QUOTE FOR THURSDAY:

“Both eczema and psoriasis can cause a rash — patches of red, raised, itchy skin — and they can appear in the same places of the body, such as the hands and scalp. Neither condition is contagious but both can lead to infections. An experienced dermatologist may be able to spot the differences, but to the untrained eye, it’s hard to tell.  More than 32 million Americans will have atopic dermatitis, a form of eczema, in their life. About 7.5 million Americans have psoriasis.  The biggest difference between eczema and psoriasis is the underlying causes.

If you have eczema, summer might not be your favorite season. Some people with eczema are sensitive to heat. In hot weather, overheating can cause perspiration, which can lead to skin flare.

However, for most psoriasis patients, abundant natural ultraviolet B (UVB) light from sunshine can be a blessing. UVB light can slow down the abnormal growth of skin cells. It is used as a medical treatment for psoriasis for some.

But remember, too much of a good thing can become damaging. If you go sunbathing without using sunscreen or are exposed to sunlight for too long, overexposure can trigger psoriasis symptoms. If you start to feel itchy or see red spots, get out of the sun!”.

Penn Medicine (https://www.pennmedicine.org/updates/blogs/health-and-wellness/2022/march/psoriasis)

Eczema versus Psoriasis

If you suffer from itchy, red and dry skin you’ve probably tried every cream, ointment and lotion on the market to treat your eczema. But if you’ve tried it all and can’t seem to calm your itchy skin it might be because there’s another skin condition that can have visually similar symptoms and your eczema cream probably won’t work for it. It’s called psoriasis.

Eczema and psoriasis are like twins — they have a similar look, but deep down, they are fundamentally different.

So What is the difference?

If you suffer from itchy, red and dry skin you’ve probably tried every cream, ointment and lotion on the market to treat your eczema. But if you’ve tried it all and can’t seem to calm your itchy skin it might be because there’s another skin condition that can have visually similar symptoms and your eczema cream probably won’t work for it. It’s called psoriasis.

Eczema and psoriasis are like twins — they have a similar look, but deep down, they are fundamentally different!

You might be thinking: When you’ve got an irritating, itchy spot, who cares about the subtle difference? But this can help you and your dermatologist decide which skin condition you are having.

Dr. Millstein, a physician at Penn Internal Medicine Woodbury Heights,  says “Psoriasis tends to cause milder itching and, in some less common types of psoriasis, a terrible burn. Eczema, on the other hand, can lead to very intense itching. When it starts to become severe, some people scratch their skin so hard that it bleeds.”

Both skin diseases can show up anywhere on your body, but they have their own favorite areas.

Psoriasis causes troubles commonly on the:

  • Scalp
  • Elbows
  • Knees
  • Buttocks
  • Face

Eczema can occur in those places, but it most often inflames the skin on the back of the knees or the inside of the elbows.

Although you can get either disease at any age, eczema often affects children while psoriasis usually manifests in early adulthood or later.

3. Sunshine Can Ease Psoriasis But Not Necessarily Eczema

If you have eczema, summer might not be your favorite season. Some people with eczema are sensitive to heat. In hot weather, overheating can cause perspiration, which can lead to skin flare.

“However, for most psoriasis patients, abundant natural ultraviolet B (UVB) light from sunshine can be a blessing. UVB light can slow down the abnormal growth of skin cells. It is used as a medical treatment for psoriasis,” says Dr. Millstein.

But remember, too much of a good thing can become damaging. If you go sunbathing without using sunscreen or are exposed to sunlight for too long, overexposure can trigger psoriasis symptoms. If you start to feel itchy or see red spots, get out of the sun. Make sure to talk to your dermatologist about the best amount of time for exposure to the sun.

Finding Treatment

If you have itchy, red patches on any part of your body that don’t go away with over-the-counter medications, it’s better to see a dermatologist directly. Primary care providers can also help make a diagnosis and manage your symptoms, but a dermatologist has specialized training and extensive experience in recognizing subtleties of the two skin conditions.

