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Shingles (Herpes Zoster)

What is Shingles (Herpes Zoster)?

Shingles, also known as herpes zoster, is a viral infection caused by the varicella-zoster virus, the same virus that causes chickenpox. It results in a painful rash with blisters, typically on one side of the body, along a nerve pathway. Shingles can occur in people who have previously had chickenpox, as the virus can remain dormant in the nerve tissues for many years and reactivate later in life. Shingles is more common in older adults, people with weakened immune systems, and those who have had chickenpox at a young age. The condition can be treated with antiviral medications and pain management.

What are the causes of Shingles?

Shingles is caused by the reactivation of the varicella-zoster virus, which is the same virus that causes chickenpox. After a person has had chickenpox, the virus remains dormant in the nerve tissues, and later in life, the virus can reactivate and cause shingles.

Several factors can increase the risk of shingles, including:

Age: The risk of shingles increases with age, especially after the age of 50.
Weakened immune system: People with weakened immune systems, such as those with HIV or cancer, are more likely to develop shingles.
Chronic medical conditions: Certain medical conditions, such as diabetes, heart disease, and chronic lung disease, can increase the risk of shingles.
Certain medications: Certain medications, such as corticosteroids, chemotherapy drugs, and immunosuppressants, can weaken the immune system and increase the risk of shingles.
Previous episode of shingles: A person who has had shingles in the past is at risk of developing it again.

What are the symptoms of Shingles?

The symptoms of shingles include:

Pain, burning, or tingling sensations on one side of the body
A rash or blisters on the same area of the body as the pain
Fever
Headache
Fatigue
Sensitivity to light.

It is important to see a doctor if you suspect you have shingles, as prompt treatment can help reduce the severity and duration of symptoms.

What treatments are available for Shingles?

Antiviral Medications: Our dermatologist can prescribe antiviral medications tailored to your specific needs. These medications are effective in reducing the severity and duration of shingles outbreaks while minimizing the risk of complications. Rest assured, we have the expertise to guide you through the appropriate treatment.
Pain Management: Shingles can be accompanied by intense pain. Our team can recommend or prescribe pain-relieving medications, including specialized options for nerve-related pain, to ensure your comfort during recovery.
Topical Solutions: For the skin manifestations of shingles, we may recommend topical creams or ointments containing corticosteroids to ease inflammation and itching.
Skin Care Guidance: Our dermatologist will provide tailored advice on the best skincare practices for the affected area to prevent complications, including bacterial infections.
Scar Minimization: In cases where shingles results in skin damage or ulceration, our dermatologists offer solutions to minimize scarring and promote optimal healing.

Your Partner in Shingles Care:

It’s important to note that while our dermatologists specialize in the skin-related aspects of shingles, this condition can have broader implications. Depending on your specific case, we may collaborate with other specialists, such as ophthalmologists or neurologists, to ensure comprehensive care.

If you suspect you have shingles or are experiencing painful rash symptoms, we encourage you to contact our office promptly. Early diagnosis and expert care are essential for effective management and a smoother path to recovery.

How to Help Prevent Shingles?

The following steps can help prevent shingles:

Get the shingles vaccine: The shingles vaccine is the best way to prevent shingles and its complications.
Maintain a healthy immune system: Eat a balanced diet, get regular exercise, and get enough sleep to help maintain a strong immune system.
Manage stress: Chronic stress can weaken your immune system, making you more susceptible to shingles.
Avoid close contact with infected individuals: If someone has shingles, try to avoid close contact until the blisters have dried and crusted over.
Practice good hygiene: Wash your hands frequently, especially after touching someone with shingles or items contaminated with the virus.

Note: If you have already had shingles, getting vaccinated can still help prevent future outbreaks.

FAQ About Shingles

Who is at risk of getting shingles?

Anyone who has had chickenpox is at risk of developing shingles later in life, especially those over 50 years of age, immunocompromised individuals, and those with a weak immune system.

How is shingles diagnosed?

Shingles can be diagnosed by a healthcare provider based on the symptoms, medical history, and physical examination. A skin sample may also be taken to confirm the diagnosis.

Is shingles contagious?

Yes, shingles is contagious. However, it can only be spread to someone who has never had chickenpox or has not been vaccinated against it.

Can shingles recur?

It is possible for shingles to recur, but this is not common.

Can shingles cause long-term complications?

Yes, shingles can cause long-term complications such as postherpetic neuralgia (PHN), which is a form of chronic pain.

Is there a dermatologist near me in Omaha that offers treatment for shingles?

