Articles on mycosis

Some Basic Tips for Skin Care This Monsoon

Dr. Pradnya Shastri, Dermatologist
“Rain on the green grass,Rain on the trees,Rain on the rooftops,But not a drop on me!”This monsoon reminded me of this nursery rhyme and made me laugh! Love or hate the rains... there is no way anyone can say, “Not a drop on me!” For those who love the rains it’s been a heck of a pouring joyful week. And for those who don’t really have congenialfeelings for the rains... well they must be sopping wet and sopping angry! No matter the raincoats, the umbrella, the metros or even your luxurious A/C cars... you get wet. And at times drenchingwet!And love or no love for the rains... many who get wet, eventually get skin trouble!Itching, dry skin, rashes? Did I remind you of last monsoon?How would you like to know that you could actually reduce or even alleviate your skin troubles this monsoon?Like the idea?Here are a few tips you could try to keep your skin troubles at bay:1.      DRY SKINDespite the season being a wet season the skin tends to get dry. Every time the rain hits your skin, it washes off the NATURAL MOISTURIZING FACTOR (NMF) off of your skin. The skin seems fine as long as it’s wet, but as soon you dry yourself or enter an AC room the dreaded itch starts and the next you know you have transformed into a mangy dog.TIPS TO PREVENT DRY SKINa. Try to apply a nice layer of coconut oil (NOT almond or olive or mustard) 10 to 15 minutes before you take a bath.b. A hot water shower after a getting wet in the mucky rain water is all that one dreams of isn’t it? But that is where the skin NMF again goes for a toss. The hot water tends to wash off this factor. So, not only apply coconut oil before abath but make sure you are using ‘lukewarm’ water and not hot water to clean yourself.c. The type of soaps and body washes you use also make a big difference. The more they lather the more they leave your skin dry. In addition, loofah is a skin’s worst enemy. Even  normal skin tends to get hurt after using a loofah, so imagine what happens to dry skin. So avoid using them. Using a ‘Sulphate free Soap’ or even a ‘Syndet’ where the pH of the soaps are same as the skin helps in maintaining that essential layer of moisturizing and helps keep the skin supple.d. Another important and basic rule is to DAB THE WATER off your body... NOT WIPE IT. Therubbing action scrapes off the healthy skin layer along with the NMF. And we need that layer of skin and NMF!!e. The battle will now be won for most of you but to add to the positive effects make a habit of applying a good moisturizer after you have stepped out of the shower and once even before going to bed. This reinforces the moisture in the skin and prevents it from getting dry too quickly.2.      ITCHING AND A RASHA lot of people (especially the office goers) develop either fungal (ringworm/candidiasis) infections oreven miliaria (prickly heat) in this season. This happens almost always because of wet clothes and increasedhumidity. People start getting itching on the back and neck (miliaria) and in the groins (fungal infections). Some tend to get fungal infections in the web spaces (candidiasis) because of wearing wet and soaked shoes. Once anyonedevelops a rash or an itch a visit to a dermatologist becomes inevitable. But that can be prevented. Here is how:TIPS TO PREVENT ITCHING AND RASH:a. Use a rain coat instead of an umbrella. That keeps your clothes dry than an umbrella would.b. Despite all efforts you will still get wet. Make sure that you are carrying an extra pair of clothes as well as undergarments or keep them in your office. Change your clothes the moment you reach office. This will not only prevent a skin problem but will also protect you from catching a cold.c. Keep extra shoes and socks in your office. You anyway can’t wear you expensive leather shoes in the rains... so wear your boots or floaters to office and change there! That will prevent the infections of the feet (fungal and bacterial). In addition, your feet won’t end up smelling like rotten eggs!3.      FACE CARELike the body, the face also bears the brunt of being constantly wet. Here are some basic tips that you could follow and see if they help:a. Do not constantly wash your face with clean water just because it got wet by the rain water. The more you wash it, the more it gets dry (in dry skinned individuals) and oily (in oily skinned individuals). b. If your face does get wet, then DAB the water with your handkerchief or a tissue paper. Do not wipe the water.c. Diligently DON’T USE WET WIPES! The alcohol content in them further denudes your skin of the NMF and thus leads to severe rashes.d. Unlike the moisturizer that you would use for the body (a thicker one), use a lighter, non-comedogenic moisturizing lotion (not cream) for the face. For all those lovely ladies who wear makeup, make sure your skin is moisturized before you have applied your foundation. e. Using a sunscreen isn't a bad option either (especially for those with dry skin). Even though there is no direct sunlight, the UV rays do pass through the clouds. So, try making these simple changes in your basic skin care routine! You should be able to see a difference. And those who don’t, then off you go to the dermatologist.I personally love this season. It’s green everywhere, the temperatures are cooler and I feel people seem more happy....  contagiously happy!I can’t help but quote Bob Marley here, “Some people feel the rain. Others just get wet.”

