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Gilberto
Yael
Noe

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Ángel Vallejo Córdoba
Ángel de Jesús Villanueva
Miranda Selene Villaseñor Ruiz

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Shingles is caused by the varicella-zoster virus... the same virus that causes chickenpox. After you've had chickenpox, the virus lies inactive in nerve tissue near your spinal cord and brain. Years later, the virus may reactivate as shingles

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Ilse
Kenia
Michelle

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Guillermo Toledo Jacobo

Juan Manuel Rosiles López

Jesús Sánchez Domínguez

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Jeniffer Yoselin Escobar Guzmán
Andrea García Almendárez
Magaly García Villa

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Thalina Jharely López Sánchez
Karla Paulina López Díaz Barriga

María Fernanda Hernández Escobar

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When you come into direct contact with an allergen. The condition is known as a “delayed allergy” because it doesn’t trigger an allergic reaction right away.

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1.  What do you know about this problem?
2. Do you have relatives with the same acne problem?
3. Are you taking any medication?
4. Do you use sunscreen creams?
5. How many times a day do you wash your face?
6. Do you use oil-based cosmetics or creams?
7. How long have you started the first outbreaks?
8. How do you think this condition can affect your life?
9. Would you feel better going to a psychological consultation?
10. How does this condition affect your daily activities?
11. Are you allergic to any kind of medicine?
12. Is it only on the face or is it also on other parts of the body?

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Actinic Keratosi: is a precancerous growth on the skin caused by long-term exposure to ultraviolet light. It is also known as solar keratosis.

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Acne occurs when the pores of your skin become blocked with oil, dead skin, or bacteria.
It can occur when:

Too much oil is produced by your follicles

Dead skin cells accumulate in your pores

Bacteria build up in your pores

Reference: https://www.healthline.com/health/skin/acne#causes

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Impetigo is a skin infection caused by one or both of the following bacteria: group A Streptococcus and Staphylococcus aureus.

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A dermatologist can often diagnose shingles by looking at the rash on your skin. If there is any question about whether you have shingles, your dermatologist will scrape a bit of fluid from a blister. This will be sent to a lab where a doctor will look at the fluid under a high-powered microscope.

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When did your symptoms begin?

Does anything make them better or worse?

Do you know if you've ever had chickenpox?

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Viral infection or fever

Hormonal changes, such as those related to menstruation

Stress

Fatigue

Exposure to sunlight and wind

Changes in the immune system

Injury to the skin

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Andrés Giovanni Torres
Melissa Toriche
Marisol Trujillo

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Observe skin lesions characteristic sores.
Laboratory tests are not usually necessary.

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Anyone can develop actinic keratoses. But you're at increased risk if you:
-Have red or blond hair and blue or light-colored eyes.
-Have a history of a lot of sun exposure or sunburn.
-Tend to freckle or burn when exposed to sunlight.
-Are older than 40.
-Live in a sunny place.
-Work outdoors.
-Have a weakened immune system.

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It consists of penicillin
Antibiotics shorten the period of infection and can prevent its spread.

It is treated with an antibiotic cream or ointment that you apply directly to the sores

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Chronic exposure to ultraviolet (UV) rays from the sun

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Age (young children 2 to 5)
Close Proximity to Another Infection
Warm, Humid Weather
Participation in Sports (skin-to-skin contact)
Broken Skin

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A little rash, that presented as red spot all over a specific zone of the skin, caused mainly by allergic reactions

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A person who has red sores that form around the nose and mouth.
The sores quickly burst leaving behind thick, golden crusts typically around 2cm across. After the crusts dry, they leave a red mark that usually fades without scarring. The time it takes for the redness to disappear can vary between a few days and a few weeks.

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1. Has this problem happened to you in the past?
2. Have you had recent cuts, scrapes, or insect bites on the affected area?

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Contact dermatitis can be caused by:

an irritant – a substance that directly damages the outer layer of skin

an allergen – a substance that causes the immune system to respond in a way that affects the skin

Contact dermatitis is most commonly caused by irritants such as soaps and detergents, solvents or regular contact with water.

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1. What food are you allergic to?
2. Is there any medicine that makes you have an allergic reaction?

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1. Is there something that seems to make ulcers better or worse?

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1. Does anyone in your family already have impetigo?
2. who do you share home with

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There is a strong genetic component to atopic dermatitis, although the specific details of how it is inherited remain incompletely understood. Parents who suffer from allergic disorders, including atopic dermatitis, asthma, and hay fever have a higher risk of having children with atopic dermatitis.
FACTORS:
Genetic factors
Environment
Medical conditions
Age

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Shingles is usually diagnosed based on the history of pain on one side of your body, along with the telltale rash and blisters

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Almost everyone is at risk of cold sores. Most adults carry the virus that causes cold sores, even if they've never had symptoms. You're most at risk of complications from the virus if you have a weakened immune.