Yes. At our Omaha dermatology office we offers treatment for shingles to patients from Omaha and the surrounding area. Contact our office today to schedule an appointment.

Chicken Pox

What is Chickenpox?

Chickenpox is a highly contagious illness caused by the varicella-zoster virus. It is characterized by a rash of itchy, fluid-filled blisters that appear on the face, body, and scalp. Chickenpox is most commonly seen in children, but can occur in people of all ages.

The initial symptoms of chickenpox typically include fever, fatigue, and loss of appetite, followed by the rash. The virus spreads easily from person to person through the air or by direct contact with the fluid from the blisters. Most people who get chickenpox will recover fully within a few weeks, but some people can develop more serious complications, particularly if they have a weakened immune system.

A vaccine is available to prevent chickenpox, and is recommended for all children and for people who have not had chickenpox in the past and are not already immune. The vaccine is safe and effective, and can significantly reduce the risk of chickenpox and its complications.

What are the causes of Chickenpox?

Chickenpox is caused by the varicella-zoster virus, a highly contagious virus that spreads easily from person to person through the air or by direct contact with the fluid from the blisters. Once a person has had chickenpox, the virus remains dormant in the body and can reactivate later in life as shingles.

People who have not had chickenpox or been vaccinated against it can get the virus by being in close contact with an infected person, either through the air or by touching an open blister. The virus can also be spread from a pregnant woman to her fetus during pregnancy or to a newborn during delivery.

Chickenpox is most common in children, but can occur in people of all ages. People who have weakened immune systems, such as those with cancer, HIV, or other conditions that impair the immune system, are at higher risk for more severe and complicated cases of chickenpox.

What are the symptoms of Chickenpox?

The symptoms of chickenpox typically include:

Rash: A rash that starts as small, red bumps that turn into fluid-filled blisters. The rash may be present on the face, scalp, chest, back, arms, and legs.
Fever: A mild to moderate fever is often present during the early stages of the illness.
Itching: The rash is usually itchy, which can be uncomfortable or even painful.
Fatigue: Many people experience fatigue and a general feeling of malaise during a chickenpox infection.
Headache: Some people may experience a headache during a chickenpox infection.
Muscle aches: Some people may experience muscle aches or joint pain during a chickenpox infection.
Loss of appetite: Some people may experience a loss of appetite during a chickenpox infection.

The symptoms of chickenpox can range from mild to severe, and can last anywhere from 7 to 10 days.

What treatments are available for Chickenpox?

Treatment for chickenpox focuses on relieving symptoms and preventing complications. The following measures can be helpful:

Over-the-counter pain relievers: Over-the-counter pain relievers such as acetaminophen (Tylenol) can help reduce fever and relieve discomfort. Aspirin should not be given to children with chickenpox due to the risk of a serious condition called Reye’s syndrome.
Cool baths: Cool baths with colloidal oatmeal or baking soda can soothe itchy skin.
Calamine lotion: Calamine lotion can be applied to the skin to relieve itching.
Antihistamines: Antihistamines, such as diphenhydramine (Benadryl), can relieve itching and help you sleep.
Antiviral medications: Antiviral medications, such as acyclovir (Zovirax), can help reduce the severity and duration of chickenpox in people with weakened immune systems or those who develop severe symptoms.
Immune globulin: Immune globulin, a preparation of antibodies, can be given to people who are at high risk of complications from chickenpox.

FAQ About Chickenpox

How long does it take for Chickenpox to go away?

Chickenpox usually lasts 5 to 10 days, but the rash can take several weeks to heal completely.

Can you get Chickenpox more than once?

In most cases, people who have had chickenpox do not get it again. However, in rare cases, the virus can reactivate later in life as shingles.

Can the Chickenpox vaccine prevent chickenpox?

Yes, the chickenpox vaccine is highly effective in preventing chickenpox and its complications.

What should I do if I think I have Chickenpox?

If you think you have chickenpox, it’s important to see a doctor as soon as possible, especially if you are pregnant, have a weakened immune system, or are otherwise at high risk for complications. Early treatment can help reduce the severity and duration of the illness.

How is Chickenpox spread?

Anyone can get chickenpox, but it is most common in children under the age of 15.

Is Chickenpox a serious condition?

While chickenpox is usually a mild illness, it can be serious for certain populations, such as newborns, pregnant women, and people with weakened immune systems.

Can Chickenpox cause complications?

Yes, chickenpox can cause complications such as pneumonia, encephalitis, and skin infections.

Is there a dermatologist near me in Omaha that offers treatment for Chickenpox?

