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Polymyalgia

Polymyalgia rheumatica is a condition of muscle pain and stiffness - often in the shoulders, neck, hips and upper arms. Sometimes it happens in the thighs as well. This condition begins with a gradual onset and often lasts for several years. The stiffness is worse for many hours with bouts of depression and sometimes patients report fever.


Cause of Polymyalgia: The cause is often obscure. It is thought to be associated with autoimmune disease with a reaction resulting in inflammation of the connective tissue. Joint linings and tendon coverings may well be affected. Polymyalgia almost always begins after the age of 50 and is common with women.


Treatment for Polymyalgia: Mostly the treatment option is symptomatic. Many people respond to non-steroidal anti inflammatory medicine like Aspirin and ibuprofen. Some cases might require steroids. While on steroids, avoid contact with people infected with varicella, shingles (herpes zoaster) as the steroids will render you vulnerable to the virus infections. A protective injection of VZIG - varicella / zoaster immune globulin antibodies might help in some cases.

Polymyalgia

Polymyalgia rheumatica is a condition of muscle pain and stiffness - often in the shoulders, neck, hips and upper arms. Sometimes it happens in the thighs as well. This condition begins with a gradual onset and often lasts for several years. The stiffness is worse for many hours with bouts of depression and sometimes patients report fever.


Cause of Polymyalgia: The cause is often obscure. It is thought to be associated with autoimmune disease with a reaction resulting in inflammation of the connective tissue. Joint linings and tendon coverings may well be affected. Polymyalgia almost always begins after the age of 50 and is common with women.


Treatment for Polymyalgia: Mostly the treatment option is symptomatic. Many people respond to non-steroidal anti inflammatory medicine like Aspirin and ibuprofen. Some cases might require steroids. While on steroids, avoid contact with people infected with varicella, shingles (herpes zoaster) as the steroids will render you vulnerable to the virus infections. A protective injection of VZIG - varicella / zoaster immune globulin antibodies might help in some cases.

Dermatitis

Dermatitis is a skin condition characterized by inflammation or localized rash. This is usually caused due to an allergy or irritant. The affected area becomes red and tender and develops crusts, blisters or crusts. The affected skin may develop fluid-filled bumps or fissures. Contact dermatitis occurs when the skin comes into contact with a substance that triggers off an allergy or irritation. Substances that typically cause dermatitis are gragrances in detergents, laundry soap, industrial chemicals, perfumes, hair dyes, nickel jewelry, certain foods and plants. Poison ivy, poison oak and poison sumac are common plant allergens. Allergic dermatitis is a condition where the body's immune system overreacts to a foreign body and produces antibodies. It results in itchy rash. Contact dermatitis is a condition resulting from contact with a substance that causes damage to your skin. Persons suffering from eczema are more susceptible to contact dermatitis. Creams containing hydrocortisone can help in alleviating the symptoms of contact dermatitis. Irritant contact dermatitis is caused due to the direct effect of an irritant substance on the skin. These substances may be found at home or at the work place or garden. Typically allergic contact dermatitis is easily noticed within 48 - 72 hours. Allergic contact dermatitis is a result of hypersensitive skin reacting to a particular substance. Atopic dermatitis is a result of an allergic condition. It is more common in families with allergies to hay fever, asthma and history of sensitive skin. When there is accummulation of fluid beneath your skin tissues, it leads to statis dermatitis. This type of skin condition can arise from various chronic conditions. Seborrheic dermatitis occurs on the scalp and may need to be treated with shampoos containing salicylic acid or ketoconazole. Use of hydrocortisone creams and lotions may also give relief. This condition is known as dandruff. It can affect the face and chest along with creases of the limbs.

Skin tests or patch tests help in clarifying the type of dermatitis. The physician must rule out eczema or psoriasis before looking for possible causes of dermatitis. A patch test can help in narrowing down the substance that triggers the dermatitis so that exposure can be avoided. Small areas of the skin are subjected to different allergens. This patch of skin is then covered and the reactions are noted after 2 days. Any swelling or rash is indicative of allergy towards that particular substance. Since there is no definite cure for atopic dermatitis, the physician will suggest treatment options based on the pattern, duration and severity of the condition. Simple ways of tackling dermatitis:

  • Showering or bathing in lukewarm water
  • Wearing smooth and soft clothes preferably made of natural fibers
  • Applying emollients. It is essential to keep your skin well moisturized. This can reduce the number of flare-ups.
  • Applying topical steroids on affected patches
  • Antihistamines can help in reducing irritation and itching
  • Calamine lotion may relieve itching
  • Wet wraps an help in cooling and moisturizing the skin and protecting it from damage due to scratching.