Skin and Hair Archive

News briefs

Eczema is a common and chronic inflammatory condition that leaves skin dry and itchy. A large study published in the February 2020 issue of The Journal of Allergy and Clinical Immunology found that people with eczema had an increased bone fracture risk, especially if the eczema was severe. Researchers compared 500,000 adults with eczema to more than 2.5 million people who didn't have eczema. Over a period of five years, people with eczema appeared to have slightly higher rates (7% to 18%) of wrist, hip, pelvis, and spine fractures, compared with people who didn't have eczema. People with severe eczema had much higher rates of hip fractures (50% higher), pelvis fractures (66% higher), and spine fractures (109% higher, or more than double the risk) than people without eczema. The study is observational and doesn't prove that eczema causes bone fractures; it could be that certain medications and lifestyle habits contributed to broken bones in the study. "But based on the findings, people with eczema should be aware their skin condition may increase the risk for osteoporosis and bone fractures, and should talk to their health care provider to decide if preventive measures and screening tests for osteoporosis are warranted. Healthy lifestyle choices, such as getting enough calcium and vitamin D and getting regular aerobic and weight-bearing exercise, are important for everyone and may be particularly important for people with eczema," says Dr. Robert Shmerling, a rheumatologist at Harvard-affiliated Beth Israel Deaconess Medical Center.

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Ask the doctors

Q. My skin has been breaking out since I entered menopause. Why is this happening, and what can I do about it?

A. Many women notice changes to their skin at menopause. For some women this means dryness, age spots, or a tendency toward bruising. For others, estrogen levels drop while male hormone levels, such as testosterone, remain the same, which can prompt acne breakouts.

Ask the doctors

Q. I have a lot of varicose veins. Do they present any sort of a health risk?

A. Varicose veins are typically viewed as a mild, non-life-threatening condition that is more of a cosmetic annoyance than a serious health problem. That said, varicose veins can be associated with some health-related issues, such as swelling in the legs, blood clots, or damage to the skin caused by pressure from the veins. They may also make you more prone to skin damage, infections, and ulcers.

Ask the doctors

Q. I have terrible dandruff that just doesn't seem to ever clear up. What can I do to treat it?

A. For most people, using a dandruff shampoo once or twice a week can control this annoying condition, in which the skin on the scalp becomes dry and flakes off. But in some cases, the condition doesn't clear up and actually requires medical attention.

Eczema is an itchy rash that's often hard to get rid of. Most people can't help scratching it, which further irritates the skin. Eczema is often, but not always, related to allergies. A common cause is your skin overreacting to everyday irritants, such as dust, soaps and detergents, or even dry, cold air, which triggers an intensely itchy allergic reaction.

Skin affected by eczema becomes dehydrated and dry easily, so treatment involves rehydrating the skin. Baths and showers must be short and not too hot. Afterwards, gently pat your skin dry and promptly apply moisturizers while your skin is still moist. Thick creams that lock in the moisture help the most. Be sure to choose creams or lotions without fragrances or preservatives. Limit the use of soaps and shampoos, too. These products remove the skin's natural oils and worsen dryness. And over-the-counter oral antihistamines can help with the ferocious itch.

A widely-advertised facial moisturizer claims to be the best on the market — and sells for $225 per bottle. Should you buy it? Another brand offers a complete skin care regimen — but it comes in 10 different bottles of lotions and potions that all need to be applied daily. Is it worth your time?

Despite manufacturers' claims, many cosmetic products will remove more cash from your wallet than dirt and oils from your skin. You don't need an expensive or lengthy skin care routine — and the good news is, the most effective and reliable regimen is also quick and inexpensive.

Learn to spot an actinic keratosis before it becomes cancerous.

About 58 million people have at least one actinic keratosis (AK), a precancerous skin growth caused by too much sun exposure.

Yet most people don't see the potential danger in these lesions because they are small, with few if any annoying symptoms, and can go away almost as fast as they appear.