Daily Archives: August 29, 2022

Part 1Treating Dyshidrotic Eczema at Home. 1. Use cold and wet compresses to relieve irritation. Cold compresses can help relieve the itching and/or burning sensation caused by eczema. Cold therapy can also reduce the inflammation of the blisters and help numb the irritated nerve endings with generate pain. The typical over-the-counter drugs work for a very short time and my yeast infection came back with a vengeance.An over the counter yeast infection treatment is another way to address the underlying infection. Vaginal creams such as miconazole, Monistat, and others will help cure the yeast infection over a period of 3 to 7 days in most cases.

Avene XeraCalm A.D. Lipid-Replenishing Cream, $34. This product previously won Allure's Best Moisturizer for Sensitive Skin Award, so it's also perhaps the best eczema cream over the counter. On average, it relieves itching in five days and begins to noticeably hydrate within seven days. Over-the-counter Eczema Treatment. Discussion in Health & Beauty started by Punkin Aug 30, 2017. Punkin Member. Joined: Aug 27, 2017 Threads: 6 Messages: 40 Likes Received: 13. ... Medical treatment is the best way to address this problem, but not everyone has access to health care. Dermatological problems are often considered purely.

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May 04, 2022 Apply a dressing or wet wrap. Avoid scratching the skin. Avoid harsh soaps, lotions, or detergents. You may find that a bath soothes the skin. Some bath treatments that might help include soaking in a full tub of lukewarm water with one of the following: cup of baking soda to relieve itching..

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. Eczema is a condition where the skin gets irritated, red, dry, bumpy, and itchy. There are several types of eczema, but the most common is atopic dermatitis. ... soy, or nuts) from your child's diet, switch detergents or soaps, or make other changes for a time to see if your child is reacting to something. How Is Eczema Treated? There is no. eczema [ekz-mah] 1. any superficial inflammatory process involving primarily the epidermis, marked early by redness, itching, minute papules and vesicles, weeping, oozing, and crusting, and later by scaling, lichenification, and often pigmentation. 2. atopic dermatitis. Eczema is a common allergic reaction in children but it also occurs in adults. The Eczema Diet has since become a best seller and featured on prime time 7 News breakthrough diet for eczema. Karens book The Eczema Detox is the new version of The Eczema Diet. In 2016 Karen launched her supplement brand Skin Friend, which is dedicated to helping people with skin disorders. Karen can be contacted via her websites. Jul 21, 2021 Managing eczema with a wholesome and balanced diet is essential to uplift your overall health. Adding some of the foods that contain healing properties may help decrease eczema flare-ups. But knowing your body and what food works well for you is the key to better management. Also Read: Eczema: Soothe Your Skin With These Amazing Natural Remedies. The eczema detox the low chemical diet for eliminating. Doc the eczema detox the low chemical diet for. The eczema detox the low chemical diet for eliminating. Effect of keto diet on eczema low carb diet no breakfast. Online the eczema detox the low chemical diet for. Itchy dozen worst foods for eczema eczema life. The eczema diet. Hi OP! I also have eczema, really sucks doesn't it I haven't found any foods to directly trigger my flare ups, but I have changed my diet and started taking supplements in hope of healing eczema. Unfortunately, I still have eczema but it's not as bad as before. I think mine definitely gets worse when I'm stressed.

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2021. 9. 21. Eczema can also lead to patches of inflamed, oozing, crusting skin. Find out more about symptoms here. The first sign of eczema is a dry, itchy rash. Eczema can also lead to patches of inflamed, oozing, crusting skin. Find out more about symptoms here. Menu. Newsletters Search. .

2022. 6. 30. Atopic conditions: Atopic dermatitis (eczema), allergies, and/or asthma may raise the risk. Autoimmune diseases: Thyroid conditions, lupus, psoriasis, rheumatoid arthritis, or vitiligo may contribute. Race: A 2018 analysis found alopecia areata to be more common in people who are Black or Hispanic, at least in the case of women.

2021. 9. 21. Eczema can also lead to patches of inflamed, oozing, crusting skin. Find out more about symptoms here. The first sign of eczema is a dry, itchy rash. Eczema can also lead to patches of inflamed, oozing, crusting skin. Find out more about symptoms here. Menu. Newsletters Search. Manual de dermatologia clnica de Sampaio e Rivitti.

