Online skin doctors appointments

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Online Skin Consult

Video skin consultations are a form of dermatology care used to connect patients to primary care providers and board-certified dermatologists, for skin health conditions such as acne, warts, moles, and skin cancers, as well as urgent care concerns such as bug bites, burns, rashes, and cold sores.

Sesame offers both dermatology and skin consult appointments via video visits. Video skin consults are primarily used to help patients with urgent care concerns regarding the skin (such as those listed above). However, these visits can also help individuals determine whether or not they need to see a specialist to address their concerns. If you aren't sure whether or not you need to see a dermatologist, video skin consultations may be helpful in answering some of your questions and helping you with next steps.

Online skin doctor appointments use video chat platforms (like Zoom, Skype, or Facetime) to connect you to a doctor. It is recommended that you find a private place with a strong internet connection for your video visit.

Your doctor will ask you questions about any medical conditions and skin problems you have experienced. This is a good time to discuss symptoms or any specific concerns you have. They will also ask you questions about your skin care routine, and medications you may be taking. While some of these questions may not seem related to skin health, they may help doctors get a better understanding of your general health and wellness.

Your doctor may then conduct a visual examination of your skin. You may be asked to disrobe, which is why a private and secure location is recommended for these visits. Doctors will check your skin for signs of skin problems such as:

  • Skin cancer
  • Burns
  • Bug bites
  • Rashes
  • Suspicious moles
  • Warts

Depending on their findings, doctors may request a follow-up appointment to discuss the results of the exam with you. While doctors are able to diagnose a number of conditions via video visits, an in-person visit may be required to definitively diagnose certain conditions. If your doctor suspects you may be exhibiting some warning signs of skin cancer, for example, you may be asked to go to their office for a biopsy.

If you do not require a follow-up appointment, but your doctor determines that medication may be appropriate as treatment, they can write a prescription after your visit and order free delivery to your home. Before beginning treatment with any medication, be sure to talk to your doctor about dosage and how best to administer the drug.

Doctors on Sesame can provide a range of dermatology services for a range of skin conditions over video including dermatitis, eczema, rashes, warts, acne, and more. To make the most out of your video visit, make sure you have a strong wifi condition or any photos you can share with your doctor that will help them diagnose or treat your condition. Keep in mind that your doctor may recommend in-person follow-up care, especially if you have a severe condition, need a biopsy, or require more extensive screening.

Dermatologists are medical doctors who undergo special training to diagnose and treat various dermatological needs. Some conditions dermatologists are trained to diagnose and treat include:

- Eczema: Eczema is a red and itchy rash that is caused by irritants and allergens. Dermatologists can treat eczema with topical corticosteroid creams, moisturizers, or oral medication.

- Psoriasis: Psoriasis is a common, chronic, condition that flares in cycles. A psoriasis flareup can cause red, itchy, and flaky skin on the torso, knees, elbows, or scalp. Dermatologists can treat psoriasis with topical creams, light therapy, or oral medication.

- Dermatitis: Dermatitis refers to skin irritation that results in red, itchy, and dry skin. This can be caused by an allergic reaction, eczema, or yeast in the oil of the skin. A dermatologist can prescribe light therapy, creams, gels, or oral medication.

Skin care, on the other hand, is handled by estheticians, professionals who specialize in the cosmetics of the skin. Estheticians are not medical doctors and cannot diagnose skin conditions or prescribe medication. They perform elective skin treatments that can help the appearance of the skin. Estheticians can perform cosmetic procedures such as waxing, chemical peels, microdermabrasion, and hair removal.

Yes! Telehealth platforms have made it easier than ever to speak to a licensed dermatologist from the comfort of your home. Sesame offers video skin consultations with real, quality doctors near you who can address any skin care concerns you may have. Dermatologists on Sesame can diagnose a wide range of conditions including:

  • Acne
  • Eczema
  • Rashes
  • Psoriasis
  • Hair loss
  • Atopic dermatitis
  • Warts

Dermatologists are medical doctors who specialize in diagnosing and treating conditions related to the skin, hair, and nails. You may seek a video consultation with a dermatologist to discuss skin concerns such as:

