ZACK MEDICAL CENTER
 
 STD Clinic
Specialty Clinic for Sexually Transmitted Infections
 
New Location   305, Emgate Building, Sheikh Zayed Road south, Dubai
Same Building as ‘Deals on Wheels’  Car Showroom
(Dubai to Jebel Ali Direction), Between Interchange 1 & 2, Exit 49 on Sheik Zayed Road (Immediately after Al Safa Salik Gate)
 Nearby Landmarks: Bank of Baroda, Villa Rotana Hotel, Safestway Supermarket.
 
GPS coordinates: N 25° 11.577’ E 55° 15.629’
 
(150 meters away from Exit 2 of Business Bay Metro Station on Red Line)
 
Ph: 04-3884 111               Toll Free: 800 STD  (800 783)                email@std.co  
Please call us between 9 am and 6 pm.
 

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Clinical  Graffiti
 
  The information in the medical news section is not intended to provide medical advice, diagnosis or treatment.
Treatments described may not be available in all countries. We do not sell the listed medicines. Drugs may have side effects not mentioned here.


US FDA has approved a new treatment for actinic keratosis, a precursor to skin cancer. Picato gel (Ingenol mebutate) approved in Jan 2012, needs to be applied for only 2 to 3 days. Ingenol mebutate, derived from the Australian plant Euphorbia peplus, acts by inducing cell death.  
Only 14.4% of adults aged 60 years and above reported receiving herpes zoster vaccination to prevent shingles. US Data, year 2010. CDC Morbidity and Mortality Weekly Report, February 3, 2012 / 61(04); 66
A single dose of zoster vaccine is recommended for adults aged 60 years and older regardless of whether they report a prior episode of shingles. Zoster vaccine is recently approved by the U.S. FDA for administration to persons 50 years of age and older. But, Advisory Committee on Immunization Practices continues to recommend that vaccination begin at age 60 years.  Recommended Adult Immunization Schedule: 2012, Annals of Internal Medicine February 7, 2012, 156 (3)
Obesity is a risk factor for the development of psoriasis. Gastric bypass surgery for weight loss improves psoriasis. Journal of the American Academy of Dermatology July 2011
Patients with severe psoriasis have a 53 percent increased incidence of major adverse cardiac events, such as heart attack, stroke, and cardiovascular death, compared to the general population. 2011 American College of Cardiology meeting, New Orleans
Facial wrinkle crow's feet responded significantly better to treatment with Dysport than with Botox. Physicians and patients alike rated the cosmetic results of Dysport superior.  Archives of Facial Plastic Surgery advance online 20 June 2011
Cow’s milk, nuts or other foods linked to allergies given to babies before the age of six months does not lead to wheezing or eczema later on. Archives of Pediatrics & Adolescent Medicine, online 6 June 2011
The National Psoriasis Foundation reports that approximately 125 million people worldwide, 2 to 3 percent of the total population, have psoriasis.
Eyelash-enhancement drug Latisse (bimatoprost) is under clinical study to treat baldness. Allergan, maker of Latisse, is hoping to have FDA approval by 2013.
Hypertension is less easily controlled in patients who also have psoriasis compared with non-psoriatic hypertensive patients. PLoS ONE 2011; 6: e18227
Obese children are three times more likely to develop eczema compared to normal weight kids. Also, obese kids tend have more severe eczema. Journal of Allergy and Clinical Immunology, online March 16, 2011
Itching, like yawning, may be contagious, causing people to feel an urge to scratch after they see another person scratching. The British Journal of Dermatology Advance online March 2011
Firstborn children are more likely to suffer from food allergies. The prevalence of food allergy is four percent in firstborn children, 3.5 percent in second-born children and 2.6 percent for children born later. American Academy of Allergy, Asthma & Immunology Annual Meeting, San Francisco, USA; Mar 2011
The U.S. Food and Drug Administration approved Benlysta (belimumab) to treat systemic lupus erythematosus on March 9, 2011. Benlysta inhibits B-lymphocyte stimulator protein, which may reduce the number of abnormal B cells thought to be a problem in lupus. Benlysta is the first new lupus therapy approved in over 50 years.
Recurrent shingles in people with normal immunity is more frequent than previously thought. Shingles recurred in 6% of patients during 8 years of follow-up. Mayo Clinic Proceedings 2011 Feb; 86:88.
People who get vaccinated with the herpes zoster vaccine Zostavax to prevent shingles can shed the virus in their saliva for weeks afterward. American Academy of Dermatology; 2011 annual meeting
Exposure to worm infections in the womb may protect a newborn infant from developing eczema. A trial in Uganda showed that treating a pregnant woman for worm infections increased her child's risk of developing skin allergy. Pediatric Allergy and Immunology, 2011
Pregnant women with severe psoriasis are at increased risk of having low birth weight infants. It is the disease itself, and not the therapy which increases the risk. Journal of American Academy of Dermatology 2010; Advance online publication: 25 October 2010 
 