La Bibliothque Virtuelle de Sant est une collection de sources d'information scientifiques et techniques en sant, organise et stocke dans un format lectronique dans les pays de la Rgion d'Amrique Latine et des Carabes, universellement accessible sur Internet et compatible avec les bases de donnes internationales. The most common type of eczema is known as atopic dermatitis, or atopic eczema. Atopic refers to a group of diseases with an often inherited tendency to develop other allergic conditions, ... Of the 21 autoimmune diseases studied, 17 were found to be linked to psoriasis, including alopecia areata, celiac disease, scleroderma, lupus,.

Locating mesenchymal stem cells in the human hair follicle dermal papilla by focal plane array-fourier transform infrared spectroscopy. 2019. 4. 2. Darrigade AS, Legrand A, Andreu N, Jacquemin C, Boniface K, Taieb A, et al. Dual efficacy of dupilumab in a patient with concomitant atopic dermatitis and alopecia areata. Br J Dermatol 2018; 179: 534536. View article Google Scholar; Penzi LR, Yasuda M, Manatis-Lornell A, Hagigeorges D, Senna MM. Hair regrowth in a patient with long-standing alopecia totalis.

Autoimmune, atopic, and mental health comorbid conditions associated with alopecia areata in the United States. JAMA Dermatol . 2013;149(7):789-794.doi: 10.1001/jamadermatol.2013.3049 Guo H, Cheng.

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2020. 8. 31. Do alopecia Areata and Atopic Dermatitis share HLA alleles and cytokine profiles? UT-MD Anderson Cancer Center Nazila Barahmani, M.D. NEASE/NAAF-Final Report July, 2005 Alopecia areata (AA) is hypothesized to be an organ-specific autoimmune disease mediated by T cells directed to the hair follicle. The severity of the clinical phenotype. . 2021. 8. 17. Alopecia areata (AA) is a common chronic tissue-specific autoimmune disease, resulting in hair loss, that affects up to 2% of the general population. The exact pathobiology of AA has still remained elusive, while the common theory is the collapse of the immune privilege of the hair follicle caused by immunological mechanism. Multiple genetic and environment factors.

IMPORTANCE: Previous studies found conflicting results as to whether atopic dermatitis (AD) is increased in patients with vitiligo and alopecia areata (AA). OBJECTIVE: To compare the prevalence of AD between patients with either vitiligo or AA and those without these disorders by performing a meta-analysis of observational studies. 2017. 6. 6. Introduction. Alopecia areata (AA) is a complex genetic, immune-mediated disease that targets hair follicles. The disease affects children and adults and is characterised by round or oval patches of hair loss, loss of all scalp hair (alopecia total), body hair (alopecia universal) or opiates pattern hair loss [].AA could be associated with asthma, allergic rhinitis, atopic.

2022. 3. 25. Pfizer Announces a Quality Improvement Grant RFP Innovative Solutions in Atopic Dermatitis and Alopecia Areata Management . 2022 I&I IT INNOVA-DERMA. Competitive Grant Program using Expert Review Panel . I. Background . Pfizer Global Medical Grants (GMG) supports the global healthcare communitys independent initiatives. La Bibliothque Virtuelle de Sant est une collection de sources d'information scientifiques et techniques en sant, organise et stocke dans un format lectronique dans les pays de la Rgion d'Amrique Latine et des Carabes, universellement accessible sur Internet et compatible avec les bases de donnes internationales. Associated Disease Condition: Individuals suffering from other autoimmune skin diseases, such as psoriasis, atopic dermatitis (eczema), and lichen planus, are prone to develop alopecia areata. For instance, a person having psoriasis of the scalp has scaling, and itchy skin which leads to hair loss, thereby causing bald patches in the affected area. Daily application of fluocinonide 0.1% cream for the treatment of atopic dermatitis Once- or twice-daily topical application of fluocinonide 0.1% cream for 14 days was safe and effective for treating atopic dermatitis in this adult patient population. The efficacy of once-daily application was comparable to twice-daily application.

Alopecia areata (AA) is an immunologic hair loss disorder that results in non-scarring hair loss 1.The severity of AA is divided according to the extent of hair loss of the scalp 2.Although not a life-threatening condition, moderate to severe AA reduces health-related quality of life (QoL) and is also associated with psychological disorders such as depression and anxiety 3, 4.

