June 2014 Newsletter for Dermatology Specialists of Charlotte (DSC)

Sun:  How to Treat

Even with the best intentions, we sometimes get sunburnt. In this month’s video, you’ll find out what dermatologists recommend to soothe a painful sunburn. The first thing you’ll want to do, of course, is get out of the sun.

You’ll also learn:

  • What to apply (and definitely not apply) to your skin for relief
  • Steps to take if you blister
  • When to seek immediate medical care

Sunburn: How to treat (2:14)

Resources Just For Kids

Treating sunburn

What causes a sunburn and suntan?

Skin cancer: How the sun can hurt your skin

What Dermatologists Tell Their Patients

Even mild sunburn can cause psoriasis to flare. To protect your skin, use a fragrance-free sunscreen. Fragrance can irritate the skin and cause psoriasis to flare.

Dermatologists recommend that everyone, including their patients who have psoriasis, use a sunscreen that offers:

  • SPF 30 or higher
  • Broad-spectrum (UVA/UVB) protection
  • Water resistance


Office News

Office News

Dermatology Specialists of Charlotte and Dr. Deborah Nixon welcome April Walter to the practice.

April Walter is highly trained esthetician that has the dedication, experience, and knowledge to treat your cosmetic skin care needs.April’s practice includes skin evaluation and skin care, microdermabrasion, chemical peels, intense pulsed light and laser services.  She offers treatment for teen and adult acne, acne scars as well as unwanted reds, browns, scars, stretch marks, skin laxity, hair removal, fat reduction and light resurfacing.  She works closely with Dr. Nixon to provide more aggressive procedures when needed.

April uses advanced imaging technology to evaluate the needs of your skin and guide her recommendations.  She will educate you on appropriate options and help to guide you to skin health!  April’s passion is fired by her patients feedback and the healthy skin transformation she sees when patients follow the protocol they worked together to create!

For more information about April, consultations & appointments times, please call 704-943-3714 or e-mail at esthetics@dscmd.com.

Dermatology in the News

Tanning Salon Associated With Higher Rates Of Melanoma.
Reuters (5/29, Seaman) reports on a study published in the Journal of the National Cancer Institute finding that the use of a tanning salon to get a tan may provide some protection against sunburn, but does not provide protection against skin cancer. The study was based on a comparison of 1,167 melanoma patients with 1,101 people who did not have cancer but were otherwise similar. The study found that 78 percent of those with melanoma reported using tanning salons, while just 40 percent of those without cancer did.

TIME (5/28, Sifferlin) reports the study “shows that even if you don’t get a sunburn while indoor tanning, it still raises your risk for skin cancer.” HealthDay (5/28, Mozes) reports that study co-author DeAnn Lazovich said, “tanning is a biological response to damage to the DNA.” She added, “there is no safe way to tan,” stating that “avoidance of ultraviolet radiation in any form should be the goal.” HealthDay also points out that “the U.S. National Cancer Institute also advises against any form of indoor tanning.”

More children developing melanoma
Few children get melanoma, the most serious form of skin cancer, but the number is rising. Researchers are not sure why. Some suspect ozone-layer depletion. The ozone layer, which sits above Earth, helps to shield us from the sun’s harmful rays. As this layer is destroyed, more of the cancer-causing rays hit Earth.
The earliest signs of melanoma on a child’s skin tend to differ from those on adult skin. You can learn the warning signs in children and more at Pediatric melanoma a growing occurrence.

Regular Visits To Physician May Reduce Risk Of Dying From Melanoma.
HealthDay (5/10, Preidt) reported that research presented at the Society of Investigative Dermatology’s annual meeting suggests that regular visits to a physician “may reduce the risk of dying from melanoma.” Investigators “analyzed the cases of 251 white patients, average age 60, diagnosed with melanoma between 2001 and 2007.” The researchers found that “the risk of dying from melanoma was 70 percent lower among patients who had at least one visit with their family doctor or a specialist in the five years before they were diagnosed with the disease.”

Dermatologists Critical Of Claims Drink Can Provide SPF 30 Protection.
TIME (5/28) reports on Osmosis Skincare’s UV Neutralizer Harmonized Water, which the company claims will provide SPF 30 sun protection. It does so, says company founder Ben Johnson, MD, “by making the water molecules just below the surface of your skin vibrate.” Dermatologist Doris Day, MD, is quoted asking, “How can you drink something that causes a vibrational wave in your skin?” and demanding “solid proof.” Dermatologist Michael Shapiro, MD, is quoted saying, “There’s no evidence-based scientific data to support the product’s SPF 30 claims,” adding that the explanation is “dubious at best.” Johnson says it was “tested internally on roughly 50 people.” Time says that, while some nutrients may provide some protection, readers should do as Day says: use “sunscreen every day and sun-smart behavior.”

Blistering Sunburns In Teen Years May Raise Risk Of Skin Cancer, Study Says
The Huffington Post (5/30, Chan) reported that “having at least five blistering sunburns as a teenager” could raise the risk of skin cancer later in life, “including deadly melanoma,” citing a study unveiled in the journal Cancer Epidemiology, Biomarkers & Prevention. The article noted that people those blistering sunburns between 15 and 20 years of age “had a 68 percent increased risk of two kinds of skin cancer, basal cell carcinoma and squamous cell carcinoma, as well as an 80 percent higher melanoma risk.” The study “is based on 108,916 Caucasian registered nurses who were part of the Nurses’ Health Study II and who enrolled in the study when they were between ages 25 and 42.” Although the study suggests increased cancer risk due to five or more blistering sunburns episodes, the National Cancer Institute has noted “that having even just one blistering sunburn can raise skin cancer risk,” the piece added.