  • Acne
  • Eczema
  • Rashes
  • Psoriasis
  • Skin cancer screening (for melanoma or squamous cell carcinoma)
  • Surgical dermatology (such as Mohs surgery)
  • Rosacea
  • Warts
  • Atopic dermatitis (allergic reactions to fabrics, dyes, chemicals, etc...)
  • Birthmarks
  • Skin lesions
  • Skin ulcers
  • Vitiligo

In addition to treating a number of conditions, Doctors of Dermatology can discuss more general skin health questions you may have. Due to their 12+ years of schooling, dermatologists become highly trained skincare experts. During an online video consultation, they may advise you on skincare concerns such as:

  • Skincare routines/ skincare regimens
  • Cosmetic dermatology procedures (such as Botox, dermal fillers, laser hair removal, and more)
  • Skincare for different skin types
  • Anti-ageing practices
    Skincare products/ skincare ingredients to buy or avoid

If you are experiencing an urgent skin condition that requires immediate attention, book a video visit with a real doctor in Troy, MI on Sesame right away. If your skin condition is not urgent, or if you prefer to see a dermatologist in person, book your next appointment through Sesame.

Doctors on Sesame can treat common skin conditions including:

  • Rashes
  • Burns
  • Atopic dermatitis
  • Bug bites
  • Cold sores

Dermatologists generally treat chronic and long-lasting skin conditions such as acne, dermatitis, warts, and skin cancers. If you are experiencing any of these conditions, it is recommended that you book a video dermatology consult through a telehealth platform like Sesame.

In short, primary care / general practitioners/ family medicine providers can treat most non-serious skin issues. They are generally a good place to start for most skin issues including mild acne, warts, minor rashes, bug bites, simple cysts, dandruff, rosacea, athlete’s foot, and mild, benign lesions.

If the GP doesn’t clear up the problem or the problem is deemed more serious by the GP, it’s time to consult a specialist.

Specialists are often more expensive than a general primary care doctor and you may have to wait longer to see a dermatologist.

No. Telehealth platforms like Sesame connect you directly to doctors, so you do not need a referral from a primary care provider before scheduling an appointment with a dermatologist.

Acne is the common skin condition in the United States, experienced by about 85% of people between the ages of 12-24, according to the American Academy of Dermatology. Acne is a skin condition that occurs when the pores on the surface of the skin become clogged by hair follicles, oily skin (also known as sebum), bacteria, and dead skin cells. Blockage of the skin’s pores results in blackheads, whiteheads, cysts, and pimples. Acne may be a persistent condition that can scar the skin on the face, chest, forehead, and shoulders.

If you are experiencing persistent or severe acne, you may want to seek medical attention.

Acne is a skin condition that occurs when the pores on the surface of the skin become clogged by hair follicles, oily skin, bacteria, and dead skin cells.

Hair follicles in the skin are connected to oil glands (sebaceous glands) that produce oil on the skin called sebum. When androgen hormones become active during puberty, these follicles can become sensitive to excess sebum and bacteria on the skin. As oil builds up in the pores of the skin, they become infected and inflamed. This inflammation eventually becomes a pimple, a whitehead (a closed pore), a blackhead (an open pore), or a pimple (pustule with pus at the tip).

Some common acne triggers/ irritants include:

- Hormonal changes: Fluctuating levels of the androgen hormone during puberty or around a woman’s period can cause excess sebum production, leading to clogged pores.

- Medications: Certain medications such as corticosteroids, birth control pills, or testosterone can cause hormonal change and can lead to clogged pores.

- Makeup or personal care products: Some cosmetic products and oily skin care products (like oily lotion, pomade, and face cream) can cause pores to clog. Most products are now tested to avoid clogging pores and carry the label non-comedogenic.

- Air pollution or weather: Heavily polluted air or humid air can cause excess sweat and oil build up on the skin, which can lead to clogged pores.

- Clothing: Clothing pressed tight against the skin of the torso, legs, or face can cause irritation, which leads to clogged pores.

Acne is a broad term to describe a skin condition that is caused by clogged pores on the surface of the skin. However, acne can vary in form and severity. There are several different types of acne conditions, including:

- Blackheads: Blackheads are open, but clogged pores. Dead skin and sebum collect in the pore, causing a small red bump, and air exposure cause the open pore to discolor.

- Whiteheads: Whiteheads are similar to blackheads, except the pore is closed to the air, causing a white tip.

- Papules: Papules are small, red bumps caused by oil and dead skin cells clogging pores on the surface of the skin.