2018. 6. 1. Mohan et al. 14 assessed the association between AE and vitiligo (16 studies, 10 200 patients from 11 countries) and alopecia areata (17 studies, 798 597 patients from 11 countries). Pooled data from two studies showed a positive association between vitiligo and AE (OR = 7.82, 95% CI 3.0620.00).

Eczema (also known as dermatitis) is a non-contagious dry skin condition that can affect people of all ages, including 1 in 10 adults and 1 in 5 children in the UK. Atopic eczema is the most common form of eczema and tends to run in families. Atopic is a term used to describe the tendency to develop eczema, asthma and hay fever.

Atopic dermatitis (AD) is a hereditary, and chronically relapsing inflammatory skin disease characterized by a perivascular infiltrate of activated T-cells. Like AA, AD also may be triggered by environmental factors such as stress or viral infections. The incidence of having both AA and AD has been reported to be 10-60%. Patients with.

2012. 10. 3. Alopecia areata (AA) is an autoimmune disease that presents with nonscarring hair loss from some or all hair-bearing areas of the body, typically the scalp. Its reported prevalence in the United States is in the 0.1% to 0.2% range, but it can be as high as 0.7% to 3.8% in dermatology patients. 1,2 It has a tremendous effect on patients quality of life, but.

Importance: Previous studies found conflicting results as to whether atopic dermatitis (AD) is increased in patients with vitiligo and alopecia areata (AA). Objective: To compare the prevalence of AD between patients with either vitiligo or AA and those without these disorders by performing a meta-analysis of observational studies..

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Having dealt with eczema since she was a toddler, she has extensive experience with all of the many over-the-counter eczema products, shampoos included, out there. According to our Diversity Pledge , 15% of products in our newly-published market roundups will feature Black-owned and/or Black-founded brands. Formulated as an over-the-counter treatment for people with eczema, psoriasis, and sensitive skin, Bodewell's Anti-Inch Cream helps curb redness, burning, dryness, and irritation.

May 04, 2022 Apply a dressing or wet wrap. Avoid scratching the skin. Avoid harsh soaps, lotions, or detergents. You may find that a bath soothes the skin. Some bath treatments that might help include soaking in a full tub of lukewarm water with one of the following: cup of baking soda to relieve itching.. Buy on Amazon. Puriya has been making great treatments for years, thanks to a combination of clever design and appropriate materials. The Puriya Over The Counter Topical Eczema Treatment has cracked feet, has a light scent and it is great for inner thighs. Gently effective and made just for you in a non greasy cream.

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OTC hydrocortisone is often the first thing doctors recommend to treat mild eczema. You may need different strengths of these steroids, depending on where and how bad your rash is. For.

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Ear eczema is a skin condition that causes itchy, red patches on or inside the ear. Another name for eczema is atopic dermatitis, which is basically skin inflammation that is itchy. There is no cure for ear eczema, but treatments can help manage symptoms.Ear eczema is more common in children but can also develop in adults.

This article discusses what ear eczema is, ear eczema symptoms, its causes, and how to treat it.

Eczema is a chronic inflammatory skin condition that causes patches of red, scaly, or itchy skin in or around the area affected. Eczema is not contagious and is more common in children.

Ear eczema can occur in the ears, behind the ears, in the ear canal, on the earlobes or ear fold (pinna), or on the ear drum. Symptoms range from mild skin dryness to extensive skin loss and irritation.

Eczema can sometimes run in families, so you may have a higher chance of developing eczema if a close family member has the condition. Food allergies can be a trigger for eczema, especially in younger children. Your doctor may ask you to keep a food diary to track your eczema symptoms.

Because ear eczema results in skin breakdown, there is an increased risk of developing skin infections. Otitis externa, also known as swimmers ear, is sometimes caused by skin problems such as ear eczema.

Ear eczema symptoms can also become exacerbated due to certain ear-piercing materials, such as nickel.

Several types of eczema can affect the ears and the skin behind the ears:

Symptoms of ear eczema include:

Ear eczema often looks like red, scaly patches in or around the ear. A common site for this to occur in people with atopic ear eczema is the junction between the earlobe and face. Sometimes painful cracks or fissures occur in this area, which can become easily infected.

Seborrheic dermatitis on the ears typically looks like itchy, flaky skin with a yellowish, greasy scale. This type of eczema is sometimes confused with psoriasis.