The treatments for eczema and psoriasis are similar. Some of the common treatments include:

  • Over-the-counter relief: Many of these products are aimed to help relieve symptoms or prevent infection.
  • Topicals: These are medications your doctor prescribes for you to apply on the affected skin.  skin products (like moisturizing emollients and topical corticosteroids), prescription skin products, avoiding triggers, and having a good skin care regimen and healthy lifestyle. Skin products are particularly good for calming eczema or psoriasis flares.
  • Phototherapy: Also known as light therapy, phototherapy uses a machine to create UVB light/light therapy with ultraviolet. Phototherapy is safe — you will only be exposed to a healthy, controlled amount of UVB light, and the procedure is performed under medical supervision. This can reduce itching and inflammation, and boost bacteria-fighting ability of the skin.
  • Biologics: These are medications that can target the protein that makes you have the inflammation response. They’re usually given by injection or intravenous (IV) infusion.  Other medications that broadly suppress the immune system, whether oral or to be applied to the skin, can work for both.  Topical steroids have been the workhorse treatment for both psoriasis and eczema.  However, newer agents that are more ‘targeted’ to the now-known underlying cause of these two inflammatory disorders are more specific for psoriasis or eczema by suppressing specific arms of the immune system.
  • Systemics: These are medications you can take by mouth to control your immune system response and reduce inflammation. It’s often prescribed to you if your condition is severe.

Eczema and psoriasis can present very differently in each person. Comparing your symptoms to another patient’s won’t always give you the right answer or the best solution for another.

In severe cases, psoriasis can turn into psoriatic arthritis. When this is the case, a medicine such as methotrexate or cyclosporine may be recommended by a doctor to help manage symptoms. Be sure to ask about all potential ointments and creams available to help your skin rashes.

Clearly, there’s a lot more to the psoriasis vs. eczema question than meets the eye. But regardless of which condition you have, or think you have, the is always one answer on who to go to.  Talk to  the right expert being a dermatologist about getting the right diagnosis and treatment would help you if you want the best treatment.  Always go to a specialist with the problem you have as opposed to a general practictioner (GP)especially if they you do go to their GP and the problem does not resolve with their choice of an treatment.  If your insurance needs for you to go to a specialist with a consult, he or she that is your GP can always do that if you request it if the GP has not recommended it yet!

(updated 5/12/24)

 

QUOTE FOR WEDNESDAY:

“The National Toxicology Program (NTP) recently released a report about how persistent night shift work is related to cancer risk (1). This report follows a similar evaluation released in July, 2019 by the International Agency for Research on Cancer (IARC) (2), an update of their 2007 report (3). Both agencies reviewed existing studies of night shift work and cancer and both convened experts in the fields of human, animal, and basic science research. In the recent NTP report, it was concluded that there is “high confidence” that persistent night shift work that results in circadian disruption can cause human cancer.

In addition to cancer, night shift work has been associated with type 2 diabetes, heart disease, stroke, metabolic disorders, and sleep disorders (4). Night shift workers might also have an increased risk for reproductive issues, such as irregular menstrual cycles, miscarriage, and preterm birth. Digestive problems and some psychological issues, such as stress and depression are more common among night shift workers. The fatigue associated with nightshift can lead to injuries, vehicle crashes, and industrial disasters (5).”

CDC – Centers for Disease Control and Prevention (https://blogs.cdc.gov/niosh-science-blog/2021/04/27/nightshift-cancer/).

Better Sleeping Awareness Month – Tips to get better sleep!

1. Set a sleep schedule and stick to it.

Go to bed and wake up at the same time each day—even on the weekend. This will help program the body to feel sleepy when it’s time for bed and to wake up refreshed in the morning. Our busy day-to-day lives may distract from the time ticking by. Set a timer on your phone 30 minutes before your designated bedtime to remind yourself it’s time to wind down.

2. Establish a relaxing bedtime routine.

Speaking of winding down… slow down your busy mind before bedtime with a calming activity like reading a chapter of your latest book or listening to soft, soothing music. Just be sure to keep the tunes calm and the volume low.

