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Poison Ivy
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poison oak and poison sumac found?
Poison ivy, poison oak and poison sumac grow practically everywhere
in the United States, except Hawaii, Alaska and some desert areas of Nevada. They are the most common causes of allergic reactions
in the United States. 2. What causes the poison ivy rash?
Poison ivy rash is really an allergic contact dermatitis caused by a substance called urushiol, found in the sap of poison
ivy, poison oak and poison sumac. Urushiol is a colorless or slightly yellow oil that oozes from any cut, or crushed part
of the plant, including the stem and the leaves. You may develop a rash without ever coming into contact with poison ivy,
because the urushiol is so easily spread. Sticky, and virtually invisible, it can be carried on the fur of animals, on garden
tools, or on any objects that have come into contact with a crushed or broken plant. After exposure to air, urushiol turns
brownish-black, making it easier to spot. Once it touches the skin, the urushiol begins to penetrate in a matter of minutes.
It can be neutralized to an inactive state by water. 3. How does the poison
ivy rash develop?
In those who are sensitive, a reaction will appear in the form of a line or streak
of rash within 12 - 48 hours. Redness and swelling will be followed by blisters and severe itching. In a few days, the blisters
become crusted and begin to scale. The rash will usually take about ten days to heal, sometimes leaving small spots, especially
noticeable in dark skin. The rash can affect almost any part of the body, especially areas where the skin is thin; the soles
of the feet and palms of the hands are thicker and less susceptible. 4. Who
is sensitive to poison ivy?
We are not born with sensitivity to poison ivy. It develops only after several
encounters with the plants, and sometimes over many years. Studies have shown that approximately 85 percent of the population
will develop an allergic reaction if exposed to poison ivy. Although they are not sure why, scientists believe that an individual's
sensitivity to poison ivy changes with time and tends to decline with age. The first bout of poison ivy usually occurs in
children between the ages of 8 and 16, and can be quite severe. Investigators have found that people who reach adulthood without
becoming sensitized have only a 50 percent chance of developing an allergy to poison ivy. 5. What do poison ivy, poison oak and poison sumac look like?
The popular saying "leaves
of three, let them be," is a good rule of thumb, but it's only partially correct. Poison ivy or poison oak will take
on a different appearance depending on the environment. The leaves may vary from groups of three, to groups of five, seven,
or even nine. The plants grow near streams and lakes, and wherever there are warm, humid summers. Poison ivy grows as a low
shrub, vine or climbing vine. It has yellow-green flowers and white berries. Poison oak is a low shrub or small tree with
clusters of yellow berries and the oak-like leaves. Poison sumac grows to a tall, rangy shrub producing 7-13 smooth-edged
leaves, and cream-colored berries. In the spring and summer, there is plenty of sap, the urushiol content is high, and the
plants are easily bruised. Poison oak is found in the West and Southwest, poison ivy usually grows east of the Rockies, and
poison sumac east of the Mississippi River. 6. How do you prevent development
of the poison ivy rash?
The best way to avoid the misery of poison ivy is to be on the lookout for the
plant whenever you are out-of-doors. If you are going to be in areas where you know poison ivy or oak is likely to grow, wear
long pants and long sleeves and whenever possible, gloves and boots. If you think you've had a brush
with poison ivy, poison oak or poison sumac, follow this simple procedure: Wash all exposed areas with
cold running water as soon as you can reach a stream, lake or garden hose. If you can do this within five minutes, the water
will neutralize or deactivate the urushiol in the plant's sap and keep it from spreading to other parts of the body. Soap
is not necessary, and it may even spread the oil. When you return home, wash all clothing outside, with
a garden hose, before bringing it into the house, where resin could be transferred to rugs or to furniture. Handle the clothing
as little as possible until it is soaked. Since urushiol can remain active for months, it's important to wash all camping,
sporting, fishing or hunting gear that may also be carrying the resin. 7.
What is the treatment for the poison ivy rash?
Over-the-counter preparations like calamine lotion will
relieve mild rashes. Soaking in a lukewarm bath with an oatmeal or baking soda solution is often recommended to dry oozing
blisters and offer some comfort. Cool showers will help ease the itching. In severe cases, prescription corticosteroid drugs
can halt the reaction if taken soon enough. If you know you've been exposed and have developed severe reactions in the
past, be sure to consult your dermatologist. |
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Our goal at NYC Dermatology is to be the Tiffanys of Skin Care.
