Introduction 

The common male problem in an Aesthetic clinic, Gyanecomastia, is truly Pseudogynaecomastia with only fatty tissue and minimal glandular tissue. The condition is a part of the co existing Obesity disorder and is rarely, a standalone entity. The treatment options shall include an approach to answer the issue of obesity as a whole, not rest contented with surgical removal of the enlarged breasts alone. What is seen and what is treated is just a tip of the iceberg. 

Gynaecomastia, an innocuous condition, that affects 35-70% of male population immediately after birth, during adolescence and old age is rarely brought to notice as the sufferer makes all attempts to hide it as the condition brings with it a sense of shame and pain in public places and mental suffering. Herein starts the search for the treatment. Medical and multifaceted surgical options evolved over centuries with the current opinion being fat removal by anyone form of liposuction and the gland removal by direct excision. Gynaecomastia, is increased breast tissue in males composed of glandular and fatty tissue. 

Physiological gynaecomastia of puberty that normally regresses with age tend to stay back being sustained by the modern lifestyle changes. Processed foods and environmental pollution of air and water, the cosmetics used on the body like deo odorants, perfumes and toiletries, synthetics and chemicals have contributed to explosions of generalised obesity. With this generalised obesity, the tendency to hold back excess fat in the breast developed. This clearly shows the reason for higher incidence of (pseudo) Gynaecomastia of late. Hormonal imbalance due to reasons stated above, aggravate the situation. Gynaecomastia is part of the generalised obesity and it is more fat and little gland. 
However, this condition does not have any harmful effect on the body, but it can cause distress emotionally. Men may lose their self-confidence and they can be psychologically affected by this.

What Causes Gynaecomastia?

It is a type of hormonal imbalance that results in the growth of the male breast tissues. The ratio of oestrogen v/s androgens gets altered and causes the enlargement of the breasts. For this condition to occur, the amount of oestrogen increase in the body, or the amount of testosterone drops. Sometimes it can be the combination of both.

There are certain diseases that may contribute to gynaecomastia and they are as follows:

Kidney diseases

Liver disease

Drop in testosterone levels

Certain medications such as methadone, medications for HIV or treating prostate cancer

Certain tumours caused in male sex organs such as cancer of the Leydig cells or the Sertoli cells resulting in deprivation of androgen levels

Conclusion: 
True Gynaecomastia that requires surgical treatment is not so uncommon. What is commonly believed to be gynaecomastia is truly Pseudo gynaecomastia with a co exiting clinical picture of obesity, high BMI, sedentary life and wrong lifestyle. Surgical treatment by laser liposuction under Tumescent Anaesthesia gives very good results with high patient satisfaction and negligible post operative complications. Gland fragmented with laser can be extricated thro  same entry point without sub areolar incision.

Gynaecomastia (Enlarged Breasts In Men): Causes and Treatments

In medical science, the term used to refer white patches on the skin is vitiligo. This can appear on various parts of the human body. These are commonly found to develop on hands, feet, arms, legs, face, lips, and around the eyes and mouth. Researchers are not aware of the exact cause behind this skin disease. Some experts believe that it could be an instance of any kind of an autoimmune disorder.

The immune system attacks the melanocytes or the cells that produce skin coloring pigment i.e. melanin. It can also be caused due to genetic factors, excess exposure to sunlight, stress and deficiency of vitamin B12. The white patches are also caused due to infection caused by fungus like tinea versicolor.

Whatever be the cause, the problem is quite embarrassing for all. It mars your beauty and makes you look ugly. There are cosmetics and medicines to treat the condition. 

But you can also choose some home-based remedies from the list below to get rid of the white patches:

Babchi: It is an effective remedy for the problem of hypopigmentation or white patches. It has antipsoriatic properties. You must soak the seeds of this herb in the juice of ginger for at least three days. You must replace the ginger juice timely. It is thereafter advised to remove the husk from the seeds and dry them under the sun to make a powder out of it. Mix the powder with 40gms of milk a day and consume it. You can also put babchi oil on the skin and stay under the sun for 15 minutes.
Ginkgo Biloba: It has antioxidant properties to fight against the white patches. It hampers the spread or progress of the disease. You should consume 40-80mg of this three times in a day.
Coconut Oil: It helps in soothing the skin and cures inflammation. It helps in re-pigmentation. It is antifungal in nature.
Ginger: It benefits the blood. It boosts the production of melanin. Place a slice of ginger on the white patch and let it dry. You must repeat this twice daily for a week to see the best result.
These are just a few of the home-based remedies. You must consult your dermatologist for expert advice. Your treatment may vary on the gravity of the situation. Your doctor will be in the best position to tell you what suits you the most.

