Psoriasis Archive

Research we're watching

You probably know to have your skin checked frequently for the signs of melanoma. But you should also be looking out for another, more common type of skin cancer — squamous cell carcinoma. This potentially lethal skin cancer can show up on your skin as a white or pink bump, a non-healing sore, or even a scaly patch. According to the American Academy of Dermatology, cases of squamous cell carcinoma are on the rise, with some 700,000 new diagnoses each year.

"While other skin cancers may be more lethal, they're less common," writes Dr. M. Laurin Council, an assistant professor of dermatology at Washington University in St. Louis. "Squamous cell carcinoma is highly treatable when detected early, so it's important for people to know the signs of this disease and keep a close eye on their skin."

Ask the doctor

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Q. I'm confused about vitamin D. How much should I take?

A. There's considerable controversy as to whether most people should take a vitamin D supplement at all. Most of the vitamin D in our bodies is made by our skin, when it is exposed to sunlight. In contrast to most other vitamins, we don't get much vitamin D in our diet. Authorities recommend, however, that children from age 1, and adults through age 70, take 600 international units (IU) daily, and that adults 71 years and older take 800 IU daily. People with, or at risk for, certain bone diseases need to take more than this amount. There's general agreement that doses above 4,000 IU daily can be toxic to adults, with lower doses toxic to kids.

Conventional medical wisdom has held that taking antibiotics for longer periods of time produces better results and lowers the risk for antibiotic resistance. But the evidence for this is slim, and researchers are now questioning this approach.

Soaps that strip away microbes aren't good, but it may be too soon to try products that add bacteria back.

You may have noticed that antimicrobial skin cleansers have disappeared from the shelves. In September 2016, the FDA ruled that over-the-counter antiseptic soaps and wash products containing triclosan, triclocarban, or 17 other antimicrobial agents could no longer be marketed because their manufacturers didn't demonstrate that the ingredients were both safe and effective in preventing the spread of infections. Moreover, the widespread use of antimicrobials is thought to promote the growth of antibiotic-resistant bacteria, like methicillin-resistant Staphylococcus aureus (MRSA), which can cause infections that are difficult to treat and even life-threatening.

You may also have noticed some new sprays, creams, and lotions whose purpose is just the opposite. Rather than eradicating microbes from our skin, these products, called probiotics, are designed to aid the growth of certain beneficial skin bacteria.

On call

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Q. I've noticed recently that I sweat excessively, regardless of the temperature. Should I be concerned?

A. Your genes can determine whether you sweat a lot, but a sudden change in your regular sweating may suggest an underlying condition. Sweating is regulated by your nervous system and can be triggered by a number of causes. The primary signal for perspiration originates in the brain in response to a temperature-related or emotional cue, and then is carried by the autonomic nervous system to the sweat glands in the skin.