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Age: It occurs most often in teens

Hormonal changes: More common during puberty or pregnancy

Family background: Genetics are involved in acne

Greasy or oily substances: When skin comes in contact with oil or oily lotions and creams

Friction or pressure on the skin: Spending a lot of time with phone, helmets...

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1. What is your occupation?
2. What is your skin care routine?

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1. What did the ulcers look like when they appeared?

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Your doctor can usually diagnose a cold sore just by looking at it. To confirm the diagnosis, the doctor may take a sample from the blister for laboratory analysis.

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Age, occupation, history of atopic dermatitis, is most common in people with red hair and fair skin, the use of jewelry, fragrances, cosmetic products.

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Skin biopsy of any lesions that look suspicious.
simply by looking at it.

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Cold sores usually go away without treatment within two to four weeks. There are several types of prescription antiviral medications that may speed up the healing process. For example:

Acyclovir (Zovirax)

Valaciclovir (Valtrex)

Famciclovir

Penciclovir (Denavir)

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Are you usually exposed to UV rays from the sun?
Do you usually get skyn burns?
How many AKs you have ?
Where the AK(s) appear on your body?
What the AK(s) look like?
Whether you’ve had skin cancer ?
Your other medical conditions, such as living with a transplanted organ ?

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Female patient that presents red spots all over his face, not seems like pimples, she referes itch in the zone, specifically around her mouth, were is the most of the spots

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There’s no cure for shingles, but treating it as soon as possible can help prevent complications and speed your recovery. Ideally, you should be treated within 72 hours of developing symptoms. Your doctor may prescribe medications to ease symptoms and shorten the length of the infection.

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Being older than 50. Shingles is most common in people older than 50. The risk increases with age.

Having certain diseases. Diseases that weaken your immune system, such as HIV/AIDS and cancer, can increase your risk of shingles.

Undergoing cancer treatments. Radiation or chemotherapy can lower your resistance to diseases and may trigger shingles.

Taking certain medications. Drugs designed to prevent rejection of transplanted organs can increase your risk of shingles — as can prolonged use of steroids, such as prednisone.

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She always used the same cosmetic by years, but she started feeling like this since she bougth a new brand, she isn´t allergic to any specific drug, or other substances, as far as she knows

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The diagnosis of acne is based on an examination of the skin. Certain symptoms, such as black and white dots, are looked for to confirm the presence of acne and not another skin condition, such as rosacea.

Upon confirmation of the diagnosis, the severity of acne is classified as mild, moderate, or severe based on the number and type of lesions.

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Do you have any allergy?
What food are you allergic to?
what types of pills do you take?
How many pills do you take?
Do you suffer from stress?
Do you have any problem at work?
Do you have all your vaccines?

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She didn´t refer any allergy that she have known

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Have you ever had a blister around your mouth?
Did you present signs and symptoms before?
Are you allergic to any medication?

Are you taking any medication?
Does any in your family have a cole sore?
Who do you share home with?
Something important in your life style changed?

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Medications are needed to:
Acne control
Avoid scarring or other skin damage
Make the sicatris not so visible

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An actinic keratosis sometimes disappears on its own but might return after more sun exposure.
Medications
If you have several actinic keratoses, your doctor might prescribe a medicated cream or gel to remove them.
Surgical and other procedures

Freezing (cryotherapy).

Scraping (curettage).

Laser therapy.

Photodynamic therapy.

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was the redness of the skin caused by a known allergy?
Are you allergic to any medications?

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Diagnosis

Shingles is usually diagnosed based on the history of pain on one side of your body, along with the telltale rash and blisters. Your doctor may also take a tissue scraping or culture of the blisters for examination in the laboratory.

Treatment

There's no cure for shingles, but prompt treatment with prescription antiviral drugs can speed healing and reduce your risk of complications. These medications include:

Acyclovir (Zovirax)

Famciclovir

Valacyclovir (Valtrex)

Shingles can cause severe pain, so your doctor also may prescribe:

Capsaicin topical patch (Qutenza)

Anticonvulsants, such as gabapentin (Neurontin)

Tricyclic antidepressants, such as amitriptyline

Numbing agents, such as lidocaine, delivered via a cream, gel, spray or skin patch

Medications that contain narcotics, such as codeine

An injection including corticosteroids and local anesthetics

Shingles generally lasts between two and six weeks. Most people get shingles only once, but it is possible to get it two or more times.

Lifestyle and home remedies

Taking a cool bath or using cool, wet compresses on your blisters may help relieve the itching and pain. And, if possible, try to reduce the amount of stress in your life.

Preparing for your appointment

Some people have such mild symptoms of shingles that they don't seek medical treatment. At the other extreme, severe symptoms may result in a visit to the emergency room.

