Dermatologist

1-Dermatomyositis

Dermatomyositis is a rare inflammatory skin disease most common in children ages 5 to 15 and adults between 40 and 60.

Common symptoms include a red-to-purple rash on the chest, face, nails, or elbows, as well as muscle weakness and swelling. There is no cure for dermatomyositis, but treatments aim to manage symptoms.

 

 

2-Androgenetic alopecia

Androgenetic alopecia, commonly called male pattern baldness, is considered the most prevalent type of hair loss in humans. Androgenetic alopecia is the most frequent cause of alopecia in men, but it also affects women. It affects 25% of men between 25 and 35 years of age, 40% of those over 40 and 50% of those over 50, increasing the percentage as we consider more advanced age groups. Genetic inheritance, hormones and age are implicated in this pathology. For the treatment of androgenetic alopecia we have various therapeutic options that are aimed at stopping hair loss and even recovering capillary density. At the Mi amor Dermatological Center we will provide you with the most appropriate treatment, taking into account your pattern of baldness, extension, age, associated diseases, and preferences. It should be noted that the sooner the treatment is established, the better the final result will be.

 

 

2-Alopecia Areata

The alopecia areatait is a relatively frequent type of non-scarring alopecia. It is an autoimmune disease. Thus, it is the body's own defenses that inadequately attack the follicles, causing hair loss. It usually presents as a loss of hair in the form of round or oval patches. Other presentations are total alopecia (of the entire scalp), universal alopecia (of the scalp and body hair) and the optic form (pattern of hair loss in band at the periphery of the temporal and occipital scalp). Alopecia areata is a type of non-scarring alopecia, and therefore, reversible. Its evolution is unpredictable: in some patients it can improve on its own. However, in other patients hair may take years to regrow, so they can benefit from medical treatment.

 

 

 

3-Atopic Dermatitis or Atopic Eczema

The atopic dermatitis or atopic eczema , is a frequent and recurrent skin disease, spread throughout the world, which can occur at any age. However, 70-95% of cases occur before 5 years.

 

It is characterized by the appearance of reddening and inflammation of the skin (eczema) and intense and prolonged itching. It is a disease in which there is a genetic base with a variable expression influenced by environmental factors.

 

Patients with atopic dermatitis have a change in the skin barrier; the skin shows a greater loss of transepidermal water and less hydration of the cutaneous surface. The alteration of the cutaneous barrier makes the skin more susceptible to environmental factors such as irritants, allergens and microbes. 

 

The main symptom is intense itching (pruritus). It often gets worse at night and with sweating or the use of wool clothes. The scratching that occurs as a result of itching can worsen the lesions and cause an infection. Patients with atopic dermatitis can present several symptoms and clinical features. 

 

The most frequent are described below: For the treatment of atopic dermatitis or atopic eczema, a rigorous clinical history should be performed and several factors should be considered, among which the following stand out: the patient's age, the previous treatments performed, the severity of the injuries , the number of annual outbreaks and the preferences and expectations of the patient.

 

Among the most commonly used pharmacological agents are topical corticosteroids, topical immunomodulators, topical and oral antibiotics and oral antihistamines. In patients with severe forms of atopic dermatitis, refractory to these treatments, there are other options such as systemic immunosuppressant drugs of atopic skin (eczema) and intense and prolonged itching.

 

 

4-Dermatitis or Contact Eczema

When the skin comes into contact with external agents, many adverse effects can occur. Among them, there is dermatitis or contact eczema. This dermatitis can be:

1- Irritative: responsible for 80% of contact dermatitis. This is the result of a local toxic effect that occurs when the skin comes in contact with certain irritants (soaps, chemicals, solvents, acids, alkalis, jewelry, medicines, cosmetics, clothing ...)

2- Allergic: represents the remaining 20%. It is an allergy that occurs when the skin comes into contact with a chemical agent, with which the person has previously been in contact.