Yes. At our Omaha dermatology office we offer treatment for Chickenpox to patients from Omaha and the surrounding area. Contact our office today to schedule an appointment.

Rosacea

What is Rosacea?

A chronic, inflammatory skin condition, rosacea affects more than 16 million Americans. Rosacea manifests itself as redness on the face that produces small, pus-filled bumps or pustules. Although rosacea is not contagious, some evidence suggests a genetic link to the condition.

Usually, most people first develop rosacea in their 30’s and then live with continuous cycles of flare-ups and dormancy. Without treatment, rosacea can have a negative impact on a person’s emotional, psychological and physical health.

rosacea-before-after-cosmetic-treatment-skin-disorders

What are the signs and symptoms of Rosacea?

Rosacea is a skin condition that causes redness and visible blood vessels in your face. It may also produce small, red, pus-filled bumps.

Some of the signs and symptoms of rosacea are:

Facial blushing or flushing that comes and goes
Visible veins on the nose and cheeks
Swollen bumps or pimples on the face
Burning or stinging sensation on the skin
Eye problems such as dryness, irritation, or redness
Enlarged nose due to excess tissue (rhinophyma)

What are the causes of Rosacea?

The exact cause of rosacea has not been identified, but the environment and genetics may play a role. If you have light skin, a family history of rosacea or experience frequent blushing, you may have an increased tendency toward developing rosacea. More women than men tend to have rosacea but men experience more severe symptoms.

Certain factors can aggravate rosacea by increasing blood flow including:

Harsh soaps or abrasive cleanser
Alcohol
Corticosteroids
Extremes in temperature
Exposure to sun
Hot baths and saunas
Medications that dilate blood vessels, including certain blood pressure medications
Spicy foods
Stress, anger or embarrassment
Very hot foods or beverages
Vigorous exercise

What treatments are available at the dermatologist for Rosacea?

There are different treatments available at the dermatologist for rosacea, depending on the type and severity of your condition. Some of the treatments are:

Topical drugs that reduce flushing, such as brimonidine (Mirvaso) and oxymetazoline (Rhofade). These drugs work by constricting blood vessels and need to be applied regularly.
Topical drugs that help control the pimples of rosacea, such as azelaic acid (Azelex, Finacea), metronidazole (Metrogel, Noritate, others) and ivermectin (Soolantra). These drugs may take several weeks to show noticeable improvements.
Oral antibiotics, such as doxycycline (Oracea, others), for moderate to severe rosacea with bumps and pimples. These drugs help reduce inflammation and infection.
Oral acne drug, such as isotretinoin (Amnesteem, Claravis, others), for severe rosacea that doesn’t respond to other therapies. This drug helps clear up acnelike lesions of rosacea, but it can cause serious side effects and birth defecte.
Laser therapy, such as pulsed dye laser (PDL) or intense pulsed light (IPL), for enlarged blood vessels and redness. These therapies use light energy to shrink the blood vessels and reduce the redness. They may cause temporary swelling and bruising.

Rosacea vs Acne

Rosacea usually affects people older than 30, while acne is more common in teenagers and young adults.
Rosacea only affects the face and eyes, while acne can also affect the chest, neck, back, and shoulders.
Rosacea does not cause blackheads or whiteheads, which are typical features of acne.
Rosacea is triggered by factors such as hot drinks, spicy foods, alcohol, temperature extremes, sunlight, wind, emotions, exercise, cosmetics, or certain medications. Acne is caused by clogged pores due to excess oil and dead skin cells.
Rosacea has no cure, but it can be treated with medications, laser therapies, and lifestyle changes. Acne can be treated with topical and oral medications, as well as skin care products.

woman-with-rosacea-face-dermatological-problems

FAQ About Rosacea

Who is at risk for rosacea?

Rosacea is most common in fair-skinned people of Northern European descent, and is more common in women than in men. However, anyone can develop rosacea. People with a family history of rosacea may be more likely to develop the condition. It usually appears after age 30 and it affects more women than men.

How is rosacea diagnosed?

A dermatologist can diagnose rosacea by examining the skin and asking about symptoms. There is no specific test for rosacea. The diagnosis is based on the presentation of the skin, and also the patients’ symptoms, history and triggers.

What are some triggers for rosacea?

Triggers for rosacea can include sun exposure, heat, stress, alcohol, and certain foods. Common food triggers include spicy foods, hot drinks, and alcohol. Certain skin care products and cosmetics can also irritate the skin and trigger a flare-up.

Can rosacea lead to other health problems?

