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HEALTHTuesday 24 January 2017

                                                           Hats Off

       By: Dr Carlos Viana   carcinoma at least once.      ment needed. While BCCs       and a herbal supplement        areas are often sun dam-
                             But do not think only older   seldom spread to vital or-    that I never recommend,        age that may not be
‘Hats off’ an expression     people are at risk.           gans, they can cause ma-      St. John’s wort can cause      cancer. However, it may
used to express admira-      Melanoma, the most dan-       jor disfigurement and oc-     sun sensitivity.               be acanthosis nigricans,
tion for someone who has     gerous form of skin can-      casionally result in nerve    In our clinic, I diagnose      which is not a skin disease,
done something praise-       cer, accounts for up to       or muscle injury. Certain     medical conditions that        but a skin sign of an under-
worthy. So, let us take our  three percent of all pedi-    rare, aggressive forms can    put people at higher risk.     lying condition or disease.
hats off to thank our lo-    atric cancers. The treat-     be lethal if not treated      Most doctors do not ask for    Besides the development
cal dermatologists who       ment of childhood mela-       promptly.                     a comprehensive blood          of diabetes, it can reflect
conducted a free skin        noma is delayed 40% of        Squamous cell carcinoma       test to see how close you      kidney problems or colon,
cancer screening for the     the time due to misdi-        is the second most com-       are to developing diabe-       or breast cancer.
public. The dermatolo-       agnosis of dark growth        mon form of skin cancer.      tes. Certain types of can-     When a patient presents
gists donated their time     that look like moles. Most    More than one million         cers are more common in        with darkening and thick-
and money to provide         melanomas are black or        cases are diagnosed in        people with diabetes. The      ening of the skin, occur-
this valuable service. No    brown, but they can also      the U.S. each year. Squa-     frequency and risk of de-      ring mainly in the folds of
medical government           be skin-colored, pink, red,   mous cell carcinomas          veloping overall skin can-     the skin, I make sure not
agency provided any          purple, blue or white. Mel-   typically appear as per-      cer, including melanoma,       to run a blood test to find
financial support, addi-     anoma is caused mainly        sistent, thick, rough, scaly  is higher with people with     any underlying cause.
tional sponsorship was by    by intense, occasional        patches that can bleed        insulin resistance (pre-       Get The Point! We have
the local media and print    sun exposure. So, cover       if bumped, scratched or       diabetes). Many doctors        tipped our hat with thanks
companies.                   baby’s head when out          scraped.                      check fasting blood glu-       to those that took the
Being older than sixty-      in the sun. Among adults      They often look like warts    cose, not learning how         time and effort to screen
five I was excited to be     Melanoma kills an esti-       and sometimes ap-             to connect insulin and In-     our community. Now let
screened and was happy       mated 10,130 people in        pear as open sores with       sulin-like Growth Factor-1     us put our hats back to
to see how many people       the US annually. Countries    a raised border and a         (IFG-1) to determine your      protect a little more from
attended. Over the past      closer to the equator will    crusted surface. People       level of pre- diabetes, in-    the damaging sunlight.
thirty years more people     have greater numbers.         who have fair skin, light     sulin resistance.              Covering up and avoid-
have had skin cancer         Basal cell carcinoma          hair, and blue, green, or     People with increasing         ing the hottest part of the
than all other cancers       (BCC) is the most com-        gray eyes are at highest      levels of pre-diabetes will    day, may be smarter than
combined. That means         mon form of skin can-         risk of developing the dis-   develop skin tags around       chemical sunscreens.
that each year there are     cer. More than 4 million      ease. Chronic infections      the neck, armpits and          And, be careful of the
more new cases of skin       cases are diagnosed in        and skin inflammation         groin. A skin tag is a narrow  reflection of our beauti-
cancer than the com-         the U.S. each year. The       can also increase the risk    stalk of skin that bulges at   ful sea even in the shade,
bined incidence of can-      warning signs include:        to developing squamous        the end. Most of the time,     when sitting on our white
cers of the breast, pros-    open sore that bleeds, a      cell carcinoma. Further-      skin tags are just unsightly.  beaches. Prevention is
tate, lung and colon. And    red irritated area, a shiny   more, immune deficiency       However, when they ap-         much better than having
as we baby- boomers get      bump, a slightly elevated     diseases, chemotherapy,       pear, it means you are on      to be treated for cancer
older more than 50% who      pink growth, a scar-like      and there are dozens of       the road to developing         and goes a long way.
live to age 65 will have     area that is white, yellow    medications and over-         diabetes and when skin         Come in for a blood test
either basal cell carci-     or waxy. These five warn-     the-counter drugs that        tags are twisted, irritated,   to ensure you are not de-
noma or squamous cell        ing signs should not be       can cause sun sensitivity.    or bleeding, this might be     veloping an environment
                             ignored. BCCs are easily      Some of the most com-         a good reason to seek          where cancer can grow.
                             treated in their early stag-  mon include: Antibiotics:     medical attention.             Let us help you by identi-
                             es. The larger the tumor      doxycycline, tetracycline,    Darkening skin on your         fying chronic inflamma-
                             has grown, however, the       ciprofloxacin, antidepres-    sides of your face and         tion and reducing risk for
                             more extensive the treat-     sants: doxepin (Sinequan);    neck or spots on exposed       developing diabetes.q
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