Lupus is an inflammatory disease that is chronic in nature. It occurs when your tissues and organs are attacked by your body's own immunity system. The inflammation that this disease causes can affect the other parts of your body as well, like the joints, kidneys, skin, brain etc. It is often difficult to diagnose because it lacks distinct symptoms. However, one of the most identifiable symptoms of lupus is a ring-shaped rash on the face.

Lupus can be caused by a number of factors like:

Excessive exposure to sunlight
Susceptibility towards infections
Certain anti-seizure, blood pressure and antibiotic medicines
Symptoms
The symptoms are neither distinct nor regular. However, some common symptoms could be-

Fatigue and fever
Pain in the joints, stiffness and swelling
Ring-shaped facial rash
Skin lesions on exposure to the sun
Chest pain and shortness of breath
What else can lupus lead to?

Several complications may arise if lupus is left untreated. Some of them are-

Kidney damage and failure
Hallucination, seizures, strokes and several other problems associated with the brain and the central nervous system
Anemia, blood clotting, vasculitis etc.
Increased susceptibility to pneumonia
Increased risk of heart attacks and other cardiovascular diseases
Treatment
Lupus is a significantly dangerous disease and medical help should be immediately sought if you think that you have symptoms associated with it. Treatment depends on the signs and symptoms of individual patients.

Lupus (Skin Rash) - How It Can Be Treated?

The skin is the largest organ in the body and is one of the five sense organs, helping us with  touch.  The first outer layer is called the epidermis and the underlying layer is called the dermis. The skin has a protein known as keratin, which protects it from various external toxins and infections.

In some people, due to unknown reasons, there could be pile up of this protein in the deeper layers, producing small bumps, which feel like sandpaper. Literally, the term keratosis pilaris (KP) refers to piling up of keratin pigment. It can block the hair follicle that would normally open into the skin. When there are multiple blocks in the same area, there could be a sandpaper-like rough feeling to the touch. This gives this condition other names including goosebumps, chicken skin or chicken bumps. Though it is a cosmetic issue, it is medically a benign and very common condition.

Cause

KP, as it is popularly known as, is believed to be a genetic disorder with faulty genes leading to excessive accumulation of keratin. These appear as red, small bumps that are usually seen on the hands, arms, thighs, buttocks, and rarely on the face. The surrounding skin may be inflamed if there is a buildup of skin under the pile of keratin.

The onset of KP is usually in the first decade of life, worsens during puberty, and reduces during adulthood. There are, however, instances where the onset happens during adulthood. Twins and people with atopic dermatitis are more likely to have KP.

KP is more common in people with dry skin as oily skin seems to offer some protection.

There are also studies that give it a correlation with weather, with winter seeing more of this condition than summer. This is because our skin tends to dry more in winter than in summer. There could be some people who are completely normal during the summer months but will develop these bumps during the winter, which again subsides with the season.

Signs and Symptoms

As noted above, KP is a medically benign condition. There is a cosmetic concern if it is in the visible areas like arms and hands. Also, the area could feel rough and dry, but the affected person may not experience any itching or other harm. People with atopic dermatitis and eczema are more likely to develop KP; hence these other skin conditions require proper management.

Management

Patient education is the most important. This disease does not require any treatment and is usually self-limiting. It is very rare for KP to affect the whole body. Creams containing alpha hydroxy acid, salicylic acid, lactic acid, or vitamin A may be required to remove dead skin cells and to prevent clogged follicles from the bodies of the affected people.

Keratosis Pilaris: Signs, Causes, Treatment, and Prevention

For most us tattoos are a form of expressing their personalities. However, the things you identify with, in your teens may not be something you want to be associated with as you grow older. In some cases, a tattoo may not come out as you imagined it to be and this may leave you with a permanent adornment that you don t like. Thankfully, though tattoos are permanent, it is possible to remove them. As with getting a tattoo in the first place, removing it is not as simple as it sounds and can be quite painful. 

Here are a few things to keep in mind before opting to remove a tattoo.

Complete removal is not guaranteed: Not all tattoos are the same, the deeper tattoo ink is injected into the skin, the harder it is to remove. In many cases, tattoo removal may leave behind a faint shadow of the tattoo or cause permanent scarring.
How you got your tattoo made affects its removal: Professional tattoo artists have a steady hand and inject ink at the same depth, unlike amateurs who inject ink at varying depths. Thus removing a professional tattoo is easier than removing one made by an amateur.
It is painful: As when getting a tattoo made, removing it is also painful. The amount of pain felt depends largely on the location of the tattoo. In the case of laser treatment, this can be described as the feeling of having an elastic band repeatedly strike the skin. You could ask for local anesthesia or a numbing cream to be applied before starting the procedure to reduce the pain.
Multiple sessions are required: On an average 6-10 sessions are required to remove a tattoo. However, the actual number of sessions depends on a number of factors including the location of your tattoo, the number of colors in it etc. you will also need to wait at least 6 weeks between sessions to reduce the risk of side effects.
There are side effects: Some of the side effects you may notice after a tattoo removal session are blistering of the skin, bleeding, redness or darkening of the skin and inflammation of the tattooed area. These are temporary and should subside in a few weeks. However, darkening or lightening of the skin can last for up to a year. Scarring, burns and textural changes to the skin are other potential side effects. These can often be permanent.