In both there is an inflammation, redness and peeling of the skin, which usually associated with itching. In severe forms, small blisters may appear. We help with epicutaneous tests for the diagnosis and identify the responsible substance and to guide towards one type of dermatitis or another. Epicutaneous tests (skin allergy tests) or patch tests are the reference tests for the diagnosis of these dermatitis. Once the substances responsible for the dermatitis are identified, the patient must be informed of the substance or substances responsible and that this should be avoided. In the event that the patient presents symptoms and injuries, the appropriate treatment will be instituted.

 

 

 

5-Dermatitis or Seborrheic Eczema

It is a chronic dermatitis or seborrheic eczema , usually mild, which typically affects skin regions with high sebum production and large body folds.

 

There are two forms: the infant and the adult. Seborrheic dermatitis or eczema in adults is probably the most frequent type of eczema. It usually occurs in the form of patches or plaques, ranging from yellowish-pink to reddish-brown, with greasy scales.

 

Sometimes small blisters and scabs appear (usually due to irritation after excessive treatment). They usually appear in areas rich in sebaceous glands. The symptoms of seborrheic dermatitis vary in intensity depending on the patient.

 

In some patients do not produce any symptoms, and in others itching or stinging appears. Seborrheic dermatitis can be difficult to differentiate from other diseases; For example, when it affects the face it can look like early acne rosacea. When seborrheic dermatitis affects the scalp, it must be differentiated from psoriasis, fungal infections and atopic dermatitis, among others. The choice of treatment will depend on the severity and extent of the lesions and the previous treatments performed by the patient. patient.

 

If you are looking for an adequate treatment for Dermatitis in Egypt,do not hesitate to contact us as soon as possible from mi amor

 

 

 

6-Hyperhidrosis (excessive sweating)

It is known as hyperhidrosis that situation in which there is an excess of sweating, higher than normal. It can affect any part of the body, making it impossible, in extreme cases, certain activities and favoring the appearance of skin infections. There are several treatment options that can help reduce the amount of sweat. In severe cases that do not respond to the usual treatments, other, highly effective options are proposed, such as botulinum toxin treatment

 

 

7-Impetigo

Impetigo is a superficial infection of the skin, frequent and very contagious. It is the most frequent skin infection in children. The bacterium Staphylococcus aureus is responsible for the majority of cases of impetigo contagious. The disease is usually acquired by person-to-person contact, and it spreads rapidly. It can also be propagated by fomites (contaminated objects that transmit the infection). There are two forms of impetigo: bullous and not blistering. The latter represents 70% of all cases of impetigo. In local impetigo local cures, which consist of washing and removing crusts, are useful. In addition, antibiotic treatment (topical or systemic) will be established depending on the characteristics of the patient, the number of lesions and their extension. To limit the spread of infection, good hygiene and early treatment are necessary.

 

 

8-Herpes Simplex Infection

Herpes simplex virus type 1 and type 2 are ubiquitous "microbes" that produce frequent infections in the mouth, lips and genital mucosa. Genital herpes is the most common sexually transmitted disease in the world.

Herpes simplex virus infections have a variable presentation. They are frequently asymptomatic (the patient does not develop the typical symptoms). When the patient presents lesions, these are usually in the form of reddish plaques with small blisters on their surface. In addition, patients usually have accompanying pain and swelling and inflammation of nearby nodes.

Antiviral agents are the treatment of choice for herpes simplex infections. These drugs must be administered early. In patients with several outbreaks per year, chronic suppressive therapy may be indicated.

 

9-Varicella-Zoster Herpes Infection

Herpes zoster is a reactivation of the varicella virus, therefore, it only appears in people who have had chickenpox. It develops in 20% of healthy adults and can appear at any time. The reactivation of the varicella virus can be spontaneous, or induced by stress, fever, radiotherapy, low defenses (immunosuppression) ...

Herpes zoster usually affects adults, with greater intensity at over 50 years, however, it is common in young people who suffered chickenpox infection in the first year of life.