I personally see every new patient who visits our office. I am not just a physician, I am a Board Certified Dermatologist.
My goal is, quite simply, to provide the type of dermatologic care which I would seek for my own family.
This is a very important point, since physicans often use the phrase "Doctor's Doctor" to refer to those
individuals who typically are selected by physicians themselves for personal care. I am confident that my practice fully
meets that definition. This is the type of 5-star care and service that our patients expect, deserve and receive.
I treat every patient the way I would want to be treated: with courtesy, dignity and respect. I carefully listen to their
skin-care concerns and offer a variety of options including a treatment plan that I believe will give them the best results.
We also support our patients with a very fine medical staff . Please take a moment to explore our top of the line winning
website. My philosophy is simple…Experience Counts and Quality Matters. Please allow
me to solve your skin problems. After all, at NYC Dermatology , our philosophy is if you look great you will feel great
with gorgeous skin.” Best
Regards, Dr. Rothfeld
 
Dermatologists are physicians specializing in the diagnosis and treatment of diseases and tumors of the skin and its appendages. There are medical and surgical sides to the specialty. Dermatologic surgeons perform skin cancer surgery (including Mohs' micrographic surgery), laser surgery, photodynamic therapy (PDT) and cosmetic procedures using botulinum toxin (Botox), soft tissue fillers, sclerotherapy and liposuction. Dermatopathologists interpret tissue under the microscope (histopathology). Pediatric dermatologists specialize in the diagnoses and treatment of skin disease in children. Immunodermatologists specialize in the diagnosis and management of skin diseases driven by an altered immune system including blistering (bullous) diseases such as pemphigus. In addition, there is a wide range of congenital syndromes managed by dermatologists. Physician assistants and nurse practitioners with specialized training or extensive experience in dermatology also work in this specialty. Subspecialties The skin is the largest organ of the body and the most visible. Although many skin diseases are isolated, some are manifestations of internal disease.
Hence, a dermatologist is schooled in aspects of surgery, rheumatology (many rheumatic diseases can feature skin symptoms and signs), immunology, neurology (the "neurocuteaneous syndromes", such as neurofibromatosis and tuberous sclerosis), infectious diseases and endocrinology. The study of genetics is also becoming increasingly important.
Venereology, the subspecialty that diagnoses and treats sexually transmitted diseases, and phlebology, the specialty that deals with problems of the superficial venous system, are both part of a dermatologist's expertise.
Cosmetic dermatology
Cosmetic dermatology has long been an important part of the field, and dermatologists have been the primary
innovators in this area. In the 1900's dermatologists employed dermabrasion to improve acne scarring and fat microtransfer
was used to fill in cutaneous defects. Dermatologists specializing in cosmetic dermatology typically use non-invasive procedures
to reverse the signs of aging. Botox has been used since it was FDA approved for the treatment of wrinkles. It is used to
minimize wrinkles such as frown lines and crow's feet. Fillers are used to "fill in" lines on the face and to
minimize the appearance wrinkles. Brand names of fillers include Restylane, Perlane, Juvederm, Radiesse and Cosmoplast among
many others. Dermatologists are also the pioneers of energy based treatments for the skin and these include lasers, intense
pulsed light, radiofrequency, infrared light and photodynamic treatments.
Dermatologic surgery (dermasurgery) is performed by all dermatologists. Surgery is an integral part of dermatology residency
training; thus all dermatologists are well trained in cutaneous surgery. In North America specialized training through a 1
year dermatologic surgery fellowship is available upon completion of the dermatology residency, and usually focuses on training
in Mohs' micrographic surgery. Most dermatologic surgeons who have a special interest in this field apply for fellowship status with the American College of Mohs Micrographic Surgery
and Cutaneouis Oncology; or the American Society for Dermatologic Surgery. Techniques available to a dermatologic surgeon include lasers, traditional scalpel surgery, electrosurgery, cryosurgery, photodynamic
therapy, liposuction, blepharoplasty (cosmetic eyelid surgery), minimally-invasive facelift surgery (e.g., the S-lift), and
a variety of topical and injectable agents such as dermal fillers including fat transfer and hyaluronic acid. Some specially
trained dermatologic surgeons perform Mohs' surgery, which can be an effective method for the treatment of recurrent, indistinct, or difficult skin cancers.
