Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Tuesday, June 23, 2009

Academy Member Tools

Academy Member Tools

The American Academy of Dermatology is the largest and most influential of all dermatologic associations. With a membership of over 16,000, it represents virtually all practicing dermatologists in the United States and Canada. Search this section to locate a dermatologist in your area. Also, get detailed biographical information about Academy member dermatologists, including their education, specialized training, office hours, healthcare participation and more.

Membership categories are provided for each Academy member dermatologist. Click here for a complete description of all membership categories. A Fellow of the American Academy of Dermatology is certified by the American Board of Dermatology or the Royal College of Physicians and Surgeons of Canada. Certification is an indication that the specialist has completed an approved medical education program and an evaluation, including an examination designed to assess the knowledge, experience and skills necessary to provide high quality care in that specialty at the time the certificate is awarded.

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Find a Dermatologist

Find a Dermatologist

A dermatologist is a doctor who specializes in treating conditions that affect the skin, hair, and nails. After earning a medical degree and completing an internship, a dermatologist receives three more years of specialty medical training, becoming an expert dedicated to skin, hair and nails. Many dermatologists have general practices and see patients with all types of skin concerns. Some dermatologists gain additional training and expertise in a specific area of dermatology, such as pediatrics, surgery, or cosmetics. They may go on to have a practice that specializes in one of these areas.

Country:

Doctor's Last Name:
City:
State:
5 Digit U.S. Zip Code:
Zip Code Radius:
* Specialties:
Label


* Specialties provided by AAD members. This is not a comprehensive listing. Contact your dermatologist directly for information on a specific condition.

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Treatment ACNE

Treatment

Mild acne vulgaris
Mild acne vulgaris

Control of acne is an ongoing process. All acne treatments work by preventing new acne breakouts. Existing blemishes must heal on their own, and therefore, improvement takes time. If your acne has not improved within two to three months, your treatment may need to be changed. The treatment your dermatologist recommends will vary according to the type of acne.

Occasionally, an acne-like rash can be due to another cause such as make-up or lotions, or from oral medication. It is important to help your dermatologist by providing an updated history of what you are using on your skin or taking internally.
Many non-prescription acne lotions and creams help mild cases of acne. However, many will also make your skin dry. Follow instructions carefully.

Topicals

  • Your dermatologist may prescribe topical creams, gels, or lotions with vitamin A acid-like drugs, benzoyl peroxide, or antibiotics to help unblock the pores and reduce bacteria. These products may cause some drying and peeling. Your dermatologist will advise you about correct usage and how to handle side effects.
  • Before starting any medication, even topical medications, inform your doctor if you are pregnant or nursing, or if you are trying to get pregnant.

Special Treatments

  • Acne surgery may be used by your dermatologist to remove blackheads and whiteheads. Do not pick, scratch, pop, or squeeze pimples yourself. When the pimples are squeezed, more redness, swelling, inflammation, and scarring may result.
  • Microdermabrasion may be used to remove the upper layers of the skin improving irregularities in the surface, contour, and generating new skin.
  • Light chemical peels with salicylic acid or glycolic acid help to unblock the pores, open the blackheads and whiteheads, and stimulate new skin growth.
  • Injections of corticosteroids may be used for treating large red bumps (nodules). This may help them go away quickly.

Oral

Birth Control Pills

moderate acne
moderate acne

  • Birth control pills may significantly improve acne, and may be used specifically for the treatment of acne. It is also important to know that oral antibiotics may decrease the effectiveness of birth control pills. This is uncommon, but possible, especially if you notice break-through bleeding. As a precautionary measure use a second form of birth control.

Other Treatments

  • In cases of unresponsive or severe acne, isotretinoin may be used. Patients using isotretinoin must understand the side effects of this drug. Monitoring with frequent follow-up visits is necessary. Pregnancy must be prevented while taking the medication, since the drug causes birth defects.
  • Women may also use female hormones or medications that decrease the effects of male hormones to help their acne.
  • Photodynamic therapy using the blue wavelength of light can be helpful in treating acne as well.

