Page 8 - Boca Exposure - October '22

Page 8, Boca Exposure
Osteoporosis Treatment

By Steven E. Reznick, the only medications we had at the time. They carried their For individuals unable to tolerate these oral medications,
M.D., FACP own list of potential adverse effects. or unwilling to try, rheumatologists have injectables to help
When I started practicing The introduction of oral bisphosphonates changed that. the bones. Prolia (denosumab), an injectable given every six
clinical medicine there were Medications like Fosamax, Actonel and Boniva slowed months, and Forteo, (teriparatide) a daily injectable, were
few if any treatments for down the process and with weight bearing exercise, developed. They too can produce side effects including back
osteoporosis. The effects smoking cessation, appropriate nutrition, and luck, and bone pain and a host of others. But they work.
of this condition were reversed it. However, these medications in pill form are A recent study of women published in the journal
devastating in lean post- tough to take. They are large, poorly absorbable and must Therapeutic Advances in Musculoskeletal Diseases found
menopausal women in their be taken on an empty stomach. Most instructions call for that the oral medications can reduce the risk of fracture
70s and 80s – especially drinking eight ounces of water with the pill followed by by 30 percent while monthly Prolia did so by 60 percent
those who had multiple another eight ounces of water after the pill then staying and daily Forteo by 90 percent. The disparity is that the
pregnancies and smoked. In upright for 30 to 60 minutes. These pills are extremely oral agents required one year of use before the risk of a
men, we were more likely to see it in male smokers taking corrosive if they get caught in your esophagus because spontaneous fracture occurred while injectable achieved
corticosteroids for an inflammatory disease. you didn’t swallow them with water. They can upset the success much sooner.
Spontaneous collapse of their vertebrae leading to gastric lining of your stomach as well. While rheumatologists and gynecologists surmised this
nerve compressions, unrelenting pain and, at times, Bone densitometry tests allowed physicians to was occurring, this study provides solid evidence to back
neuromuscular injuries preventing walking were common detect and follow the thickness of your bones over the up their hunches.
with osteoporosis. We saw a decrease in height over time years. Convincing patients to try these medications has Dr. Reznick is board certified in internal medicine
before these catastrophic spinal injuries occurred. We also always been difficult due to the size of the pills and the with added qualifications in geriatrics. To schedule
saw many spontaneous hip fractures which often caused a gastrointestinal problems they can cause. Fortunately, a complimentary meeting with him to discuss your
fall with trauma. In most cases, both presentations resulted much of the responsibility falls on the gynecologists health needs and his personalized care concierge
in major and extensive surgery and rehabilitation before a who look for osteoporosis and osteopenia as part of their medicine practice, call (561) 368-0191 or visit www.
patient resumed their life. Estrogen and progesterone were routine evaluation of perimenopausal women. BocaConciergeDoc.com.
A Dermatologist’s Guide To Contact Dermatitis