Diabetes and Skin Care

Dr. Apratim Goel, Dermatologist
Diabetes affects nearly every part of your body and your skin, the body's biggest organ is no exception to that rule. For those of you having diabetes, having too much glucose (sugar) in the blood fora long time can cause serious complications, including skin problems. In fact, as many as a third of people with diabetes will have a skin condition related to their disease at some time in their lives. Fortunately, most skin conditions can be prevented and successfully treated if diagnosed early. But if ignored, a minor skin condition can turn into a serious problem with potentially severe consequences.There is a wide range of possibilities for skin diseases, including some that are specific to diabetes and others that are merely more likely to occur because of diabetes. Skin conditions common in diabetics are:· One of the most common skin condition is Diabetic dermopathy. It is also known as shin spots, because the result is commonly brown or tan circular spots on your legs. The good news with these is that they are completely harmless and no treatment is required. They do not itch, bleed, spread or cause pain. Another condition Necrobiosis Lipodica Diabecicorum (NLD) seems similar to dermopathy, but is worse.· Vitiligo is white patches on skin that are common in diabetics. They occur because the pigments in that area of your skin can no longer be produced due to being attacked. There are several treatment options for this kind of condition: medical, surgical as well as lasers.· Blisters can also occur in some diabetics. Diabetic blisters can actually get quite large and can be found almost anywhere. Due to reduced skin sensation these blisters can get ulcerative as well.· Those who are obese or overweight develop Acanthosis Nigricans and it results in the thickening and darkening of areas of the skin. It occurs commonly on neck but also seen in armpits, knuckles, breasts and groin. There is no cure for acanthosis nigricans, but losing weight improves the condition. Lasers have been tried with variable success.· Diabetes Skin Infections:- There are also a wide range of problems that those with diabetes may be more susceptible to as compared to other people. These include fungal infections and bacterial infections, both of which need to be taken care of by seeing a doctor and getting examined.Bacterial infections:- Bacterial infections are more commonly seen in people with diabetes. Styes in eyes, boils, hair follicles and skin infections are common. Fungal infections:- Candidal fungal infections of skin as well as nail are common in diabetes. Fungal patches present as red sore skin with itching and developing into blisters and scales. These patchy infections usually appear at skin folds. · Itching:- Itching may result from poor blood circulation, dry skin, or any kind of infection, mostly observed in lower extremities. Wiping your body till completely dry and using good moisturizing agent are the suggestive steps to manage simple itching.· Xanthomatosis and Sclerosis:- High blood sugar aggravates these conditions; xanthomatosis is slight yellowish pea like pigmentation in feet, arms, legs, hands, buttocks etc. In sclerosis, skin of toe, forehead, hands becomes thick and waxy. · Allergic Reactions:- Visible allergic reaction in the area of skin is examined when insulin is injected and, it may develop rashes.Keeping your diabetes under control is the most important factor in preventing the skin-related complications of diabetes. Follow your health care provider's advice regarding nutrition, exercise, and medication. Keep your blood glucose level within the range recommended by your doctor. Proper skin care can also help reduce your risk of skin problems. With the understanding we have from modern science and medicine, most of these problems are relatively benign, although some can still be serious.

Top 10 Ways to Keep Fungal Infection at Bay!

Dr. Jolly Shah Kapadia, Dermatologist
Fungal infections of the skin have become a very common and annoying problem.You can catch a fungal skin infection almost anywhere, our hot and humid weather just doesn't help us. Grass, pets, soil, the spores that cause fungal infections of the skin can be found pretty much anywhere.The fungal infection makes you extremely uncomfortable and irritated. It can notoriously itch anytime, anywhere.Some common types of fungal infections are athlete’s foot, jock itch, ringworm that can affect any part of the skin as well as the scalp.Here are some simple measures and day to day care to keep this irritating infection away!Hygiene is important to keep fungal infection at bay. Take bath twice a day with lukewarm water (avoid excessive hot water) and change your inner garments too. Apply plain talcum powder especially in folds of the skin.Keep your private area clean and dry. Do not use irritants to clean the area.Fungal infection is contagious; do not share towels, handkerchief, and inner garments with anyone. Do not share combs, hair brushes too.Use pure cotton clothes as cotton tends to absorb moisture, keeping your body dry. Synthetic fibres tend to cause fungal infection.Wear loose fitting clothes to allow proper air circulation in groin areas and axillae.If you are a gym lover, then change out of your gym clothes right after a workout. Sweaty gear provides a perfect home for fungi and other germs to thrive and grow. Wash exercise clothes after each use. Wear clean clothes before each workout.Alternate your shoes pair every two or three days to give them time to dry out and thereby avoid athlete's footAvoid sugar-rich food and drinks, artificial sweets, etc. fungus/yeast thrives on sugar.If you are diabetic, keep an eye on your blood sugar levels regularly.Eat healthy balanced diet, maintain good haemoglobin and other vital nutrients. Do share this healthfeed with your friends and help them stay healthy too !Let us know if this healthfeed was of help to you!