Diagnosing Acne

Larry Jaeger is an expert at diagnosing acne conditions. He has over twenty-five years experience as a leading board certified Dermatologist in New York  in diagnosing acne.

How Acne is Diagnosed?acne-stats-did-you-know

Most people can easily self-diagnose mild acne, which can be treated at home using over-the-counter products. However, if you are unsure if what you are experiencing is acne, or if your acne seems severe, see your dermatologist. Acne is diagnosed by a simple visual inspection by your doctor. There is no test for acne.

What is Acne?

Larry Jaeger describes the symptoms and grades of acne outbreaks.

acne treatments: what is acne?

Acne Grades of Severity | Common Look-a-likes:

When diagnosing acne, dermatologists classify it into four grades.

They evaluate the types of comedones present, amount of inflammation present, breakout severity, how widespread the acne is and what areas of the body are affected.

AcneStages

Grades of acne are classified as follows:

Acne: Grade I – The mildest form of acne. The skin will display blackheads, whiteheads or milia, and occasionally minor pimples. There is no inflammation. Grade I acne can usually be cleared with over-the-counter treatments.

Acne: Grade II – Considered moderate acne. A greater number of blackheads and whiteheads are on the skin. Papules and pustules are more frequently found. Grade II acne may also be treated with over-the-counter products. However, if there is no improvement after six to eight weeks, consult your doctor.

Acne: Grade III – Moderate to severe acne. The difference between Grade II and Grade III acne is the amount of inflammation present. Papules and pustules will be more numerous and there will be a greater amount of redness and inflammation found on the skin. Nodules are often present. This type of acne should be evaluated by your dermatologist.

Acne: Grade IV – The most severe grade of acne, the skin will display many pustules, nodules, and cysts. Blackheads and whiteheads are numerous. There is pronounced inflammation, and breakouts likely extend to areas other than the face. Grade IV acne, also called cystic acne, must be treated by a dermatologist.

Types of Acne Breakouts

Larry Jaeger comments that some skin conditions can look remarkably similar to acne, although their causes and treatments are different. Do you have acne or an acne look-alike condition? If you are unsure, it is always wise to consult with a doctor instead of self-diagnosing acne.

acne myths: Diagnosing Acne

Common skin conditions that can be mistaken for acne include:

Rosacea – Causes red, flushed skin with papules and pustules, especially in the nose and cheek area.

Folliculitis – Bumps or pustules caused by inflammation of the hair follicle.

Keratosis pilaris – Small, rough, “goose-flesh” like bumps most often found on the upper arms, thighs and buttocks, and sometimes the face.

Miliaria rubra – Small red bumps on the surface of the skin caused by excessive heat exposure. Also known as heat rash.

Dr. Larry Jaeger of New York is an expert in the diagnosis and treatment of skin conditions and is board certified in dermatology and dermatological surgery. Visit Dr. Larry Jaeger and the Advanced Dermatology Associates team at 200 Central Park South, Suite 107 in New York City.

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HPV Treatment For Men

Larry Jaeger is a Board Certified Dermatologist and the founder and owner of Central Park Medical Associates in New York. Larry Jaeger provides private and discreet testing and treatment for all HPV related diseases: HPV Treatment For Men: HPV – What We All Need To Know.

HPV Treatment for Men: HPV Numbers

Does HPV infection increase cancer risk in men?

According to Larry Jaeger, the specific risks are different for men. Most of the time, HPV infection doesn’t cause any signs or symptoms in either sex, although some types of HPV cause genital warts.

Typically, the immune system eliminates the virus without treatment within about two years. Until the virus is gone, you can spread it to your sex partners.

Throat, Head & Neck Cancers: HPV

Larry Jaeger indicates that certain types of HPV, known as high-risk types, may cause persistent infection, which can gradually turn into cancer. Malignancies that can be caused by HPV include cancers of the vulva, vagina, penis, anus and oropharynx — the back of the mouth and upper part of the throat.

Men who have HIV — the virus that causes AIDS — and men who have sex with other men are at particular risk of anal, penile and throat cancers associated with persistent HPV infection. The rate of oropharyngeal cancers has been on the rise recently, especially in men.

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HPV In Men: Treatment & Vaccine

Larry Jaeger relates that men can prevent the types of HPV that cause most genital warts and anal cancer by receiving an HPV vaccine. These were originally approved as a cervical cancer vaccine for girls and young women, and they’re now approved by the Food and Drug Administration for the prevention of anal, vulvar and vaginal cancers, too.

The vaccines are recommended for males ages 9 to 26. The best time to get the vaccine is before sexual activity begins. Although these vaccines are not yet approved for preventing HPV-related penile and oropharyngeal cancer, recent studies suggest that these vaccines may be effective for preventing these cancers as well.

You may also lower your risk of contracting HPV by using a condom every time you have sex. However, condom use isn’t considered a substitute for HPV vaccination in those who are eligible for the vaccine.