Is that lingering rash contact dermatitis?
If you have a rash that won’t go away or comes and goes, you might have contact dermatitis. This skin condition is so common; it’s one of the most frequent reasons for seeing a dermatologist. So many things that touch our skin can cause contact dermatitis. Poison ivy, jewelry, and latex gloves are just a few common causes.
To get rid of the rash, you need to know what’s causing it. Many people who know the cause can treat the rash at home. To help you do just that, you’ll find dermatologists’ expert tips on the following pages — along with advice about when you should see a dermatologist.

ASDS survey: More women in their 20s seek facial rejuvenation
The number of patients 30 years old and younger seeking facial rejuvenation procedures increased by at least half from 2012 to 2013, an ASDS survey found. Young patients are motivated to keep their skin healthy and “atone for some bad practices in their teen years,” dermatologic surgeon Doris Day said. Dermal volumization and wrinkle relaxing were the most-requested procedures. Healio (free registration) (5/13)

Acne scars: Effective treatment available
If acne scars leave you feeling sad or less confident, you may want to consider treatment. Treatment can diminish acne scars that leave depressions in the skin. Treatment can also safely reduce raised acne scars. The key to successful treatment is a treatment plan tailored to your needs. You can learn more at Acne scars.

Dermatologists report more cases of botched cosmetic procedures
Dermatologists say they are treating an increasing number of patients who have suffered serious complications from cosmetic procedures that were self-administered or were performed by unlicensed practitioners. Dermatologic surgeon Seth Matarasso says he treats a dozen or more cases a year, including one patient with a paralyzed upper lip. Dermatologic surgeon Richard Glogau has been working for four months to repair one patient’s face after a friend injected her cheeks with a filler purchased on the Internet. A dermatopathology lab found the product contained “refractile material” similar to Plexiglas. San Francisco Chronicle (free content) (5/20)

More Americans Damaged By Illegal Cosmetic Fillers.
The San Francisco Chronicle (5/21, Zinko) reports on the increasingly common experience of damage resulting from low-quality, low-priced, and generally illegal cosmetic fillers purchased over the Internet and injected by non-physicians. In some cases the damage extends to “severe allergic reactions, disfigurement and even blindness.” Data is said to be incomplete because “doctors are encouraged, but not required, to report botched filler cases to the American Academy of Dermatology (AAD), the Medical Board of California or the U.S. Food and Drug Administration.” AAD president Dr. Brett Coldiron said that “the academy’s member physicians are seeing an increase in the number of patients coming in for help for injections that have gone awry.” The article contains numerous anecdotes.

Nail Salon Dryers Emit Varying Levels Of Radiation.
The New York Times (5/1, Parker-Pope) “Well” blog reports that a research letter published in JAMA Dermatology suggests that “nail salon dryers, which use ultraviolet light to speed the drying and hardening of nail polishes and gels, emit varying levels of radiation that can lead to risky skin damage in as few as eight visits to the manicurist.” Investigators “conducted a random sampling of 17 different UV nail lamps found in salons to determine how much ultraviolet radiation is being emitted when clients dry their nails under the lights.” The researchers “found wide variation in the dose of UVA light emitted during eight minutes of nail drying or hardening.”

TIME (5/1) reports on its website that the investigators “calculated that it could take as few as 24 visits to some salons and as many as 625 to others, to reach the point where the UV light triggers cancer-causing DNA damage.”

Reuters (5/1, Seaman) reports on the study, and also notes that some groups, including the American Academy of Dermatology, have expressed opposition to indoor tanning.

College athletes need a crash course in UV protection, study finds
Many college athletes take inadequate sun protection measures, have unhealthy views about tanning and lack knowledge about skin cancer, a survey of 393 Division I student-athletes found. Eighty-three percent of the athletes surveyed thought tanning beds were good for them, and about 1 in 5 were aware of the link between time spent outdoors and skin cancer. Healio (free registration) (5/26)

Most sunscreens don’t live up to SPF claims, review finds
Only two of the 20 sunscreens tested by Consumer Reports lived up to the sun protection factor claims on the label. BullFrog WaterArmor Sport InstaCool SPF 50-plus and Coppertone Sensitive Skin SPF 50 met the SPF level claimed; all but one of the others performed at up to 40% less than their stated SPFs. SkinAndAllergyNews.com (5/21)

Excessive Indoor Tanning In High-School Kids Tied To Greater Risk Of Depression, Suicidal Thoughts
Medscape (5/5, Brooks) reports that according to research presented at the American Psychiatric Association’s annual meeting, “high school students who frequent the tanning salon may actually be depressed and at risk for suicidal thoughts and behavior.” The study “found that excessive indoor tanning, defined as tanning 40 times or more in 12 months, was associated with a greater than two-fold increased odds of depressive symptoms and suicidal thoughts and a greater than four-fold likelihood of suicide attempt.” In arriving at the study’s conclusion, researchers analyzed data from the biennial Youth Risk Behavior Survey “to study the relationship between excessive indoor tanning with depression, defined as 2 weeks of sadness, and suicide ideation, plan, attempt, and treatment.”



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