Tryon Medical’s Dr. Ryan Shelton – Why we get rashes

Tryon Medical’s Dr. Ryan Shelton – Why we get rashes


>>>IT IS THE MOST POPULAR QUESTION ON THE LOCAL MOM BLOG AND FACEBOOK SITES. WHAT IS THIS RASH? HOW DO I TREAT IT? MOM’S ALL OVER THE CITY HAVE ASKED THIS QUESTION AT SOME POINT. AND IT’S NOT JUST KIDS WHO GET ITCHY, IRRITATED SKIN. ADULT SUPPER ALSO. THE NEXT SO WE ASKED DR. SHELTON TO HELP US OUT AND GIVE US THE LOWDOWN. HOW ARE YOU DOING AND WELCOME TO THE SHOW. >>LET’S TALK ABOUT SOME OF THE MOST COMMON CAUSES OF RASHES. THE FIRST ONE CONTACT DERMATITIS. WHAT IS THAT? THERE ARE A ZILLION TYPES OF DERMATITIS OR ECZEMA YOU MAY HAVE HEARD IT CALLED. THIS IS ONE TYPE. THIS IS WHERE WE COME INTO CONTACT WITH SOMETHING OUR SKIN DOES NOT LIKE. SO YOU COULD BE ALLERGIC TO IT, SOME EXAMPLES ARE LIKE NICKEL ON A BELT BUCKLE OR JEWELRY. YOU COULD HAVE WORN THE SAME JEWELRY OR BELT FOR A LONG TIME BUT DEVELOPED AN ALLERGY TO IT. POISON IVY IS ANOTHER GREAT EXAMPLE. DOING GARDENING AND YOU GET A BLISTERING RASH. THIS ONE IS A LATEX ALLERGY. THIS WAS A NURSE WHO WORE LATEX GLOVES FOR WORK AND THEN WOULD TOUCH HER FACE. SHE WOULD DEVELOP THIS CONTACT RASH OR CONTACT DERMATITIS. >>AND YOU THINK YOU’RE FINE BUT IT CAN DEVELOP. >>YOU COULD’VE BEEN FINE FOR A LONG TIME AND THAT IT DEVELOPS LATER. >>HOW DO YOU TREAT DERMATITIS? >>FIRST WE WANT TO DETERMINE WHAT CAUSED IT. DID YOU HAVE A NEW SOAP OR DETERGENT? DID YOU SLEEP SOMEWHERE DIFFERENT WHERE YOU WERE EXPOSED TO SOMETHING DIFFERENT? LIKE DETERGENT. GARDENING, REPETITIVE WATER, HANDWASHING, DIFFERENT THINGS. IT DEPENDS ON WHERE IT IS ON THE BODY. THE FIRST THING WE WANT TO DO IS AVOID THE TRIGGER PICK A WINNER WHAT’S CAUSING IT AND TO TONE IT DOWN WE CAN USE ANTI- ITCH AND PILLOW LIKE ANTIHISTAMINES AND A TOPICAL HYDROCORTISONE. THIS IS SOMETHING WE SHOULD KEEP IN OUR CABINET. OVER THE CABINET, IT’S A STEROID AND HE CAN BE PUT ON THE WORST SPOTS TO, DOWN A LITTLE BIT. >>IS THIS SOMETHING THAT IS COMMON IN CHILDREN? >>AS IS COMMON ALL THE WAY UP. DEFINITELY. >>HERE IS ANOTHER THING THAT WE WERE KIDS, RINGWORM. WHAT IS THAT? >>IT LOOKS LIKE IT CAN, IT CAN LOOK LIKE A RING BUT NOT ALWAYS. IT IS NOT FROM A WORM. I DON’T KNOW WHERE THAT CAME FROM. IT IS A FUNGAL INFECTION AND THIS ONE IS ON THE BACK, THE BASE OF THE SCALP, AND YOU CAN SEE HOW IT HAS A RAISE, READ SNAKELIKE KIRBY BORDER? THAT IS WHERE THE RING COMES FROM. SO, IF WE HAVE IT ON OUR ARMS, LEGS, IT WILL TYPICALLY BE MORE ROUND AND HAVE THE RAISED RED BORDER WITH SCALE IN THE CENTER. BUT WHEN IT IS ON THE SCALP OR WHEN IT IS JOCK ITCH, ATHLETES FOOT, IT’S THE SAME FUNGAL INFECTION WE JUST CALL IT DIFFERENT THINGS WHEN IT’S IN DIFFERENT LOCATIONS. LUCKILY THE TREATMENT IS PRETTY MUCH THE SAME. >>WHAT IS THE TREATMENT? >>IT IS OVER THE COUNTER AS [email protected] WELL. IT IS IN THE ATHLETES FOOT SECTION OF THE PHARMACY. YOU CAN USE A SPRAY FOR THE FEE, IT COMES IN POWDER FORM. WE