Health
What to know about tinea versicolor — the fungal skin infection
One hot afternoon, a friend and I were making our way from the University of Lagos using the means of transport common to all semi-broke ‘freshers’ – the campus shuttle. The sun shone like its purpose was to punish rather than illuminate, and the air stood excruciatingly still.
It was on this day and on that bus that I felt a timid tap on my shoulder. An even more timid whisper followed the tap, “Sorry dear, please help me tell your sister that she has ringworm on her back.” Suddenly, the heat I felt was not from the sun, but from blood rising to my cheeks on her behalf.
When we got home, we promptly investigated the claim. There was no red skin, no prominent ring-shaped rash. All we saw was a small patch of skin about two shades lighter than her skin tone.
She didn’t have ringworm or eczema. She had tinea versicolor.
WHAT IS TINEA VERSICOLOR?
Tinea versicolor or pityriasis versicolor is a common fungal infection that affects over 100,000 people in Nigeria each year.
It is caused by the fungus Malassezia which is found on the surface of our skin. This normally helpful symbiote can sometimes spiral out of control like a houseguest that not only overstays his welcome but invites his family to take over your home.
When this happens, you develop patches of skin that may be lighter or darker than the surrounding skin.
Tinea versicolor is not contagious, and you can not contract it by sharing towels or clothes.
WHAT CAUSES TINEA VERSICOLOR?
Several factors that can trigger the fungal hostile takeover include:
- sun exposure
- hot weather
- excessive sweating
- oily skin
- hormonal changes
WHAT ARE THE SYMPTOMS OF TINEA VERSICOLOR
As stated at the outset, tinea versicolor is often misdiagnosed (mostly by people who are neither trained nor qualified to diagnose anything) and mistaken for other skin conditions such as eczema, ringworm, and vitiligo.
The most visible sign of tinea versicolor is discolored patches of skin, which commonly appear on the arms, chest, neck, or back. These patches could be:
- darker (hyperpigmentation) or lighter (hypopigmentation) than the surrounding skin
- a shade of pink, red, tan, or brown
- scaly, dry, and itching
In cooler, less humid temperatures, they are more likely to vanish.
HOW IS TINEA VERSICOLOR TREATED?
Tinea versicolor is a fungal infection. Therefore, wolfing down antibiotics and using antibacterial creams to treat it will only destroy your gut flora and damage your skin barrier.
Basically, you will continue to have itchy patches of skin but in addition to that, you won’t be able to pass out faeces because you’d have destroyed the bacteria in your digestive tract.
Antifungal creams or shampoos purchased over-the-counter (OTC) may be beneficial to treat the infection.
They include:
- clotrimazole
- miconazole
- selenium sulfide
- terbinafine
If you seek medical help for tinea versicolor, your doctor may prescribe topical creams that you can apply directly to your skin.
Examples are:
- ketoconazole
- ciclopirox
Your doctor may also prescribe the following oral medications:
- fluconazole
- itraconazole
- ketoconazole
Sadly, even after you treat the infection, your skin may stay discolored for several weeks or months. When the weather gets warmer and more humid, your infection may recur.
If your condition returns, your doctor may prescribe medication once or twice per month to prevent symptoms.
THE DIFFERENCE BETWEEN TINEA VERSICOLOR, ECZEMA, AND RINGWORM
It is important to know the difference between these infections, as they each require different courses of treatment.
ECZEMA
Eczema is the name erroneously given to practically any rash that occurs in our environment. One of the common eczemas is nummular eczema or discoid eczema. It is a skin disorder in which people gain coin-shaped or oval red or brown patches on their skin.
Other symptoms of nummular eczema may include:
- dry skin
- burning and itching of the skin, which is usually worse at night
- open spots that may crust over
If the spots become open, they are vulnerable to bacterial infection. Infected nummular eczema can cause:
- redness
- swelling
- foul-smelling discharge
- fever
Doctors do not know exactly what causes nummular eczema, and it has no remedy at the moment. The goal of treatment for this ailment is to cure the afflicted skin and prevent symptom flare-ups.
Doctors will recommend a treatment plan based on the patient’s age, symptoms, and current health status.