Weeping of the skin is usually a sign that the area of eczema has become infected. With weeping eczema, the area oozes clear or straw-colored fluid and may have fluid-filled blisters.

Ear eczema is believed to be caused by a gene mutation called filaggrin. When someone has this gene mutation, their skin is unable to repair damage to its skin barrier.

Normally, each skin cell has two copies of the filaggrin gene. But people at risk for developing eczema only have one copy of this gene.

When the skin barrier becomes disrupted, moisture leaves the skin and it becomes dry and flaky. Environmental allergens can also enter the skin and trigger an immune system response, causing the skin to become inflamed.

Eczema is more likely to occur if you have a family history of eczema or if you have an allergic condition, such as hay fever or asthma. Stress does not cause eczema.

While its not possible to prevent ear eczema, you can manage your symptoms with the following tips:

Your doctor will diagnose ear eczema by looking at your ear and examining your skin. They may ask you some questions, such as:

You do not need any lab or imaging tests to be diagnosed with ear eczema. To be diagnosed with ear eczema, the itchy skin condition must be present during the past 12 months.

Ear eczema treatments depend on the type and cause of eczema. Treatments for eczema include both at-home remedies and medical treatment. Talk with your doctor about which treatments are best for your ear eczema. Treatments may include:

The most common complication of ear eczema is a skin infection. Weeping of the skin is the most common sign of infection. Infection is more likely to occur in areas of the ear where cracks have developed, such as the juncture of the ear and face and on the ear folds.

Its also possible to develop an ear infection from ear eczema. The most common type of ear infection to occur is otitis externa, which is an infection of the outer part of the ear. This type of infection is also known as swimmers ear.

Symptoms include:

In severe cases, hearing can be affected.

People with eczema are more prone to bacterial and viral skin infections such as impetigo, herpes simplex virus (cold sores), and warts.

Ear eczema is a skin condition characterized by red, itchy patches on the skin of the ear.

Ear eczema is more common in people with a family history of eczema or in those with allergic conditions. Certain foods and contact with environmental irritants can trigger eczema. In some cases, an infection can occur in the area of eczema.

The most common form of treatment for ear eczema is moisturizers and topical steroids. In cases that dont respond to these treatments, oral medications are used.

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Ear Eczema: Symptoms, Causes, and Treatments - Healthgrades

I have eczema, and I've found that it can very easily be triggered by the body moisturizing products I use. For a while, I had found a holy-grail body lotion, but it's summertime, and in California, it's blisteringly hot. The body lotion I had been using is super thick, and it was sort of sitting on top of my skin. While it's perfect for winter, I knew I needed a lightweight product that was still deeply nourishing for my dry skin, so I searched for a body oil. As someone who's very particular about body products, I have fallen in love with the Mutha Body Oil ($104).

I love this body oil because it's substantial enough to be nourishing for my dry skin and it actually soaks in, leaving my body soft and hydrated. I use it after I get out of the shower, and I appreciate how quickly I can put my pajamas on afterward; it soaks into my skin almost immediately. I also adore the smell; it's not artificially fragranced, but it's a little bit sweet and a little bit citrusy. If I had to guess, I'd say the scent comes primarily from the sweet almond oil, orange-peel oil, and grapefruit-peel oil. It has a slightly yellow and orange tint to it, and it makes my skin glow or look like I just came from the beach, but there's no transfer to my white sheets. You can see the way the oil looks rubbed into my skin in the picture below. I also like that the Mutha Body Oil ($104) is a 100 percent botanical oil, made from certified organic plant extracts and oils, and is free of parabens, sulfates, and petroleum. I've found that my skin tends to respond better to products with hydrating bases like coconut oil or rosehip oil, but this is not a general prescription; it's important to try to find what works for you, particularly if you're dealing with a condition like eczema, and consult with your doctor as needed.

The Mutha Body Oil ($104) was formulated by the founder of Mutha when she was pregnant, so it's safe for those who are expecting. The main ingredient in this product is rosehip oil, which is known for its moisture-retaining benefits. It's also packed with vitamin E, which is essential for reducing inflammation caused by a condition like eczema, and vitamin A, which can both naturally tighten and firm the skin as well as help even out skin tone and even be used to treat the appearance of scars or stretch marks.