ALSO USE A TOPIC OVER A CREAM. YOU HAVE TO APPLY FOR A WEEK OR TWO FOR IT TO GO DOWN. THIS IS ONE THAT IS CONTAGIOUS BUT NOT DANGEROUS. PEOPLE FREAK OUT ABOUT THIS ONE BUT IT IS VERY TREATABLE. >>THAT’S GOOD TO KNOW. WE TALK ABOUT SHINGLES. ANOTHER COMMON ONE. I UNDERSTAND THEY ARE VERY PAINFUL. >>THESE ARE SUPER PAINFUL. THEY ARE VERY COMMON ESPECIALLY IN ADULTHOOD. OUR IMMUNE SYSTEM STARTS TO GO DOWN. SO THIS IS ON, USUALLY ON ONE SIDE OF THE BODY AND IN WHAT WE CALL A DERMAL TONER PATTERN. IT’S IN A NERVE PATTERN. SO THAT NERVES COME OUT OF THE BACK AND WRAP AROUND. IT USUALLY NEVER CROSSES THE MIDLINE. IT CAN BUT TYPICALLY NOT. THAT’S WHY YOU WILL SEE THE BANDS GOING AROUND. IT CAN SOMETIMES OR OFTEN TIMES WILL START WITH AN ITCHY, SENSATION, LIKE A TINGLING. YOU ASK WHAT IS THIS? THERE WILL BE NO RASH INITIALLY. THEN YOU MAY DEVELOP THE RED CHINA VESICLE. THAT’S THE MORE ADVANCED STAGE. THE ONE WE SHOWED YOU. BUT IT WILL START WITH KIND OF A MYSTERY. IS JUST BURNING AND TINGLING. >>IF I HAD CHICKENPOX AS A KID I WILL NOT GET SHINGLES? >>YOU COULD. BASICALLY WHAT IT IS IS A REACTIVATION OR AN AWAKENING OF THE CHICKENPOX VIRUS. MOST OF US WHETHER WE HAD CHICKENPOX AS A KID OR YOU PROBABLY HAD ENOUGH EXPOSURE TO EVERYONE ELSE THAT YOU DEVELOPED AN IMMUNE RESPONSE TO IT ANYWAY. SO MOST PEOPLE ARE REALLY AT HIGH RISK FOR SHINGLES. >>WHAT IS THE TREATMENT FOR SHINGLES? >>IF WE CATCH IT EARLY, WHICH IS THE KEY, WE USE AN ANTIVIRAL MEDICATION TO TONE IT DOWN. IT WILL NOT CURATE THAT IT WILL DECREASE THE SYMPTOMS, DECREASE THE LIKELIHOOD THAT YOU COULD HAVE PERSISTENT NERVE PAIN IN THAT PATTERN, LIKE LONG AFTER THE RASH IS OVER. SO, THE TIMING IS KEY ON THAT. WITHIN THREE DAYS IT WORKS BEST. SOMETIMES WE USE STEROIDS, IT JUST DEPENDS. THERE IS A NEW VACCINE THAT IS QUITE GOOD. AND I HIGHLY RECOMMENDED FOR PEOPLE OVER 50. IT IS A TWO SHOT SERIES. THIS WILL SIGNIFICANTLY DECREASE YOUR CHANCE OF GETTING SHINGLES OVER YOUR LIFETIME. IT’S HARD TO FIND IN THE PHARMACIES RIGHT NOW. IT IS BEEN ON A LITTLE BIT OF A, NOT BACKORDER, BUT IT IS HIGH DEMAND SO IT’S HARD FOR THEM TO KEEP IT SUPPLY. IT IS WHAT IT WELL WERE DOING. >>AT WHAT POINT SHOULD SOMEONE SEE A DOCTOR? IF THEY HAVE A RASH. >>IF IT’S IN THAT BAND LIKE PATTERN WE NEED TO SEE THEM. THE SOONER WE GET YOU ON THE MEDICINE THAT IS THE PRIME OPPORTUNITY TO TURN DOWN THE SHINGLES WAS. IF IT’S ALL OVER YOUR BODY, AND IT’S EVERYWHERE, AND IT’S QUICK, THEN WE NEED TO SEE YOU. IF YOU HAVE A FEVER WITH IT, AND IF YOU START TO HAVE ANY AREAS THAT ARE REALLY RED OR CRUSTY OR LOSING OR ANY RED STREAKING ABOVE THE RASH, THAT MEANS IT CAN BE SECONDARILY INFECTED. ALSO IF IT STARTS TO BLISTER SUDDENLY. THAT COULD BE SHINGLES OR HERPETIC TYPE RASH. THOSE ARE SOME THINGS THAT WE NEED AS YOU FOR. >>DR. RYAN SHELTON, THANK YOU VERY MUCH. FOR MORE INFORMATION CHECK OUT THEIR WEBSITE. WHILE YOU’RE HERE, >>

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