- Pustules (or pimples): Pimples are small red bumps like papules, but are filled with pus. The pus in a pimple causes a small white tip to form on the bump.

- Nodules: Nodules are firm, skin-colored bumps that live deep under the skin. These bumps can be painful and difficult to treat with over-the-counter medication.

- Cysts: Cystic acne describes large, inflamed, and painful lesions that are found deep beneath the skin. Cystic acne is softer than nodules, due to the infections being filled with pus. These bumps can burst, causing further infection to the skin surrounding the cyst. Cysts are caused by clogged material deep within the pore of the skin. This type of acne can be very difficult to treat and can result in scarring of the skin if improperly treated.

Most acne can be treated with self-care remedies and over-the-counter acne medications. However, more severe forms of acne such as nodules and cysts may require additional treatment from a dermatologist or pediatric dermatologist.

Mild acne can be treated at home with simple hygiene plans, along with non-prescription over-the-counter medication. Some examples of these self-care steps include:

- Cleaning skin: Cleaning your skin once or twice a day with a mild soap (such as a facial cleanser with salicylic acid) can help unclog pores and remove dead skin cells from the surface of the skin.

- Leave skin alone: Picking at, and popping, pimples can cause the infection to spread around the surface of the skin. Dermatologists recommend fighting the urge to pop pimples while using medication to clean the skin.

- Using non-comedogenic makeup: Heavy makeup can clog pores and lead to infection in the pores of the skin. Be sure, when purchasing makeup products, to check if the product is non-comedogenic. This means that the product has been specially formulated to not clog pores.

- Shampoo hair: Shampooing regularly can help keep hair follicles clean, while keeping sebum produced by the scalp away from your face and hairline.

-Use over-the-counter acne medications: Products containing salicylic acid can remove dirt and oil from the skin while clearing dead skin cells from the surface of the skin. Additionally, topical acne medications that contain benzoyl peroxide can help kill harmful bacteria on the skin while drying out the oil from existing pimples.

- Moisturize: Overly dry skin can cause the body to produce excess sebum, making the skin more oily than usual. Using a moisturizer daily can help the condition of the skin while keeping sebum production low. While using moisturizer may seem counterintuitive with oily skin, regular use can lead to lower levels of sebum production and clogged pores.

If you are experiencing persistent, painful, or severe acne, you may want to seek medical advice. Your primary care physician can refer you to prescription medication, or a dermatologist, for further treatment.

In most mild cases, acne can be treated with self-care steps and over-the-counter acne medications. Washing your face regularly, moisturizing, and keeping your hands away from your face can help reduce acne and keep pores from clogging. However, if acne is persistent, painful, or severe, you may want to speak with a skin care professional, such as a dermatologist, for help with treating acne. Dermatologists can prescribe medication that may help reduce symptoms and prevent damage to the skin. Some examples of acne treatment that a dermatologist can provide include:

- Topical retinoids: Retinoids are compounds derived from vitamin A, which come in creams, gels, and lotions. Retinoid medications help rapidly exfoliate the skin and prevent the clogging of hair follicles. Retinoids are often mild and available as an over-the-counter medication. Tretinoin is a synthetic Vitamin A compound - usually a topical cream or gel - that unclogs skin in the same way retinoid medication will. However, tretinoin is stronger and might be irritating to sensitive skin. Isotretinoin is an oral medication made of the synthetic vitamin A compound that can be used to treat severe acne. Tretinoin and isotretinoin are only available through prescription, and cannot be purchased as an over-the-counter medication.

- Antibiotics: Antibiotics may be prescribed by your skin care provider to help treat inflammatory acne such as cysts, pustules, and nodules. These medications fight acne-causing bacteria in the skin and the body. Antibiotic acne medications are either topical (gels/ creams such as clindamycin or erythromycin) or oral (pills/ liquids such as minocycline or doxycycline). Antibiotics are intended for short-term use and may result in antibiotic resistance if used over too long a period.

- Steroid injection: Your skin care provider may recommend a cortisone steroid injection for severe cystic acne. Cortisone steroids can help reduce inflammation and shrink the size of a painful cyst. The doctor performing this procedure will inject the steroid directly into the cyst, and you may experience skin thinning and discoloration where the shot was administered. However, cortisone steroid injections can help rapidly improve the skin’s condition and lessen pain associated with severe cystic acne.

