Dr. Muhanyisi Mukansi

Also known as; Female pattern hair loss (FPHL)

FPHL is a distinctive form of diffuse hair loss that occurs in women with androgenetic alopecia.

FPHL has a strong genetic predisposition.
It is more common after menopause.

A few women with FPHL are found to have excessive levels of androgens. These women tend to suffer adult acne, irregular me**es and excessive facial hair.

Managing FPHL
☑️ See your dermatologist for a correct diagnosis
☑️ A combination of topical and hormonal treatment may be prescribed-long term treatment is usually necessary
☑️ Cosmetic camouflage such as wigs
☑️ Hair transplant for suitable candidates

For more information on individualised skincare, contact us on :

📍 Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

Is your skin aging faster than his?

The difference between male and female skin is the reason aging is different between the 2 genders:

Both men and women lose about 1% of their collagen per year after the age of 30.
For women this escalates significantly in the first 5 years after menopause, may result in a loss of 2% of the collagen per year.

Collagen and elastin don’t degrade as rapidly in male skin because of androgens. In addition testosterone improves elasticity & skin hydration.

For more information on individualised skincare, contact us on :

📍 Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

What you need to know about psoriasis:

It is a common skin condition, seen by dermatologist. It is easy to diagnose by a trained eye but it is often mistaken for eczema, fungal infections and other many conditions.

Swipe ⏩ to learn more about this condition.

Completed another trip around the sun🎉🎉 Grateful for all your your support. 🥂 to another year skin education 🙏🏾

Alopecia Barbae/ Beard Alopecia

A specific form of Alopecia Areata( see previous post)
It occurs when immune system mistakenly attacks hair follicles.

It presents as small patches of hair loss. Swipe ⏩

First step in managing this condition is a right diagnosis.
May be mistaken for conditions such as infections, trichotrillomania, secondary syphilis

Treatment
🔹Prescription topical and systemic treatments
🔹Topical immunotherapy
🔹Camouflaging

Shaving technique to minimise Razor bumps:

🪒Shave in the direction of the hair follicle
🪒Do not over stretch the skin
🪒Use sharp blades
🪒Shave less often
🪒opt for electric shaver not blade shaver
🪒Ensure skin is well moisturized

❕If all fails, consider laser treatment

Pseudo folliculitis barbae aka razor bumps

Is a common inflammatory reaction of the hair follicle, most often on the face as a result of shaving.
May also occurs on armpit, p***c area and legs.

Who is at risk?
🪒 African man
🪒 use of improper technique when shaving
🪒 Blade razor users

How to recognize this condition?
🪒 ingrown hairs which may be itchy or painful on the face(jawline) and neck
🪒 May bleed during shaving
🪒 Heal with hyperpigmentation

Often mistaken for:
🪒Folliculitis barbae
🪒Tinea barbar
🪒 Acne
🪒Folliculitis keloidalis

*infection and scarring are the common complications.

Managing Razor bumps:
🪒correct shaving techniques
🪒Shave less often
🪒shave on a moisturized skin
🪒 specific treatments, which will be prescribed by your dermatologist

“Do what you can with what you have”

As part of our contribution to the 2022 Nelson Mandela international day, we have teamed with some of our dermatology colleagues. we have pledged to donate R67 for every consultation on the 18/07/22 to Xeroderma Pigmentosum society of SA.

The XP society offers invaluable support to children with Xeroderma Pigmentosum, a rare genetic disorder where affected individuals suffer extreme sun sensitivity, have high risk of skin cancers and suffer developmental delay.

Doing our bit where we can!
You can also brighten the corner where you are.

Acne scarring

It affects 30% of those with moderate or severe acne vulgaris. More commoner with those with nodulocystic acne.

Different types of acne scars:
▫️Ice-pick scars- deep, narrow and pitted
▫️ Rolling scars- broad depression with slopping edge
▫️ Boxcar scars- broad depression with sharp edge
▫️Atrophic scars- flat and thin
▫️ Hypertrophic or keloid scars

Treating acne scars:
✔️ Prevention, which is early treatment of acne in early stage is better than managing scars!

For more information, contact us on:
Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

#

Our contact details ✨

Wishing you a lovely weekend 💫

Physical Sequelae of Acne
🔹 Post inflammatory erythema
🔹 Post inflammatory hyperpigmentation
🔹 Post inflammatory hypopigmentation
🔹 Scaring- atrophic or hypertrophic scars

How does one minimise these complications?
✅ Treat acne early-do not wait to ‘outgrow’ it.
✅ Don’t pick, scratch or squeeze acne- increase risk of inflammation
✅ Use sunscreen- to minimise pigmentation
✅ Don’t smoke - to***co increases your risk of scarring

❗️Early intervention will minimise these complications

For more information, contact us on:
Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

Winter itch

▫️A type of sub clinical dermatitis, affect predisposed individuals during cold weather.

