ALLERGY DERMATOLOGIST DOCTOR IN VERO BEACH & PORT SAINT LUCIE
ALLERGY DERMATOLOGIST DOCTOR IN VERO BEACH & PORT SAINT LUCIE
Itchy red bumps that fade when pressed are hives. Red blotches can appear in response to allergy triggers such as medications or foods. Hives, also called urticaria, occurs when the immune system responds to an allergen. An allergy doctor or dermatologist can help you find the cause. Click the photo to learn about Dr. Wein and his service on faculty at American Osteopathic College of Dermatology.
Itching, redness, and scaly rash are known as atopic dermatitis. Dry skin can be sensitive to allergens. During flare-ups, red and itchy skin patches of can erupt, with roughness and flaking. Eczema is more common in children. Adults visiting the dermatologist often have eczema in just a few areas. Read an interesting article about eczema quoting national experts including Dr Wein CLICK HERE
Skin contact with an allergen such as plants, soaps, clothing or metal jewelry may cause contact dermatitis, often swollen at the site of contact. Advanced dermatology testing by an allergy doctor can help find the cause.
Swelling below the skin, often in the hands, throat, eyes, or mouth can be angioedema and often prompt a visit to the allergy doctor. Often it occurs along with hives and can cause difficulty breathing if it affects the throat. Read an interesting article about severe urticaria published by Dr Wein CLICK HERE.
Vasculitis of the skin may be a signal of a more serious internal problem. Purpura, petechiae, and ulcers are terms used to describe this type of inflammation of the skin. Advanced dermatology and allergy and testing might help determine the cause.
Photosensitivity is aggravated by sunlight. If the rash is eczematous, it is photodermatitis. A chemical or drug that causes photosensitivity is a photosensitizer. Another type is called "PMLE". In Vero Beach and Port Saint Lucie, the sun often prompts a visit to the dermatologist.
A morbilliform rash is flat pink or red spots that may merge or become raised as the rash spreads. Allergy doctors and dermatologist often diagnose a drug reaction, a skin rash that develops after exposure to certain medications.
Dermatomyositis is an immune condition with skin changes and muscle weakness, often with eyelid rash, and red bumps on the fingers. This is frequently treated in the dermatologist or allergy doctor's office with advanced dermatology medications of even IVIG.
Pityriasis alba is most commonly seen in children. Usually a fine scale, and loss of pigment causing a lighter color of the skin, these spots can appear especially on the face or arms.
Factors causing orals ulcers may include chemicals in toothpaste, food products, flavoring agents and also preservatives. One of the more common causes in the dermatologist office is 'cinnamates' in the diet.
Mycosis fungoides usually develops slowly and can progress for years. Early phases skin can develop dry, dark patches, sometimes itchy. Often misdiagnosed as psoriasis or eczema .
Tinea versicolor is a very common fungal infection of the skin. Destruction of normal pigment leaves small patches which are usually lighter than the surrounding skin(but sometimes are darker), most commonly this affect the torso but not always.
Allergies can affect the skin in many ways. This is why many dermatologists often consult an allergist. Dr. Michael Wein is highly skilled in the treatment of skin diseases caused by allergy and has served for years as part of the faculty at the American Osteopathic College of Dermatology.
When allergy affects the skin, it results in a variety of skin problems. Some skin allergy reactions include atopic dermatitis, hives, and allergic contact dermatitis. Atopic dermatitis is also known as eczema. Hives occur when the body is triggered by an allergen and releases histamine and leukotrienes, as well as other substances in advanced dermatology cases. Allergic contact dermatitis occurs when your skin comes in contact with an allergen and results in red, bumpy, scaly, itchy, or swollen skin.
Dr. Michael Wein works together with you, and sometimes with your other physicians, to provide the best solutions. While a dermatologist is likely the best person to consult for skin cancer and some other types of problems, it is also crucial to speak with an allergist to find the cause of your problem. For example, if you continue to experience an allergic reaction on your skin, using specific allergy tests such as scratch tests, we can help provide insight on how detect the cause, avoid triggers, and reduce the probability of a recurrence of skin reactions.
