
  • Exposure to certain chemicals
  • A neural cause
  • A viral cause

Vitiligo is not transmittable; people cannot catch it from each other.

Less than 1% of the population is affected by the appearance of Vitiligo in their skin, meaning, it is not too common. It has no age, sex or ethnic discrimination, but studies have concluded that a larger percentage of the cases has been detected starting the age of 20.

Vitiligo signs and symptoms varies considerably from person-to-person. It is by far more perceptible in people with dark or tanned skinned. Some people may only acquire a handful of white dots which develops no further, while others develop larger white patches that join together affecting larger areas of the skin.


Depigmentation of sections of skin and hair in 48-year-old man

Types of Vitiligo

To easier explain this condition, scientists have separated vitiligo in basically two types which are called: non segmental, and segmental vitiligo.

NonSegmental Vitiligo

It is the most common type of vitiligo and occurs in up to 90% of the people who have this disorder.

In non-segmental vitiligo, the patches often become visible equally on both sides of the body, with some kind of symmetry. These unusual symmetrical patches most commonly appear on skin that is exposed daily to the sun, such as the face, neck, and hands, but it also appears on these other areas:

  • backs of the hands
  • arms
  • eyes
  • knees
  • elbows
  • feet
  • mouth

Non-segmental vitiligo has sub-categories:

  • Generalized Vitiligo: the most familiar pattern, it has no specific area or size when the white patches start occurring
  • Acrofacial Vitiligo: This type of vitiligo is considered only when the appearance is mostly on the fingers or toes
  • Mucosal Vitiligo: The appearance of the depigmentation generally around the mucous membranes and lips
  • Universal Vitiligo: It is very rare since depigmentation has to cover most of the body
  • Focal Vitiligo: one or a few scattered white patches in a small certain areas. It is often noticeable in young children

Segmental Vitiligo

Segmental Vitiligo has a different form of appearance. This condition spreads more rapidly, but is considered more constant and stable than non segmental. It is definitively much less common, and it affects only about 10% of people with this condition. But unpredictably, segmental vitiligo is more noticeable in the early ages affecting about 30% of the children that have been diagnosed with vitiligo.

It is non-symmetrical and usually tends to affect dorsal roots of the spine. It is more stable, less erratic, and responds well to topical treatments.

What Are The Signs and Symptoms of Vitiligo?

A symptom is felt by the patient, such as a headache dizziness or pain, and described to other people, including doctors and nurses. A sign can be spotted by everybody, including the patient, such as lighter patches of skin, a rash, or loss of hair.

The only sign of Vitiligo is the appearance of flat white spots or patches on the skin. Most of the times, the first white spot that becomes noticeable is usually on an area of the body that is exposed continuously to the sun.

At first, the vitiligo starts as a simple spot, a little paler than the rest of the skin. But gradually, as time passes, this spot will become much paler until reaching the white color.

The shape of these patches are completely irregular, and at times the edges can become a little inflamed with a slight red tone, and may sometimes result in itchiness. Other than the negative appearance and some itchiness of Vitiligo, it does not cause any discomfort, irritation, soreness or dryness in the skin.

Vitiligo is photosensitive; the patient should avoid prolonged skin exposure to direct sunlight.

To predict whether Vitiligo will spread, and by how much is particularly difficult. The spreading of the white patches to some might occur considerably in a matter of weeks, and to others it can rest without growing for months or even years.

If the first symptoms of the white patches are symetrical (non segmental vitiligo,) in other words, in the same areas of both parts of the body, the development is much slower than if the patches are in only one area of the body (segmental vitiligo).

What are the treatment options for vitiligo?

There are a number of remedies that can be performed in order to decrease the visibility of Vitiligo on the affected areas of the skin.

Phototerapy With UVB Light

Exposing the affected skin to UVB lamps is a very common practice and one of the simplest treatments, since it can easily be performed at home with a small lamp.

This home-alone treatment is recommended, and is highly effective since the person can do it daily. If these same treatments are done in clinics, the patient needs to go to the clinic 2-3 times per week, which slows down recuperation time.