3. Make your bedroom a sanctuary.

Keep your bedroom quiet and cool. Bedrooms have a purpose—to help you get in the right state-of-mind to fall asleep fast and get a good night’s sleep. That’s it. If your bedroom doesn’t help you wind down, then it’s not helping you establish a good bedtime routine. Find out what’s distracting you—consider rearranging your furniture or switching out décor. To keep your sleep space distraction-free, put computers, tablets, and other work tools somewhere you can’t see from your bed. And use your bed for sleep only, so your brain associates it with sleeping.

4. Take a hot shower.

Consider adding a hot shower to your bedtime routine. That way when your head hits the pillow, your body is ready to catch some Zzz’s. You can enhance that nighttime routine with Pure Zzzs Shower Mist. Its calming lavender essential oils will help you relax before bed.

5. Dim the lights in the evening and sleep in a dark room.

Set the mood—to help you fall asleep fast. Dimming the lights tells your body that bedtime is approaching. Make sure your bedroom will stay dark until you get enough sleep. If natural light coming through the windows wakes you up earlier than your bedtime routine calls for, sleep with a mask over your eyes to block the light. Or consider putting up black-out curtains so your room stays dark even as the sun starts rising.

6. Use nightlights.

Even with the best sleep routine, you may wake up in the middle of the night to use the bathroom, drink a glass of water, or soothe a cranky baby. Switching on the lights when your body is in “sleep mode” can jolt it wide awake, making it harder to fall asleep after your mid-night wake-up call. Put nightlights in places you might need to go to in the middle of the night, like the bathroom, kitchen, hallways, or in kids’ rooms. That way, you can avoid bright light and go back to your restful night’s sleep.

7. Turn your clock away from the bed.

Tick, tock, tick, tock. Staring at the clock will only remind you that you are wide awake with less than the 7-8 hours you need each night. Avoid the temptation to look at the clock altogether by turning it away from your bed. This will help you avoid fixating on how long it takes to fall asleep.

8. Avoid using tobacco or caffeinated products at night.

Coffee will definitely not help you fall asleep fast. Stick to small amounts of uncaffeinated tea or other hot drinks if you want something warm before bed. It’s best to avoid tobacco completely because it causes users to sleep lightly and wake up too early in the morning.

9. Stick to light meals and beverages before bed.

A heavy midnight snack may not be in your best interest to help you fall asleep fast, but not because of the calories. A large meal before bedtime can cause indigestion. Drinking too many fluids at night can cause frequent awakenings to use the bathroom.

10. Try a sleep supplement.

Herbal supplements like melatonin are sometimes used to treat occasional sleeplessness. ZzzQuil Pure Zzzs Melatonin Liquid contains a unique botanical blend of Lavender, Chamomile, Lemon Balm, and Valerian Root. Pure Zzzs works naturally with your body to support sleep and is formulated with the optimal level of melatonin, shown to help regulate your sleep cycle without next-day grogginess.* ZzzQuil Pure Zzzs are also available as gummies and tablets. These products are available in the supplement portion of the sleep aid aisle.

11. Check your meds.

Some medicines can affect your sleep cycle. Talk to your doctor or pharmacist to see if any medicines you’re taking may be disrupting your sleep.

12. Avoid late naps.

After a long day of hard work, you might collapse on the couch, turn on the TV, and close your eyes for just a few minutes… but don’t give into that temptation to nap. Late-afternoon and early-evening naps can make it harder to fall asleep at night. If you must nap, keep it to under an hour and take it before 3:00 PM.

13. Get out of bed.

Tossing and turning will only make you more restless after some time has passed. If you’re not sleepy, get out of bed and do something relaxing in dim light. Return to bed only when you are sleepy.

14. Try an OTC medication.

Luckily, for people with occasional sleeplessness, there are many safe and effective sleep medicines available over-the-counter such as ZzzQuil Liquid or ZzzQuil LiquiCaps. Both help you get the sleep you need.

15. Put your phone away 30 minutes before your bedtime routine.

Bright screens trick your brain into thinking it’s still daytime. Resist the urge to scroll through social media while in bed. Put your phone away 30 minutes before starting your bedtime routine to tell your brain it’s time to unwind.

