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Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital.
The spots can appear on any part of the body, where the sebaceous glands are present, but they normally affect the border of the lips the most.
Fordyce’s spots are minor dermatological or cosmetic problems that do not really need to be treated. These white spots are usually mistaken as manifestations of STDs or sexually transmitted diseases, especially when these spots appear on genitals.
But most of the specific treatments do not always work to do away the white spots in a permanent fashion.
Boils on the inner thigh not only look unsightly, but can also cause a lot of pain and discomfort to a person.
Caffeine (sometimes listed as 1,3,7-trimethylxanthine) is an organic, alkaline substance and a derivative of xanthine. TRAINING: I usually train three times a day, so in the morning, around 8, I go lift at Joe Grosso’s Elite Training.
Being fit for sportWhilst training for any sport it’s essential you stay strong, fit and flexible. Anderson Silva, Forrest Griffin and Tito Ortiz each earned $75,000 bonuses for their performances at Saturday's UFC 148 event. I am not sure if this question is asked in relation to being young or older, therefore, I'll address both ends of the spectrum. The best way to gain weight easily and safely is to work out and eat food anytime after 8:00 pm. OP, to make you feel better (possibly), you may have already contracted it from a previous encounter but it was dormant. When she kissed her newborn daughter, Ruth Schofield had no idea she was putting the baby's life at risk. Bonding with baby: Ruth Schofield holds Jennifer soon after giving birth She went on to develop several mouth ulcers but there was no time for antibodies to form and be passed on to her child in the womb, so Jennifer was born with no resistance to the condition. Miss Schofield: Wants to warn other mothers Soon after her birth, she became listless and sleepy before her health suddenly deteriorated. Jennifer was just 11 days old when she passed away from the virus 'It was only afterwards we discovered she had contracted HSV. Jennifer Schofield died after her mother Ruth accidentally infected her with the herpes virus'Six babies die each year and it is six too many as far as I am concerned. Ruth Schofield has written to the Prime Minister's office demanding more warnings be given to pregnant mothers about the deadly virus Miss Schofield also praised the work of the Stillbirth and Neonatal Death Society, which supported her following the tragedy. Advice from Mervi Jokinen, a midwife from the Royal College of Midwives: If you have a cold sore or symptoms of an impending outbreak you should avoid kissing your baby. The star of the show is the Sunkissed Pearls Highlighter and Bronzer (?28, in two shades) with a beautiful shell and pearl pattern.
The other swatches are the Eye Stylos – Blue, Freshwater and Bronze, although to be honest, the blue is more green to my eyes. Sign up here and join thousands to receive a daily digest of the latest British Beauty Blogger posts straight to your email inbox! Welcome to British Beauty Blogger, the makeup, colour, fragrance and skincare blog by Jane Cunningham, one of the UK’s top beauty bloggers.
Celebrating favourite beauty products and best beauty buys, British Beauty Blogger brings you daily updates, news and exclusives from top makeup and cosmetic brands. Even the slightest spot, blemish, scar or rash can cause people to get upset and look for options to get rid of the unsightly mark, immediately.
They are not really associated with any serious disease or illness and are not infectious either. However, people who are very conscious about their physical appearance can topically apply some cream directly on the spots.
Though it is believed that the spots are only found in the genitals of both sexes, that is not the case. Home treatment for Fordyce’s spots includes the application of jojoba oil and a vitamin E component containing Tocopherol. Fordyce’s spots have been occasionally contained with a diet rich with folic acid and vitamins. It therefore becomes important to remember that while it might look like skin discoloration, it is really a matter of conquering the mind to accept the appearance of these white bumps. If you are such a patient you could check out the various online forums available where other patients of Fordyce’s Spots come together and talk about their experiences.
Most boils start of as harmless bumps, but could aggravate greatly within a short span of time. I want more information out there.' Miss Schofield, who has a 16-year-old daughter, Emma, has since had another baby, Annabel, now 15 months old. HSV is most virulent when the skin is brokenYou can breastfeed your baby when you have cold sores but make sure the lesions are covered up and you wash your hands before feeding. Each colour has a slight shimmer to it and they’re more of a wash of colour than a full-on lip. HSV-1 can also cause genital herpes. Herpes simplex virus 2 (HSV-2) is the most common cause of genital herpes, but it can also cause oral herpes. Using the cream or gel everyday will prevent the condition from spreading and getting worse. The measures that should be taken to deal with dark spots on the skin do not apply to the white spots. As it is a largely dermatological condition, there are ointments, which when used in combination with alpha hydroxy, can reduce these spots over time.