Any mole that is irregular in color or shape should be examined by a dermatologist to determine if it is a malignant melanoma, the most serious and life-threatening form of skin cancer. Following a visual examination and a dermatoscopic exam (an invaluable
new instrument that illuminates a mole without reflected light), a dermatologist may biopsy a suspicious mole. If it is malignant,
it will be excised in the dermatologist's office.
The first step of any contact with a physician is the medical history. In order to classify a cutaneous eruption, the dermatologist
will ask detailed questions on the duration and temporal pattern of skin problems, itching or pain, relation to food intake,
sunlight, over-the-counter creams and clothing. When an underlying disease is suspected, an additional detailed history of
related symptoms will be elicited (such as arthritis in a suspected case of lupus erythematosus).
Dermatology has the obvious benefit of having easy access to tissue for diagnosis. Physical examination is generally done under bright light and preferably involves the whole body. At this stage, the doctor may apply Wood's light, which may aid in diagnosing types of mycosis or demonstrate the extent of pigmented lesions, or use a dermatoscope which enlarges a suspected lesion and visualizes it without reflected light. The dermatoscope is helpful in differentiating
a benign naevus from melanoma or a seborrheic keratosis from a mole. A morphological classification of dermatological lesions is important in the diagnosis of dermatological disorders. Dermatologic diagnosis is often dependent upon pattern recognition
of lesions and symptoms.
Culture or Gram staining of suspected infectious lesions may identify a pathogen and help direct therapy.
If the diagnosis is uncertain or a cutaneous malignancy is suspected, the dermatologic surgeon may perform a small punch biopsy (using a local anesthetic) for examination under the microscope by the dermatologist who is a trained dermatopathologist.
The skin is obviously accessible to topical local therapy. Antibiotic creams can help eliminate infections, while inflammatory skin diseases (such as eczema and psoriasis) often respond to steroid creams or topical anthralin. Dermatologists are innovators of new immune enhancing treatments, like topical imiquimod for
superficial cancers and injection immunotherapy for warts as discussed below.
Topical medications treat many dermatological diseases, but dermatologists also use oral medications. Antibiotics and immune suppressants or immune enhancing agents (injection immunotherapy or topical imiquimod) for dermatological diseases or tumors. Isotretinoin ("Accutane") is used for severe cystic acne vulgaris and often produces a lifetime remission of this disfiguring disease. Isotretinoin prescribing in the U.S. is now controlled
by a cumbersome FDA governmental website called iPLEDGE. Various new modalities of treatment are in the foray; with the advent of laser technology things are quite promising.
Photomedicine involves the use of ultraviolet light, often in combination with oral or topical agents, to treat skin disease (e.g., psoriasis or mycosis fungoides).
Surgical intervention by a dermatologic surgeon may be necessary, for example, to treat varicose veins or skin cancer. Varicose veins can be treated with sclerotherapy (injecting an agent that obliterates the vein) or the long-pulsed Nd:YAG
laser. Skin cancers can be managed with excision (including Mohs cancer surgery), cryosurgery, x-ray, or with the recent topical immune enhancing agent imiquimod. (See above section on "Dermatologic Surgery" for more details.)
Trained in Dermatology, NYC Dermatolgy by Board Certified Dermatologist NY Dermatology Dr. Gary Rothfeld possesses the special knowledge, skills and professional capability that distinguishes him as an outstanding Dermatologist
in NYC , Manhattan , New York at NYC Dermatology by Board Certified Dermatologist. Top New York City Dermatologist,
Dr. Rothfeld in Manhattan treats the most difficult cases until the problem clears. Dr. Rothfeld, a Board
Certified Dermatologist at NYC Dermatology in Manhattan, New York is caring, detailed, and meticulous and will never
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in Manhattan, New York has treated many patients in the entertainment and music industry is caring, detailed and meticulous
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under the medical supervision of Dr. Gary Rothfeld, a Board Certified Dermatologist.