 

QUOTE FOR MONDAY:

“Do you often feel tired and groggy in the morning, even on nights when you’ve gotten enough sleep? It’s a frustrating experience, but there may be a simple explanation: you have poor sleep quality. Poor sleep quality can impair your focus (concentration), w

Sleep Deprivation (https://www.sleepfoundation.org/sleep-hygiene/how-to-determine-poor-quality-sleep)

 

QUOTE FOR THE WEEKEND:

“The rarest blood type in existence is Rh null blood. This stuff is characterized by a complete lack of antigens in the Rh system, which is the largest blood group system. Besides making someone feel really special, Rhnull and other rare bloods are extremely valuable. Because Rh null blood can be considered ‘universal’ blood for anyone with rare blood types within the Rh system, its life-saving capability is enormous. As such, it’s also highly prized by doctors – although it will be given to patients only in extreme circumstances, and after very careful consideration, because it may be nigh on impossible to replacef”

Discovery (https://www.discovery.com/science/Rhnull-Rarest-Blood-Type-on-Earth)

Rh Null “The Golden Blood Type!”

Blood type (also called blood group) is genetically determined. Blood is primarily categorised based on the presence and/or absence of antigens on the surface of our red blood cells (RBCs). Antigens are distinct molecules or substances capable of coaxing an immune response. Our immune system sends out mini soldiers called antibodies (also known as immunoglobulins), which are special proteins that recognise and bind to these antigens.

If our antibodies recognise these antigens as allies or naturally part of our body, our immune system happily leaves it alone.  But if they detect enemy or foreign antigens, our immune system will go on an all-out war to destroy them. This is the reason you need give the blood type and Rh factor (positive or negative) that a patient is if they need blood transfusions to prevent this destructive action to take place unless your the universal donor type O with no antibodies.  Unfortunately, our immune system isn’t perfect. In rare cases, it does attack ‘self’ antigens, as seen in some cases of autoimmune blood disorders.

You might be familiar with the ABO blood group system. When you ask someone what blood type they are, they might respond with “AB”. They are referring to this most important blood group system in human-blood transfusion. It comprises of only two antigens (antigen A and antigen B), but it can produce these four ABO blood types: A, B, AB or O.  At present, the International Society of Blood Transfusion recognises 36 human blood group systems and more than 300 different antigens.  The most common are type ABO and AB blood types.

Why does Rh positive or negative matter in knowing for your blood type?

The Rh blood group system has a colourful history. It consists of 61 blood group antigens (Rh antigens), which are expressed as part of a protein complex found only in RBC membranes. Rh antigens are believed to be essential for maintaining the integrity of RBCs.

Briefly going back to ABO blood group system, some people might tell you that they’re “O negative” or “A positive”. The negative/positive part refers to the absence or presence of one Rh antigen: the Rh(D) antigen. It’s the main Rh antigen considered for human-blood transfusion.

So what is Rh Null?

People who have the ‘golden blood’ type lack these Rh antigens. Their DNA lacks the genes responsible for building those RBC protein complexes. These people don’t just lack one, two or three of these 61 Rh antigens, they actually lack all of them. Yes, you read that right: all of them. As you might have guessed, people with Rh Null blood type have abnormal RBCs. They have deformed shapes, leaky membranes and shorter lifespans, which sometimes result in mild anaemia for the individual. Still, the absence of all Rh antigens makes Rh null the ‘golden blood’, which is highly admired for its rarity and medical purposes.

Rare blood types within the Rh blood type system can make it difficult or even impossible to get a blood transfusion. This makes Rh Null blood as the ‘universal’ life-saving blood for the Rh blood type system (especially if the donor has an ABO blood type O too).

But rarity comes at a price. If people with Rh Null blood type requires a blood transfusion, they can only receive Rhnull blood themselves. Even if they receive an O-negative blood, the presence of other Rh antigens on the RBCs may trigger a severe immune response. Therefore, these ‘golden blood’ carriers are solely dependent on other Rh Null donors, but only a few of them regularly donate and they are all spread out across the world.

This is why Rh Null blood is considered as the ‘golden blood’, but it’s not all sunshine and rainbows for those people who carry it. Still, we can’t deny the life-saving properties of this rare blood type and we can deeply appreciate the generosity of those selfless donors.

