Tag Archive for: dermatology

Helpful Hints to Prevent Itchy Skin for Kids

Categories: BLOG, Dermatological Conditions, Health, Tips and Tricks - Tags: , , , , , , , , , , , , , ,

As we head into winter, many of us in Minnesota suffer from itchy, dry skin and eczema. A few tips to help prevent our kids from developing similar conditions:

1. Barrier therapy: Using moisturizer on our children may be key to preventing eczema. A recent study showed that infants that were treated with daily moisturizer prior to 6 months of age had lower rates of eczema and food allergy development. Moisturizer maintains the barrier function of the skin and prevents allergens from penetrating into the skin.

 

2. Probiotics: The studies on probiotics have shown that they create a modest benefit for eczema reduction. Probiotics may also help prevent food allergy development. For my own children, I try to give them a greek yogurt daily- this helps with calcium as well!
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3. Vitamin D supplementation:  Low levels of vitamin D may promote skin inflammation. Particularly in the Minnesota winter, where it is difficult to obtain enough vitamin D from the sun, it may be beneficial to supplement vitamin D. Please discuss how much to supplement with your pediatrician.

Vitamin D bottle with spilled contents isolated on white background

4. Humidifier in the bedroom: Maintaining ambient humidity has been shown to hydrate the skin and prevent itching. Our skin rejuvenates while we sleep, thus the ideal place for a humidifier is in the bedroom (and this tip is great for parents too!).

Humidifier spreading steam in a dark room

As itching and eczema are very common in the Minnesota winter, these tips may help prevent bad flares in our children. If your child is itchy or suffering from an eczema flare, Tareen Dermatology can always help.

Can I Prevent Skin Cancer?

Categories: BLOG, Skin Cancer, Tips and Tricks - Tags: , , , , , , , , , , ,

An epidemic is sweeping our nation – skin cancer is on the rise with over 4 million new cases diagnosed every year in the United States.  The vast majority of these skin cancers are of the basal and squamous cell carcinoma type. These types of skin cancer have an indisputable link with sun exposure. Melanoma type skin cancer is also increasing- this more deadly subtype has both a sun induced and genetic component. As a society, we are now quite conscious about sunscreen. Are there other things we can do to help prevent this epidemic of skin cancer?

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  1. Nicotinamide: Also known as vitamin B3 – nicotinamide has been shown in several trials to reduce the incidence of non-melanoma skin cancer. A trial of 386 Australian patients who had more than 8 skin cancers over the past 5 years showed that those who took nicotinamide had a 23% reduction in skin cancers compared to those who took placebo.  Furthermore, those in the nicotinamide group had a 13% reduction in precancerous lesions known as actinic keratoses.  Not only is nicotinamide effective, but it is quite affordable (typically about 6 cents per day) and well tolerated, with no major adverse effects.  Here is a link to a previous Tareen Dermatology blog post on nicotinamide: http://www.tareendermatology.com/cms/2015/06/29/a-pill-today-to-keep-cancer-away/

Photo credit: biophix.com

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  1. Polypodium leucotomos: Also known as the calaguala plant, this product is commercially available in a standardized product called Heliocare. The evidence for this plant extract is that it acts as an antioxidant- protecting the skin against free radical damage that stimulates mutations and skin cancers. Since free radicals also contribute to skin aging, Heliocare is also thought to have a cosmetic benefit!

Photo credit: heliocare.com

 

  1. Milk thistle: Also known as Silybum marianum, this plant is still being studied to reduce skin cancer. In animal studies it does have a protective benefit.  Furthermore, it is safe and inexpensive.

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Photo credit: naturemade.com

At Tareen Dermatology in Roseville, Minnesota we hope that all of our patients both protect their skin with sun protective clothing and sunscreen as well as prevent skin cancer with these great natural strategies!

Excessive sweating- a stressful issue in teens and young adults

Categories: BLOG, Dermatological Conditions, Health, Tips and Tricks - Tags: , , , , , ,

According to a recent survey by the American Academy of Dermatology, approximately 20% of teens and young adults suffer from excessive, uncontrollable sweating. This condition, known as hyperhidrosis, can interfere with daily life and cause anxiety.

