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  • January 14, 2022

    By Allison Larson, MD

    Whether you’re a winter sports enthusiast or spend the season curled up by the fireplace, the low humidity, bitter winds, and dry indoor heat that accompany cold weather can deplete your skin’s natural moisture. Dry skin is not only painful, uncomfortable, and irritating; it also can lead to skin conditions such as eczema, which results in itchy, red, bumpy skin patches. 


    Follow these six tips to prevent and treat skin damage caused by winter dryness.


    1. Do: Wear sunscreen all year long.

    UV rays can easily penetrate cloudy skies to dry out exposed skin. And when the sun is shining, snow and ice reflect its rays, increasing UV exposure. 


    Getting a sunburn can cause severe dryness, premature aging of the skin, and skin cancer. Snow or shine, apply sunscreen before participating in any outdoor activity during the winter—especially if you take a tropical vacation to escape the cold; your skin is less accustomed to sunlight and more likely to burn quickly.


    The American Academy of Dermatology (AAD) recommends sunscreen that offers protection against both UVA and UVB rays, and offers a sun protection factor (SPF) of at least 30.


    That being said, if you are considering laser skin treatments to reduce wrinkles, hair, blemishes, or acne scars, winter is a better time to receive these procedures. Sun exposure shortly after a treatment increases the risk of hyperpigmentation (darkening of the skin), and people are less likely to spend time outside during the winter.


    Related reading: 7 Simple Ways to Protect Your Skin in the Sun

    2. Do: Skip products with drying ingredients.

    Soaps or facial products you use in warm weather with no issues may irritate your skin during colder seasons. This is because they contain ingredients that can cause dryness, but the effects aren’t noticeable until they’re worsened by the dry winter climate.

    You may need to take a break from:

    • Anti-acne medications containing benzoyl peroxide or salicylic acid
    • Antibacterial and detergent-based soap
    • Anything containing fragrance, from soap to hand sanitizer

    Hand washing and the use of hand sanitizer, which contains a high level of skin-drying alcohol, cannot be avoided; we need to maintain good hand hygiene to stop the spread of germs. If your job or lifestyle requires frequent hand washing or sanitizing, routinely apply hand cream throughout the day as well.


    During the COVID-19 pandemic, I have seen a lot of people develop hand dermatitis—a condition with itchy, burning skin that can swell and blister—due to constant hand washing. Sometimes the fix is as simple as changing the soap they're using. Sensitive-skin soap is the best product for dry skin; it typically foams up less but still cleans the skin efficiently.


    3. Do: Pay closer attention to thick skin.

    Areas of thin skin, such as the face and backs of your hands, are usually exposed to the wind and sun the most. It’s easy to tell when they start drying out. But the thick skin on your palms and bottoms of your feet is also prone to dryness—and tends to receive less attention.


    When thick skin gets dry, fissures form. You’ll see the surface turn white and scaly; then deep, linear cracks will appear. It isn’t as pliable as thin skin. When you’re constantly on your feet or using your hands to work, cook, and everything in between, dry thick skin cracks instead of flexing with your movements. 


    To soften cracked skin, gently massage a heavy-duty moisturizer—such as Vaseline—into the affected area once or twice a day. You can also talk with your doctor about using a skin-safe adhesive to close the fissures and help them heal faster.


    Related reading:  Follow these 5 Tips for Healthy Skin

    4. Don’t believe the myth that drinking more water will fix dry skin.

    Contrary to popular belief, the amount of water or fluids you drink does not play a major role in skin hydration—unless you’re severely dehydrated. In the winter, especially, dry skin is caused by external elements; it should be treated from the outside as well. 


    The best way to keep skin hydrated and healthy is to apply fragrance-free cream or ointment—not lotion—to damp skin after a shower or bath.
    Some people need additional moisturizers for their hands, legs, or other areas prone to dryness.

    While some lotions are made better than others, most are a combination of water and powder that evaporates quickly. Creams and ointments work better because they contain ingredients that can help rebuild your skin barrier. 

    Look for products with ceramide, a fatty acid that helps rebuild the fat and protein barrier that holds your skin cells together. The AAD also recommends moisturizing ingredients such as:

    • Dimethicone
    • Glycerin
    • Jojoba oil
    • Lanolin
    • Mineral oil
    • Petrolatum
    • Shea butter

    For severely dry skin, you can try a “wet wrap” technique:

    1. Rinse a pair of tight-fitting pajamas in warm water and wring them out so they’re damp, not wet.
    2. Apply cream or ointment to your skin.
    3. Put on the damp pajamas, followed by a pair of dry pajamas, and wear the ensemble for several hours.

    Dampness makes your skin more permeable and better able to absorb hydrating products. If the wet wrap or over-the-counter products aren’t working for you, talk with a dermatologist about prescription skin hydration options. 

    Drinking more water isn’t the answer to dry winter skin. The best solution is to apply fragrance-free cream or ointment directly to damp skin. Get more cold weather #SkinCareTips from a dermatologist in this blog: https://bit.ly/3KbVUA1.
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    5. Don’t confuse skin conditions with dryness.

    Skin conditions are often mistaken for dry skin because peeling or flaking are common symptoms. Redness of the skin or itching in addition to dryness and flaking indicates a skin condition that may need more than an over-the-counter moisturizer.