Your dermatologist will evaluate you and suggest the appropriate treatment regimes considering your age, sex, and the type of acne you have.

Treatment of Acne Scarring

The dermatologist can treat acne scars by a variety of methods. Skin resurfacing with laser, dermabrasion, chemical peels, or electrosurgery can flatten depressed scars. Soft tissue elevation with collagen or fat-filling products can elevate scars. Scar revision with a microexcision and the punch grafting technique can correct pitted scars, and combinations of these dermatologic surgical treatments can make noticeable differences in appearance.

Proper Care is Necessary

Severe nodular acne
Severe nodular acne

No matter what special treatments your dermatologist may use, remember that you must continue proper skin care. Acne is not curable, but it is controllable; proper treatment helps you to feel and look better and may prevent scars.
To learn more about acne and acne treatments see your dermatologist or log onto www.aad.org.

Ask your dermatologist for information on other topics in these categories:

Common Dermatologic Conditions
Cosmetic Surgery
General Dermatology
Skin Reaction
Spanish Pamphlets
Sun Protection
Viral Diseases

Locate a dermatologist in your area.

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Acne

Acne

http://www.aad.org

Copyrighted Material: Not for Reproduction or Distribution

PamphletAcne is a skin condition which has plugged pores (blackheads and whiteheads), inflamed pimples (pustules), and deeper lumps (nodules). Acne occurs on the face, as well as the neck, chest, back, shoulders, and upper arms. Although most teenagers get some form of acne, adults in their 20's, 30's, 40's, or even older, can develop acne. Often, acne clears up after several years, even without treatment. Acne can be disfiguring and upsetting to the patient. Untreated acne can leave permanent scars; these may be treated by your dermatologist in the future. To avoid acne scarring, treating acne is important.

Types of Acne and How Acne Forms

Acne is not caused by dirt. Testosterone, a hormone which is present in both males and females, increases during adolescence (puberty). It stimulates the sebaceous glands of the skin to enlarge, produce oil, and plug the pores. Whiteheads (closed comedones), blackheads (open comedones), and pimples (pustules) are present in teenage acne.

Early acne occurs before the first period and is called prepubertal acne. When acne is severe and forms deep "pus-filled" lumps, it is called cystic acne. This may be more common in males. Adult acne develops later in life and may be related to hormones, childbirth, menopause, or stopping the pill. Adult women may be treated at the period and at ovulation when acne is especially severe, or throughout the entire cycle. Adult acne is not rosacea, a disease in which blackheads and whiteheads do not occur.

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Cleansing

Acne has nothing to do with not washing your face. However, it is best to wash your face with a mild cleanser and warm water daily. Washing too often or too vigorously may actually make your acne worse.

Diet

Acne is not caused by foods. However, if certain foods seem to make your acne worse, try to avoid them.

Cosmetics

Wear as little cosmetics as possible. Oil-free, water-based moisturizers and make-up should be used. Choose products that are "non-comedogenic" (should not cause whiteheads or blackheads) or "non-acnegenic" (should not cause acne). Remove your cosmetics every night with mild soap or gentle cleanser and water.

A flesh-tinted acne lotion containing acne medications can safely hide blemishes. Loose powder in combination with an oil-free foundation is also good for cover-up.
Shield your face when applying sprays and gels on your hair.

Treatment

Mild acne vulgaris
Mild acne vulgaris

Control of acne is an ongoing process. All acne treatments work by preventing new acne breakouts. Existing blemishes must heal on their own, and therefore, improvement takes time. If your acne has not improved within two to three months, your treatment may need to be changed. The treatment your dermatologist recommends will vary according to the type of acne.

Occasionally, an acne-like rash can be due to another cause such as make-up or lotions, or from oral medication. It is important to help your dermatologist by providing an updated history of what you are using on your skin or taking internally.
Many non-prescription acne lotions and creams help mild cases of acne. However, many will also make your skin dry. Follow instructions carefully.

Topicals

When to See a Dermatologist


You may feel awkward about seeing a dermatologist, especially if you’ve been told that acne is something you will eventually outgrow. To help you decide whether or not it’s time to consult a dermatologist, listed below are some statements. Do any apply to you?

