Coronavirus and Ibuprofen

coronavirusThere have been questions raised on the internet regarding the safety of ibuprofen in patients infected with the coronavirus. My recommendation is to avoid ibuprofen at this time and take acetaminophen (paracetamol) instead for either fever or pain. There is some indication that the anti-inflammatory mechanism by which ibuprofen works within the cells interferes with lung cells’ ability to remove the virus from the airways. It is not worth the risk of taking it since there are alternatives for pain and inflammation. However, it is reasonable to assume that all NSAIDS (non-steroidal anti-inflammatory drugs) should be avoided. Acetaminophen (paracetamol) is not an NSAID.

– Dr. Bussell

Beverly Hills Dermatology Consultants

433 N. Camden Drive, Suite 805 Beverly Hills, CA 90210 | 310-550-7661

Coronavirus (COVID-19) and Your Skin

The coronavirus can manifest through a sore throat, cough, runny nose, extreme fatigue and severe muscle aches. Lately, there have been reports of people who have tested positive for COVID-19 losing their senses of smell and taste. While so far there are no skin rashes directly associated with the coronavirus, they can be related to frequent hand washing and the increased use of surgical masks.

While it is recommended to wash your hands often to reduce the chances of infecting yourself or others, this can also result in dry skin. Overly dry skin can cause cracking and small tears to develop secondary to the dryness, which can act as an entrance for viruses, as well as bacteria.

We recommend you use a moisturizer of your choice frequently throughout the day. Our Bussell Skin Care Multivitamin Moisturizer is a particularly good option because it lubricates, relieves itching and forms a protective barrier on the skin that helps prevent infection from easily taking hold. In addition, our Toner contains alcohol and acetone, which are excellent antiseptic agents. We are well-stocked with them in the office and they can be ordered by calling us or going online at bussellskincare.com.

With the increased use of surgical masks, you may experience more sweating on your face and/or acne breakouts. If you find you are getting any acne lesions on your face, again our toner is antiseptic and can be used throughout the day, not only for acne breakouts but to help clear the skin of virus. You should clean your skin when you take the mask off at home and moisturize.

At Beverly Hills Dermatology Consultants, we are open for in-office procedures and we are also offering telemedicine consultations, unrelated to your health insurance. Call the office at (310) 550-7661 or write to contact@bhderm.com to register and schedule your telehealth consultation.

– Dr. Bussell

Beverly Hills Dermatology Consultants

433 N. Camden Drive, Suite 805 Beverly Hills, CA 90210 | 310-550-7661

Beverly Hills Dermatology Consultants Telemedicine

We are open for in-office procedures as well as telemedicine. Call us at (310) 550-7661 or email contact@bhderm.com for details.

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Dear Patients, 
We are open if you need us for in-office procedures. 
We have implemented the recommended disinfection protocols in the office. 
We are also available for discounted credit card telemedicine consultations as follows: 
  • We can address your skin problems over the phone, preferably with photos being sent to us at contact@bhderm.com
  • Call us at (310) 550-7661. After credit card payment over the phone, we can then fax prescriptions, as needed, and/or give over the counter treatment recommendations. You must provide your pharmacy fax number. 

COST billed to your credit card: 

  • New patient initial consultation: $225
  • Established patient consultation: $175

Unusually complex consultations or coordination of care with your other providers will be quoted accordingly. By providing us with your credit card information, you are agreeing to our telemedicine procedures and fee structure, separate from your health insurance. 

CORONAVIRUS TREATMENT UPDATE: 

The federal government is considering the approval of chloroquine / hydroxychloroquine for the treatment of coronavirus. If your symptoms meet the criteria for coronavirus treatment, we can fax a prescription for this medication to the pharmacy whose fax number you provide us. Not all pharmacies will have this medication in stock. When it becomes readily available, pharmacies can order this from their suppliers for you. This is a well-known, relatively safe medication. Please check within your pharmacy before asking us to fax a prescription for this medication. 

Our thoughts are with you during these difficult times. 

Warmest regards,

The staff at Beverly Hills Dermatology Consultants

 

Can I reduce stubborn body fat without surgery?