According to the study, the average onset of hyperhidrosis was 11 years of age, although younger children can also be affected. Many different areas can be affected- although axillary areas and palms and soles are most common.

excessive-sweating-treatment-minneapolis-dermatologist

The good news is that there are effective treatment options for hyperhidrosis:
1- First line therapy can range from topical over the counter “clinical strength” antiperspirants to prescription strength topicals such as Drysol. A great tip is to apply these topicals at night, in order to form a plug over the sweat glands while one sleeps. In addition, if the palms or soles are involved, one may soak the areas with the antiperspirant for 5-20 minutes.
Photo credit: secret.com

Photo credit: secret.com

2- Second line therapy includes oral anticholinergic medications. Because side effects may occur, these agents must be prescribed and monitored by your doctor. The good news is that numerous studies conducted in children as young as 7 years old have shown these medications to be safe with no long lasting adverse effects.
3- Other therapies include Botulinum toxin, microwave therapy of affected areas and even neurosurgery to block nerve stimuli. Luckily, most kids are controlled with safer options.
At Tareen Dermatology, we are alert to the needs of our patients- from kids to adults- suffering from hyperhidrosis. If this debilitating condition affects you, Board certified Minnesota dermatologist Dr. Mohiba Tareen and her colleagues are able to help!

Creams for Wrinkles

Categories: Acne, BLOG, Cosmetic, Dermatological Conditions, Tips and Tricks - Tags: , , , , , , , ,

how-to-use-retinoidsAs a certified dermatologist, I am often asked by patients if there are any creams to prevent and treat wrinkles. Luckily, there is! Retinols are vitamin A based derivative that increase cell turnover and help build collagen. Retinols are also great for treating blackheads/whiteheads and help reduce the appearance of some sun spots by exfoliating them away. Until three months ago, prescription strength retinols could only be prescribed by an MD, however Differin recently became a great OTC alternative. Differin, also known as Adaplene .1% gel, is available over the counter at retailers like Target, Walmart, Walgreens, etc and costs approximately $15 for a 15 gram tube.

Retinols are available in varying strength from low to strong potency. Adaplene is considered a low potency option and is great for people with sensitive skin. However, some individuals may need a stronger retinol such as Retin-A (also known as Tretinoin which is a mid potency medication) or Tazorac (the strongest available retinol). It is best to consult your dermatologist before using any of these medications to determine they are safe for you to use.

 

Even though adaplene is considered a low potency retinol, it is important to be educated before using it.

 

All topical medications should first be patch tested on a small area of skin to see how you react to them. For many people, adaplene is a strong retinol and they experience peeling, redness and irritation with overuse. It is best to start using a retinol only a few times a week. When applying a retinol, you should always follow it with a moisturizer to prevent excessive peeling or irritation or even apply moisturizer before and after the retinol, sandwiching it in between to layers of moisturizer. It is best to use a moisturizer that is noncomedogonic product, like Cetaphil or CeraVe, that won’t clog your pores. For people who don’t want the added step of applying moisturizer, the  Tareen Dermatology Retinol Repair 50 is a great option which has moisturizer added to its formulation.

Retinol-Repair-50

It usually takes two weeks for your skin to get used to a retinol and over several weeks you may be able to increase your usage to every other night or nightly. Retinols are safe to apply long term by all ages but should be discontinued when planning pregnancy.
For other information or to discuss further treatment options, call Tareen Dermatology at 651-633-6883  to schedule your appointment today.

Summer Sun Protection

Categories: BLOG, Dermatological Conditions, Health, Skin Cancer, Tips and Tricks - Tags: , , , , , , , ,

fox9-new-melanoma-increase-dr-tareen-skin-cancerMemorial Day is right around the corner – that means BBQs, swimming and days on the lake will be here before we know it!  There’s no need to compromise your fun or limit outdoor activities, as long as you know how to safely protect your skin while enjoying the Minnesota summer!