10 myths about HPV: HPV Treatment for Men

New York Health Care| HPV Treatment For Men

 

HPV Vaccine Effectiveness Against Cancer

Larry Jaeger provides excellent dermatological diagnoses and treatments for patients at Central Park Medical Associates in New York. For over twenty-five years, Dr. Larry Jaeger has treated patients suffering from HPV related skin disorders and reveals new evidence of the effectiveness of HPV vaccines against cancer. “HPV Vaccine for Treating Cancer.”

HPV Vaccine Treating HPV Cancer

How do HPV vaccines work?

Like other immunizations that guard against viral infections, HPV vaccines stimulate the body to produce antibodies that, in future encounters with HPV, bind to the virus and prevent it from infecting cells. The current HPV vaccines are based on virus-like particles (VLPs) that are formed by HPV surface components. VLPs are not infectious, because they lack the virus’s DNA. However, they closely resemble the natural virus, and antibodies against the VLPs also have activity against the natural virus. The VLPs have been found to be strongly immunogenic, which means that they induce high levels of antibody production by the body. This makes the vaccines highly effective.

The VLP technology that is used in the HPV vaccines was developed by NCI and other scientists. NCI licensed the technology to Merck and GSK to develop HPV vaccines for widespread distribution.

HPV Vaccine Treating Cancer - HPV Statistics

How effective are HPV vaccines?

Larry Jaeger maintains that HPV vaccines are highly effective in preventing infection with the types of HPV they target when given before initial exposure to the virus—which means before individuals begin to engage in sexual activity. In the trials that led to approval of Gardasil and Cervarix, these vaccines were found to provide nearly 100 percent protection against persistent cervical infections with HPV types 16 and 18 and the cervical cell changes that these persistent infections can cause. Gardasil 9 is as effective as Gardasil for the prevention of diseases caused by the four shared HPV types (6, 11, 16, and 18), based on similar antibody responses in participants in clinical studies. The trials that led to approval of Gardasil 9 found it to be 97 percent effective in preventing cervical, vulvar, and vaginal disease caused by the five additional HPV types (31, 33, 45, 52, and 58) that it targets (18).

To date, Larry Jaeger reports that protection against the targeted HPV types has been found to last for at least 8 years with Gardasil (19) and at least 9 years with Cervarix (20). The duration of protection with Gardasil 9 is not yet known. Long-term studies of vaccine efficacy that are still in progress will help scientists better understand the total duration of protection.

Who is eligible for HPV vaccines?

A clinical trial of Gardasil in men indicated that it can prevent anal cell changes caused by persistent infection and genital warts (21). Analyses of data from women participating in a clinical trial of Cervarix found that this vaccine can protect women against persistent HPV 16 and 18 infections in the anus (22) and the oral cavity (23).

The HPV vaccines are all designed to be given to people in three doses over a 6-month period. However, one study showed that women who received only two doses of Cervarix had as much protection from persistent HPV 16/18 infections as women who received three doses, and the protection was observed through 4 years of follow up (24). Even one dose provided protection. In other studies, young adolescents given two doses of Cervarix or Gardasil were found to have as strong an immune response as 15-to-25-year-olds who received three doses (25, 26). Based on the evidence to date, the World Health Organization has recommended two doses as the standard delivery for these vaccines, although in the United States three doses are still recommended.

Central Park Medical Associates is a private and discreet testing and treatment center for all STD related conditions. HPV Vaccine Treating Cancer at (212) 246-0800.

Larry Jaeger is committed to providing safe and painless testing and treatment for HPV and can provide the best treatment options on a patient by patient basis.

Children Eczema Treatment

Larry Jaeger is an expert Medical Dermatologist at Advanced Dermatology Associates. As the founder and owner of the largest network of Dermatological treatment centers in The Bronx, Larry Jaeger has successfully treated thousands of children suffering form eczema for the last twenty-five years in New York. Children Eczema Treatment.

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Children’s Eczema Treatment

Eczema is a skin condition that has two distinct components:

Dry, easily irritated skin – children with this condition have a genetic tendency toward dry skin. Moisture is very important for our skin. It helps skin stay healthy. It prevents irritation. It speeds up healing. Moisture essentially helps our skin function better. With eczema, the skin does not retain moisture very well, thus giving it a dry, slightly rough texture and making it prone to irritation. To further complicate matters, this dry, irritated skin is itchy, causing children to scratch frequently. This further irritates and damages the skin, which leads to worse itching and scratching, and so on.

Allergies – children with this condition also have some underlying allergies that are manifested in the skin. When exposed to these allergens, the skin over-reacts and breaks out in a rash. The already dry and slightly irritated skin is less able to handle this allergic rash, and less able to heal itself quickly.