If the white spots are located in large areas of the body, UVB phototherapy will have to be performed in a hospital with a full body treatment. It is important to mention the fact that even if evidence has suggested that UVB phototherapy, particularly when combined with other treatments, has a positive effect on vitiligo, it is still quite unpredictable and undependable.

There is still no real treatment that will totally re-pigment the skin to its full potential.

Phototerapy With UVA Light

This other Ultraviolet light (UVA) treatment is most commonly done in a hospital clinic. A drug that increases the skin´s sensitivity to ultra violet light, called psoralen, must be taken while the patient undergoes UVA light therapy. The affected skin goes through a series of UVA treatments, exposing the specific areas to high doses of UVA light.

In order to get any noticeable improvement, the patient will have to do several sessions. Progress will be evident usually after 6-12 month of twice-weekly sessions.

Skin Camouflage

In many cases, when vitiligo is still considered mild, some of the white patches can be camouflaged with cosmetic colored creams and makeup. The patient should select tones that best match his/her skin features.

Applying the creams is not too difficult, although some training will have to be done. If these creams and make up are correctly applied, they will last between 12-18 hours in the face, and up to 96 hours in the rest of the body. Most of the topical applications are water-proof.

Depigmenting

When the affected area is very widespread, in at least more than 50% of the body, de-pigmentation can be a viable solution. Depigmentation reduces the skin color in the areas that are not affected, in order to match the tone colors as much as possible.

Depigmentation is achieved by the use of several choices of strong topical lotions or oinments, like monobenzone, mequinol, or hydroquinone.

When the cream is applied to the areas with pigmentation, the pigmentation itself is eliminated.

Most of the times,l this treatment is considered permanent, and makes the skin more fragile. Special attention would have to be considered to avoid long exposures to the sun. The complete treatment of depigmentation will take between 12 to 14 months.

Topical Corticosteroids

Corticosteroids ointments or creams contain steroids. Some studies have concluded that topical corticosteroids when applied in the white patches can stop the spread. In other cases, experts have reported total restoration of the original skin color. Corticosteroids should never be used in the face.

If after one month of using any type of corticosteroid, the general practitioner sees that the vitiligo patches are not improving, or side effects are noticeable, treatment must stop.

If vitiligo, on the other hand, has shown some improvement, the treatment should be paused for a couple of weeks before starting it again.

Skin Grafts

A skin graft is a surgical procedure which entails carefully removing healthy patches of pigmented skin and using them to cover affected areas. This procedure is not very common because it is time consuming, and can result in scaring in two places - areas where the skin was taken out and also where it will be placed.

Skin graft procedure should never be performed in children. It should be performed in adults only if no new white patches have appeared or gotten worse in at least a year, and if the vitiligo was not originally triggered by damaging the skin due to a sever sunburn.

Are there any complications linked to vitiligo?

Although the vitiligo itself cannot develop into another condition, people with the condition are more likely to have some other autoimmune disorder, such as a thyroid problem, diabetes type 1, or pernicious anemia. The majority of vitiligo patients do not have these conditions, but a healthcare professional may recommend tests to rule them out.

If the vitiligo is noticeable by other people, embarrassment can lead to self-esteem problems, and in some cases depression.

Written by Christian Nordqvist

Copyright: Medical News Today

Not to be reproduced without permission of Medical News Today

  • Additional
  • References
  • Citations

Please use one of the following formats to cite this article in your essay, paper or report:

MLA


APA


Please note: If no author information is provided, the source is cited instead.



Add Your Opinion On This Article

'What Is Vitiligo? What Causes Vitiligo'

Please note that we publish your name, but we do not publish your email address. It is only used to let
you know when your message is published. We do not use it for any other purpose. Please see our privacy policy for more information.

If you write about specific medications or operations, please do not name health care professionals by name.

All opinions are moderated before being included (to stop spam)

Contact Our News Editors

For any corrections of factual information, or to contact the editors please use our feedback form.

Please send any medical news or health news press releases to:

Note: Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a health care
professional. For more information, please read our terms and conditions.