The way we look at it, there are two strategies for sun protection (we recommend combining both!)  The first is true sun avoidance; this is wearing a wide-brimmed hat to shade your face and neck, wearing sun protective clothing (more on this below!) and pulling the big umbrella over to cover your picnic table. The second strategy for sun protection is sunscreen.  There are endless options available, so it’s important to know what you should be looking for when buying a sunscreen!

The American Academy of Dermatology recommends using a sunscreen that is labeled ‘Broad-spectrum’

Tareen Dermatology SilkShade Tinted Sunscreen Dermatology Roseville Twin Cities Minnesota Zinc

SilkShade Broad Spectrum Tinted Sunscreen with SPF 30 is a great natural source of topical Zinc.

(meaning that it protects against both UVA and UVB rays – both of which can lead to skin cancer AND the features of aging skin.)  You should choose a broad-spectrum sunscreen that is SPF 30 or higher and labeled as ‘Water Resistant.’  One interesting sunscreen tidbit is that you’ll no longer see ‘waterproof’ on sunscreens – no sunscreen is 100% waterproof and finally the labeling has caught up with this fact!  We recommend applying sunscreen 15 minutes before heading outside and reapplying every 2 hours (more frequently if swimming or sweating!)  

How much sunscreen do you need?  The truth is that less than 50% of people apply enough sunscreen to get the advertised SPF benefit.  For most people, 1 ounce (enough to fill a shot glass) is the amount of sunscreen needed to cover the sun-exposed areas of the body.  Don’t forget – you even need sunscreen when it’s cloudy (the UV rays still can get to your skin!)

Baby Kamran is wearing his hat to protect him from the sun

Kamran sporting his new hat and ready for the summer sun!

What about the kids?  It is imperative that children use sunscreen regularly.  Children over 6 months of age should have a physical sunscreen of SPF 30 or higher applied every 2 hours.  Physical sunscreens use zinc oxide or titanium dioxide to actually physically block the UV rays.  These can be purchased in creams, sprays, sticks, even brightly colored formulations that your kids will love.

The sun protective clothing mentioned above is PERFECT for the little kiddos.  Instead of fighting to reapply sunscreen every 2 hours, throw on a sun protective rash guard while swimming and they won’t have to worry about creams or sprays to that area while they’re having fun.  Previously difficult to find, these sun protective clothing items can easily be found in most children’s stores – adults can find fashionable sun protective clothing for themselves at many clothing stores, as well as outdoor and sporting stores.  

Tareen Dermatology wishes you a safe, fun, and sun-protected start to your summer!  Happy Memorial Day!

All About Sunscreen

Categories: BLOG, Dermatological Conditions, Health, Skin Cancer, Tips and Tricks - Tags: , , , , , , , ,
There are so many options when it comes to picking a sunscreen. You should always be looking for a broad spectrum 30+ SPF.

There are so many options when it comes to picking a sunscreen. You should always be looking for a broad spectrum 30+ SPF.

With our recent beautiful Minnesota weather and summer quickly approaching, we would like to take time to review with our patients the benefits of regular sunscreen use. It is important for everyone to use a daily sunscreen, regardless of your skin color or race. Regular sunscreen use can help prevent skin cancer by protecting you from the sun’s harmful ultraviolet rays. According to the American Academy of Dermatology, it is estimated that one in five Americans will develop skin cancer in their lifetime

So what type of sunscreen should I use?

Tareen Dermatology SilkShade Tinted Sunscreen Dermatology Roseville Twin Cities Minnesota Zinc

SilkShade Broad Spectrum Tinted Sunscreen with SPF 30 is a great natural source of topical Zinc.