Eczema can fade away over time for some people. Others have it for the rest of their lives.
RINGWORM
Tinea corporis, also known as ringworm, is a skin ailment that resembles nummular eczema. Despite the name, fungus, rather than a worm, causes this infection.
It creates ring-shaped patches of skin on the arms and legs, but it can appear anywhere on the body, including:
- the soles of the feet (tinea pedis or athlete’s foot)
- the scalp (tinea capitis)
- the groin area (jock itch)
Symptoms include:
- round, flat patches of red, pink, brown, or gray skin that may be lighter or clear in the middle, giving them the appearance of ring-shaped patches that grow slowly and may spread to other parts of the body
- Itching
Antifungal creams, ointments, pills, and shampoos can treat ringworm. Many of these drugs are available without a prescription (OTC).
Before the fungus will go away, you will need to apply these treatments to your skin for 2 to 4 weeks. If the ringworm rash does not clear up within this time, consult a doctor. A doctor or dermatologist might prescribe stronger antifungal drugs to treat the problem.
It can be fascinating (or disgusting) to know that our skin plays host to millions of microorganisms, including fungi. But as long as you set the proper hygiene limits, you and your microscopic inhabitants will be just fine.
Health
WHO approves Japanese mpox vaccine for emergency use
The World Health Organisation (WHO) has granted emergency use listing (EUL) for the LC16m8 mpox vaccine.
This would be the second mpox vaccine to be supported by WHO following the declaration of mpox as a public health emergency of international concern (PHEIC) on August 14, 2024.
The LC16m8 is a vaccine developed and manufactured by KM Biologics in Japan.
The technical advisory group (TAG) for EUL of vaccines convened to discuss the outcome of the LC16m8 vaccine review, including the product and programmatic suitability assessments.
Cases have been reported across 80 countries, including 19 countries in Africa, as of October 31, 2024.
The Democratic Republic of Congo, the hardest-hit country, recorded a majority of suspected cases — over 39,000 — as well as more than 1,000 deaths.
In a statement on Tuesday, the WHO said the move is particularly relevant as the Japanese government has announced that it will donate 3.05 million doses of the LC16m8 vaccine, alongside specialised inoculation needles, to the DRC.
“This is the largest donation package announced to date in response to the current mpox emergency,” the statement reads.
“The TAG recommended the vaccine for use in individuals over one year of age as a single dose vaccine, via a multiple puncture technique using a bifurcated needle.
“WHO’s assessment for EUL is based on information submitted by the manufacturer and review by the Pharmaceuticals and Medical Devices Agency (PMDA), the Japanese regulatory agency of record for this vaccine.
“The LC16m8 vaccine has been used in Japan during previous mpox outbreaks and was shown to be safe and effective, including in people with well-controlled HIV.
“The WHO Strategic Advisory Group of Experts (SAGE) on Immunization reviewed available evidence and recommended the use of LC16m8 vaccine in outbreak settings in children and others with a documented high-risk of exposure to mpox.
“However, minimally replicating vaccines, such as LC16m8, should not be used during pregnancy and in people who are immunocompromised.
“Immunocompromised persons include those with active cancer, transplant recipients, immunodeficiency, and active treatment with immunosuppressive agents.
“They also include people living with HIV with a current CD4 cell count of <200 cells µl.”
Health
Five ways to rid your home of ants
Ants are just one of the many pests that can launch an attack on your home.
The tiny insects are particularly attracted to the scent of sugar or grease. The scent of other foods may also attract ants which is why it is imperative to promptly clean spills.
Without proper management, ants can overrun your home.
Here are five ways to rid your home of ants.
Cucumber peels
Cucumber peels can serve as an excellent ant repellent.
Put them around areas affected by ants and you will notice that they will disappear in no time.
Salt
Ordinary salt is the safest remedy to keep ants away.
Use the mineral as a barricade to prevent the ants from crossing the designated area.
Duct tape
This can be useful to save your plants or keep ants from climbing your table or bed legs.
Wrap the tape around the base of plant or table leg with the sticky side outwardly. It will gum all the ants, and they will either die or be unable to move and fall prey to other insects.