Touching your hand to your mouth then to your breast is enough to transfer the virusNewborn babies have under-developed immune systems and so can become ill very quickly. Elizabeth Arden include a plumper in their glosses so don’t be surprised if you look fuller than usual, lip-wise. Trends in HSV Types and Genital Herpes Genital herpes can be caused by either HSV-2 or HSV-1.
The use of other agents, like alpha hydroxyl acid agents, can help deal with the spots in a more effective manner. Some theories even suggest that their appearance might be genetic and only comes into prominence at adolescence. A good oral hygiene routine and regular consumption of garlic could reduce the white spots.
Early signs of HSV can include your baby not feeding, drowsiness, fever, floppiness and unusual cryingIf your baby shows these symptoms contact your midwife or doctor. The use of jojoba oil is also believed to be very effective in the treatment of Fordyce’s spots. Hence, if the spots cause any pain or discomfort to a person, they should be checked immediately, as they could be caused by a more serious underlying medical condition. Frozen liquid nitrogen has also been used to treat Fordyce’s Spots with a moderate amount of success. In recent years, HSV-1 has become a significant cause in developed countries, including the United States. People who are not interested in such remedies can directly opt for laser treatments with carbon dioxide. It is one that stays with you for life.' The inquest heard the HSV virus is notoriously hard to detect and can be passed from mother to baby, through contact including breastfeeding, with devastating consequences.
However, the most commonly recommended cure by doctors, for white spots on lips, is the use of TCA chemical peels.
Though this is rare and unlikely, it is best to check with a doctor and undergo certain tests, to rule out that possibility.White spots are a common occurrence on the skin. Laser vaporization, pulse dye lasers and other similar forms of treatment have also been known to be effective against white spots.
The risk of infection is highest during outbreak periods when there are visible sores and lesions.
These white spots are also commonly found on the lips or the genitals and on the under skin of the penis.
The white spots on your lips are called Fordyce’s spots, after the American dermatologist John Addison Fordyce. The hearing heard towards the end of her pregnancy, Miss Schofield complained of feeling ill with flu-like symptoms and was prescribed antibiotics. Then two days after giving birth on November 24 in 2006, she was treated by her GP for several mouth ulcers. Symptoms When genital herpes symptoms do appear, they are usually worse during the first outbreak than during recurring attacks.
Along with appearing on the lips, these white spots also appear along with sebaceous glands or hair follicles.


Herpes, Pregnancy, and Newborn Infants Herpes can pose serious risks for a pregnant woman and her baby.
The risk is greatest for mothers with a first-time infection, because the virus can be transmitted to the infant during childbirth. Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission.
Babies born to mothers infected with genital herpes are treated with the antiviral drug acyclovir, which can help suppress the virus. They include human herpes virus 8 (the cause of Kaposi sarcoma) and varicella-zoster virus (also known as herpes zoster, the virus responsible for shingles and chickenpox). The word "herpes" comes from the Greek word "herpein," meaning "to creep." This refers to the unique characteristic pattern of all herpes viruses to creep along local nerve pathways to the nerve clusters at the end, where they remain in an inactive (dormant) state for variable periods of time.
HSV-1 can also cause genital herpes, which is a sexually transmitted disease (STD). Herpes simplex virus 2 (HSV-2) is the usual cause of genital herpes, but it can also cause oral herpes. Until recently, the general rule was to assume that HSV-1 caused oral herpes and HSV-2 caused genital herpes.
It is now clear, however, that either type of herpes virus can be found in the genital or oral areas (or other sites). In fact, HSV-1 is now responsible for more than half of all new cases of genital herpes in developed countries. The Disease ProcessHerpes is transmitted through close skin-to-skin contact. To infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through tiny injuries in the skin or through a mucous membrane, such as inside the mouth or on the genital or anal areas.
The risk for infection is highest with direct contact of blisters or sores during an outbreak. But the infection can also develop from contact with an infected partner who does not have visible sores or other symptoms. Once the virus has contact with the mucous membranes or skin wounds, it enters the nuclei of skin tissue cells and begins to replicate. The virus is then transported from the nerve endings of the skin to clusters of nerve cells (ganglia) where it remains inactive (latent) for some period of time.