  • We recommend a “broad spectrum” sunscreen, which means that it will protect your skin from both UVA and UVB rays. UVA rays penetrate deep into the skin’s thickest layer, and unprotected exposure can lead to premature skin aging, wrinkling, and suppression of the immune system. UVB rays burn the superficial layers of your skin and it plays a key role in the development of skin cancer.
  • Choose a Sun Protective Factor (SPF) of 30 or higher. While no sunscreen blocks 100 percent of the harmful UV rays, SPF 30 blocks 97%, SPF 50 blocks 98%, and SPF 100 blocks 99%. It is also important to remember that high-number SPFs last the same amount of time as low-number SPFs.
  • Look for water resistant products. There is no sunscreen that is completely water proof. Sunscreen manufacturers can use the term “water resistant” if the sunscreen has been proven to remain effective in water for a period of time, usually 40 or 80 minutes. It is important to reapply sunscreen after swimming.
  • We recommend mineral based products that create a physical barrier on the skin. Look for sunscreens containing the ingredients zinc oxide or titanium dioxide. The physical blocking sunscreen offers immediate protection from the sun, as opposed to the chemical based sunscreens that must be absorbed into the skin for 30 minutes prior to going outdoors.
  • A few brands that we like include Elta MD, Tareen Dermatology SilkShade, Vanicream, CeraVe, and Blue Lizard.

When does my sunscreen expire?

We recommend using sunscreen every day when you are outside, even during the winter and on cloudy days, as the sun emits harmful UV rays year-round. If you are using the correct amount of sunscreen every day, a bottle should not last long. That being said, the FDA requires that all sunscreens retain their original strength for at least 3 years. Some sunscreens will have an expiration date, throw it out once the date has passed. Look for visible signs that the sunscreen is no longer good, including obvious changes to color or consistency.

How much do I need to use?

Most adults need one ounce of sunscreen to fully cover the sun exposed skin. This equates to the amount you could hold in the palm of your hand. Most sunscreen bottles are 3 oz in size, so if using the correct amount, a bottle should only last for about 3 applications. Remember your neck, face, ears, tops of feet, and scalp if you have thinning hair. Don’t forget about your lips- apply a lip balm with SPF at least 15. Left sided skin cancer is more prevalent due to the sun exposure related to driving. Be sure to take extra precautions to protect your skin while driving.

What should I do if I get a sunburn?

photo courtesy on skinenergizer.com

Photo courtesy skinenergizer.com

We hope that you can avoid getting a sunburn in the first place by wearing proper protection, but in the event of a sunburn, the first thing you should do is get out of the sun and get indoors. Treating the sunburn as soon as you notice it will help to heal damaged skin more quickly. Here are some tips and tricks to soothe and heal the irritated skin:

  • Take frequent cool baths or showers to help relieve the pain. Apply a thick moisturizer to damp skin after showering to seal water into your skin. Using a moisturizer containing aloe vera or soy can help soothe inflamed skin.
  • You can apply a small amount of over-the-counter 1% hydrocortisone cream to areas that are particularly uncomfortable. Avoid applying “caine” products (like benzocaine), as these can further irritate the skin and cause an allergic reaction
  • Nonsteroidal anti-inflammatories (NSAIDs) like ibuprofen can help reducing swelling and discomfort associated with the burn.
  • Drinking extra water when you are sunburned helps prevent dehydration.
  • If your skin blisters, allow the blisters to heal while taking extra care to protect the sun burned skin. Avoid popping the blister, because the reason it forms is to help heal your skin and protect you from infection. If you develop blistering of the skin, it means that you have a second-degree sunburn.

The Redness Bias: Does facial redness influence perceptions of people?  

Categories: BLOG, Cosmetic, Dermatological Conditions, Health, Tips and Tricks - Tags: , , , , , , ,
Facial redness, flushing, and bumps — also known as rosacea — is a very common problem.  It occurs in up to 10% of Caucasian individuals.  For those who experience redness it can not only impact them socially and emotionally but will often affect other people’s perceptions of them.

 

A recent study conducted by Dr Linda Papadopoulos in London demonstrated that among 6,831 individuals, photos of people who suffered from facial redness were rated to have poorer health and negative personality traits. Those same individuals, when shown with clear faces, were perceived as “well” and “healthy.”  Furthermore, participants were more likely to be friends with or hire the person shown in the image WITHOUT facial redness.