  • My acne makes me shy.

  • I am embarrassed by my acne.

  • My outlook on life is less optimistic since I developed acne.

  • None of the over-the-counter products and/or remedies I’ve tried has worked.

  • I am beginning to see scars after acne lesions clear.

  • I have painful, pus-filled lesions (nodules) in addition to blackheads and whiteheads (comedones), and reddened spots on my skin.

  • I have dark skin, and a patch that is darker than my skin appears when an acne lesion clears.


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If you said “yes” to any of the above statements, seeing a dermatologist may be beneficial. Today, virtually every case of acne can be successfully resolved. Not only can dermatologists help resolve existing acne, they can also help prevent new lesions from forming and reduce your chance of developing disfiguring scars. To find a dermatologist in your area, visit the AAD’s Find A Dermatologist page. Biographical information about many dermatologists is also accessible from this page.

Acne In the Spotlight

In the Spotlight

12 Ways to Get Better Results from Acne Treatment
Effective Acne Treatment Often Requires More Than Medication

Do you wish that your acne medication left you with clearer skin? Better results may not come from trying the latest acne treatment or a stronger acne-fighting cream — but from making some simple changes. (more)

Food Does Not Cause Acne
While studies have been conducted, more research is needed to conclude that what we eat can cause or prevent acne. What these studies have found suggests that diet may play a role in acne. Here is what the research has shown so far. (more)


Treatment Tip
Most cases of mild acne can be controlled by gently washing the affected
area(s) and using a topical preparation, such as benzoyl peroxide. (more)

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By Monica Rhodes

Did you find this helpful?


89% of users found this article helpful.

Illustration of the skin in cross-section

What is acne vulgaris?

Acne vulgaris, or acne, is a skin problem that starts when oil and dead skin cells clog up your pores. Some people call it blackheads, blemishes, whiteheads, pimples, or zits. When you have just a few red spots, or pimples, you have a mild form of acne. Severe acne can mean hundreds of pimples that can cover the face, neck, chest, and back. Or, it can be bigger, solid, red lumps that are painful (cysts).

Most young people get at least mild acne. It usually gets better after the teen years. But many adult women do have acne in the days before their menstrual periods.

How you feel about your acne may not be related to how bad it is. Some people with severe acne are not bothered by it. Others are embarrassed or upset even though they have only a few pimples.

The good news is that there are many good treatments that can help you get acne under control.


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What causes acne?

Acne starts when oil and dead skin cells clog the skin's pores. If germs get into the pores, the result can be swelling, redness, and pus. See a picture of how pimples form.

For most people, acne starts during the teen years. This is because hormone changes make the skin more oily after puberty starts.

You do not get acne from eating chocolate or greasy foods. But you can make it worse by using oily skin products that clog your pores.

Acne can run in families. If one of your parents had severe acne, you are more likely to have it.

What are the symptoms?

Symptoms of acne include whiteheads, blackheads, and pimples. These can occur on the face, neck, shoulders, back, or chest. Pimples that are large and deep are called cystic lesions. These can be painful if they get infected. They also can scar the skin.

How is acne treated?

To help control acne, keep your skin clean. Avoid skin products that clog your pores. Look for products that say "noncomedogenic" on the label. Wash your skin once or twice a day with a gentle soap or acne wash. Try not to scrub or pick at your pimples. This can make them worse and can cause scars.

If you have just a few pimples to treat, you can get an acne cream without a prescription. Look for one that has benzoyl peroxide or salicylic acid. These work best when used just the way the label says.

It can take time to get acne under control. Keep using the same treatment for 6 to 8 weeks. You may even notice that it gets worse before it gets better. If your skin is not better after 8 weeks, try another product.

If your pimples are really bothering you or are scarring your skin, see your doctor. A prescription gel or cream for your skin may be all you need. Your doctor may also order antibiotic pills. A mix of treatments may work best. If you are female, taking certain birth control pills may help.