If you have skin conditions or really sensitive skin and have struggled to find a quality, nonirritating body product, the Mutha Body Oil ($104) is a game changer. It's the ideal summertime hydrator for all skin types and is also a great product that's safe for pregnancy.

The short answer to this is yes, with an asterisk. For full transparency, this product was sent to me by the brand. I have really sensitive skin on my body and have found most body lotions, butters, and creams to trigger my eczema. For me, finding a quality product that actually nourishes without irritating is worth its weight in gold, and I'd happily pay the price, though it's definitely pricey. However, if you don't have skin sensitivity or trouble finding a great moisturizer, you could probably get away with a less expensive product.

A portion of all proceeds of Mutha products are donated to International Medical Corps, a nonprofit organization that helps mothers around the globe deliver their children safely.

You can find this product on the Mutha website, as well as at Violet Grey, Net-a-Porter, and FRWD.Rating:

Image Source: POPSUGAR Photography / India Yaffe

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The Mutha Body Oil Is Worth the Splurge, Especially If You Have Sensitive Skin - POPSUGAR

"She was routinely rubbing into the mat while sweaty, so the allergen absorbs quickly," she explains. Other such mystery cases were caused by the sulfites in beer, and for one baker, her severe hand eczema came from daily contact with kneading dough laced with Balsam of Peru, a substance found in ingredients like cinnamon.

Dr. Bordone recently saw a patient with red, swollen eyelids who had swapped all her products with new brands, stopped wearing eye makeup, and pared down her routine to just concealer, but was still reacting. "It turned out it was the rubber in her makeup sponges. She lived with this for over a year before she came in for patch testing and we identified the rubber allergy," says Dr. Bordone.

Fragrance and preservative ingredients are common triggers in beauty and personal-care products. Methylisothiazolinone, commonly called MI, tops the list, according to Dr. Bordone, along with Paraphenylenediamine (PPD), which is widely used in permanent hair dyes that frequently causes severe allergies. "They can appear all over the body and people don't often make the connection with their hair dye, because they think that will only manifest on the scalp. However, you can get severe eyelid swelling and a rash all over the body," says Dr. Lazic Strugar.

Fragrances, both synthetic and natural that include essential oils, can be allergy-inducing. Linalool and limonene are two citrus-derived fragrance compounds that are common culprits. "If patients get skin-care products from Whole Foods and it's organic, they think it's not causing their rash, but essential oils are actually very sensitizing," Dr. Lazic Strugar says.

Allergies to these ingredients aren't always instant. In fact, people sometimes notice that they develop allergies to a product after months or even years, and struggle to believe they're now allergic to it after using it reliably for so long. That's because of a phenomenon called cumulative exposure, which is usually how ACD develops. "It never happens the first time you touch something. Your body needs to see it at least twice to get sensitized to it and then produce this memory immune response every time it sees that chemical," says Dr. Lazic Strugar.

A very common example of that is the notorious Neosporin allergy. Neosporin, a topical antibiotic, has become a product that some dermatologists have condemned. "Neomycin, the main active ingredient, is very highly sensitizing. It's commonly used and people tend to overuse it, slathering it on cracked, dry skin, or chapped lips. In those cases, when you're using it on an already compromised skin barrier, it's more likely to cause an allergic reaction," she says. But before you begin to suspect all your beauty products of irritating your skin, check in with your dermatologist or allergist to see if a patch test is right for you.

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Are You Allergic to Your Beauty Products? A Patch Test Might Tell You - Allure

Tennis great Rafael Nadal of Spain might think twice about shaking off his beads of perspiration. It turns out that sweat leads to a surprising health benefit. Matthew Stockman/Getty Images hide caption

Tennis great Rafael Nadal of Spain might think twice about shaking off his beads of perspiration. It turns out that sweat leads to a surprising health benefit.

Back in college, I had an embarrassing moment that's forever etched into my memory. A girlfriend borrowed my backpack for a weekend trip. And when she came back, she handed me the backpack and said something I'll never forget:

"Michaeleen, you must sweat a lot because your backpack stinks. The armstraps smell like onions. Ew."

I stood there in silence, feeling totally ashamed. I'm not sure how I responded. But I remember thinking to myself, "I don't eat many onions. Does my sweat really smell that bad?"