Sometimes over-the-counter medication and self-care just won’t do the trick with severe acne. If you are experiencing persistent breakouts, you may want to speak with a skin care provider or dermatologist to determine if prescription medication might be right for you.

Eczema is a chronic condition that results in dry, itchy, red, and inflamed skin.

Eczema affects 1 in 10 Americans, from infants to adults 65 and older, according to the American Academy of Dermatology (AAD). There are several types of eczema, including:

Atopic dermatitis: The most common form of eczema, atopic dermatitis is caused by a weakened natural barrier of the skin, leaving you more vulnerable to irritants and allergens. Atopic dermatitis can be caused by environmental factors, a weakened immune system, or genetics.

Contact dermatitis: Contact dermatitis can be caused by an allergic reaction to something you touch or by chemicals and harsh substances you may come into contact with. This can be caused by certain cleaning products (like bleach), poison ivy, skin care products, latex, or nickel metal.

Hand eczema: Hand eczema, as its name suggests, is eczema that only affects the hands. It can often be caused by cleaning products, hair products, or laundry products.

Neurodermatitis: The cause of Neurodermatitis is unknown. It can occur along with chronic skin conditions and may be triggered by stress. The irritated area becomes itchier as it is scratched, leading to wounds or skin infections.

Nummular eczema: Nummular eczema describes a skin condition that results in itchy, coin-shaped spots on the skin. These spots can become crusty, scaly, or leak fluid. Nummular eczema can be caused by irritation from a bug bite, an allergic reaction, or excessively dry skin.

Stasis dermatitis: According to the AAD, about 15-20 million people above the age of 50 live with stasis dermatitis. Stasis dermatitis results in affected skin that is rough, itchy, and red around varicose veins. Stasis dermatitis usually occurs due to poor blood flow in the legs. This skin condition can worsen and cause adverse side effects such as wounds, discoloration, and pain.

Eczema can take different forms and present different symptoms - mostly based on where the affected skin is located on the body.

According to the National Eczema Association, most types of eczema cause similar symptoms, which include:

  • Itchy skin
  • Dry skin
  • Inflamed and discolored skin
  • Crusting
  • Scaly patches of skin

Depending on the type of eczema you are experiencing, these symptoms may vary. For instance, patients with stasis dermatitis often experience symptoms in the lower legs, near varicose veins. Those with hand eczema often experience scaly, itchy patches of skin on the hands and wrists. The severity and duration of these symptoms can differ from person to person. Some patients may experience flare-ups due to very dry skin or an allergic reaction. Some patients may only experience a brief period of symptoms, and nothing more.

There is no cure for eczema, but there are treatment options that can help manage and ease symptoms. These treatments include over-the-counter medications, prescription medications, and at-home remedies.

To find out which eczema treatment is best for you, talk with a licensed medical provider. Your provider can offer personalized medical advice catered to your needs and prescribe medication if appropriate.

Eczema is a highly persistent skin condition that usually won't go away without treatment. Unaddressed eczema can lead to open wounds, discolored skin, and bacterial skin diseases.

While there is no known cure for eczema, at-home remedies have been shown to help reduce side effects and symptoms associated with the condition. Common at-home remedies include:

- Moisturizing: Moisturizing once or twice daily can help soothe skin. Dry skin can cause flare-ups of eczema, so keeping skin moisturized not only helps reduce the side effects of eczema but can also help prevent flare-ups from occurring.

- Cool compress: Soak a clean washcloth in cold bathwater and apply it to itchy and inflamed skin. The cool compress can help reduce the inflammatory swelling that can occur, while soothing itching.

- Oatmeal baths: Add colloidal oatmeal to a lukewarm bath and soak affected skin to relieve itching and reduce irritation. Studies have shown that colloidal oatmeal protects skin and diminishes inflammatory cells that can lead to flare-ups.

- Using gentle soaps and detergents: Because contact dermatitis can be caused by exposure to harsh chemicals and bleaches found in some cleaning products, swapping these products out for products that use natural ingredients and gentle cleansing compounds can help prevent flare-ups. Look for fragrance-free, color-free, and exfoliant-free products to help soothe the skin and reduce irritation.