However, at some point, the virus wakes up and travels along nerve pathways to the surface the skin where it begins to multiply again. During this time, the virus can infect other people if it is passed along in body fluids or secretions. Viral shedding may be accompanied by noticeable symptoms (outbreak) but it can also occur without causing symptoms (asymptomatic shedding). In either case, a person is infectious during periods of viral shedding. Symptoms may appear as multiple small red bumps or patches that develop blisters. Certain triggers can wake up the virus from its dormant state and cause it to become active again.
In general, recurrent episodes of herpes cause less severe symptoms than the primary outbreak. HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years.
People can get HSV-2 through genital contact or HSV-1 through mouth-to-genital contact with an infected partner. People with active symptoms of genital herpes are at very high risk for transmitting the infection. Unfortunately, most cases of genital herpes infections occur when the virus is shedding but producing no symptoms. Most people either have no symptoms or do not recognize them when they appear. In the past, genital herpes was mostly caused by HSV-2, but HSV-1 genital infection is increasing. There is also evidence that children today are less likely to get cold sores and become exposed to HSV-1 during childhood. Centers for Disease Control and Prevention (CDC), about 1 in 6 Americans ages 14 to 49 years have genital herpes. While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex. African-American women are at particularly high risk. People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes. Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes.
It is almost impossible to defend against the transmission of oral herpes, because it can be transmitted by very casual contact, including kissing. Still, you can help reduce the risk of transmitting oral herpes by not sharing objects that touch the mouth, such as eating and drinking utensils, toothbrushes, and towels. It is best to refrain from any type of sex (vaginal, anal, or oral) during periods of active outbreak. However, herpes can also be transmitted when symptoms are not present (asymptomatic shedding).
Only water-based lubricants (K-Y Jelly, Astroglide, AquaLube, and glycerin) should be used. It is very unlikely to transmit or contract genital herpes from a toilet seat or bath towel. Studies suggest that male circumcision may help reduce the risk of HSV-2, as well as human papillomavirus (HPV) and HIV infections. However, herpes can cause significant and widespread complications in people who don't have a fully functioning immune system.
The CDC recommends that all people diagnosed with herpes simplex virus 2 (HSV-2) get tested for HIV. Most people with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications. HSV-2 infection increases HIV levels in the genital tract, which makes it easier for the HIV virus to be spread to sexual partners. Herpes and PregnancyPregnant women who have genital herpes due to either HSV-2 or HSV-1 have an increased risk for miscarriage, premature labor, inhibited fetal growth, or transmission of the herpes infection to the infant in the uterus or at the time of delivery. Herpes in newborn babies (herpes neonatalis) can be a very serious condition. Fortunately, neonatal herpes is rare.
Although about 25 to 30% of pregnant women have genital herpes, less than 0.1% of babies are born with neonatal herpes. The baby is at greatest risk during a vaginal delivery, especially if the mother has an asymptomatic infection that was first introduced late in the pregnancy. The risk for transmission also increases if infants with infected mothers are born prematurely, there is invasive monitoring, or instruments are used during vaginal delivery.
Transmission can occur if the amniotic membrane of an infected woman ruptures prematurely, or as the infant passes through an infected birth canal. This risk is increased if the woman is having or has recently had an active herpes outbreak in the genital area. Very rarely, the virus is transmitted across the placenta, a form of the infection known as congenital herpes. Also rarely, newborns may contract herpes during the first weeks of life from being kissed by someone with a herpes cold sore. Infants may get congenital herpes from a mother with an active herpes infection at the time of birth.
Aggressive treatment with antiviral medication is required. Most infected pregnant women do not have a history of symptoms, so herpes infection is often not suspected or detected at the time of delivery. Fortunately, if a woman does have genital lesions, rapid diagnostic blood tests can quickly determine her chances of transmitting the virus to her baby during delivery. Some women with new or recurrent herpes may also be prescribed antiviral medication during pregnancy. A woman with herpes can usually safely breastfeed her baby, as long as she does not have a lesion on her breast or nipple. Neonatal herpes can spread to the brain and central nervous system, causing encephalitis and meningitis. Herpes can also spread to internal organs, such as the liver and lungs. Infants infected with herpes are treated with acyclovir, an antiviral drug.
They usually receive several weeks of intravenous acyclovir treatment, followed by several months of oral acyclovir.
