Schnitzler s syndrome is a very rare condition described by a reddish rash that looks like hives (urticaria) and lifted levels of a particular protein in the blood (monoclonal IgM gammopathy). Symptoms connected with the Schnitzler disorder may include increased levels of fever, joint inflammation, joint pain (arthralgia), bone agony, and different discoveries, for example, swollen lymph nodes (lymphadenopathy). It also causes weight reduction, discomfort, exhaustion, and broadened spleen and liver. This condition should be treated in terms of taking care of the symptoms so that they do not become debilitating.

Some of the other symptoms include the following:

Urticaria (hives) depicts red raised patches of the skin. These are once in a while irritated. They may last for about 12 hours to 3 days. This may become severely painful if not treated in time.
80% of such patients suffer from painful or swollen. A few patients experience bone pain as well.
High fever might be there accompanied by chills and night sweating. This can give rise to further uneasiness and is usually caused when the immune system is attacked by the ailment.
One of the main symptoms of the Schnitzler disorder is monoclonal gammopathy. This mostly means a raised level of immunoglobulin M (IgM)
Reasons behind it

The main cause behind the Schnitzler syndrome is unknown. Specialists believe that particular parts of the immune system may not work appropriately in the end because of the Schnitzler syndrome. Individuals with the Schnitzler disorder additionally have monoclonal IgM gammopathy, in which abnormal production of immunoglobins result in elevated levels of immunoglobulin M (IgM) in the body. Immunoglobulins are proteins delivered by the white blood cells. A few analysts believe that IgM antibodies accumulate in the skin (epidermis), setting off a reaction that causes the rash. At the time of diagnosis, IgM levels may just be somewhat raised and may stay stable for quite a long time.

Diagnosis

The diagnosis of the Schnitzler disorder is based upon an intensive clinical assessment, patient history, rejection of different other disorders and proof of fever, joint pain or aggravation, bone pain, discernible lymph nodes, amplification of the liver or spleen, lifted quantities of white platelets (leukocytosis), raised red platelet (erythrocyte) or anomalies, which can uncover expanded bone thickness (osteosclerosis).

Treatment: 
Anakinra is a successful treatment for Schnitzler syndrome. It is also very commonly used to treat rheumatoid joint inflammation. The following medicines and therapies have been proven to be successful for treating the Schnitzler disorder over a period of time. These are as follows:

Antihistamines
Nonsteroidal calming specialists
Systemic steroids (prednisone)
Hydroxychloroquine
Colchicine
Dapsone
Pamidronate
Thalidomide
Pefloxacin
Phototherapy
Immunosuppressive specialists (ciclosporin, methotrexate, cycloposphamide)
Biologic specialists (tocilizumab, rituximab)
The Schnitzler disorder is a long-term infection, so stopping a promising treatment can tend to cause a relapse and may cause the disease to reappear. Also, the medicines mentioned above should not be taken without consulting a doctor as they can have sever side effects, if not administered under the guidance of a physician.

Schnitzler Syndrome - Things You Must Know About It!

Breast augmentation surgery increases or restores breast size using silicone gel implants, saline implants or in some cases, fat transfer. One of the most popular and frequently performed aesthetic surgery procedures, breast augmentation has a long and successful track record in satisfying women who wish to enhance, regain or restore balance to their figures.

When to Consider Breast Augmentation-

If you want a better proportioned or more appealing figure.
If you wish your clothes fit better.
When pregnancy, weight loss or aging has affected the size and shape of your breasts.
To restore symmetry if one of your breasts is smaller than the other.
Breast enhancement surgery is mainly done using:

Implants: While performing breast surgery using implants, the surgeon will make an incision, lift up the breast tissue, create a pocket in your chest, and place the implant there. Generally, the breast implants are of two types, namely silicone and saline. Although both implants consist of an outer shell made of silicone, the difference lies in the internal content of the implant. Saline implants contain sterile or saline water, whereas silicone breast implants are generally filled with silicone gel.
Fat Transfer: For breast enhancement techniques using fat transfer, liposuction is used to take fat from a part of your body that generally has a higher content of fat. This includes the abdomen or the thighs. This extracted fat is processed and then inserted into the breasts.
The safety of the type of breast enhancements depends on:

Ruptures: Ruptures are risks with both forms of breast implant. The ruptures may result due to surgical error or a fall. Rupture of a saline implant only results in the leakage of harmless and absorbable saltwater. On the other hand, rupture of silicone implants causes leakage of silicone that tends to remain in the body and sometimes, may spread out of the breast and into the nearby lymph nodes.
Aesthetic Results: The look and feel of silicone breast implants is given more preference because they are similar to real breast tissues. Saline implants tend to cause rippling of the skin.
Surgical Differences: Saline implants can be filled after implanting. Hence, they require a smaller incision as compared to pre-filled silicone implants. Additionally, adjustment of saline implants after surgery is possible. However, the standard size of pre-filled silicone implants cannot be altered.
Eligibility: Age criteria for women undergoing breast enhancements using saline implants is 18 and above, while for silicone implants, the minimum age is 22.
Aftercare

The individual is kept under observation for a few days post the breast enhancement surgery. The breasts are covered in gauze dressings for a week before the patient is discharged.
After discharge, one is advised to wear a support bra for the first few weeks till the implants set in.