MediLexicon International Ltd Logo

Privacy Policy |
Terms and Conditions

MediLexicon International Ltd
Bexhill-on-Sea, United Kingdom
MediLexicon International Ltd © 2004-2012 All rights reserved.

Everyday Health Network

Article source: http://www.medicalnewstoday.com/articles/245081.php

Tagged as: Comments Off
8May/12Off

AADA responds to the USPSTF recommendations on sun-protection counseling

To: HEALTH AND NATIONAL EDITORS

Statement from Daniel M. Siegel, MD, FAAD President, American Academy of Dermatology Association

SCHAUMBURG, Ill., May 7, 2012 /PRNewswire-USNewswire/ -- The American Academy of Dermatology Association commends the USPSTF for recognizing the importance of behavioral counseling on skin cancer prevention for children, adolescents, and young adults. Melanoma is now the second most common form of cancer for those 15-29 years old, with rates continuing to increase, especially in females from this age group. (1,2) The Academy greatly appreciates that the USPSTF recognizes these alarming statistics, as well as the growing body of scientific literature, and is recommending behavioral counseling for children, adolescents and young adults, particularly with fair skin. We believe that early counseling will yield healthier lifelong habits regarding exposure to ultraviolet radiation (UVR) from the sun and indoor tanning devices that will drastically decrease the incidence of skin cancer in the future.

The Academy strongly supports the USPSTF's recommendation for counseling children, adolescents and young adults; however, we firmly believe that behavior counseling is essential for all populations, including the adult population. As stated in the USPSTF's February 2011 evidence report, increasing intermittent sun exposure in childhood and during one's lifetime is associated with an increased risk of both squamous cell carcinoma and basal cell carcinoma, and sunbathing vacations during both childhood and adulthood statistically increase the risk for melanoma.(3) Current statistics also indicate that Caucasians and men older than 50 are at a higher risk of developing melanoma than the general population.(4) In addition, more than 3.5 million skin cancers are diagnosed in more than 2 million people annually, with current estimates that 1 in 5 Americans will develop skin cancer in their lifetime.(5,6)

While we recognize the challenges associated with counseling the adult population on safer practices associated with UVR from the sun and indoor tanning, and the limitations of published clinical trials, we believe there is benefit in counseling Americans of all ages about the dangers of UVR exposure and the importance of consistent sun-protection practices. Given this, we will continue our efforts to educate the public on skin cancer prevention, and encourage our members to conduct additional research in this important area.

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. A sister organization to the Academy, the American Academy of Dermatology Association is the resource for government affairs, health policy and practice information for dermatologists, and plays a major role in formulating policies that can enhance the quality of dermatologic care. With a membership of more than 17,000 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. Follow the Academy on Facebook (American Academy of Dermatology) or Twitter (@AADskin).

(1) Linos E, Swetter S, Cockburn MG, Colditz GA, Clarke CA. Increasing burden of melanoma in the United States. J Invest Derm. 8 January 2009 doi:10.1038/jid.2008.423.

(2) Cancer Epidemiology in Older Adolescents Young Adults. SEER AYA Monograph Pages 53-57. 2007.

(3) Lin JS, Eder M, Weinmann S, Zuber SP, Beil TL, Plaut D, Lutz K. Behavioral Counseling to Prevent Skin Cancer: A review of the evidence for the U.S. Preventative Health Services Task Force. Ann Intern Med 2011;154:190-201.

(4) Melanoma of the Skin, Cancer Fact Sheets, National Cancer Institute, SEER database, 2007. http://seer.cancer.gov.

(5) Rogers HW, Weinstock MA, Harris AR et al. Incidence estimate of nonmelanoma skin cancer in the United States, 2006. Arch Dermatol 2010; 146(3):283-287.

(6) Stern RS. Prevalence of a history of skin cancer in 2007: results of an incidence-based model. Arch Dermatol. 2010; 146(3):279-82.

SOURCE American Academy of Dermatology Association

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Article source: http://news.yahoo.com/aada-responds-uspstf-recommendations-sun-protection-counseling-223805921.html