It is important to treat babies quickly, before the infection spreads to the brain and other organs. Fortunately, rapid diagnostic tests and treatment with acyclovir have significantly improved survival rates and reduced complication rates. Nearly all who recover have some impairment, ranging from very mild neurological changes to paralysis. Like encephalitis, meningitis symptoms include headache, fever, stiff neck, vomiting, and sensitivity to light. Fortunately, herpes meningitis usually resolves after about a week without complications, although symptoms can recur. Herpes Eye ComplicationsOcular herpes is a recurrent infection that affects the eyes.
Herpes Skin ComplicationsEczema Herpeticum: A rare form of herpes infection called eczema herpeticum, also known as Kaposi varicelliform eruption, can affect people with skin disorders and those with a weakened immune system. In children, this is often caused by thumb sucking or finger sucking while they have a cold sore. It can also occur in adult health care workers, such as dentists, because of increased exposure to the herpes virus. The use of latex or polyurethane gloves prevents herpes whitlow in health care workers. SymptomsHerpes symptoms vary depending on whether the outbreak is initial or recurrent.
The primary outbreak is usually worse than recurrent outbreaks, with more severe and prolonged symptoms. In fact, studies indicate that 10 to 25% of people infected with HSV-2 are unaware that they have genital herpes.


The first signs are a tingling sensation in the affected areas (genitalia, buttocks, and thighs) and groups of small red bumps that develop into blisters.
The sores may sometimes itch, but itching decreases as they heal. About 40% of men and 70% of women develop other symptoms during initial outbreaks of genital herpes, such as flu-like discomfort, headache, muscle aches, and fever.
Some women may have difficulty urinating and may, occasionally, require a urinary catheter. The virus sheds for a much shorter period of time (about 3 days) compared to an initial outbreak of 3 weeks.
Women may have only minor itching, and the symptoms may be even milder in men. On average, people have about four recurrences during the first year, although this varies widely. There are some differences in frequency of recurrence depending on whether HSV-2 or HSV-1 caused genital herpes. HSV-2 genital infection is more likely to cause recurrences than HSV-1. Symptoms of Oral Herpes Oral herpes (herpes labialis) is most often caused by HSV-1, but it can also be caused by HSV-2. It usually affects the lips and, in some primary attacks, the mucus membranes in the mouth. The sores last 10 to 14 days and can be very uncomfortable. Blisters that may be preceded or accompanied by sore throat, fever, swollen glands, and painful swallowing. Recurrent Oral Herpes Infection: A recurrent oral herpes infection is much milder than the primary outbreak. It usually manifests as a single sore, commonly called a cold sore or fever blister (because it may arise during a bout of cold or flu).
The sore usually shows up on the outer edge of the lips and rarely affects the gums or throat.
Recurrences of genital herpes are more likely with HSV-2 infection than with HSV-1 infection. Occasionally, the symptoms may not resemble those of the primary episode, but appear as fissures and scrapes in the skin or as general inflammation around the affected area. They include sunlight, wind, fever, physical injury, surgery, menstruation, suppression of the immune system, and emotional stress. For most people, outbreaks recur with more frequency during the first year after an initial attack.
The good news is that in most healthy people, recurring infections tend to become progressively less frequent, and less severe, over time. However, other conditions can resemble herpes, and doctors cannot base a herpes diagnosis on visual inspection alone. These tests include: Virologic tests (viral culture of the lesion) Serologic tests (blood tests that detect antibodies) The CDC recommends that both virologic and serologic tests be used for diagnosing genital herpes.
People diagnosed with genital herpes should also be tested for other sexually transmitted diseases. At this time, experts do not recommend screening for HSV-1 or HSV-2 in the general population. Genital herpes can be caused by either HSV-1 or HSV-2.
It is important to determine which virus is involved, as the type of herpes infection influences prognosis and treatment recommendations. Recurrences of genital herpes, and viral shedding without overt symptoms, are much less frequent with HSV-1 infection than with HSV-2. False-negative (testing negative when herpes infection is actually present) or false-positive (testing positive when herpes infection is not actually present) results can occur.
Your health care provider may recommend that you have a test repeated. Virologic TestsViral culture tests are made by taking a fluid sample, or culture, from the lesions as early as possible, ideally within the first 48 hours of the outbreak. PCR tests are much faster and more accurate than viral cultures, and the CDC recommends PCR for detecting herpes in spinal fluid when diagnosing herpes encephalitis.
PCR can make many copies of the virus' DNA, so that even small amounts of DNA in the sample can be detected. However, many labs now use PCR for herpes testing because it is highly accurate. An older type of virologic testing, the Tzanck smear test, uses scrapings from herpes lesions.