Everything You Want To Know About Breast Enhancement

Urticaria, commonly known as hives, usually occurs due to an allergic reaction. Sheetapitta is a similar condition in Ayurveda, as the symptoms are similar. Sheetapitta is comprised of two words-  sheeta  (cold) and  pitta  (warm). The condition occurs due to dominance of cold (existing in kapha and vata dosha) over pitta dosha.

Causes of Sheetapitta/urticaria-
Ayurveda believes, sheetapitta is caused due to the following reasons-

Excess intake of pungent (katu) and salty (lavana) food, mustard
Over consumption of sour gruels
Sleeping during the day
Contact with cold substances
Exposure to cold wind
Improper emesis (vomiting)
Insect bite (keeta damsha)
Coming in contact with poisonous bugs and insects (krimi samsarga)
Effect of seasonal changes on the body
Due to the factors mentioned above, especially because of exposure to cold wind, kapha and vata doshas become aggravated, and inevitably combine with pitta dosha. These spread all over the body and produce rashes on the surface of your skin.

Symptoms-
A person having sheetapitta/urticaria will encounter these symptoms-

Itching/pricking sensation
Nausea/vomiting
Fatigue
Tastelessness (aruchi)
Thirst (pipasa)
Lethargy
Reddish discoloration of the eyes (rakta lochanata)
Fever
Ayurvedic approach to cure Sheetapitta-

Ayurveda focuses on eradicating the doshas and purifying of the body toxins with Ayurvedic medicines & Panchkarma procedures. This is the essential part of Ayurvedic approach to cure urticaria. Abhyanga (massage), svedana (fomentation), vaman (induced vomiting) and virechen (induced lose motion) are very effective in treating Urticaria.

Ayurvedic treatment for Urticaria (Sheetapitta)-
Ayurvedic treatment for urticaria involves body purification therapy like Samshodhana, and oral medications. Some popular, effective techniques used in the treatment are-

Applying mustard oil all over the body
Applying mustard oil mixed with Saindhava lavana and Yavakshara
Use of a herbal powder named Eladi choornam that contains natural ingredients like elaichi
Applying medicated paste prepared from Haridra and Doorva, Kushta and Ghee over the rashes
Apart from these, herbs such as Guduchi, Yashtimadhu, Amalaki are recommended in the treatment of sheetapitta
Although urticaria is not a fatal condition, it can seriously affect one s quality of life. Many people suffer from urticaria for several months or years. Continual intake of conventional medicines reduces body s immunity. Moreover, the incidence of recurrence of this condition is often found. Thus, Ayurveda has an upper hand in treating hives, as it offers a comprehensive and permanent solution for this problem.

Sheetapitta - Causes, Symptoms & Ayurvedic View On It!

Hives or urticaria is an outbreak of reddish swollen bumps around the skin surface, formed mainly due to the body s response to particular allergens. Generally, the infectious bumps are of varied shapes and sizes and last for about 5-6 weeks. Although not a serious medical condition, hives can cause tremendous discomfort to the concerned person and affect his/her daily activities. Hives can be cured with a prescribed dosage of antihistamines or oral corticosteroids.

Causes of hives

Although the exact reason behind their formation is still unknown, researchers suggest that this disorder occurs as a response to involuntary histamine release by the skin blood vessels (that in turn, causes a leakage of blood plasma). Some other factors that can be responsible are:

Hives can occur due to insect or parasite bites.
Hives can also result as a side effect of painkillers such as codeine and other anti- inflammatory drugs such as ibuprofen or ACE inhibitors.
Excessive exposure to sunlight or high levels of stress (leading to high cortisol levels in the body) can also result in hives.
Intense scratching around the same spot can also result to hive formation.
Excessive alcohol intake can render you even more vulnerable to this disease.
Excessive intake of foods such as eggs, fish, nuts, chocolate and berries might also cause hives. Additionally, excessive consumption of certain food preservatives can also trigger the release of histamine.
Suffering from serious underlying medical conditions such as cancer, hepatitis or thyroid disorders can make you prone to chronic cases of hives (which might last for more than 6 weeks).
Symptoms of hives 
The symptoms of hives include, but are not limited to:

Appearances of several reddish welts around the face or arms which might cause a severe itchy sensation.
Painful and abnormal swelling around the mouth
You might also feel tightness in your chest along with recurring bouts of dizziness.
If not treated promptly after diagnosis, hives might result in life-threatening allergic reactions, such as Anaphylaxis (narrowing down of the bronchial tubes, thus causing significant breathing trouble) and auto-immune disorders such as rheumatoid arthritis.

7 Things that Can Cause Hives

The main pigment responsible for the hair and skin color is melanin. Melanocytes are the cells involved in the formation of melanin. Vitiligo is a dermatological condition (depigmentation) characterized by white spots or patches that appear in the body. Lack or absence of melanin is often responsible for the appearance of the white patches. Improper functioning or destruction of the melanocytes may interfere with the cell's ability to produce melanin. The condition can also affect your hair, scalp, eyebrows, and eyelashes, resulting in their premature graying or whitening.