    Skin cells are anchored together by a lipid and protein layer (like a brick and mortar wall). With very dry skin, the seal on this wall or barrier is not fully intact and water evaporates out of the skin’s surface. The skin will become itchy and red in addition to scaly or flaky. If you experience these symptoms, visit with a dermatologist.

    6. Don’t wait for symptoms to take care of dry skin.

    Be proactive—the best way to maintain moisture is to apply hydrating creams and ointments directly to your skin on a regular basis. Start by applying them as part of your morning routine. Once you get used to that, add a nighttime application. And carry a container of it when you’re on the go or keep it in an easily accessible location at work.

     

    You can’t avoid dry air, but you can take precautions to reduce its harsh effects on your skin. If over-the-counter products don’t seem to help, our dermatologists can provide an individualized treatment plan. Hydrated skin is healthy skin!


    Does your skin get drier as the air gets colder?

    Our dermatologists can help.

    Call 202-877-DOCS (3627) or Request an Appointment

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  • March 01, 2016

    By MedStar Health

    About 55 percent of American women suffer from some sort of vein disorder, with varicose veins topping the list.
  • February 24, 2016

    By MedStar Health

    Eighty percent of all heart disease is preventable – and heart disease does affect women. In fact, it is the leading cause of death among women in the U.S. So it is very important for women of all ages to learn the facts about heart disease and know the symptoms, because there are steps you can take to reduce your risk and get treatment when you most need it.

    What are the risk factors for heart disease?

    Many different factors can put women at risk for developing heart disease.  Some things are out of your control. However, it is important to understand how the following risk factors contribute to your chances of developing heart disease:

    Age - Research indicates that about 6 out of 100 women in their 40’s will develop coronary heart disease growing to nearly 1 out of 5 women in their 80’s.Family History of Heart Disease - You are at greater risk if a close family member, a parent, brother, sister or grandparent developed heart disease before age 59.Race – African–American women are at higher risk of developing heart disease as compared to women of other races.

    Risk factors more under your control include:

    Smoking – Smoking increases the risk of heart disease and stroke by 2 to 4 times and women who smoke have a 25 percent higher risk of developing heart disease than men who smoke.Obesity - Excess body weight puts a strain on your heart, raising your blood pressure, LDL (bad) cholesterol and triglyceride levels, and lowering your HDL (good) cholesterol. Obesity also increases your risk for developing diabetes.Diabetes- Adults with diabetes are two to four times more likely to have heart disease or a stroke than adults without the condition.High Blood Pressure (HBP) - Elevated blood pressure makes the heart work harder. Chronic HBP scars and damages your arteries and can lead to heart attack, stroke, heart failure andLack of Physical Activity - A lack of physical activity comes with great risks as a sedentary lifestyle has been linked to an increased risk for blood clots, high blood pressure, heart attack, stroke and other heart related problems.High Cholesterol - Cholesterol hardens over time into plaque which can narrow the artery walls and reduce blood flow leading to blood clots, heart attacks or strokes.

    The ABCs of Women’s Heart Disease Symptoms

    Heart disease symptoms can be different for women than men. They are sometimes subtler in nature and harder to identify. Because women tend to dismiss their symptoms as not significant, they are more likely to have a silent heart attack or die during their first heart attack.

    The following is an ABC listing of heart disease symptoms to help guide you.

    Angina:  pain, discomfort or fullness in the chest. (Women also report pain in the jaw, right arm or abdomen.)Breathlessness: experienced during activities or waking up breathless at nightBlackouts: faintingChronic fatigue: an inability to complete routine activities and a constant feeling of tirednessDizziness: this can indicate irregular heartbeats, or arrhythmiasEdema: swelling, particularly of the lower legs and anklesFluttering heartbeats: palpations, rapid heartbeats that may cause pain or difficulty breathingGastric upset: nausea or vomiting, unrelated to diet, indigestion or abdominal pain

    If you experience any of these symptoms frequently (about once a day), see a physician—the symptoms are serious and should not be ignored. Keep notes about when the symptoms occur, what triggers them, and what, if anything, relieves them. It is also helpful to make a list of past treatment and all medications you are currently taking.

    How can I prevent heart disease?

    There are steps you can take today to prevent heart disease. Here are some ways you can stay healthy:

    Identify behaviors that contribute to your risk (smoking, unhealthy diet, lack of exercise)Ask your physician about your numbers (blood pressure, cholesterol, glucose, body mass index or BMILearn about your family historyDiscuss all of the above with your physician

    We urge you to start on the road to become heart healthy today.  Learn more about heart disease.  Seek out guidance and support from medical professionals. Heart disease can be treated, prevented and even ended.

    Have Any Questions?

    We are here to help! Contact us for more information about heart health or to schedule an appointment. Call us at 202-877-3627.

  • February 23, 2016

    By MedStar Health

    Jan told Michele that she had been diagnosed with kidney disease, Michele was eager to help through our living kidney transplant program.
  • February 23, 2016

    By MedStar Health

    Shingles is a painful and serious illness that affects nearly 1M people in the US each year. Understanding risks and symptoms can help with prevention.
  • February 23, 2016

    By MedStar Health

    The J. Willard and Alice S. Marriott Foundation Pledges $6 Million Commitment to Launch Early Childhood Innovation Network
  • February 22, 2016

    By MedStar Health

    Screening tests can be a powerful weapon in the fight against breast cancer. In spite of these benefits, too many women