- Allergy medication: Because many forms of eczema flare-up due to irritation from allergens, taking an oral antihistamine or using anti-itch topical gel can help minimize the body’s reaction to allergens.

- Protect the skin: Eczema gets itchier the more it is scratched. Continued scratching can lead to bleeding, open sores, and bacterial infections. Keeping the skin under clothing, using anti-itch treatments (such as those listed above), and keeping the skin moisturized can help prevent itchy, dry skin.

If eczema is persistent or severe, speak with your primary care doctor or dermatologist about treatment options. Dermatologists are specially trained to diagnose and treat severe skin conditions like eczema and can prescribe maximum-strength medication to help alleviate the discomfort that comes with it.

Skin rash is an umbrella term used to describe a wide range of skin reactions. There are countless causes of skin irritation, and skin rashes may take a variety of forms. Most cases of skin rash result in skin that is itchy, red, swollen, scaly, dry, or blistering. The symptoms and appearance of a skin rash will often help determine the irritant causing the reaction. Conditions that cause common skin rashes include:

Sunburn: We've all been there. Prolonged exposure to UV rays from sunlight or sunlamps can lead to red, dry, hot, and blistering skin. Even your eyes can be burned by the sun, resulting in a gritty feeling, headaches, and eye twitches. After a few days, a sunburn will start to peel as the skin heals itself. There is no cure for sunburn, and symptoms usually dissipate within a few days, but you can use moisturizer and sunscreen to ease discomfort and prevent further damage.

Allergens: Atopic dermatitis (eczema) and contact dermatitis occur when the skin has an allergic reaction after exposure to an irritant. Poison ivy, sumac, poison oak, ingredients in creams or lotions, and nickel metal are all examples of irritants that may cause an allergic reaction. Eczema may also be caused by dry skin, genetics, or an immune system condition. Most allergic reactions result in itchy skin, red spots, and scaly patches around the affected area. Dermatitis on the scalp can cause dandruff and hair loss if left untreated.

Fungi: Fungal infections are skin diseases caused by fungi living on the skin. Common types of fungal infections include athlete's foot, diaper rash, yeast infections, and ringworm. These skin infections appear in warm, moist places and often occur as a side effect of poor hygiene. For instance, diaper rash is commonly caused by babies sitting too long in dirty diapers. Ringworm and athlete's foot are often passed through human-to-human contact with an infected person or a surface with fungi living on it. Fungal infections can lead to red rashes, itchiness, blisters, or peeling skin.

Bacterial infection: Bacterial infections occur when bacteria enter the body through a cut or scrape on the skin. Impetigo, boils, leprosy, scarlet fever, and cellulitis are common forms of bacterial infections. These skin conditions are highly contagious and may cause lesions that ooze, ulcers, itchy skin, and swelling. Scarlet fever can result in a fever, sore throat, and a red rash on much of the body.

Viral infection: Like bacterial infections, viral infections occur when a virus enters the body through a break in the skin (usually a cut or scrape). Viral infections may produce different symptoms, depending on the virus. Common viral infections of the skin include shingles, chickenpox, and warts. Shingles and chickenpox are caused by the same virus and result in itchy rashes, red spots, and blisters on the skin. Warts are caused by an infection from the human papillomavirus (HPV) and result in small, scaly bumps on the skin.

Chronic skin disorders: Conditions such as lupus, rosacea, and psoriasis are chronic skin disorders that may occur without cause, or as a side effect of an autoimmune condition. Lupus and rosacea result in red rashes on the cheeks and nose, while psoriasis produces red, scaly, and itchy skin on the scalp. These conditions can be treated, but not cured.

Dealing with itchy skin? Book an in-person or video dermatology consult on Sesame to talk with a real, quality dermatologist. Doctors on Sesame can address your symptoms, prescribe medication, and offer referrals if necessary. Save up to 60% on skin care when you book a visit on Sesame- no insurance needed.

Skin rashes occur in many different forms, and their symptoms can vary significantly depending on the cause of the irritation.

Some common symptoms of skin rash include:

  • Itchy skin
  • Red spots
  • Excessive dryness
  • Scaly skin
  • Blisters
  • Skin infections

Some skin rashes are accompanied by a high fever, headaches, nausea, and other medical conditions. Many cases of skin rash are caused by common irritation of the skin and can be treated with over-the-counter medication.