To enhance every aspect of your
skin care, Dr. Rothfeld has personally created a superb line of cosmetic procedures.. NYC
Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld is a board certified NYC Dermatologist
with a New York City office in Manhattan, New York providing expert skin care, dermatology, and
cosmetic dermatology services. A board certified dermatologist in NYC specializing
in dermatology and dermatologic surgery including state-of-the-art cosmetic surgical procedures, Dr. Gary Rothfeld is
known for his attention to body symmetry and his dedication to meeting patients’ personal goals. His specialties include
full body liposuction using the tumescent technique, facial fat transplantation, Botulinum injection into facial lines and
laser resurfacing. NYC dermatology specializes in chemical peels, vein injections, laser, restylane, Perlane,
Botox injections, JUvederm, non-surgical facelifts, collagen implantation and treatment of skin cancer.
As an expert in the field of dermatology and cosmetic dermatologic
surgery, Dr. Rothfeld is has appeared on national television shows. Dr. Rothfeld has also been quoted in many high
profile national magazines.
Our goal at the manhattan office of Board Certified Derrmatologist , Dr.
Gary Rothfeld is to create an atmosphere of professionalism, trust and complete patient satisfaction at the NYC Dermatology
and Cosmetic Surgery Center in Manhattan, New York. Dr. Rothfeld, Dermatology Director of NYC Dermatolgy is a Board
Certified Dermatologist at NYC Dermatology who has treated many patients in the entertainment industry. Schedule an appointment at
our office which provides top of the line expert skin care, dermatology, cosmetic dermatology services,
and advanced dermatology laser treatments for cosmetic needs and medical skin conditions. We offer a full range of services
including surgery for skin cancer, laser hair removal, Botox®, the Fractionated Resurfacing laser, Titan laser, and acne
photodynamic treatments. Our main goal is to provide you with the most effective and advanced treatment. Join the NYC Laser
Center NYC Dermatology Mailing List Our periodic newsletters include exclusive offers, educational articles, as well
as free treatment & product drawings! Email: nycdermatologist@aol.com in our Media office and including different offers and many more. We offer a variety of services from
Botox® to Liposuction . Please contact us with any questions you may have or schedule an appointment online or by phone for
a consultation. Beauty Is Forever! and Dr. Rothfeld
at NYC Dermatologist has over 20 years of experience with his beauty tips.
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During
your office consultation and examination you will be provided with a detailed plan of the treatments that will benefit
you most. NYC Laser Center NYC Dermatology top laser dermatology center offering skin care, dermatolgy,cosmetic
dermatology services, and laser treatments for sun damaged skin, acne, acne scars, rosacea, pigmentation, laser
hair removal, broken blood vessels, as well as superficial and deep wrinkles. We offer patients in Manhattan,
services including general dermatology, wrinkle fillers such as Restylane®, Captique, Perlane,Cosmoderm and Cosmoplast, Radiance® (radiesse) and Sculptra. We also offer Botox®,
Cosmelan, Velasmooth, Fotofacial, Titan laser, Refirme, and the Fractionated Resurfacing laser. in the treatment of acne,
rosacea, skin cancer and surgery. Dr. Rothfeld has taught numerous other physicians on the proper use of Botox®, medical
hair transplants, and lasers in the country. Acne Photodynamic Treatment
- Botox® - Botox® for Hyperhidrosis - Cellulite - Cool Laser - Cosmelan Depigmentation Treatment - Glycolic
Acid Peel - Fat Transfer - Fotofacial / IPL Fractionated Resurfacing Laser - Hair Loss - Laser Hair Removal - Liposuction
- - Surgery - Minimal Scar Technique - Photodynamic Rejuvenation Radiance® - Restylane® - Sclerotherapy
- Sculptra - Smoothbeam - Stretch Marks - SunFX - TCA Peel - Tattoo Removal - Titan Laser Facelift - V-beam Laser Treatments
- Velasmooth Our cosmetic surgeon includes Dermatologist Dr. Gary Rothfeld Board Certified Dermatologist
at NYC Dermatology. Our NYC dermatologist offers advanced dermatology laser treatments for cosmetic needs and medical
skin conditions. We offer our services to Manhattan , Brooklyn, Bronx, Queens locations through our Manhattan
office in NYC
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Dr. Gary Rothfeld
NYC Dermatology
- Board Certified Dermatologist - New York, NY
30 E. 60th St. Ste. 805
Manhattan, New York 10022
212.644.9494
1.800.BLEMISH
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