If you have acne cysts, talk to your doctor about stronger medicine. Isotretinoin (such as Accutane) works very well, but it can cause birth defects. And using Accutane may be associated with depression. Let your doctor know if you have had depression before taking this medicine. And if you are female, you must protect against pregnancy by using two forms of birth control. Even one dose of this medicine can cause birth defects if a woman takes it while she is pregnant. You cannot take isotretinoin if you are breast-feeding.

What can be done about acne scars?

There are skin treatments that can help acne scars look better and feel smoother. Ask your doctor about them. The best treatment for you depends on how severe the scarring is. You can have scar tissue removed or have a shot of collagen. Collagen smoothes a pitted scar by plumping up the skin underneath. You may get the best results with a combination of treatments.

Frequently Asked Questions

Learning about acne:

Being diagnosed:

Getting treatment:

Living with acne:


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Last Updated: 03/01/2007
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Acne Interactive Tutorial



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Acne

Also called: Pimples, Zits

Acne is a common skin disease that causes pimples. Pimples form when hair follicles under your skin clog up. Most pimples form on the face, neck, back, chest and shoulders. Anyone can get acne, but it is common in teenagers and young adults. It is not serious, but it can cause scars.

No one knows exactly what causes acne. Hormone changes, such as those during the teenage years and pregnancy, probably play a role. There are many myths about what causes acne. Chocolate and greasy foods are often blamed, but there is little evidence that foods have much effect on acne in most people. Another common myth is that dirty skin causes acne; however, blackheads and pimples are not caused by dirt. Stress doesn't cause acne, but stress can make it worse.

If you have acne

  • Clean your skin gently
  • Try not to touch your skin
  • Avoid the sun

Treatments for acne include medicines and creams.

National Institute of Arthritis and Musculoskeletal and Skin Diseases

Start Here

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Monday, June 22, 2009

Legal issues

Main article: Asbestos and the law

The first lawsuits against asbestos manufacturers were in 1929. Since then, many lawsuits have been filed against asbestos manufacturers and employers, for neglecting to implement safety measures after the links between asbestos, asbestosis, and mesothelioma became known (some reports seem to place this as early as 1898). Today, you may see a commercial stating something like, "Mesothelioma is a rare type of cancer caused by asbestos particles. Asbestos particles can be found in lumberyards, shipyards or any of the heating or automotive industries." The liability resulting from the sheer number of lawsuits and people affected has reached billions of dollars.[26] The amounts and method of allocating compensation have been the source of many court cases, reaching up to the United States Supreme Court, and government attempts at resolution of existing and future cases. However, to date, Congress has not stepped in and there are no federal laws governing asbestos compensation.[27]

[edit] Legal History

The first lawsuit against asbestos manufacturers was brought in 1929. The parties settled that lawsuit, and as part of the agreement, the attorneys agreed not to pursue further cases. It was not until 1960 that an article published by Wagner et al. first officially established mesothelioma as a disease arising from exposure to crocidolite asbestos.[28] The article referred to over 30 case studies of people who had suffered from mesothelioma in South Africa. Some exposures were transient and some were mine workers. In 1962 McNulty reported the first diagnosed case of malignant mesothelioma in an Australian asbestos worker.[29] The worker had worked in the mill at the asbestos mine in Wittenoom from 1948 to 1950.

In the town of Wittenoom, asbestos-containing mine waste was used to cover schoolyards and playgrounds. In 1965 an article in the British Journal of Industrial Medicine established that people who lived in the neighbourhoods of asbestos factories and mines, but did not work in them, had contracted mesothelioma.

Despite proof that the dust associated with asbestos mining and milling causes asbestos related disease, mining began at Wittenoom in 1943 and continued until 1966. In 1974 the first public warnings of the dangers of blue asbestos were published in a cover story called "Is this Killer in Your Home?" in Australia's Bulletin magazine. In 1978 the Western Australian Government decided to phase out the town of Wittenoom, following the publication of a Health Dept. booklet, "The Health Hazard at Wittenoom", containing the results of air sampling and an appraisal of worldwide medical information.

By 1979 the first writs for negligence related to Wittenoom were issued against CSR and its subsidiary ABA, and the Asbestos Diseases Society was formed to represent the Wittenoom victims.

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