SculpSure Beverly Hills DermatologyYes. Beverly Hills Dermatology Consultants now offers SculpSure, a non-invasive body contouring system for the reduction of stubborn fat in areas such as the abdomen and love handles.

The 25 minute procedure destroys fat cells without surgery and is ideal for people with trouble spots that seem resistant to diet and exercise.

Click here for more information about SculpSure or call to book your appointment.

 

Beverly Hills Dermatology Consultants

433 N. Camden Drive, Suite 805 Beverly Hills, CA 90210 | 310-550-7661

Kate Upton’s Beverly Hills Dermatologist

Kate Upton: “And, oh my god, I love my dermatologist, Marjan Hafizi, who’s based in Beverly Hills. I’m obsessed.” Beverly Hills Dermatology Consultants, featured in this month’s Hello! Fashion. It’s an honor to be recognized in one’s profession. Thanks Kate Upton!

Read the full Kate Upton interview – Dr. Bussell

Beverly Hills Dermatology Consultants

433 N. Camden Drive, Suite 805 Beverly Hills, CA 90210 | 310-550-7661

What can I do about redness and swelling around my fingernails and toenails after having a manicure and pedicure?

This is a frequent complication of having your nails done. It can also happen if you cut your nails yourself. This is medically known as paronychia. It is an infection of the skin adjacent to the nail, usually caused by a small cut in this adjacent skin. This results in bacteria, fungus and/or yeast entering the skin, causing an infection, resulting in pain, tenderness, redness and swelling. It is important to see a dermatologist for this condition, as it is difficult to treat at home.

If not properly treated, this condition can result in serious permanent damage to the skin of tip of the finger.

It is treated with either oral antibiotics or oral anti-fungal/anti-yeast medication. It is important, if possible, to attain a culture and sensitivity from the infected tissue in order to determine which germ is growing and the appropriate antimicrobial medication to treat it.

In addition, meticulous topical care with appropriate medications is essential. This condition can be extremely painful and, if not appropriate treated, can even severely damage the adjacent skin on the finger or toe.

Once treated appropriately, the condition can be completely cured.

– Dr. Bussell

Beverly Hills Dermatology Consultants

433 N. Camden Drive, Suite 805   Beverly Hills, CA 90210 | 310-550-7661

What can be done about redness, swelling and tenderness around the big toe?

Ingrown Toenail
Ingrown Toenail

What you are describing can be caused by an ingrown toenail or an infection around the toe caused by cutting the skin during a pedicure. The infection resulting from an ingrown toenail should be treated not only with oral antibiotics but also meticulous removal of the portion of the nail that is cutting into the adjacent skin.

I do not recommend partial permanent removal of the toenail, which is frequently done by foot doctors. I recommend removing only the portion of the nail that is causing the problem on the side of the nail. I try to keep the growing portion of the nail intact. This requires careful microsurgery for the involved area and vigorous topical treatments to heal the damaged skin. The longer the condition has lasted, the longer it may take to completely resolve. Usually healing from this method results in a totally normal nail.

– Dr. Bussell

Beverly Hills Dermatology Consultants

433 N. Camden Drive, Suite 805   Beverly Hills, CA 90210 | 310-550-7661

Can blisters on the skin mean allergy to a medication?

Bullous Pemphigoid with secondary bacterial infection. Caused by an allergy to hydrochlorthiazide diuretic.
Bullous Pemphigoid with secondary bacterial infection. Caused by an allergy to hydrochlorthiazide diuretic.

Yes. In particular there is a condition known as bullous pemphigoid. This eruption consists of blisters scattered over different parts of the body. It is considered to be either a drug  (medication) rash or one that is autoimmune (not caused by medication but by the body’s own immune process).

The most common class of drugs that cause bullous pemphigoid are the sulfa drugs. These drugs can range from certain diuretics, antibiotics, anti-inflammatory drugs to diabetic medications. The rash is extremely itchy. This eruption can also develop a secondary bacterial infection resulting in crusted lesions scattered all over the body.

Bullous pemphigoid must be treated by eliminating the offending medication, as well as topical and systemic therapy.

– Dr. Bussell

Beverly Hills Dermatology Consultants

433 N. Camden Drive, Suite 805   Beverly Hills, CA 90210 | 310-550-7661