Tattoo Removal - 5 Things You Need To Know Before You Go For It!

Burning your skin is a very traumatic experience and can leave behind scars that remind one of the traumatic incident. Scarring caused by burns may fade a little with time but are usually permanent. Apart from affecting your appearance severe burns can also affect the functioning of the body. Burns can make a person withdraw socially by making him or her afraid of how people will accept them with their scars as well as make them depressed about their appearance.

Burn repair surgery can be categorised under two headings: Acute and Reconstructive

Acute repair surgery happens immediately after the burn and deals with large burns and deep burns that affect critical areas. The focus here is to aim for saving of life of burn patient with earliest wound healing with various surgical means.
Reconstructive burn surgery addresses the deformities & scars after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure improvement of functioning. 
There are many types of reconstructive surgeries for burns and the type of surgery best suited to a patient is based on the location of the scar, the extent of scarring and the patient s personal goals.

Skin grafts: This involves the removal of healthy skin from one part of the body and transplanting it to the burn site. This split thickness skin graft include only a few outer layers of skin & full thickness graft involve the entire dermis. This is used in cases of deep burns where full thickness of dermis is affected. Also skin grafts are used for defects following release of burn contracture . 
Flaps: These are thick skin tissues with its own blood supply, used to cover exposed vital structures like vessels , tendons, nerves, bones, etc especially in deep electrical burns of extremities. 
Free flap procedure: In this Microvascular Surgery , muscle, bone or skin is transferred from one part of the body to another to reconstruct huge defects after contracture release or for cosmetic improvement of ugly burn scars. 
Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn scars & deformities. As the balloon is filled with saline, the skin stretches and grows. Once the skin has stretched enough, the expander is removed and the skin can then be used to replace the burn scars & deformities.
This procedure has many advantages as the skin colour and texture are a near perfect match thus reducing scarring to a large extent. However, it is a very slow procedure and can take a few months.

Burn Repair Surgery - How Can It Help To Reduce Deformities & Scars?

Do you know the sun is making your skin age faster? plus, 5 other reasons behind facial wrinkles

Facial wrinkling occurs when the skin develops creases, folds and ridges. The formation of wrinkles is a normal part of the process of skin ageing. However, certain factors may accelerate the process and lead to premature wrinkling of the face and other parts of the body.

The main causes of facial wrinkling are:

1. Skin ageing: as a person gets older, his/her skin becomes less taut and begins to sag. The production of natural oils and fat in the deeper layers of the skin gets reduced with age, which leads to the formation of wrinkles due to diminished skin elasticity.

2. Sun exposure: constant exposure of skin to the sun causes damage and speeds up the ageing process. The harmful ultraviolet rays of the sun break down collagen and collective tissue fibres, which is the primary cause of premature wrinkling.

3. Skin complexion: due to the absence of melanin, people with fairer (lighter) skin, experience more damage due to sun exposure. This causes them to develop wrinkles much earlier.

4. Facial muscle contraction: repeatedly making the same facial expressions and contraction of face muscles causes wrinkling. Those who constantly frown, smile or squint get facial wrinkles as it leads to reduced skin elasticity.

5. Smoking: smokers are more susceptible to premature wrinkling. This is due to the presence of nicotine, tar and other chemicals from the smoke in the bloodstream, which hamper the supply of blood and oxygen to the outer layers of skin.

6. Genetic factors: many people get facial wrinkling as a result of hereditary causes and family genetics.

However, the good news is that facial wrinkling can be prevented through these simple ways:

Sun protection

This is the most effective way of avoiding wrinkles. Keep yourself protected against sun exposure by staying out of the sun as much as possible and wearing sunscreen at all times.

Quitting the smoke

Kicking the habit will show a marked improvement in your skin quality and would help prevent further wrinkling.

Use of moisturisers

Dry skin is more prone to wrinkling. Keeping your skin supple and moisturised prevents wrinkles.

Leading a healthy lifestyle

The combination of following a nutritious diet, drinking plenty of water, getting enough sleep and regularly exercising keeps the skin young and wrinkle-free.

Treatment options:

There are several options to improve wrinkles by procedures which include botox, fillers, prp and lasers for skin tightening. The most suitable option can be chosen depending upon the severity and type of wrinkling.

If you would like to consult with me privately, please click on 'consult'.
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