▫️Affect healthy individuals of all ages but more common in older people with dry skin.

▫️The cause is unknown but has been associated with:

🔹dry skin

🔹fabrics such as wool

▫️Commonly affect the legs, spares face, scalp and hands.

▫️The itchiness is sudden in onset, noticeable at night or when removing clothing.

▫️Managing winter itch;

☑️ Bath in warm water

☑️ Apply a moisturizer

☑️ Wear light clothing and non irritating materials like silk, cotton and linen.

☑️Avoid irritating material like wool

For more information, contact us on:
Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

Winter; a season that may trigger your eczema!

Swipe ⏩to see how you can minimise winter flares.

For more information, contact us on:
📍 Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

Facial cleansing is a basic step, and a foundation for great skincare routine. Do it right ✨

For more information, contact us on:
📍 Curewise Medical Centre, Midrand
☎️ +27 (11) 025-1142
📧 [email protected]

Happy Friday
It is never too late to age elegantly 💫

Hyperpigmentation occurs when the skin produces more melanin, the pigment that gives skin its colour. It can be localised or generalised.

It is a very common condition.

The causes are many, here are some of the common causes:
🔘 Post inflammatory hyperpigmentation- from conditions such as acne, eczema…
🔘 Melasma
🔘 Medication
🔘 Medical conditions such as Addison disease
🔘 Hormonal changes

Managing hyperpigmentation include a correct diagnosis, addressing/ treating the cause of pigmentation and sun protection.

For more information, contact us on:
📍 Curewise Medical Centre, Midrand
☎️ +27 (11) 025-1142
📧 [email protected]

Don’t miss out✨✨

Antioxidants are a group of naturally occurring compounds that protect cells from damage.

Examples:
☑️Vitamin C
☑️ Niacinamide
☑️ Vitamin E
☑️ Resveratrol
☑️ Ferulic acid
Swipe ⏩to see what they do

Benefits:
✨ Protection against UV damage
✨ Slow premature aging
✨ Calm inflammation, a soothing effect on skin.

⚠️ Antioxidants are fragile!
They can easily become inactivated and therefore loose their effectiveness. They are easily degraded when exposed to light, air and extreme of temperatures.
Choose wisely!

For more information, contact us on:
📍 Curewise Medical Centre, Midrand
☎️ +27 (11) 025-1142
📧 [email protected]

Vitamins you need in skincare products for a healthier glowing skin ✨ 💫

Look out for A, B3, B5, C, E in skincare products & see your skin enjoy the benefits!

For more information, contact us on:
📍 Curewise Medical Centre, Midrand
☎️ +27 (11) 025-1142
📧 [email protected]

Do you still wonder why you need to use Retinoids?

⏺Stimulate collagen⏩Anti-aging
⏺Increase cell turn over⏩Acne prevention
⏺Prevents clogged pores⏩Sebum control
⏺Inhibits tyrosinase synthesis ⏩treats pigmentation

For more information, contact us on:
📍 Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

An essential step you don’t want to skip!

What are are your favorite body moisturizers?

Need to contact us:

📍 Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

You suffer from brittle nails?

Here are some of the causes:
▫️Iron deficiency
▫️Hypothyroidism
▫️Poor circulation- such as Raynaud’s
▫️Chemotherapy
▫️ Frequent use of artificial and gel nails

Managing brittle nails:

✅ file nails in one direction, not back and forth
✅ cut nails straight across
✅ apply a moisturizer to your nails
✅ take artificial/gel nail holidays (wear your nails natural often)

❌ don’t bite your nails
❌ avoid tight shoes
❌ do not use nail polish remover often

For more information, contact us on:
📍 Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

This made me smile:)

“I couldn’t believe my eyes! Thank you Dr Hanyi”

The process:
☑️ Consultation
☑️ Investigations
☑️ Diagnosis
☑️ Months of treatment ( scripted medication in this case).
Treatment starts with a diagnosis, alopecia on it’s own is not a diagnosis.

❗️Results vary depending on the type of alopecia.

For more information, contact us on:
📍 Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

# diagnosisiskey

Paronychia is inflammation of the skin around a finger or toe nail. Acute if it’s been present for less than 7 weeks and chronic if persists for more than 6 weeks

Who gets affected:
✋🏾 Nail biters
✋🏾 People who suck their fingers
✋🏾 May occur after a manicure/ pedicure especially if instruments used are not adequately sterilised
✋🏾Ingrown nails
✋🏾 Use of certain medication such as retinoids
✋🏾People who constantly have cold and wet hands such as fishermen, dairy farmers, bartender, cleaners

The cause:
✋🏾Viral, bacterial or fungal infections
✋🏾 Chronic dermatitis of the nail fold which may be complicated by different infections

✅Treatment is directed to the most likely cause

Complications such as nail abnormalities (nail dystrophy) and cellulitis sometime occurs.