What you can do

You may want to write a list that includes:

A detailed description of your symptoms

Information about your medical problems, past and present

Information about the medical problems of your parents or siblings

All the medications, vitamins and dietary supplements you take

Preparing a list of questions ahead of time will help you make the most of your limited time with your doctor. List your questions from most important to least important in case time runs out. For shingles, some basic questions to ask your doctor include:

What's the most likely cause of my symptoms?

How long will I have symptoms?

What caused me to develop shingles? Can I get it again?

What treatment do you recommend? How quickly will I start to feel better?

What if my symptoms don't improve?

Are there any brochures or other printed material that I can take with me? What websites do you recommend?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask any additional questions that occur to you during your appointment.

What to expect from your doctor

Your doctor will examine your rash and may ask some of the following questions:

When did your symptoms begin?

Does anything make them better or worse?

Do you know if you've ever had chickenpox?

Show references

1. Shingles: Hope through research. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Shingles-Hope-Through-Research. Accessed May 9, 2017.

2. Yun H, et al. Longterm effectiveness of herpes zoster vaccine among patients with autoimmune and inflammatory diseases. Journal of Rheumatology. In press. Accessed May 9, 2017.

3. Ferri FF. Herpes zoster. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed May 9, 2017.

4. Bennett JE, et al., eds. Chickenpox and herpes zoster (varicella-zoster virus). In: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. https://www.clinicalkey.com. Accessed May 9, 2017.

5. Shingles: Clinical overview. Centers for Disease Control and Prevention. http://www.cdc.gov/shingles/hcp/clinical-overview.html. Accessed May 9, 2017.

6. Longo DL, et al., eds. Varicella-zoster virus infections. In: Harrison's Principles of Internal Medicine. 19th ed. New York, N.Y.: McGraw-Hill Education; 2015. http://accessmedicine.mhmedical.com. Accessed May 9, 2017.

7. Albrecht MA, et al. Vaccination for the prevention of shingles (herpes zoster). https://www.uptodate.com/contents/search. Accessed Sept. 10, 2020.

8. Zostavax (zoster vaccine live) recommendations. Centers for Disease Control and Prevention. https://www.cdc.gov/vaccines/vpd/shingles/hcp/zostavax/recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fvpd%2Fshingles%2Fhcp%2Frecommendations.html. Accessed Sept. 10, 2020.

9. Shingrix recommendations. Centers for Disease Control and Prevention. https://www.cdc.gov/vaccines/vpd/shingles/hcp/shingrix/recommendations.html. Accessed Sept. 10, 2020.

10. AskMayoExpert. Herpes zoster (shingles). Mayo Clinic; 2019.

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Shingles is usually diagnosed based on the history of pain on one side of your body, along with the telltale rash and blisters. Your doctor may also take a tissue scraping or culture of the blisters for examination in the laboratory.

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A small amount of diluted test allergens are applied to the skin under a patch of paper tape. The patches are placed on the back and are removed after 48 hours. Skin reactions are looked at and scored at a 48 hour visit and then again after 72 to 96 hours.

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Are you currently taking any medication?
Before the eczema were you taking any medication?
Have you ever use steroids?
What kind of medicarion are you allergic to?

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Presenting complaint
Where do you present your lesion? Doest it hurt or itch?
Past medical history
Did you had already had a lesion like this or similar?
Allergies
Do you have any allergy to something?
Drug history
Do you take any pill?
What kind of pills?
Family history
Any family member has had skin lesions of some kind?
Social history
Do you think you are under a lot of stress?
Do you have good personal hygiene?
Psychosocial impact
Have you recently changed your routine?
There has been a major change in your routine?

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1. What do you do for living?
2. Does this disease affect things at work?
3. How is your relationship with your partner at this moment?

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What can i do for you?
Could describe what happen me?
Where is the hassle?
Does it goes anywhere?

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How does this condition make you feel in your social life?
Are you ashamed?

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If you can successfully avoid the irritants or allergens that trigger your symptoms, your skin will eventually clear up.

However, as this is not always possible, you may also be advised to use:

emollients – moisturisers applied to the skin to stop it becoming dry

topical corticosteroids – steroid ointments and creams applied to the skin to relieve severe symptoms.

If you have a severe episode of contact dermatitis and it covers a large area of your skin, a doctor may prescribe oral corticosteroids.

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To reach the diagnosis, you must first ask about your symptoms and examine the skin, if necessary you will have to take a biopsy to rule out other diseases

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What do you usually visit your doctor for?
Does any else in the family suffer from it?
Do you suffer from any other disease such as epilepsy, asthma, diabetes or hypertension?

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Treatments for allergic eczema include:

applying an over-the-counter (OTC) hydrocortisone cream to reduce itching

moisturizing the skin at least twice daily with a fragrance-free moisturizer

taking antihistamines

taking oatmeal baths

wearing protective clothing and gloves when in contact with a known allergen