Individuals with psoriasis appear to have an increased risk of depression, anxiety and suicidal ideation. Archives of Dermatology Aug 2010; 146 (8): 891-895
Young patients with psoriasis have increased arterial stiffness (premature atherosclerosis). British Journal of Dermatology March 2011
The risk of Stroke is higher following Herpes Zoster Ophthalmicus (Shingles around the eye). Antiviral treatment of Herpes zoster does not alter the Stroke risk. Neurology Mar 2010
Drug-resistant Lice respond to Ivermectin. The antiparasitic drug is given orally in a dose of 400 ug per kilogram of body weight on the first and eighth day. New England Journal of Medicine 
 
 
As many as a third of young people who use tanning beds may be addicted to the behavior. Exposure to UV light triggers production of brain chemicals called endorphins that boost mood. Archives of Dermatology
 
US FDA has approved polidocanol (Asclera) injection to treat small varicose veins. The injection is also used to close spider veins. Polidocanol damages the lining of the blood vessels, causing them to close.
 
US FDA has approved imiquimod cream 3.75% for treatment of actinic keratosis:  Zyclara cream by Graceway Pharmaceuticals. 
 
Seborrheic dermatitis occurs at a higher frequency in renal transplant patients than the general population.  Journal of the European Academy of Dermatology and Venereology
Azzalure: Botulinum toxin recently launched in the UK; significantly cheaper than Botox. Azzalure, because of its smaller molecular size, may diffuse in the tissue away from the injection site to cause droopy eyelid.
Sun block: Ideal Sun screen should be of SPF 30. (SPF 30 blocks 97 % of UVB; Sunscreen with higher SPF does not provide longer protection.) Sun screen should be broad spectrum (which blocks UVA & UVB). The sunscreen starts working only 30 minutes after it is applied. Sunscreen should be reapplied every three hours.
Use 1 mg sunscreen per square centimeter surface area. 400 mg of sunscreen is required to cover the whole face.
 
Sunscreens for children should contain zinc oxide and titanium dioxide. Sunscreen containing oxybenzone, an endocrine disruptor, is not suitable for them.
 
Cloth as Sun Block: Fabrics with darker or more intense colors are much better at blocking ultra violet rays. Dark blue offer the best protection and yellow colored cotton offer the least protection.
Eyelash enhancer drug: Bimatoprost is currently used to treat glaucoma, a dangerous eye disease. One of the side effects of the medicine is "to make the eyelashes of patients longer and fuller." Now the side effect is utilized to produce an eyelash enhancer drug. The drug is named Latisse and marketed by Allergan pharmaceuticals.
* Glaucoma is a disease where the pressure inside the eye ball increased.
* Bimatoprost is a prostaglandin analog
 
Isopropyl cloprostenate, a prostaglandin analogue like bimatoprost is also claimed to enhance eyelash. Eyelash serum containing Isopropyl cloprostenate is marketed in the US.
 
Vaniqa (eflornithine topical) is the only US FDA approved medication to decrease hair growth. Its active ingredient is eflornithine hydrochloride, interferes with an enzyme that causes hair to grow
 
Approximately 30 percent of the population believe they have food allergies. The true incidence of food allergies is only about eight percent for children and less than five percent for adults. Journal of the American Medical Association
 
Food allergy is routinely over diagnosed. Lab tests for food allergy are not specific. Roughly 50% of patients with a questionable history and positive test result will not have true food allergy. Food challenge is the gold standard in diagnosis. JAMA 2010

Symptoms of food allergy: Redness, itching, rash on skin; Watering, and itching of eye; Itching or congestion of the nose; Diarrhea, abdominal pain, cramping or vomiting; Swelling; Breathing difficulty, wheezing and chest tightness indicate a serious allergic reaction.  Common edibles such as shellfish, nuts, wheat, eggs or milk may cause allergy.  American Academy of Allergy Asthma and Immunology

Propranolol for Infantile Hemangioma: The beta-blocker propranolol is effective and safe to treat infantile hemangiomas. Given at a daily dose of 2 to 3 mg/kg, efficacy is nearly 100%. Rapid therapeutic effects: softening of the lesion, regression of hemodynamic compromise. Pediatrics
Infantile Hemangioma of the eyelid responds to topical beta blocker, Timolol Solution. Archives of Ophthalmology


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