QUOTE FOR FRIDAY:

“Children with Moebius syndrome often have trouble moving their faces.  They may also have trouble feeding. Some children with Moebius syndrome also have abnormal development in the limbs or chest muscles.  Moebius syndrome is not progressive, meaning it does not get worse over time.  Moebius syndrome is very rare. The exact incidence is unknown, but some estimates are 2 to 20 cases per million births.”

Cleveland Clinic (https://my.clevelandclinic.org/health/articles/6064-moebius-syndrome)

Part II Moebius Syndrome

Etiology of Moebius:

Most cases of Moebius syndrome occur randomly for unknown reasons (sporadically) in the absence of a family history of the disorder. The syndrome is listed as Online Mendelian Inheritance in Man (OMIM) Number 15700, with a gene map locus of 13q12.2-q13. Sporadic mutations in PLXND1 and REV3L genes have also been identified in a number of patients and confirmed to cause a constellation of findings consistent with Moebius syndrome when introduced in animal models.

In rare cases, familial patterns have been reported. Most likely, Moebius syndrome is multifactorial, which means that both genetic and environmental factors play some causative role. It is possible that in different cases there are different underlying causes (heterogeneity).
In familial cases, there is evidence that Moebius syndrome is inherited as an autosomal dominant trait. Dominant genetic disorders occur when only a single copy of an abnormal gene is necessary for the appearance of the disease. The abnormal gene can be inherited from either parent, or can be the result of a new mutation (gene change) in the affected individual. The risk of passing the abnormal gene from affected parent to offspring is 50% for each pregnancy regardless of the sex of the resulting child.

The spectrum of findings in Moebius syndrome suggests a developmental defect of the hindbrain. Several different theories have been proposed to explain the cause of Moebius syndrome. One hypothesis is the disorder is the result of diminished or interrupted blood flow (ischemia) to the developing fetus during pregnancy (in utero). Recent research suggests that the lack of blood affects certain areas of the lower brainstem that contain the cranial nerve nuclei. This lack of blood flow could result from an environmental, mechanical or genetic cause. Nevertheless, cause of the syndrome remains inconclusive and more basic and clinical research is necessary.

Affected Populations:

Moebius syndrome affects males and females in equal numbers. The disorder is present at birth (congenital). The exact incidence and prevalence rates of Moebius syndrome are unknown. One estimate places the incidence at 1 case per 50,000 live births in the United States.

Diagnosis:

A diagnosis of Moebius syndrome is based upon the characteristic signs/symptoms, a detailed patient history, and a thorough clinical evaluation. There are no diagnostic tests that confirm a diagnosis of Moebius syndrome. Some specialized tests may be performed to rule out other causes of facial palsy.

Treatments:

The treatment of Moebius syndrome is directed toward the specific abnormalities in each individual. Usually these children are managed by a multidisciplinary team, often in a craniofacial center. Involved specialists include: pediatricians; neurologists; plastic surgeons; ear, nose, and throat specialists (otolaryngologists); orthopedists; dental specialists; speech pathologists; specialists who assess and treat hearing problems (audiologists), specialists who treat eye abnormalities (ophthalmologists) and other healthcare professionals.

Corrective procedures for facial paralysis involve transfer of muscle and/or graft nerves from another area of the face or the body.

Splints, braces and prostheses may be necessary for individuals with congenital limb abnormalities. Genetic counseling may be of benefit for affected individuals and their families.

QUOTE FOR THURSDAY:

“Moebius syndrome is a rare neurological disorder characterized by weakness or paralysis (palsy) of multiple cranial nerves, most often the 6th (abducens) and 7th (facial) nerves. Other cranial nerves are sometimes affected. The disorder is present at birth (congenital). If the 7th nerve is involved, the individual with Moebius syndrome is unable to smile, frown, pucker the lips, raise the eyebrows, or close the eyelids. If the 6th nerve is affected, the eye cannot turn outward past the midline. Other abnormalities include underdevelopment of the pectoral muscles and defects of the limbs. Moebius syndrome is not progressive. The exact cause is unknown. It appears to occur randomly (sporadically) in most cases; however, some cases occur in families suggesting that there may be a genetic component.”

NORD (https://rarediseases.org/rare-diseases/moebius-syndrome/)