One of the important roles the allergist plays is diagnosing the allergen triggers that cause the skin allergy. The allergist can recommend which allergens to avoid, in addition to prescribing medication or recommending natural remedies to combat allergic reactions when a person is exposed to an allergy trigger. This can include antihistamines, steroids, antibiotics, and many other strategies. Call us - WE WANT TO HELP (772) 299-7299
Emollients and moisturizers for eczema
Do emollients and moisturizers help control eczema?
Eczema is the term doctors use to describe chronic skin dry skin with intense itching. The skin can appear red, can ooze liquid, form crust and leave marks from scratching. Moisturizers are often helpful, but many people don’t know how well they work, and which moisturizer works best.
Most moisturizers are effective. Side effects can include stinging, itch, redness. They can reduce the severity of eczema, protect the skin, prevents worsening, improve quality of life and reduce the need for medications such as topical steroids.
Atopiclair is one which has many studies showing effectiveness. It contains glycyrrhetinic acid and is available at Walmart and similar stores at reasonable prices.
Other options include products containing urea-containing cream or glycerol, but oat-containing moisturizers in studies have been shown to cause more side effects. Eucerin, Aveeno, Aquaphor, Vanicream and Gloves in a bottle are all popular with our patients.
Of course, topical steroids are more effective when used with a moisturizer, rather than used alone, but the potential side effects of steroids is a concern.
Most moisturizers show some benefit; but it is not easy to prove that one moisturizer is best for every person. Options include CeraVe, Vaseline, Cetaphil, Eucerin, Dove, Aquaphor, Aveeno, Epiceram, Theraplex, Acid Mantle, Vanicream, DML. Which is the right one for you? Ask your dermatologist.
Dr. Wein is a frequent faculty member at advanced dermatology meetings
Dr. Michael Wein is frequently quoted as an expert on advanced dermatology
Dr. Wein has published reaserch on allergic inflammation
Dr. Wein is on faculty of 2018-2021 AOCD Dermatology Conferences
Dr. Michael Wein is allergy chapter author of a well-known medical textbook
Dr. Wein has published in highly respected publications Journal of Immunology
Any medical practitioner (even a nurse or medical assistant) can advertise as an “allergist ” without receiving formal allergy training in an ACGME accredited Allergy Fellowship. There is nothing illegal or unethical about this. This is confusing to people.
To be certain that your allergist has achieved the highest knowledge dedicated to allergy, ask if he/she is board certified by the American Board of Allergy & Immunology.
(If you are embarrassed to ask, just visit www.ABAI.org and find out for yourself!)
Allergists are specialists for the treatment of allergic diseases, asthma and immunological conditions. It takes years of dedication and training to become a Board Certified Allergist. All Allergists go to college, then medical school, then complete a minimum of three years of residency in either Pediatrics or Internal Medicine. They then participate in a two to three year fellowship in Allergy and Immunology. This is followed by a Board Certification Examination in their specialty area. No other type of physician is as qualified to treat allergic diseases
With hives, it may be helpful to think about how it started, what triggers them, and how long they've been present. Chronic hives, which last over six weeks, are often more difficult to treat and might require different types of medications. The approach often depends on the type of the hives - and your medical history. Advanced dermatology testing can also help.
There are a lot of sunscreen products. DO they block UVA or UVB?
The majority of ultraviolet radiation (UV) we get from the sun is UVA (320-400nm)!
UVA consists of UVA2 (320–340nm) and UVA1 (340–400nm). UVA penetrates most deeply into the skin, and causes the skin to age. It also suppresses the immune system and increases risk of melanoma.
UVB causes sunburn and cancer!
UVB (290–320 nm), is more likely to cause sunburn than UVA, and causes actinic keratosis, squamous cell and basal cell and melanoma cancers.
SPF refers to UVB!
SPF, or sun protective factor, is a relative measure of protection from UVB only; it does not indicate if you are protected from UVA. Products with high SPF does not lead to protection from deeper-penetrating wavelengths such as UVA. IN the US, sunscreens containing only a little UVA protection are called ‘broad-spectrum’.
Other countries use PPD!
Outside of the USA “persistent pigment darkening” (PPD), is used as well as SPF. PPD pertains to UVA, while SPF refers to UVB. PA (Protection Grade of UVA) uses plus signs -- the more plus signs, the more UVA protection.
What is the difference between sunscreen and sunblock?
Sunscreen absorb UV, while actually scatter UV
What are the commonly used ingredients in chemical sunscreens in the US?