If a skin rash occurs along with other symptoms, such as those listed above, you should seek medical attention right away. Skin rash can be a symptom of life-threatening medical conditions such as meningitis, toxic shock syndrome, and Stevens-Johnson syndrome. If you have a skin rash along with a high fever, headache, or nausea, contact a health care provider immediately.

Skin rash is an umbrella term used to describe a wide range of skin reactions. There are countless causes of skin irritation, and skin rashes may take a variety of forms. Most cases of skin rash result in skin that is itchy, red, swollen, scaly, dry, or blistering. The symptoms and appearance of a skin rash will often help determine the irritant causing the reaction.

Atopic dermatitis (eczema) and contact dermatitis occur when the skin has an allergic reaction after exposure to an irritant. Poison ivy, sumac, poison oak, ingredients in creams or lotions, and nickel metal are all examples of irritants that may cause an allergic reaction. Eczema may also be caused by dry skin, genetics, or an immune system condition. Most allergic reactions result in itchy skin, red spots, and scaly patches around the affected area. Dermatitis on the scalp can cause dandruff and hair loss if left untreated.

Dealing with itchy skin? Book an in-person or video allergy/ dermatology consult on Sesame to talk with a real, quality dermatologist or allergist. Doctors on Sesame can address your symptoms, prescribe medication, and offer referrals if necessary. Save up to 60% on skin care when you book a visit on Sesame- no insurance needed.

It depends on the cause of the rash. In most cases, skin rashes can be treated through home remedies. If a skin rash has been caused by a bacterial or viral infection, additional medication (like an antibiotic) may be needed.

Skin rashes caused by an irritant or allergen (dermatitis) are commonly treated with:

  • Hydrocortisone cream
  • Calamine lotion
  • Antifungal cream (like Lotrimin or Lamasil)
  • Topical antihistamine (like Benadryl cream)
  • Oral antihistamine (like Claritin or Benadryl pills)
  • Cortisone injection

Simple steps such as daily moisturizing and sunscreen application can help reduce many skin rash symptoms and prevent further complications. Good hygiene and a skin care routine can go a long way toward preventing skin rash.

In some instances, a skin rash may be a symptom of a more serious illness or disease. Skin rash accompanied by fever, headaches, and nausea is often a symptom of a bacterial or viral infection. If a skin rash is being caused by an infection or illness, advanced medication may be needed to treat symptoms. If you are experiencing a skin rash along with other symptoms of illness, contact your doctor right away.

If you're dealing with a skin rash caused by an allergic reaction or irritant, hydrocortisone cream can help relieve your skin. Topical hydrocortisone can be purchased over-the-counter at most drugstores (Cortizone is an example). If the skin rash is severe, a dermatologist or doctor may prescribe a higher strength hydrocortisone cream to treat symptoms. The topical ointment should be applied 2-3 times a day until the rash begins to disappear. If you've been prescribed a higher dosage hydrocortisone ointment, consult your doctor about how often you should apply the cream.

In the case of an allergic reaction, your doctor may recommend that you supplement a topical ointment with an oral antihistamine to combat allergens irritating the skin. Talk to your doctor before you start taking an antihistamine, as some anti-allergy medication can lead to drowsiness.

For very severe and persistent cases of dermatitis, your dermatologist may recommend a cortisone injection to reduce swelling, itchiness, and irritation. Talk to your doctor about any medications you may be taking, as cortisone injections may cause serious side effects if they interact with other drugs.

Most cases of dermatitis (an allergic reaction or irritation of the skin) will clear up within 2-4 weeks if treated properly. If you can avoid the irritant that caused the rash, while treating the skin with moisturizer, anti-itch cream, and cool compresses, you should be able to treat moderate dermatitis on your own. Refrain from scratching the rash, as this further irritates the skin.

Some cases of skin rash may be caused by underlying health conditions or infections. Rashes caused by an infection (such as impetigo or chickenpox) or rashes brought on by an illness (such as rosacea or lupus) may require medical treatment before they begin to clear up. Because these conditions require advanced treatment, recovery time may take longer. If you are dealing with a chronic skin rash or a skin rash caused by a health condition, talk to your doctor about treatment options and a timetable for when the irritation may begin to subside.

Whatever you do, don't scratch the rash! This can spread an infection to other parts of the skin and further irritate an already irritated area.

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