Alison Duncan Archives - Integra Healthcare Ltd /category/alison-duncan/ Excellence, Integrity, Commitment, Passion Fri, 14 Apr 2023 17:07:48 +0000 en-US hourly 1 https://wordpress.org/?v=6.2.2 /wp-content/uploads/2020/11/cropped-favicon-2-32x32.png Alison Duncan Archives - Integra Healthcare Ltd /category/alison-duncan/ 32 32 Dangerous Plants in the Cayman Islands /dangerous-plants-in-the-cayman-islands/ /dangerous-plants-in-the-cayman-islands/#respond Mon, 27 Feb 2023 20:19:14 +0000 /?p=7869 The post Dangerous Plants in the Cayman Islands appeared first on Integra Healthcare Ltd.

]]>

(Featured image above is a close up of the fruit and leaves on a machineel tree)

With beautiful weather year round there are always fun outdoor activities to do in Cayman. However, there are a range of dangerous plants in the Cayman Islands to be aware of which can greatly impact your skin causing: dermatitis (skin irritation), burning, rashes or even more severe injuries.

In this article, we break down four common yet dangerous plants in the Cayman Islands and information on how to properly identify them from the Department of Environment (DOE) and what you do if your skin comes into contact with them.

After reading this article, we hope you are able to identify the dangerous plants in Cayman so you know what to avoid which helps ensure that you stay safe outside and have an enjoyable time!

Maiden Plum (Comocladia dentata):

Maiden plum (click to view image) heavily populates the island, sprouting more than other plants on open land and land where trees and bushes have recently been cut down. It is usually found as a small bush that is not normally more than 2 metres tall. Maiden plum has also been seen as a smaller plant or more rarely as a tree. It has unique traits and once aware of these it is hard to not spot it. It has glossy or waxy green leaves that are sometimes spotted, with a jagged sort of edge.

The maiden plum leaves can break a part quite easily, making it very easy for the sap from the leaves to transfer to your skin or clothing even if you gently brush past it. If you are exposed to the sap on your skin, the reaction is not instant but DOE explains: “the contact site will develop into a red welt after 24 hours, becoming increasingly inflamed and sore over the following weeks, developing into a wet, raw, open sore”.

Once you get the maiden plum sap on your skin, it is difficult to remove through rinsing water on it. It is recommended to pour some lemon or lime juice directly to the affected area on the skin for some relief.

Lady Hair (Malpighia cubensis):

Similar to Maiden Plum, Lady Hair (click to view image) is a small bush or shrub that is no more than 2 meters high. However, the Lady Hair distinguishes itself in its smaller, thin and long leaves which have what looks like fuzz or ‘hairs’ on them.

These ‘hairs’ are easily removed from the plant and can stick on to clothing and skin which can inflame, irritate and cause contact dermatitis on the skin. Duct tape and tweezers should be used as quickly as possible after contact to remove the hairs, this will help the reaction of the skin to these hairs subside quickly.

Cow itch (Mucuna pruriens):

Cow itch (Mucuna pruriens – click to view image) is a plant with long vines along with orange fuzzy purple flowers that are no longer than 10 centimetres. In the early stages of the plant’s growth it has many hairs all over it but as it matures the hairs shed. The tip of the leaf is pointy and the sides of the leaves are curved. The trend continues and like the previous two plants mentioned, the fuzzy hairs are very easy to come off of the plant, from a breeze or wind.

Once in contact with skin, it can cause painful itching. After it has been identified there has been contact, you should immediately remove the clothes near the areas of skin that was exposed and seek urgent medical attention. If medical attention cannot be immediately sought, the hairs can be removed with tweezers and hot water and soothing creams may possibly offer some remedy.

Manchineel (Hippomane mancinella):

Manchineel (Hippomane mancinella – click to view image), like Maiden Plum is a very popular shrub, maintaining the similar measurements of a 2 metre maximum height. It has curved leaves, long stems along with fruit (which is also poisonous and can be fatal if ingested) that looks similar to a green apple colour when unripe, but gradually turning yellow as it becomes riper. Every element of this plant is dangerous and any contact with it can cause extreme inflammation, blisters or burning skin.

DOE also stresses the extreme toxicity of the plant saying to take care what plants you are going under for shelter if it rains; if the water drips from a Manchineel tree onto a person’s skin, it can causing burning as the water could carry some of the sap.

If exposed to Manchineel, seek urgent medical attention right away. As an immediate measure, while waiting on medical attention, you can wash the affected area with soap and water.

Brazilian Peppertree

In January 2023, Cayman Islands Department of Environment (DOE) also warned about a new plot of the Brazilian Peppertree, a poisonous South American plant that had been found in Grand Cayman. For more information on this and what to do if you spot the plant, click here.

Conclusion:

As evidenced above, there are a range of dangerous plants in the Cayman Islands to be diligent of. While you may receive a painful rash or stings from the ‘hairs’ of the plants, many symptoms can be quickly relieved with the suggestions above from DOE and also with topical creams or remedies.

Nonetheless, there are plants in which contact with them can be very serious with longer recovery times, particularly Maiden Plum and Manchineel which is possibly life threatening. Immediate medical attention should be received for those who came in contact with this.

Overall, ensuring you take time to properly identify the distinguishing elements on these plants on the DOE website or getting in touch with one of our dermatologists (their profiles can be viewed below) for a proper examination of any dermatitis is important to ensure you keep safe and enjoy the outdoors in Cayman!

To read more on dangerous plants in the Cayman Islands, visit the Department of Environment’s official website: https://doe.ky/terrestrial/dangerous-plants/.