 

KTP1

 

For the individuals who suffered from redness, 77% reported an emotional impact. They reported that other individuals have told them they drink too much or to recommend skin care interventions. However, these individuals reported much more control over their redness and symptoms once they were diagnosed. Once diagnosed with rosacea, 90% felt motivated to deal with their redness.

 

Dermatologists have a responsibility to help our patients deal with both the medical and psychologic impact of rosacea. At Tareen Dermatology in Roseville, Minnesota we specialize in medical, laser, and lifestyle interventions for rosacea and facial redness.

 

Winter Skin Care Tips

Categories: BLOG, Cosmetic, Dermatological Conditions, Tips and Tricks - Tags: , , , , , , , , , , , ,

winter-skin-care-tips-minnesota-dermatologyWinter in Minnesota means lots of cold, dry air which reeks havoc on your skin. Dry skin can itch, flake, crack, and even bleed and without a change in your skin care, dry air can even make fine lines and wrinkles more noticeable.To help heal and prevent dry skin follow these few simple steps as provided by the American Academy of Dermatology.

1. Prevent baths and showers from making dry skin worse.

  • Close the bathroom door
  • Limit your time in the shower or bath to 5 or 10 minutes
  • Use warm rather than hot water
  • Wash with a gentle, fragrance-free cleanser
  • Apply enough cleanser to remove dirt and oil, but avoid using so much that you see a thick lather
  • Blot your skin gently dry with a towel
  • Slather on the moisturizer immediately after drying your skin

2. Apply moisturizer immediately after washing. Ointments, creams, and lotions (moisturizers) work by best-moisturizer-winter-skin-dermatology-mntrapping existing moisture in your skin. To trap this much-needed moisture, you need to apply a moisturizer within few minutes of drying your hands or body. We like to recommend Cetaphil and CeraVe as good everyday moisturizers for all of our patients.

3. Use an ointment or cream rather than a lotion. Ointments and creams are more effective and less irritating than lotions. Avoid scented products that can increase skin irritation. Shea butter and coconut oil also work well.

4. Wear lip balm. Choose a lip balm that feels good on your lips. Some healing lip balms can irritate your lips if they are scented. If you experience any tingling sensation, do not use the lip balm. We like to recommend Aquaphor to all of our patients.

5. Use only gentle, unscented skin care products. Some skin care products are too harsh for dry, sensitive skin. When your skin is dry, stop using:

  • Deodorant soaps
  • Skin care products that contain alcohol, fragrance, or alpha-hydroxy acid (AHA)

6. Wear gloves. Our hands are often the first place we notice dry skin. You can reduce dry, raw skin by wearing gloves. Be sure to put gloves on before you:

  • Go outdoors in winter
  • Perform tasks that require you to get your hands wet
  • Get chemicals, greases, and other substances on your hands
Wear cotton gloves under wool to avoid skin irritation and be sure to avoid wet gloves or cloths which can exacerbate eczema, cracking,  or cause sores.

7. Choose non-irritating clothes and laundry detergent. When our skin is dry even clothes and laundry detergent can be irritating. To avoid this:

  • Wear cotton or silk under your clothing made of wool or another material that feels rough
  • Use laundry detergent labeled “hypoallergenic”

8. Stay warm without cozying up to a fireplace or other heat source. Sitting in front of an open flame or other heat source can dry your skin. 

9. Add moisture to the air. Plug in a humidifier. If you can check your home heating system, find out if you have a humidifier on the system — and whether it’s working. Central heating actually blasts hot dry air throughout your home.

10. As always, continue to wear sunscreen on exposed areas of skin. Light actually reflects off the snow and can cause a severe sunburn. It is especially important to reapply sunscreen if you are performing physically extensive activities such as snowboarding or skiing when you can sweat off your SPF.
When to see a dermatologist
Your skin should start to feel better quickly. If these changes do not bring relief, you may want to contact the clinic. Very dry skin can require a prescription ointment or cream. Dry skin also can be a sign of a skin condition that needs treatment. A dermatologist can examine your skin and explain what can help reduce your discomfort.