The scrapings are stained and examined under a microscope for the presence of giant cells with many nuclei or distinctive particles that carry the virus (called inclusion bodies). The Tzanck test is not reliable for providing a conclusive diagnosis of herpes infection and is not recommended by the CDC. Serologic TestsSerologic (blood) tests can identify antibodies that are specific for either HSV-1 or HSV-2. When the herpes virus infects you, your body's immune system produces specific antibodies to fight off the infection. If a blood test detects antibodies to herpes, it is evidence that you have been infected with the virus, even if the virus is in a non-active (dormant) state.
The presence of antibodies to herpes also indicates that you are a carrier of the virus and might transmit it to others. Serologic tests can be especially useful for people who do not have active symptoms, but who have other risk factors for herpes (such as other STDs, multiple sex partners, or a monogamous partner who has genital herpes). Although glycoprotein (gG) type-specific tests have been available for many years, many of the older nontype-specific tests that cannot distinguish HSV-1 from HSV-2 are still on the market. Canker sores frequently crop up singly or in groups on the inside of the mouth, or on or underneath the tongue. They usually heal within 2 weeks without treatment. Canker sores (Aphthous ulcers) are very common.
The drugs are used initially to treat a first attack of herpes, and then afterward to either treat recurrent outbreaks (episodic therapy) or reduce frequency of recurrences (suppressive therapy). Drugs can, however, reduce the severity of symptoms, improve healing times, and prevent recurrences.
If people experience very severe disease or complications, they need to be hospitalized and receive an antiviral drug intravenously.
Your health care provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days. You should begin the medication as soon as you notice any signs or symptoms of herpes, preferably during the prodrome stage that precedes the outbreak of lesions. If taken during prodrome, episodic therapy may help prevent an outbreak from occurring or reduce its severity. Valacyclovir is taken once a day. Suppressive treatment can reduce the frequency of outbreak recurrences by 70 to 80%.
It is generally recommended for people who have frequent recurrences (6 or more outbreaks per year). Because herpes recurrences often diminish over time, you should discuss annually with your health care provider whether you should stay with drug therapy or discontinue it. While taking any suppressive therapy for genital herpes, it is still important to regularly use latex condoms and to avoid any sexual activity during recurrences. A new form of acyclovir (Sitavig) is administered orally as an adhesive tablet; it is applied to the gum region of the mouth, where it dissolves during the course of the day. In addition, acyclovir is available in topical form, as is the related drug penciclovir (Denavir). Topical TreatmentsThese ointments or creams can help shorten healing time and duration of symptoms.
However, none are truly effective at eliminating outbreaks. Penciclovir (Denavir) heals HSV-1 sores on average about half a day faster than without treatment, stops viral shedding, and reduces the duration of pain.
Ideally, you should apply the cream within the first hour of symptoms, although the medication can still help if applied later. Apply the cream 5 times a day, beginning at the first sign of tingling or pain. Over-the-counter topical ointments may provide modest relief. They include Anbesol gel, Blistex lip ointment, Camphophenique, Herpecin-L, Viractin, and Zilactin. Some contain a topical anesthetic such as benzocaine, tetracaine, or phenol. Lip balm that contains sunblock, or sunscreen applied around the lips may help prevent sun-triggered outbreaks. Herbs and SupplementsGenerally, manufacturers of herbal remedies and dietary supplements do not need FDA approval to sell their products. Just like a drug, herbs and supplements can affect the body's chemistry, and therefore have the potential to produce side effects that may be harmful. There have been several reported cases of serious and even lethal side effects from herbal products.
Always check with your provider before using any herbal remedies or dietary supplements. Many herbal and dietary supplement products claim to help fight herpes infection by boosting the immune system. There has been little research on these products, and little evidence to show that they really work. Epidemiology, clinical presentation, and antibody response to primary infection with herpes simplex virus type 1 and type 2 in young women. Seroprevalence of herpes simplex virus type 2 among persons aged 14 - 49 years -- United States, 2005-2008. Guidance on management of asymptomatic neonates born to women with active genital herpes lesions. Epub 2013 Jan 28. Martin ET, Krantz E, Gottlieb SL, Magaret AS, Langenberg A, Stanberry L, et al.
Genital shedding of herpes simplex virus among symptomatic and asymptomatic persons with HSV-2 infection.



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