testing may be recommended like a skin biopsy to confirm responding to topical steroids and antihistamines.
the diagnosis or patch testing to determine likely irritants or Can I Prevent Contact Dermatitis?
allergens. There are several precautions you can take to help avoid
How Is Contact Dermatitis Treated Or Managed? contact dermatitis:
Treatment for irritant and allergic contact dermatitis ● Wash your skin and clothing immediately after suspected
are often the same. They can sometimes be frustrating for exposure.
the patient, because even with treatment these rashes can ● Wear protective clothing such as gloves, safety glasses
take several weeks to resolve. If you are able to determine and long sleeves when working with potential irritants or
what is causing the rash, avoidance is one of the best ways allergens.
By Siperstein Dermatology Group to resolve your rash. Topical corticosteroid creams and ● Use moisturizer regularly to help your skin from becoming
Have you ever gotten a rash after working in the garden, oral antihistamines are often recommended to help reduce dry. Dry skin is more susceptible to irritants.
trying a new fragrance or wearing a new watch? If so, chances inflammation and itching. Oral steroids, such as prednisone, ● Bathe your pets often. Certain allergens, such a poison ivy,
are you were dealing with contact dermatitis. Contact dermatitis are sometimes prescribed if the rash is severe or is not can cling to pets and spread to patients.
is an itchy rash caused by direct contact with a certain substance.
The substance might irritate the skin, or in some cases, trigger
an allergic reaction. The rash is not contagious and typically TimberTech Championship from page 1
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appears within a few days of exposure.
Who Gets Contact Dermatitis? leads this year’s Charles Schwab Cup with more than
Contact dermatitis is very common because we are $2.5 million in earnings. Prior to Alker, the previous
surrounded by potential allergens. People with sensitive skin three TimberTech Championship winners were former
or other skin conditions might experience contact dermatitis major champions: Darren Clarke (2020), Hall of Famer
more often than others. Because contact dermatitis can occur Bernhard Langer (2019) and Mark Calcavecchia
after continued exposure to a chemical, there are also some (2018). Langer, who lives 10 minutes from the course,
professions, like hairdressers and florists, that have a higher is the event’s only two-time champion.
risk for developing contact dermatitis. Langer and Clarke, who recently became the fourth
What Is Irritant Contact Dermatitis? player to sweep The Open Championship and the
Irritant contact dermatitis happens more often than Senior Open Championship, are expected to play in employees and the strength of relationships across
allergic contact dermatitis and occurs when a chemical the TimberTech Championship, along with Padraig its value chain, The AZEK Company is committed
substance irritates the skin. The rash tends to be more painful Harrington, Ernie Els, Retief Goosen, Miguel Angel to accelerating the use of recycled material in the
than itchy. Common causes of irritant contact dermatitis Jimenez and Colin Montgomerie. manufacturing of its innovative products, keeping
include: Royal Palm Yacht & Country Club was originally millions of pounds of waste out of landfills each year,
● Detergents a Robert Trent Jones Sr. design, but in 2003, Hall-of- and revolutionizing the industry to create a more
● Soaps Famer Jack Nicklaus created an entirely new course. sustainable future. Headquartered in Chicago, Ill., the
● Hair dye Nicklaus had a storied past with Royal Palm. Just company operates manufacturing facilities in Ohio,
● Nail polish remover before he decided to turn pro, Nicklaus played the Pennsylvania, Idaho, Georgia, Nevada, New Jersey
● Paint original course with golf legend Sam Snead, the club’s and Minnesota.
● Body fluids first golf professional. For additional information, please visit azekco.com.
● Plastics Those who are interested in volunteering at the About PGA TOUR Champions
A common example of irritant contact dermatitis is when TimberTech Championship can visit the website at PGA TOUR Champions is a membership
the hands become red and dry after frequent handwashing. www.timbertechchampionship.com. The volunteer organization of professional golfers age 50 and
What Is Allergic Contact Dermatitis? package includes a TimberTech Championship golf older, including 34 members of the World Golf Hall
Allergic contact dermatitis occurs when your skin comes shirt, hat or visor, volunteer badge, parking pass, lunch of Fame. The TOUR’s mission is to provide financial
in contact with an allergen triggering an immune reaction on the days they work and access to the volunteer party. opportunities for its players, entertain and inspire
in your skin. White blood cells are recruited and the body In addition, junior volunteers, grades 6 to 12, its fans, deliver substantial value to its partners,
releases chemicals causing inflammation and rash. Unlike are needed. All junior volunteers receive an official create outlets for volunteers to give back and
irritant contact dermatitis, allergic contact dermatitis can also tournament T-shirt, headgear, meals, parking, and generate significant charitable and economic impact
be triggered by things you ingest such as food and medicines. volunteer badge. Plus, as a 501(c)(3) charity, volunteer in tournament communities. Follow PGA TOUR
Common causes of allergic contact dermatitis include: hours spent at the TimberTech Championship are Champions online at PGATOUR.com, at facebook.com/
● Nickel (commonly found in jewelry and belt buckles) eligible for service organizations like NHS or scouts. PGATOURChampions, on Twitter @ChampionsTour
● Personal care products (especially fragrances) For more information visit the TimberTech Championship and on Instagram @pgatourchampions.
● Plants (such as poison ivy) online at www.timbertechchampionship.com. All events are televised in the United States, with
● Formaldehyde (preservative commonly found in cosmetics) About The AZEK Company most receiving complete coverage on Golf Channel,
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● Airborne allergens such as pollen and spray insecticides The AZEK Company Inc. (NYSE: AZEK) is the the exclusive cable-television partner of PGA TOUR
What Are The Symptoms Of Contact Dermatitis And industry-leading designer and manufacturer of Champions. Tournament programming is available
How Is It Diagnosed? beautiful, low maintenance and environmentally via 25-plus TV linear partners in 145-plus countries
You might be experiencing contact dermatitis if you sustainable outdoor living products, including and territories, with 25 channels carrying long-form
have a rash that is red, swollen, itchy, painful, and/or TimberTech decking and Versatex and AZEK Trim and/or highlights coverage, and 200-plus hours of
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blistering. Sometimes the rash can appear in certain patterns, and StruXure™ pergolas. Consistently recognized as live coverage distributed in 135-plus countries and
like the outline of your watch band on your wrist or a red a market leader in innovation, quality and aesthetics, territories. Programming is also available via the OTT
line of blisters when a plant may have scratched your leg. products across AZEK’s portfolio are made from up platform GOLFTV powered by PGA TOUR in every
Oftentimes, a dermatologist can diagnose contact dermatitis to 90 percent recycled material and primarily replace market outside of the United States, excluding China
by conducting a physical examination and reviewing a wood on the outside of homes, providing a long- and Korea, with live coverage distributed in 130-plus
patient’s history. Common culprits for causing contact lasting, eco-friendly and stylish solution to consumers. countries and territories.
dermatitis can be avoided for extended periods of time to Leveraging the talents of its approximately 2,000 Photo credit: TimberTech Championship
see if the rash resolves. In some cases, further diagnostic