Unsure about the changes occurring on your nails? Do not hesitate to contact us on:
Curewise medical center, 5 New Rd, Midrand
+27 (11) 025-1142

AKA onychophagia

A common stress- related or nervous habit in children and adults.

Impact on skin:
❗️Risk of nail infections/ onychomycosis
❗️Paronychia
❗️Impaired nail growth/ dystrophy

‼️ It has also been associated with dental and psycho-social problems.

Dermatologists recommendations in dealing with this habit:
✅ Keep nails short
✅ keep nails covered(polish) to minimise the temptation to bite
✅ Identity your nail biting triggers & manage them

Hope the use of facemasks 😷 has helped you beat this habit🚫

Let us know how you overcame this unhygienic habit.

For more information, contact us on:
📍 Curewise Medical Centre
☎️ +27 (11) 025-1142
📧 [email protected]

Fungal infection of the nail
Dermatophytes, mould and Candida may affect the nail which then leads to this condition.

It may affect one or more toe/fingernails. The big toenail and the little toenails are often the commonly affected.

Occasionally nail clippings are done to confirm the diagnosis and identify the organisms causing the infection.

Treatment of choice are systemic antifungals, which may go on for several weeks.
*Fingernail infections are usually cured more quickly than toenails.

Unsure about the changes occurring on your nails? Don’t hesitate to contact us on:
5 Curewise medical center
+27 (11) 025-1142

Melasma
Melasma is a common acquired skin disorder that presents as a bilateral, blotchy, brownish facial Pigmentation.

Who gets Affected?
🔘 more common in women than in men
🔘 onset typically between the ages of 20 and 40 years.
🔘 most common in people who tan easily or
have naturally brown skin.
🔘 It is less common in people with fair skin or darker skin.

The cause of melasma is complex:
🔘photoaging disorder in genetically predisposed individuals.
🔘 Family history
60% report affected family members
🔘Sun exposure
ultraviolet and visible light promote
melanin production
🔘Hormones
pregnancy and the use of
estrogen/progesterone-containing oral
contraceptives, intrauterine devices, implants, and hormone replacement therapy, are implicated
🔘thyroid disorders can be
associated with melasma

❕Melasma presents as bilateral, asymptomatic, light-to-dark brown macules or patches with irregular borders.

Should be differentiated from:
🔘post inflammatory hyperpigmentation
🔘drug induced hyperpigmentation
🔘 Nevus of ota, solar lentigo/ freckles

Managing Melasma
A combination of measures is generally required.
❕sunscreen all year round
❕Discontinue hormonal therapy where possible
❕Topical treatments such as tretinoin, hydroquinone, ascorbic acid…
❕Oral treatment
❕procedural techniques-laser, microneedling

‼️See your dermatologist sooner for a correct diagnosis and specific treatment recommendations.

Tinea Capitus AKA scalp ringworm

Tinea capitus is a fungal infection of the scalp, involving both the skin and hair.

🔅predominately affect preadolescent children
🔅may affect adults, especially those who are immunocompromised

Risk factors:
🔅household crowding
🔅animal contact
🔅warm humid environments
🔅contact sports

Clinical presentation
🔅non inflammatory variants
•fine scaling
🔅inflammatory variants
•pustules, bogginess, kerion

May be mistaken for:
🔅seborrhoeic dermatitis
🔅impetigo
🔅scalp folliculitis
🔅Lupus

Treatment
🔅antifungals

⚠️Discourage sharing of brushes, combs, hats and pillows

Treat early to avoid complications such as alopecia
Call us on +27 (11) 025-1142

Exogenous ochronosis (EO) is a cutaneous disorder characterized by blue-black pigmentation resulting as a complication of long-term application of skin-lightening creams containing hydroquinone but may also occur due to topical contact with phenol or resorcinol in dark-skinned individuals and with certain medications such as quinine.

May mimic melasma;
•presents with hyperpigmentation on sun exposed areas especially around the cheek areas.
•The lesions may range from gray, blue-black macules to papular nodular lesions depending on the stage of the disease. Swipe⏩

‼️Treatment is predominantly preventive
‼️ Exceedingly difficult to treat!!

Managing Ochronosis
▫️early diagnosis
Not to be mistaken for melasma where hydroquinone might be used- this will worsen the condition
▫️stop offending agent.
▫️Avid sun protection
▫️Retinoids, glycolic acids and antioxidants are among pharmacological treatments that can be used
▫️Procedural treatments like chemical peels, certain lasers might be helpful

‼️Only use implicated products only if prescribed to you by an expert in skin care.