It usually begins with intense pain, itching and / or itching associated with alterations in the sensitivity of the affected body area (tingling, increased sensitivity ...). In most cases, after a few days there is a rash of small blisters (vesicles) grouped on a reddish plaque, which start as a band or patch that follows the path of the nerve (usually appears on the trunk). When the vesicles dry, crusts appear.

The diagnosis is based on the clinical history and physical examination.

 

 

10-Lentigo (spots on the skin)

A lentigo is a localized hyperpigmentation that occurs on the skin. It is usually light brown or dark, well-defined 'spots'. There are three forms of lentigines: the solar, the simple and the malignant.

 

The Solar lentigo is a very common reason for consultation. Once it is ruled out that it is a malignant lesion, several individualized therapeutic options are proposed in order to treat and eliminate the 'stain'. Discover more information about solar lentigo and sunspots on the skin in our post.

 

At the mi amor Dermatological Center we will inform you about the most appropriate treatment options based on the phototype (skin color), type of injury and extension of the same. We have a laser that allows the treatment of lentigos. In patients with skin photoaging we offer the possibility of combined laser treatments with chemical peels, with very satisfactory results.

 

 

 

 

11-Moles

Moles, or melanocytic nevi, are benign tumors formed by accumulations of nevus cells loaded with melanin. They usually appear after 6 or 12 or months of life. However, there are patients who have them since birth (congenital melanocytic nevi). They usually start as a "stain" that grows progressively in size. They are usually brown and may have different sizes. Although there are several causes that favor these lesions change, such as sun exposure, puberty, pregnancy, it is advisable to consult a dermatologist.

 

 

 

12-Melanoma (skin cancer)

Malignant melanoma is a cancer that originates in the melanocyte (cell that confers pigment to the skin). It is a less common skin cancer than basal cell or squamous cell carcinoma, but with a higher mortality rate. When melanoma is detected at an early stage it is a curable cancer. However, the diagnosis in advanced phases overshadows the prognosis. Malignant melanoma most often affects people with fair skin, but it is not exclusive to them. It is a tumor that not only affects the skin, it can also appear on mucous membranes, in the eyes and in the digestive tract. Certain risk factors for the development of melanoma have been identified: people with blond or red hair, light skin, light eyes, multiple moles, frequent sun exposure, sunburn (especially during childhood), family history of malignant malnoma, immunosuppression, among others. Changes in existing moles, or the appearance of new pigmented lesions (especially from the age of 30) should be evaluated by a dermatologist. The clinical signs that should not "alert" are: changes in the size, shape or color of existing moles, spontaneous bleeding and itching or pain. The best attitude against melanoma is PREVENTION. Once diagnosed, the chances of cure are very high in patients with early melanomas. At the mi amor Dermatological Center, we provide our patients with an excellent assessment and diagnosis of pigmented lesions, by means of visual and dermatoscopic examination. In case of detecting atypical or malignant lesions we offer an adequate and early treatment without a "waiting list".

 

 

13-Contagious molluscs

It is a very common skin infection, caused by a virus (poxvirus), much more frequent in children than in adults. Transmission of contagious molluscs requires direct contact with contaminated hosts or fomites. The incubation period ranges from 2 to 8 weeks. The molluscum contagiosum is usually presented as a "granite" in the form of a dome with a central umbilication, between 1 and 5 mm in diameter. They can be located in any area of the skin surface of our body. Although it is a self-limiting disease, in general it requires treatment for the family preoccupation it entails, to avoid the increase in the number of lesions caused by autoinoculation and the possibility of contagion. There are several treatments available. The choice of the most appropriate treatment depends on the pathological history of the patient, the extent of the lesions and previous treatments.

 

 

 

14-Psoriasis

Psoriasis is a chronic inflammatory disease that affects the skin. The cause of psoriasis is not completely known. It is believed that genetic factors, contagious diseases, infections and / or medications, may be the cause of this disease.