UVB absorption products include cinnamates, salicylates, benzophenones (oxybenzone and dioxybenzone), octocrylene, ensulizole, and camphor derivatives. (Use of aminobenzoates and trolamine salicylate are not safe or effective.) Benzophenones are a well-known contact allergens. Of note, oxybenzone has significant skin absorption and potential endocrine disruption. Furthermore, oxybenzone and octinoxate (also as octyl methoxycinnamate) may be harmful to coral reefs; Hawaii and Key West ban them starting in 2021.
Avobenzone is the sole chemical approved by the FDA to afford UVA protection. Unfortunately, it is a highly unstable, stabilizers are frequently added. “Helioplex” or “Cell-Ox Shield,” and also octocrylene or anti-oxidants/anti-inflammatories such as vitamin C, vitamin E, and botanical extracts are also used as stabilizers.
Which ingredients can be used outside the US, and how do they differ from Avobenzone?
Overseas you can get UVA protection: Mexoryl SX (terephthalylidene dicamphor sulfonic acid), Mexoryl XL (drometrizole trisiloxane or ecamsule), Tinosorb S (also known as bemotrizinol or bisethylhexyloxyphenol methoxyphenyl triazine), and Tinosorb M (also known as bisoctrizole or methylene bis-benzotriazolyl tetramethylbutylphenol). BUT the only two commercially available Mexoryl SX-containing products in the US are LaRoche- Posay Anthelios SX SPF 15 and Anthelios SPF 40, which were approved by the FDA in 2006 as complete products; the individual ingredient Mexoryl SX has not yet been approved.
How do physical sunblocks compare to chemical sunscreens?
Titanium dioxide and zinc oxide block some UVA, and UVB. But zinc oxide is far superior to titanium dioxide in UVA, but it has a chalky white appearance , less cosmetically appealing than titanium dioxide.
What about antioxidants in sun protective agents?
Antioxidants. Vitamin C, vitamin E, silymarin, and green tea polyphenols have all been utilized in sun protective products, as have licorice, aloe, and chamomile. While some of these anti-inflammatories may decrease skin redness by targeting oxygen radicals, they have no impact on the amount of UV radiation hitting the skin.
This scientific article was published about a boy who had dermatitis, and molluscum contagiosum, but did not respond to treatment. Blood tests showed abnormal immunology labs and he had DOCK8 syndrome causing his problems.
This is a genetic disease and increases the risk of viral, bacterial, and fungal infections. The article is one of many examples of how the immune system affects the skin.
There is a link between milk and acne, but it is not allergy...
In many cases, the answer is yes. Milk elevates insulin levels after meals. Specifically, the whey in milk stimulates the release of insulin and a substance called insulin-like growth factor-1. This triggers the skin to produce more sebum, so pores become clogged and can become infected, leading to pimples.
Switching the type of milk is not likely to help. Whole milk, 2% milk, 1% milk, and skim milk, all have the same effect on insulin production and the skin. The fat in a dairy product has no bearing on how much it aggravates acne. Butter has no effect on acne, but margarine often makes acne worse. Foods that cause your blood sugar to rise quickly, such as white bread and fries, may also worsen acne. The process is not related to allergy, so allergy testing for milk is not helpful in this situation.
If you have a skin rashes or are experiencing problems with your skin, call us today to schedule an appointment. Dr. Michael Wein is a board-certified allergy specialist. He will examine your skin, diagnose your rash, and help determine the best treatment for you.
Many rashes are itchy, but others may be painful, or cause blisters or even ulcers. Rashes may be acute (short-term), chronic (more than a week or two) or even recurring (improving and then returning). Rashes can look very similar, so it is important to bring pictures of the rash if possible.
Patch tests are a safe and easy way to diagnose contact allergies. Patch tests are different from injection or scratch skin tests because they use paper and not needles or plastic devices, and they test for a wide range of different allergens. In patch tests, small amounts of the common allergens are applied to the skin on strips of tape and then removed after two days. A positive allergy test will show as a small red spot at the site of the patch. Common sources of allergens include metals such as nickel, rubber in latex gloves, hair dyes, preservatives in beauty products, medications, fragrances, poison ivy, and many others.
A rash on the face can be especially problematic. There are many possible causes.