Now 25 years later, I've come to find out that my stinky sweat was actually a signal of something good on my skin something that prevents skin problems, like eczema, and protects me from dangerous infections such as MRSA,, which is found in hospitals around the world and is the leading cause of skin infections in the U.S.

To figure out what I'm talking about, we need to step back and look at what actually creates body odor. It's not the sweat itself.

"No, I don't think your sweat by itself smells," says microbiologist Gavin Thomas at York University. "It certainly doesn't have these really stinky, odorous molecules."

Thomas studies how and why humans have a particular bouquet of scents. He says that sweat, immediately after it comes out of your pores, is essentially odorless.

"So most sweat is salty water," he says. That's the sweat that's secreted pretty much all over your body and cools you down when you're hot.

"But that's not what we're interested in," he explains. "We're interested in this other type of sweat, which is produced in our underarms and around the genitals."

This other type of sweat isn't just salty water but also contains a cornucopia of compounds, including oils, fats and proteins.

No one knows exactly why humans have this second type of sweat. But, Thomas says, one purpose likely has to do with the odors that it ends up emitting.

On its own, this second type of sweat isn't smelly. But something living on our skin tiny creatures takes that sweat and makes it stinky.

Yes, I'm talking about the bacteria on your skin.

Warning: This illustration "grossed out" our visuals editor! It depicts bacteria around a sweat gland pore on the surface of human skin. Sweat pores bring sweat from a sweat gland to the skin's surface. Some of these bacteria enjoy eating the molecules in our sweat. Then they spit out new molecular compounds, some of which can be quite stinky. Juan Gaertner/Science Source hide caption

"The human skin has almost 200 different species of bacteria living on it," says biologist Teruaki Nakatsuji at the University of California, San Diego. "And each person has different strains of these bacteria. So the skin microbiota is so diverse."

These bacteria are hungry. And some of them really enjoy eating the molecules in our sweat. They munch off a piece of the molecule and then spit out new molecular compounds, some of which are quite aromatic. For example, they can smell like cumin or goats, the American Society for Microbiology asserts.

And some of these molecules are downright stinky.

Back in 2020, Thomas and his colleagues found that one critter on the skin, called Staphylococcus hominis, produces an especially pungent odor: "We've had people describe it as kind of an onion smell or a cheesy onion smell," he says. "These types of compounds do smell pretty bad."

So back in college, when my backpack smelled a bit stinky, it wasn't so much my sweat to blame but rather a little microbe called Staphylococcus hominins.

Which may make you want to go take shower stat. But wait! Before you go grab the antibacterial soap, there's something about this bacteria you need to know. Something that I didn't realize until recently: These bacteria and their relatives actually do something really good for you and your skin. In fact, you need these bacteria.

"Without S. hominins, you're in trouble," says dermatologist Richard Gallo at the University of California, San Diego.

Over the past five years, Gallo, Teruaki Nakatsuji and their colleagues have published a series of studies showing how S. hominins actually protects our skin from inflammatory problems, such as eczema, and dangerous infections, including Methicillin-resistant Staphylococcus aureus, or MRSA.

The team has even developed a cream, made with the bacteria and tested in preliminary trials, as a treatment for eczema.

"S. hominins basically make a type of antibiotic, which specifically targets the bacteria that causes MRSA," Gallo says. "And it kills this bacteria by punching holes in its cell membrane."

But, Gallo says, this critter isn't the only part of your skin that produces antimicrobial agents. Twenty years ago, he and his colleagues found that your body itself also makes antimicrobial molecules and puts them inside your sweat.

"So sweat is almost like an antibiotic juice," Gallo says. "And as the water evaporates, those antibiotics actually increase in concentration. So it kind of leaves a little coating on your skin. So that's one of the ways our skin tries to fight the bad bacteria."

So the next time you're hot, sticky and maybe a bit stinky, before you hit the shower, take a moment to thank your sweat and the bacteria that eat it for helping to keep your skin healthy and safe.

Because even after you do take a shower, the protective critters will still be there to help you, Gallo says even if you use antibacterial soap.

"When you wash your skin, you get rid of the material on its surface," he says. But these bacteria live deep inside your skin's pores, where detergents and antibiotics can't reach. "So within 10 minutes after washing, the bacteria grow back and populate your skin's surface.

"So in a way, your skin is smarter than you," he adds. It knows what it needs better than you do.

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