 

 

15-Keloids

Keloids are enlarged scars. It occurs in patients in whom the healing process is exaggerated, resulting in a voluminous scar that, occasionally, can be painful. They can be located anywhere on the body, but there are more prone areas such as the upper thirds of the back and thorax. One of the most used treatments is the injection into the keloid of a medication, with the aim of decreasing its volume. At mi amor Dermatological Center we will explain the most appropriate therapeutic options depending on the size of the keloid, location, time of evolution and previous treatments.

 

 

16-Epidermal cyst (benign tumors)

The epidermal cysts are very common benign tumors originating in the epithelium of the hair follicle. They usually appear in the middle ages of life and affect both sexes equally. They are slow-growing lesions, with variable sizes (usually between 1 and 5 cm) and are usually mobile. Sometimes they have a central comedone through which keratin can come out. Occasionally they become inflamed and infected, requiring antibiotic treatment and drainage. The diagnosis of the epidermal cyst is clinical. The treatment of choice for non-inflamed cysts is surgical removal, which should ensure complete removal of the capsule to prevent recurrence.

 

 

17-Rosacea

Rosacea is a cutaneous inflammatory disease, of unknown cause, which is usually located on the face, eyes, and more rarely trunk and neck. Patients with rosacea have reddening (initially transient) of the skin before certain stimuli. This reddening over time becomes persistent, with the appearance of vascular dilatations in the affected areas (telangiectasias). Sometimes red pimples and pus are associated (papules and pustules). The evolution of rosacea is chronic, so in addition to treating the 'outbreak', a maintenance treatment should be instituted in order to avoid or reduce the progression of the disease. At mi amor Dermatological Center will make a rigorous and personalized study of each patient, informing him/her of the most appropriate therapeutic options.

 

 

18-Hemangiomas

Hemangiomas are most common on the neck, head, or face of infants. They begin as small red scratches or bumps which eventually begin to bulge out and turn into large

 

Although hemangiomas are easily discovered on the skin, they can actually be found on various organs of the body, and are commonly discovered on the liver. They usually disappear on their own by the age of 10, though some may need removal.

 

 

19-Measles

A highly infectious airborne viral illness. Children and pregnant women are most vulnerable to the illness, but it can happen to anyone.

One symptom of measles is a red or brown rash that spreads down the body. Other symptoms include fever, runny eyes and nose, cough, and small reddish spots inside the mouth. Measles tend to go away after 7-10 days, but symptoms may still be treated

 

 

 

 

20-Acne

Acne is a very frequent inflammatory skin disease that can have a significant psychological impact on the patient. Although it typically appears during adolescence, it may appear at other times of life. There are several types of acne: acne vulgaris, acne rosacea, acne induced by drugs, professional acne, neonatal acne , etc. 

 

The appearance of acne vulgaris involves a complex interaction of multiple factors, both internal and external to the pilosebaceous system. The treatment of acne vulgaris should be individualized. The severity and type of acne, the previous treatments performed and the patient's preferences must be taken into account.

 

In mild cases, topical treatments (lotions, gels, creams and soaps) are usually used. Depending on the severity of acne requires it, systemic treatments are used: hormonal treatment, antibiotics and oral isotretinoin. There are other treatments aimed at improving the consequences of acne (scars, post-inflammatory hyperpigmentation) such as chemical peels and microdermabrasion.

 

At mi amor Dermatological Center we have extensive experience in dermatology and, above all, in the treatment of acne and its aesthetic sequelae.

 

 

21-Temporary skin disorders

Many temporary skin conditions exist, including contact dermatitis and keratosis pilaris.

 

 

Contact dermatitis

Contact dermatitis is one of the most common occupational illnesses. The condition is often the result of contact with chemicals or other irritating materials. These substances can trigger a reaction that causes the skin to become itchy, red, and inflamed. Most cases of contact dermatitis aren’t severe, but they can be rather itchy. Topical creams and avoiding the irritant are typical treatments.