Vitiligo can be localized (only one or very few body parts are affected), generalized (affecting many body parts) or segmented (the condition affects only one side of the body). An autoimmune condition such as Diabetes (Type-1) or Hashimoto's thyroiditis may trigger the destruction of the melanocytes. Vitiligo may also be a hereditary condition. In some cases, stress or exposure to harmful chemicals may be responsible for the destruction of the melanocytes.

While many people confuse vitiligo with leucoderma, there is a small difference between the two. Like vitiligo, the white watches in leucoderma appear due to the destruction of the melanocytes. However, the destruction of the melanocytes in the case of leucoderma may result from an accident, a cut, burn or tear.

When it comes to the treatment, many people prefer homeopathy over conventional treatments and medications. Being natural with negligible or no side effects are the main USP of homeopathic treatment. People with vitiligo and leucoderma have benefitted immensely from the treatment. The treatment may not provide you with immediate results, but it is worth your time and patience. Most of the homeopathic medicines activate the melanocytes. This activation triggers the formation of the melanin, thereby resulting in re-pigmentation.

The following homeopathic medicines are very effective against vitiligo and leucoderma.

Silicea 30: Silicea 30 is helpful for people with a sensitive skin that appears waxy and pale. In such patients, the patches or spots are not typically white but slightly rose-colored. There is extensive sweating of the hands and feet. The fingertips also appear cracked with brittle nails.
Arsenic Album: In some patients with vitiligo or leucoderma, the skin may appear dry and rough. In addition to the white patches, a person may complain of exhaustion and asthma (not in all patients). The person may show signs of extreme restlessness and anxiety. They freak out over cleanliness and neatness. Such patients benefit immensely from Arsenic Album.
Calcarea Carb is used to treat vitiligo where the patches appear milky white in color. There may be a weakness in the bones as well.
Sepia: Sepia is used when people with vitiligo distant themselves from their families and loved ones.
Nitric Acid 30 is used in the case of the white spots appearing at the mouth, nipples, nose, eyes, penis, vulva (mucous junctions).


Also, Sulfur, Psoralea Coryl 3X, Staphysagria, Borax, are equally helpful in treating vitiligo and leucoderma. To play it safe, use the medicines only after consulting a specialist. Self-medication may not be a wise idea.

Vitiligo And Leucoderma - Homeopathy Remedies Help In Treating Them?

All You Need to Know about Breast Augmentation Surgery

Breast Augmentation is the most popular plastic surgery procedure performed worldwide.

Breast augmentation can enhance your appearance and your self-confidence, enlarging your breasts and making them more proportional with the rest of your body. Breast augmentation can also be used to correct differences in the size of your breasts or sagging breasts, which can occur after pregnancy and breastfeeding.

Preoperative Planning

There are many choices and options in breast augmentation, which require careful planning to individualize what are the best options for you. All of these choices have advantages and disadvantages, which you should understand before you make a decision with your surgeon.

Breast augmentation does not correct severely drooping breasts. If you want your breasts to look fuller and to be lifted due to sagging, a breast lift may be required in conjunction with breast augmentation. Breast lifting can often be done at the same time as your augmentation or may require a separate operation. Your plastic surgeon will assist you in making this decision.

Most patients choose silicone implants rather than saline implants because they have a more natural look and feel. Modern silicone implants are substantially different from the old type of silicone implants used in the 1970s and 80s. Another advantage of the cohesive gel silicone implants is that they are made in a variety of round and tear-drop shapes, which means it is easier to choose an implant to achieve the breast shape that you desire.

Safety Profile

Misinformation emerged about silicone in the late 80's and early 90's. The effects of silicone implants have since been studied extensively these claims were made, looking at 100,000s of women with breast implants. In June 1999, The Institute of Medicine at the National Academy of Sciences in the U.S.A. released a report, which confirmed that there is no increased risk of the development of cancer, immunologic or neurological problems associated with the use of silicone breast implants, which had been claimed in the late 80's. Patients with implants can breastfeed normally as there is no effect on breast milk.

Surgery

Breast augmentation surgery requires a general anaesthetic, with the operation taking 1-2 hours, and is usually performed as a day-stay or overnight-stay procedure.

Implants are placed either behind the breast tissue or under the pectoralis muscle on the chest wall. Breast implants placed underneath the muscle have a more natural shape, a lower chance of capsular contracture (hardening) of the implant, and it is easier for mammography. There is also a choice of incision - in the crease under the breast, under the areola or in the armpit, all of which have advantages and disadvantages, which you should discuss with your surgeon.

Recovery

Following the surgery, it is important to have restricted light activities, with no lifting or heavy duties for 7-10 days. Most patients may drive again and return to work within 7 days after the surgery. Heavy activities and sport should not be undertaken for 3-4 weeks following the surgery.



All You Need to Know about Breast Augmentation Surgery

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