Vitiligo - Home Remdies to Treat Vitiligo on Body

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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!

When you think of organs of the body, the mind goes to internal organs like the stomach, liver etc. However, the largest organ of the body is the skin. Given its size and the amount it interacts with external stimuli, the skin is susceptible to a number of infections. One of the common issues to affect skin is known as psoriasis. This is typically seen as a rash that can make the skin dry, thick and flaky. It can make the skin feel very itchy and make the person unconsciously scratch his or her skin so hard that it bleeds. Although, even modern medicine does not have a way to cure psoriasis but can manage the symptoms. In contrast, homoeopathy can help treat the factors triggering this infection and hence keep it from recurring.

Homeopathy is a holistic form of medication that treats not only the symptoms exhibited but also the issues triggering the infection. Homeopathic medicines are usually prescribed in the form of sweet pills, powders or liquids. This form of medication has negligible side effects and can be prescribed to children and adults of all ages. If needed, it can be prescribed along with other types of medication as well. However, homeopathy does not follow a one size fits all approach. This means that a remedy that suits one person may not be effective for another. This is because the ideal homeopathic prescription depends on the symptoms being exhibited by the patient, his or her overall physical and mental health, family history, personality etc.

There are a number of homeopathic remedies that may be prescribed to treat psoriasis. Some remedies can treat psoriasis that is passed on genetically from one generation to another while others can treat psoriasis caused by exposure to warm or cold conditions. Homeopathy can be used to treat psoriasis that makes the skin dry as well as psoriasis that leads to oozing lesions. It can also be used to treat chronic cases of psoriasis. In many cases, two or more remedies may be prescribed simultaneously.

When taking homeopathic remedies one must follow the prescribed schedule. Medicines must be taken half an hour before or after meals. When taking two or more homeopathic medicines, they must be spaced at least 5 minutes apart. The ideal time to take the morning dose is as soon as one wakes up. Similarly, the best time to take a night dose is just before going to bed.

Psoriasis And Homeopathy - What All Should You Know?

We all know that skin clinics are there to help us with our skin problems. Visiting a skin clinic helps you in getting rid of those unsightly blemishes and also improves the texture of the skin. Complete skin care starts from within but when home remedies and other medications are not helping, then it is better to seek a professional treatment.
Acne is a common problem that most people suffer from these days especially teenagers and young adults. Acne is caused by increased hormones and clogged pores or bacteria. Most people treat it by cleansing, using topical ointments or even oral contraceptives. But when your acne becomes severe, it leads to scars that are not good in appearance and can become dark with time. When you visit a skin clinic, the skin care practitioner will identify your scar type and take steps accordingly. There are many acne scar removal techniques present and not all treatment procedures may work for you, your skin care provider will choose the best procedure for you. Basic skin care starts at home where you can wash your face twice a day with a mild face wash. Keep in mind that whenever you step out of your home in day, sunscreen is a must. It will not only protect you from harsh UV rays but also protect you from aging fast. Glowing skin comes from healing your body from inside by eating nutritious and healthy food everyday that is full of proteins and vitamins.
If you are facing severe acne scar problems, then it is best for you to visit a professional skin clinic and get yourself a laser or a light treatment. Laser treatment for scar removal is considered the best these days as it requires half an hour or so and leaves no scar after the treatment. During the treatment, laser goes deep in the skin to remove the scar from inside and out which is quite effective. It has only temporary side effects which away after sometime but you will have a healthy skin anyway after it. We should also exfoliate our skin to remove the dirt settled in the pores and provide it a clean and refreshing look. Skin care is all about giving proper attention to our skin and we should keep it in mind that by using every treatment or every cream will not nourish our skin rather make it rashed and  pale. Thus, a little care with proper regime is enough to have a glowing skin.  Always ensure that you take out time to make out what kind of treatment and repair your face requires. 


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