 

 

 

Keratosis pilaris

Keratosis pilaris is a minor condition that causes small, rough bumps on the skin. These bumps usually form on the upper arms, thighs, or cheeks. They’re typically red or white and don’t hurt or itch. Treatment isn’t necessary, but medicated creams can improve skin appearance.

23-Blister

* Characterized by watery, clear, fluid-filled area on the skin

* May be smaller than 1 cm (vesicle) or larger than 1 cm (bulla) and occur alone or in groups

* Can be found anywhere on the body

 

 

24-Hives

* Itchy, raised welts that occur after exposure to an allergen

* Red, warm, and mildly painful to the touch

* Can be small, round, and ring-shaped or large and randomly shaped

 

 

25-Carbuncle

* Red, painful, and irritated lump under your skin

* May be accompanied by fever, body aches, and fatigue

* Can cause skin crustiness or oozing

 

 

 

26-Basal cell carcinoma

 

* Raised, firm, and pale areas that may resemble a scar

* Dome-like, pink or red, shiny, and pearly areas that may have a sunk-in center, like a crater

* Visible blood vessels on the growth

* Easy bleeding or oozing wound that doesn't seem to heal, or heals and then reappears

 

 

27-Ringworm

* Circular-shaped scaly rashes with raised border

* Skin in the middle of the ring appears clear and healthy, and the edges of the ring may spread outward

* Itchy

 

 

 

 

Common childhood skin disorders include:

* eczema

* diaper rash

* seborrheic dermatitis

* chickenpox

* measles

* warts

* acne

* fifth disease

* hives

* ringworm

* rashes from bacterial or fungal infections

* rashes from allergic reactions

 

28-Hyperplasia of the sebaceous glands : it is secondary to the androgenic stimulation  from the mother or the child, in utero, of the sebaceous glands. It is manifested  by the presence of tiny, smooth, yellowish white papules. L ocalized mostly on the  nose and upper lip .

 

 

29-Milia : These are intraepidermal inclusion cysts that contain keratinized material. It presents as white papules with smooth surface, tiny, variable number,  more prominent in cheeks, nose and  forehead.

 

 

30-Miliaria crystallina : They are small blisters,  transparent liquid content (sweat), very fragile, that break with the cleanliness of the skin. It is due to obstruction of the duct of the eccrine sweat glands. In the neonatal period the most common form  is the most superficial form, the miliaria crystallina ( sudamina ). 

Toxic erythema of the newborn : asymptomatic, benign, self-limiting rash of unknown etiology. Possibly it is a reaction of the neonatal skin to mechanical or thermal stimuli. They are  lesions of varied number, located anywhere in the body including, sometimes, the palms and plants. 

 

 

31-Spot in salmon : spotted lesion, flat, pink or pale red, located mainly on the upper eyelid (angel's kiss), nape, (sting of a stork) and forehead. It is the most frequent vascular injury in childhood, present in 30-40% of newborns. It is due to the presence of distended dermal capillaries, witnesses of the persistence of the fetal circulation.

 

 

41-Mongolian spot: is a macula present at birth from dark brown to gray or blue black, can be  simple or multiple, ranging from a few mm to 10 cm or more in diameter, usually located on the lumbosacral area, buttocks and , occasionally, in lower limbs, back and shoulders, present in 10% of the white race. 

 

 

42-Harlequin sign : although it can be seen in the term newborn, usually occurs in the premature. It consists of a reddening of half a body in contrast to the simultaneous whitish color of the other medium. It is attributed to the immaturity of the hypothalamic centers that control the tone of the peripheral vessels. 

 

 

43-Cutis marmorata : the skin has a mottled, reticulated, veined or network-like appearance reminiscent of marble, with a bluish color that can be seen especially on the trunk and extremities. It is a physiological response to crying or at low temperature

and is due to dilatation of capillaries and small venules; it usually disappears when the child is reheated.