Boiling water
If you can manage to find the source of the ants in or around your compound, you can pour a kettle of boiling water directly onto the ant hills to protect your home.
Vinegar
Vinegar diluted in water used to clean surfaces helps in eradicating ants due to its fungicidal and insecticidal properties.
Health
Six tips for coping after miscarriage
A miscarriage can be a traumatic experience one that can be difficult to overcome.
The pain that comes with pregnancy loss is indescribable. So, here are six steps that most people find helpful on how to recover/cope after a miscarriage.
1. Process Your Emotions
Take time to process your emotions and learn about your grieving process.
A miscarriage is a major emotional loss and so, it is normal to mourn this loss the same way you would mourn any other loss.
Try to familiarise yourself with your grieving process so that you will understand that what you are feeling is normal.
Usually, the first stage of the emotional grief is denial. You might find yourself thinking, “This isn’t really happening; it’s a bad dream that’d go away soon.”
The second stage is feeling anger, guilt, or depression and it features common thoughts like, “This isn’t fair!” or “I did everything right, why me?”
The last stage is acceptance. You will definitely still feel sadness, but you will begin to accept the reality of the situation.
2. Be patient with yourself
Keep in mind that this emotional experience is different for everyone.
Everyone will glide through the different stages at their own pace. You might coast quickly through the denial stage, but then find yourself stuck in anger.
Do not beat yourself up. Rather, make efforts to be kind to yourself.
Take a moment each day to acknowledge your emotions; just don’t judge them and give yourself the time you need to heal and process your emotions.
Most importantly, know that your experience is your own.
You may have friends or family members who have gone through a miscarriage of their own and naturally, they will want to give you advice on how to handle it.
It’s fine if you want to listen, but it’s okay to feel like your situation is different.
It’s fine to tell them, “Thank you for your concern and advice, but I really need to handle this in my own way.” Most people would understand and be respectful of your wishes.
3. Be okay with setbacks
Healing is a process and not necessarily a destination.
As the days go by, you will make progress and feel better- time heals all wounds. However, you are also likely to experience some bumps in the road. Setbacks aren’t palatable, but you can get through them.
Maybe you experience a setback when a friend tells you that she is pregnant. After such loss, this is going to be hard for you to hear.
Remind yourself that you can still be happy for your friend while feeling sad about your own loss.
If you feel yourself sliding back into sadness for a few days, that’s perfectly fine. Be patient with yourself and know that you’ll move forward again when you’re ready to.
4. Make your own choices
You are likely to find that well-meaning friends and relatives will come offering a lot of (unsolicited) advice during this time.
First, remind yourself that they mean well. However, this doesn’t mean that you have to listen to everything they say.
For instance, your mum may suggest that it is time to give 0ut all of the baby clothes that you bought.
Eventually, this might be something that you want to consider but if you’re not ready now, don’t do it.
It is your right to say, “Thank you for your thoughts, but I’m not ready to take that step right now. Kindly respect my pace.”
5. Speak to your doctor
Some miscarriages can also be difficult to deal with physically.
It might require you to undergo a surgical evacuation procedure. It is also normal to feel the effects of a hormonal imbalance at this time.
This is why you should talk to your doctor so that you can start the process of healing your body right.
Ask your doctor if there are certain precautions you need to take.
You can ask for advice in handling any bleeding and dealing with mood swings.
Don’t hold back on asking for any support that you need. He/she could also point you to support groups if they happen to know any.
6. Keep your body healthy
You need plenty of rest to heal physically.
Plus, good physical health is directly related to your emotional health.
Ensure that you are getting the rest that you need to heal. If necessary (and possible), consider taking a brief time off from work. They’d understand.
See to it that you are eating a healthy diet; focus on whole grains, fruits and veggies, and protein.
Do not forget get part of being healthy is communicating with your partner. Your spouse will also be going through a difficult time. They too might be experiencing sadness, anger, or grief.
Take time to be there for, and talk to one another.
Be open and honest about your feelings. If you are feeling depressed, don’t be afraid or shy to admit so.
Your partner at such a time could be your best source of support, so don’t be scared to lean on them.
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