In some cases, rosacea can lead to eye problems such as conjunctivitis and blepharitis. These eye problems can cause redness, itching, and burning of the eyes, and can lead to loss of vision if left untreated.

How can I prevent rosacea flare-ups?

To prevent rosacea flare-ups, it is important to avoid known triggers, protect the skin from the sun by using a sunscreen with an SPF of at least 30, and maintaining a healthy lifestyle. Avoiding alcohol and spicy foods, practicing good skincare routine, and managing stress can also help prevent flare-ups. Additionally, it’s important to see a dermatologist regularly to monitor the condition and adjust treatment as needed.

Is there a dermatologist near me in Omaha that offers treatment for rosacea?

Yes. At our Omaha dermatology office we offer treatment for rosacea to patients from Omaha and the surrounding area. Contact our office today to schedule an appointment.

Psoriasis

What is Psoriasis?

An estimated 7.5 million Americans suffer with psoriasis, a non-contagious, chronic skin condition. Often identified by patches of red, scaly skin, psoriasis occurs when the immune system sends out incorrect signals that cause skin cells to grow too quickly. With psoriasis, cells build up on the top layer of skin, creating patches of itchy, dry skin. The most common locations for psoriasis are on the elbows, knees, or trunk, but it can develop anywhere on the body.

Psoriasis is thought to be an autoimmune disease, which arises from an overactive response by the body towards substances and tissues normally present in the body. In the case of psoriasis, white blood cells, called T cells, attack healthy skin as if to fight off infection or heal a wound. Instead of new cells moving to the outermost layer of skin in a normal manner, they develop more rapidly. The dead skin can’t slough off fast enough to keep up, so thick, scaly areas form on the skin’s surface.

Usually, the first occurrence of psoriasis happens sometime between ages 15 to 35. However, approximately 20,000 children under age 10 also live with psoriasis. Although psoriasis seems to have a genetic component, not everyone with that gene develops the disease.

What are the signs and symptoms of Psoriasis?

Each case differs based on the individual, but people with psoriasis often experience at least one of the following symptoms:

Burning, itching, or soreness
Cracked, dry skin that can bleed
Patches of red skin with silvery scales
Pitted, ridged, or thickened nails
Stiff, swollen joints

If you think that you could have psoriasis, contact your doctor and schedule a complete exam.

Triggers
Because psoriasis is chronic, anyone with the condition will live with a cycle of flare-ups and remissions over a lifetime. Typically, patients with psoriasis may develop initial symptoms or experience flare ups because of various triggers, including

Certain medications
Cuts, scrapes, burns, or other damage to the skin
Diet
Excessive alcohol use
Other infections such as strep throat
Smoking
Stress
Weather

What are the different types of Psoriasis?

There are six main types of psoriasis:

1) Plaque Psoriasis (Psoriasis Vulgaris)
About 80 percent of people diagnosed with the disease have plaque psoriasis, or psoriasis vulgaris. Plaque psoriasis often appears as on the elbows, knees, and lower trunk in the form of raised, red lesions topped with silvery scales.

2) Guttate Psoriasis
Usually found on the limbs or trunk, guttate psoriasis primarily appears in patients younger than age 30. Guttate psoriasis presents as small, water-drop-shaped sores and can occur because of an illness or injury to the skin.

3) Inverse Psoriasis
With inverse psoriasis, patients develop smooth, shiny lesions that are bright red in color. Most often seen in people who are overweight, inverse psoriasis strikes the armpits, around the genitals, near the groin, and under the breasts.

4) Pustular Psoriasis
When you have pustular psoriasis, white blisters filled with pus and surrounded by red skin will appear either in localized areas or all over your body. Because the pus is made of white blood cells, it is not contagious. Certain things can trigger pustular psoriasis, such as irritating topical treatments, infections, overexposure to ultraviolet radiation, and stress.

5) Erythrodermic Psoriasis
Characterized by a fiery red rash coupled with extreme burning or itching, erythrodermic psoriasis is the least common kind of psoriasis. Triggers for erythrodermic psoriasis include severe sunburn, corticosteroids, other medications, or another type of psoriasis that has flared up.

6) Psoriatic Arthritis
In addition to causing pitted, discolored nails, psoriatic arthritis also presents with the swollen, painful joints that often accompany arthritis. Usually psoriatic arthritis isn’t as crippling as other forms of arthritis, but it can cause stiffness and progressive joint damage.

What treatments are available at the dermatologist for Psoriasis?