 

 

44-Congenital telangiectatic cutis marmorata : it is a cutaneous vascular malformation, present at birth. They distinguish localized forms and generalized forms. The skin presents macules with a reticulate, marbled, serpiginous, erythematous or purplish-blue color, reminiscent of an exaggerated form of cutis marmorata. 

Neonatal acne : rash with inflammatory papules, erythematous and pustules, without comedones, located on the cheeks and, occasionally, chin and forehead. It is due to the hormonal stimulation of the sebaceous glands that have not yet involuted towards the child's own immaturity. 

 

 

45-Subcutaneous adiponecrosis of the newborn : it is characterized by the appearance during the first days or weeks of life, of nodules or raised plaque, located on the cheeks, arms and back. The lesions can be single or multiple, varying in size from small nodules to plaques several cm in diameter, covered by a skin of a red-violaceous hue. Often, at the beginning of the picture, these affected areas are painful and the child is uncomfortable and cries vigorously when being handled. It is a benign, self-limiting disease of unknown etiology. It is assumed that they intervene in their production, the trauma of birth, suffocation, prolonged exposure to cold and hypothermia.

 

 

46-Aplasia cutis congenita : it is a congenital defect, present at birth characterized by the localized absence of the epidermis and dermis and sometimes of the subcutaneous cellular tissue. It usually presents as a solitary defect but it can also be multiple, of variable size and diverse shape (circular, oval, rhomboidal, stellate) located, in most cases in the midline of the scalp.

 

 

47-Baby collodion : At birth it presents an erythematous skin covered with a thick membrane, tense and shiny, like wrapped in cellophane. The neonates have ectropion, flat ear and nose pavilions and fixed lips in an annular form. In some cases the thickening of the skin can restrict their movements or make it difficult to suction or close the eyes. The membrane cracks with the first movements and shortly after birth begins to detach in large sheets.

 

 

48-Harlequin fetus : term to designate a severe, dramatic form of congenital ichthyosis.

 

 

49-Oral candidiasis (thrush) : is a superficial infection of the oral mucosa by candida albicans, affects approximately 2-5% of healthy newborns, children of carrier mothers who are infected when passing through the birth canal. When

acquired at birth, the lesion becomes apparent, clinically, by 8-9 days of life. The thrush can be asymptomatic or cause discomfort, irritability and decreased intake.

 

 

50-Neonatal cutaneous candidiasis : In the neonatal form the infection is acquired at birth or postnatally. The lesions are seen from the first week of life and often extend from the perianal area and may even limit the process to the diaper area. 

 

 

51-Impetigo neonatorum : lesions may appear as early as the 2nd or 3rd day of life. Normally, they present as superficial blisters. The lesions tend to be located in the humid or opposing areas of two skin surfaces, groin, armpit, neck folds.

 

 

52-Staphylococcal scalded skin syndrome : affects, mainly, the newborn, infant and young child, for not having anti-staphylococcal antibodies and for their poorer capacity to purify renal exfoliatin.

 

 

53-Neonatal chickenpox: the risk of congenital varicella is 0.4% if the mother suffers from varicella between 0-14 weeks of gestation and 2% if she suffers between 13-20 weeks of gestation. Children exposed to varicella-zoster virus in utero during the second 20 weeks of pregnancy, can pass chickenpox inapparently and then suffer a herpes zoster at an early age. The newborn can get chickenpox, which is known as neonatal varicella, if the mother suffers during the final 2-3 weeks of pregnancy and early postpartum days or, less frequently, if the mother suffers an outbreak of 

herpes zoster during the same period of time. The picture of neonatal varicella is usually mild. Some children develop few skin lesions and otherwise are well. It is considered a period of risk, during which the neonatal varicella can be even deadly, when the mother suffers from the disease between 5 days before and two days after delivery.