Thus, children with eczema have an ongoing battle on two fronts – trying to retain moisture in the skin and prevent irritation and itching, and limiting exposure to allergens and skin irritants.

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What Does Children Eczema Look Like?

Larry Jaeger advises,

Dry skin – your child will have slightly dry skin with a rough texture. You may be able to see and feel tiny white bumps as you run your fingers across the skin.

Dry patches – you may see scattered, scaly, dry, white patches anywhere on the body.treating children eczema

Flare ups – from time to time you will see some areas of the skin become more irritated and flare up. These will look like raised, red, slightly oozing patches. Flare-ups generally occur near skin creases – most commonly the inside of the elbows and behind the knees, but also in the neck, wrists and hands, and feet. It can also occur of the trunk. One unique aspect of eczema is that it usually does not affect the diaper area.

What Causes Children Eczema?

According to Larry Jaeger, eczema is a mixture of dry skin and allergies. The cause is mainly genetic – an inborn tendency toward dry skin and allergies. There is no way to change genetics. The important issue is not what causes eczema in the first place, but what allergies and skin irritants is your child exposed to that is triggering the flare-ups. Children Eczema Treatment in New York City, 10019.

Larry Jaeger is a member of the following organizations:
American Osteopathic Association
American Osteopathic College of Dermatology
American Medical Association
American Phlebotomy Association
Internal Society of Hair Restoration Surgeons

Children Eczema Treatment in NYC

Shingles Treatment in NYC

Larry Jaeger provides excellent skin care diagnoses and skin care treatments including patients suffering from shingles at Advance Dermatology Associates in New York. As the founder of the largest privately held network of dermatology treatment centers in The Bronx, Larry Jaeger has successfully treated thousands of patients suffering from shingles over the last twenty-five years. Shingles Treatment in NYC

Shingles Treatment in NYC

The risk of developing shingles grows with age. Nearly a third of us will develop it in our lifetime. While there’s no guaranteed way to prevent the disease, its severity can be lessened by prompt treatment.

But did you know that the shingles vaccine, approved for those age 60 and older, can lower your chances of getting it.

Shingles-Facts

Shingles – What causes shingles?

Larry Jaeger notes that shingles is caused by the varicella zoster virus, which is in the herpes family of viruses. It first appears as chickenpox and, like genital herpes, it never goes away.

Once someone has had chickenpox – or even the chickenpox vaccine, which contains the live virus – the virus sleeps in the roots of some nerves, often for decades, before awakening and reappearing as shingles.

According to the Center for Disease Control and Prevention, shingles each year affects about a million Americans.

The shingles rate is gradually increasing. While the CDC says it doesn’t know the reason, some experts have theories. The CDC, however, says that the increase began before the United States began vaccinating children.

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Who’s at risk for shingles?

Shingles often strikes when people are in their 50s, but about half of the cases occur among those 60 and older, a group that’s also more likely to endure a shingles complication called post-herpetic neuralgia (PHN). Affecting a third of those who get shingles after age 59, it results in pain or numbness that can last for months and sometimes years. That’s why doctors recommend that people get a shingles vaccine once they turn 60 years old.

Shingles Diagnosis:shingles-treatments

According to Larry Jaeger, the most common early symptoms of shingles are itching, tingling or pain, followed by an angry red rash along the nerve path traveled by the virus – often across the torso, sometimes along the arm or leg. It may feel like a sunburn, or worse.

The rash sometimes emerges on the forehead or tip of the nose, which is alarming because it can then involve the eye; if it does progress to the eye, it can cause vision loss.

The pain can be excruciating, some sufferers say.

Larry Jaeger relates he rash and pain can be less severe if treated early, preferably within the first 48 to 72 hours after symptoms appear. The drugs used include acyclovir, famciclovir and valacyclovir.

Even though it’s far more likely to strike later in life, shingles also takes plenty of younger people by surprise.

Shingles-Treatment-Statistics

Shingles – Treatment Options

Zostavax, a weakened but live form of the chickenpox virus, is licensed by the Food and Drug Administration to reduce the risk of shingles in people age 50 and older.

But CDC’s Advisory Committee on Immunization Practices recommends it only for those 60 and older, a guideline followed by most doctors. A clinical trial found that for people 60 and older, the vaccine cut their risk of developing shingles by about half and, maybe most important, their risk of PHN by 67 percent.

Even if you are sure you haven’t had chickenpox, CDC recommends the vaccination if you’re in the 60-and-older group. The vast majority of Americans born before the chickenpox vaccine was approved in 1995 have been exposed to the chickenpox virus, though some may not recall having symptoms as children.

And the CDC advises vaccination even for those who have had shingles, to decrease the chance of recurrence.

Despite all the recommendations, most Americans have been ignoring or are unaware of the guidelines: A 2012 CDC survey found that only 20 percent of adults 60 and older had been vaccinated against shingles. Shingles Treatment in NYC