Warts treatment | simple & easy

 Warts on the big toe

Warts are caused by a virus -human papilloma virus-, they are elevations on the skin or mucous membrane, usually it looks like a small cauliflower blisters, it mostly cure spontaneously in a few months but some times it takes years to disappear.

Warts treatment: 

• it should be removed by a keratolytic agent such as 40% salicylic acid plaster which is left for days then replaced by a new one until the wart is removed ( may takes months ! )
• to be cured rapidly: the electric cautary or liquid nitrogen spray are used.

Warts are varied in site,size and shape, it could affect any part of the body, avoid touching infected people to prevent infection from reaching your body and don't avoid touching toads as it doesn't cause warts!

always seek a dermatologist to get the best advice for treatment of warts or other diseases. 

Rheumatic Fever - Causes and Treatment

Rheumatic Fever is an inflammatory disease that affect central nervous system, cardiovascular system, joints and skin.

It includes major and minor symptoms such as joints pain and inflammation and Carditis and others.

Cause :
it is a result of the immune system reaction against untreated bacterial infection caused by certain strept. bacteria in the form of pharyngitis or other strept. infections.

Prevention :

 -Prevention of  The1st attack of Rheumatic fever is easy, by treating the causing infection with full doses of antibiotics.

-prevention of recurrence by using long acting penicillin ( 1.2 million units by intramuscular injection every month till reaching 25 years or for 5 years after attack  ) or Erythromycin for allergic patients to penicillin ( 250 mg oral tablets every 12 hours daily ).

Treatment of Rheumatic fever :

Mainly supportive treatment by Rest, low salt diet and using drugs as antibiotics and anti-inflammatory agents as Aspirin for arthritis ( 100 mg per Kg per day in 6 divided doses for 6 weeks ) and corticosteroids as Prednisone ( 1 mg per Kg per day in 4 divided doses for 4 weeks then gradual withdrawal ).

Infected acne treatment

English: Acne Vulgaris: A: Cystic acne on the face, B: Subsiding tropical acne of trunc, C: Extensive acne on chest and shoulders. (Photo credit: Wikipedia)

Infected acne treatment

we talked before about the blackheads treatment which is milder than our case today, we will talk about infected acne (propiobacterium acne), in this case papules,  pustules and even cysts could be formed.

we will add more drugs to eliminate the bacteria in addition to our previous retinoic acid treatment.  See Acne treatment

Antibacterial drugs: 

by topical (cream) & systemic antibiotics:

• Topical:
  Erythromycin + Zinc or Erythromycin + Benzyl peroxide (used as retinoic acid method).
  
• Systemic:
  
  1. Doxycycline as Doxy-R 100 mg cap, 2 caps in the 1st day of treatment then one daily for :
     
     • 3 weeks if mild acne.
     • month if moderate.
     • month and half if severe as in cystic acne treatment case.
      
  2. Clindamycin, which is safe during pregnancy but could cause stomach irritation.
  3. Azithromycin 500 mg, used as one tablet every 3 days a week for 2-3 weeks.

Response to antibacterial drugs:

• if good response : gradually stop the treatment as example take one cap. every other day then stop.
• if no response stop for 2 weeks or change the type of antibiotic.
  

General advices :

1. use specific soap for acne.
2. Avoid :

• squeezing or scratching your acne.
• removal of hair i.e. shaving.
• adding oils or make up on infected area of skin.
• exposure to the sun.

Acne treatment - simple and easy

English: A picture of blackheads from a 14 year old male. (Photo credit: Wikipedia)

Acne treatment

At first, Acne is a common problem that faces mainly teenagers due to puberty hormonal changes. It could vary from mild comedons (white head, black head) to severe forms like cystic acne.

So what is the treatment of acne ?

• Comedons (heads) treatment :
  
  Topical retinoic acid ( Vit. A) cream or ointment, it's good but it causes irritation so take care and read carefully.
  
  * How to use (important) :
  
  - put a little amount (as pea seed) on both sides of your face -or where ever the acne-  on active lesions not scars, avoid touching your lips or eye lids, rub it gently.
  
  - put it at night and don't wash your face before it within 1 hour, then wash your face at morning.
  
  - the course should be gradual and divided into 3 parts, every part is 2 weeks in duration :
     1- apply the ointment at night then stop for 2 nights i.e every 3 nights put it once.
     2- every 2 nights put it once.
     3- every night.
  
  - The duration of the full course of acne treatment is 3 months, but during it you'll have to pause it and use an emollient to avoid side effects of the irritating retinoic acid (redness as example).
  
  - DON'T : sit in the bright light while the drug is on your skin, or TV or computer but may be faint light and avoid putting it during morning.

N.B if there is hyper pigmentation use Azaderm or Ezalic cream (safe in pregnancy).

We will talk later about the infected acne treatment so follow  "treatment of " blog :), Thanks