Dr. Madeline Krauss Krauss Dermatology Best Dermatologist Boston Newton Wellesley MetroWest Massachusetts I Love Newton MA

Krauss Derm Blog: Answers FAQ on Teen Acne, Lyme Disease, Poison Ivy and More

Dr. Madeline Krauss Krauss Dermatology Best Dermatologist Boston Newton Wellesley MetroWest Massachusetts I Love Newton MA

My dermatologist, Dr. Madeline Krauss, has a great blog where she answers, very thoroughly, all the derm questions that people ask her at cocktail parties including teen acne, poison ivy, and Lyme disease.

She and her husband are also those kind of stalwart community members that give back quietly and frequently. Their house was on This Old House a few years back and they graciously hosted fundraiser after fundraiser — I’d be surprised if anyone at our elementary school has NOT had a tour of their house. From the Newton Spring Fling Library Fundraiser, to Newton Historical Society, to Peirce Elementary School and Day Middle School, they willingly donate and volunteer again and again and again. I feel very fortunate to have them both in our community.

If you have derm questions that you’d ask her if you met her at a cocktail party, leave a comment and maybe she’ll post on your question next!

Comments
10 Responses to “Krauss Derm Blog: Answers FAQ on Teen Acne, Lyme Disease, Poison Ivy and More”
  1. Mike Melville says:

    I have heard lyme disease can last a life time, Is that true?
    What are the signs of lyme disease?

    • To Mike:
      Between 3 days to a few weeks after the bite, a spreading rash called “erythema migrans” occurs on the skin in about 50% of adults and 90% of children with Lyme. As you can see from the photo, this painless rash is generally not subtle. The lesion or lesions can be large (15 cm.), and are sometimes mistaken by a patient as a “spider bite” (real spider bites are extremely uncommon). The rash usually occurs in the location of the bite, though the bug is long gone. It can last anywhere from a day to a year, though a few weeks is most common. Unfortunately, many people with Lyme disease do not get this bullseye rash, and so are less likely to know they have Lyme disease.

      With or without a rash, patients experience some flu-like symptoms, including muscle soreness and aches, fatigue, enlarged lymph nodes, headache, neck pain, fever and chills, and joint pain. These symptoms can last a few hours to months, and be constant or intermittent, and change over time. Fatigue is generally longer lasting than the other symptoms. A cluster of these signs during the summer in an area with a lot of Lyme disease and ticks, even without a rash, should be treated for Lyme disease.

      About 15% of untreated patients develop problems with their nervous system within weeks to months of the flu-like illness. These can include symptoms of meningitis (head and neck pain, light sensitivity, headache), and Bell’s palsy (loss of movement on one side of the face) or nerve pain. This can last months but generally resolves completely. In addition, 8% of patients can develop problems with the heart, including electrical problems called arrythmias which can be dangerous. Finally, 60% of untreated patients will get arthritis , often of the knee, in one or more joints with swelling and fatigue.

  2. Nathalie says:

    Well I would be interested to know what your dermathologist thinks of food allergies and acne? people talk about healthy diets all the time and I’m sure that there is some truth to that, but what about healthy food that you could be allergic to, could it trigger acne or make it worse? I guess my question can acne be an allergic reaction to food (even good food)? since I am allergic to a lot of stuff, I asked myself this questions could not find a serious answer (haven’t talked to a doctor about it yet).
    thanks
    Nathalie

    • Pragmatic Mom says:

      To Nathalie,
      I’ll suggest this to her as a post for her blog. Thank you for your comment! I suspect there is a link…

    • The only study proven link between food and acne involved high doses of milk. In a group of male patients high milk consumption increased acne compared to low milk consumption (high being about a gallon or more per day). That doesn’t mean other links don’t exist (my mother swears that chocolate causes her to have acne even into her 70s), but there is no good data to support the theories.
      Food allergies can lead to rashes on the face or body, but it is not the same as acne. A biopsy of the reaction would show a different type of inflammation and changes within the skin than acne would. Sometimes however, red bumps on the face from an allergic reaction can look like acne to you and the rest of world. Treatment would be different however, antihistamines and a mild cortisone as opposed to acne medications.

  3. Elizabeth says:

    Maybe it’s a myth, but I have several friends who -swear- that they get an acne outbreak the day after they eat pork. Some say it has to do with hormones in the meat, others with fat. Have you ever heard of such a connection, or are you certain it’s just an old wives’ tale?

    • Pragmatic Mom says:

      Hi Elizabeth,
      I haven’t heard that one but I wonder if it’s the quality of the pork. I would think organic pork would not have the same result but it sounds like a theory worth testing! I wouldn’t be surprised that non-organic pork has side effects from the hormones though! Let me ask Dr. Krauss to come and comment.

  4. Pragmatic Mom says:

    Dr. Krauss says, “Myth. Everybody has some food they think does it. Excessive dairy or carbs probably not helpful.”

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