 

Bed bugs at your hotel? A guide to prevention.

Categories: BLOG, Dermatological Conditions, Health, Tips and Tricks - Tags: , , , , , , ,

As we enter the holiday travel season, I would like to educate my Tareen Dermatology patients about bed bugs, and more importantly, how to avoid picking them up at hotels.

Bed Bug bites often occur in a line or pattern.

Bed Bug bites often occur in a line or pattern.

Bed bugs are parasitic insects of the cimicid family that feed exclusively on blood. Cimex lectularius is the most common type of bed bug and the type that causes most human infestations.

Unfortunately, bed bugs can live months (and even YEARS) between blood meals. Bed bugs also lay a great deal of eggs and have many offspring. In addition, bed bugs have evolved to become resistant to many insecticides and can survive weeks at extreme temperatures. Thus, PREVENTING bed bugs infestation is the best strategy.

At hotels:

  1. Look around: Bed bugs like right angles, so they can be found on headboards, bed frames, mattress piping, drawers, and windows. They can also be present on the under surfaces of furniture or in peeling paint.
  2. Check for droppings: Bed bug droppings typically are round brown splotches. Check mattresses and sheets as well as other furniture. If droppings are seen, bed bugs have been there and are probably still there.
  3. Follow the 3 foot rule: Check areas within 3 feet or so of hotel beds for evidence of bed bugs as this is the typical distance that they travel.

If you picked them up at your hotel and are now home:

  1. Utilize high heat: Heavy vacuuming and steaming may kill bed bugs if the temperatures are high enough.
  2. Lose the insecticide and forget cold: Insecticides are rarely effective. Bed bugs can also withstand freezing temperatures. Heat and mattress encasements tend to be most effective.
  3. Call Dr. Tareen: For resistant infestations, there are pills and topicals that can be prescribed.

If infestation with bed bugs does occur, do not worry. Bed bug bites are not dangerous. They are however very itchy and do look bad. So, follow the above tips to prevent these little nuisances from ruining your winter vacation.

 

 

TCL Feature 10/18 at 3pm-Psoriasis: Causes and Treatment

Categories: BLOG, Dermatological Conditions - Tags: , , , , , , , ,
A real Tareen Dermatology patient before and after 3 months of phototherapy treatment.

A real Tareen Dermatology patient before and after 3 months of phototherapy treatment.

Psoriasis is a chronic (persistent), auto-immune skin disease. It presents as thick patches of skin that can appear anywhere on the body and look red and scaly. Psoriasis occurs when a person’s immune system sends signals to the skin cells, which cause them to grow more quickly than usual. This results in many skin cells piling up on the surface of the skin, which appear as thickened plaques.

There are other conditions associated with psoriasis, including psoriatic arthritis, heart conditions, depression and obesity. Psoriasis most commonly appears on the scalp, knees, elbows and torso but it can appear anywhere on the body. New research shows that almost 5% of the population may be affected by psoriasis.

Unfortunately, there is no cure for psoriasis. However, there a several methods for controlling and managing the symptoms.

-Topical Medications: Help reduce the inflammation and thickened plaques that result from psoriasis.

-Laser/Phototherapy: Use safe wavelengths of UV light to target specific lesions or to treat the entire body.

-Injectable/Oral Medications: Such medications include Humira ®, Stellara ®, Cosentyx and Otezla. These medications can have serious side effects and should be used under the supervision of a physician.

Tareen Dermatology in Roseville, Minnesota is proud to offer these safe and effective treatments for psoriasis. Contact our office for more information or to schedule an appointment. Dr. Mohiba Tareen was featured on ABC’s Twin Cities Live, channel 5, discussing psoriasis treatments on Tuesday, October 18th at 3 pm. Check out the video here.

 

 

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