Currently, no cure exists for psoriasis. Treatments are designed to minimize discomfort and encourage healing. When determining the best treatment, your doctor will take into account the severity of the psoriasis. Mild to moderate psoriasis covers 3 to 10 percent of your body, while psoriasis is considered moderate to severe when it covers more than 10 percent.

Treating Mild to Moderate Psoriasis
If you have mild to moderate psoriasis, your doctor will likely recommend a combination of over-the-counter medications, prescription topical treatments, and light therapy/phototherapy.

Over-the-Counter (OTC) Medications
The two active ingredients in over-the-counter medications approved by the FDA for psoriasis are coal tar, which inhibits the quick overgrowth of cells, and salicylic acid, which makes the outer layer of skin shed. Other OTC treatments may help, like:

Scale lifters to loosen and eliminate scales so that medicine can penetrate the sores
Bath solutions, such as Epsom salts, Dead Sea salts, or oilated oatmeal, that reduce itching and remove scaling
Occlusion, which covers the areas treated with topical treatments applications, to improve absorption and effectiveness
Anti-itch products like calamine lotion or hydrocortisone creams
Moisturizers to keep skin hydrated, reduce symptoms, and encourage healing

Prescription Topicals
Designed to inhibit the overgrowth of cells and lessen inflammation, prescription topicals include:

Anthralin, which reduces the skin cell growth related to plaque
Calcipotriene will flattens lesions, removes scales, and slow cell growth. Often used in treatment of psoriasis on the scalp and nails.
Calcipotriene and Betamethasone Dipropionate. By combining Calcipotriene with betamethasone dipropionate, this treatment addresses the itch and inflammation common to psoriasis as well as flattening lesions, removing scales, and minimizing cell growth.
Calcitriol, an active form of vitamin D3, helps limit extraneous skin cell production
Tazarotene, a topical retinoid that slows down cell growth
Topical steroids are the most commonly used medications for psoriasis, and they work by reducing inflammation, swelling, and redness

Phototherapy (light therapy)
Exposure to ultraviolet light can provide relief from psoriasis. With careful monitoring, the UVA and UVB rays from the sun can reduce symptoms. Excimer lasers treat specific areas affected by psoriasis, while pulse dye lasers provide not only targeted treatment, but also destroy the blood vessels that promote the development of psoriasis.

Treating Moderate to Severe Psoriasis
For patients with moderate to severe psoriasis, treatment involves prescription medications, biologics and phototherapy (light therapy).

Prescription Medications
Based on the location, severity, and type of psoriasis, your doctor will prescribe an oral medication, such as acitretin, cyclosporine and methotrexate.

How does psoriasis affect your nails, eyes, and joints?

Nails: Psoriasis can cause changes in the appearance and structure of the nails, such as pitting, discoloration, thickening, loosening, or crumbling. These changes can affect the function and comfort of the nails, as well as the self-esteem of the person with psoriasis.
Eyes: Psoriasis can cause inflammation in the eyes, leading to a condition called uveitis. Uveitis can cause symptoms such as eye pain, redness, blurred vision, sensitivity to light, or floaters. If left untreated, uveitis can damage the eye and impair vision.
Joints: Psoriasis can cause inflammation in the joints, resulting in a type of arthritis called psoriatic arthritis. Psoriatic arthritis can cause symptoms such as joint pain, stiffness, swelling, reduced range of motion, or deformity. Psoriatic arthritis can affect any joint in the body, but it is more common in the fingers, toes, spine, and pelvis. Psoriatic arthritis can also affect the tendons and ligaments that attach to the bones.

FAQ About Psoriasis

Can psoriasis affect other parts of the body besides the skin?

Psoriasis can affect other parts of the body besides the skin, such as the nails, scalp and joints. In some cases, it may also be associated with other conditions such as psoriatic arthritis.

Can certain foods trigger psoriasis?

Certain foods, such as processed foods, alcohol, and gluten-containing foods, may trigger psoriasis in some individuals. It’s important for people with psoriasis to work with a dermatologist or a dietitian to identify any specific food triggers and to develop a diet plan that works best for them.

When should I see a dermatologist for psoriasis?

If you have symptoms of psoriasis, such as red, scaly patches on the skin, it’s important to see a dermatologist for proper diagnosis and treatment. A dermatologist can also help to develop an individualized treatment plan and provide guidance on how to manage the condition. If your symptoms persist or worsen, you should also consult with a dermatologist.

Is there a dermatologist near me in Omaha that offers treatment for psoriasis?

Yes. At our Omaha dermatology office we offer treatment for psoriasis to patients from Omaha and the surrounding area. Contact our office today to schedule an appointment.

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