The post Dangerous Plants in the Cayman Islands appeared first on Integra Healthcare Ltd.

]]>
/dangerous-plants-in-the-cayman-islands/feed/ 0
Dealing with Eczema in Changing Weather /dealing-with-eczema-in-changing-weather/ /dealing-with-eczema-in-changing-weather/#respond Tue, 13 Dec 2022 18:03:03 +0000 /?p=7182 The post Dealing with Eczema in Changing Weather appeared first on Integra Healthcare Ltd.

]]>
There are five factors to consider when dealing with eczema in the changing weather according to the National Eczema Association. These include:

Temperature:

Individuals, especially those who have eczema can experience itchiness or irritation of skin when changing out of clothes at night, when they first wake up from bed or when stepping in to a warm house after being of the cold and vice versa – due to the changes in temperature. It is recommended that those with eczema try to keep their skin temperatures constant as much as they can. Tips to do this include:

  • Keeping a consistent room temperature
  • Having several thinners sheets and blankets rather than one thick duvet – to be able to take off layers if needed
  • Taking warm baths or showers – you should not use hot water as this can make you feel itchier

Humidity:

In countries that experience the winter climate, the humidity in the air lowers as it gets colder. Similarly, with colder temperatures individuals may want to turn on the radiators which can make the air even less humid and drier. While the Cayman Islands remain hot year-round, this is useful information for those who may wish to travel abroad over the holiday period. Still, in the Cayman Islands, we do use air-conditioning, in almost every building, which has also been shown to dry out skin. Therefore, this is important advice for those in Cayman with eczema even if you’re not travelling to winter climates this year.

Moisturizers:

If travelling to colder climates, make sure to pack some extra moisturizers with you to help soothe your skin from the harsh weather. Perhaps a thicker ointment to ensure if suitably protects your skin. Emollient ointment or petroleum jelly are also good things to use on your lips to keep them moisturized.

Clothing:

When choosing your clothing for the winter months, while scarves and gloves might be required, take care to choose clothing without wool as this can further irritate skin. Cotton is the best fabric choice with silk working particularly well to wear underneath your wool gloves.

Infection:

With the colder weather comes more colds and flu infections. For those with eczema, they have a great proportion of staphylococcus aureus (a bacterium) on their skin. The National Eczema Association states that “any open skin makes them prone to infected eczema”. Therefore, it is important to prevent the transmission of staphylococcus aureus through frequently washing your hands and having tissues handy for when you cough or sneeze.

These tips are based on information from the National Eczema Association.

To read more on this topic click here.

To arrange an appointment here at Integra with one of our two dermatologists to discuss treating eczema in changing weather or any other dermatological concerns, please click here.

The post Dealing with Eczema in Changing Weather appeared first on Integra Healthcare Ltd.

]]>
/dealing-with-eczema-in-changing-weather/feed/ 0
Recognising skin conditions on different skin tones /recognising-skin-conditions-on-different-skin-tones/ /recognising-skin-conditions-on-different-skin-tones/#respond Thu, 01 Dec 2022 19:20:48 +0000 /?p=7223 The post Recognising skin conditions on different skin tones appeared first on Integra Healthcare Ltd.

]]>

With many skin conditions, the impacts to the individual can vary greatly depending on their skin tone. Representing skin diseases on various skin tones, especially in a country as diverse as the Cayman Islands is vital to ensure that every person receives the appropriate and relevant care.

The current problem at hand is that traditionally the imagery represented in various articles and throughout dermatology literature, mainly showcases how dermatological conditions look on white individuals, which can cause those with darker skin to dismiss a possible skin disease on the fact that it looks different.

In this short article, we aim to explore the most common skin conditions and to then break down the most common skin tones for dark skin. Links to the AAD are provided which offer imagery these conditions on darker skin tones to showcase how certain conditions can appear differently.

Most popular skin conditions in the USA by number reported by the AAD:

Read more
  • Acne – impacts 50 million
  • Atopic dermatitis – 1 in 10 will experience this skin condition at some point
  • Hair loss – impacts around 80 million and includes hair thinning or baldness due to hereditary reasons
  • Psoriasis – around 7 million, mostly impacting adults aged 45-64
  • Rosacea – 16 million and most common for those between 30-60 who have lighter complexions, blond hair and blue eyes
  • Skin cancer – most common cancer in the US with 9,500 diagnoses each day, greater probability of Caucasian men over 50 developing skin cancers such as melanoma
  • Most common skin conditions in darker skin tones reported by the AAD

    Read more
  • Acanthosis nigricans – can thicken or darken skin on your armpits, neck or groin. The skin condition itself is will not cause harm but developing this skin disease can be a warning sign of conditions such as diabetes
  • Acne keloidalis nuchae – feels like razor bumps or acne on the back of your neck or on your scalp. It occurs the most in Black men around the ages of 14-25 years old
  • Hidradenitis suppurativa (HS) – deep painful lumps under the skin – can be mistaken for acne, STD or boils
  • Keloids – type of scarring that is significantly larger than the initial wound that brought about the scar. Findings have conclusion that Black people are the race most likely to develop keloids
  • Lupus and your skin – lupus includes a host of diseases that can cause inflammation on different areas of your body including your skin (cutaneous (skin) lupus). It can cause rashes, scaly patching or flareups that appear to look like a sunburn
  • Melanoma – For melanoma, the probability of a Caucasian developing melanoma on their foot is the same for African Americans, thus this skin conditon quite popular regardless of skin tone. However, black people are reported to have a higher proportion of being diagnosed with skin cancer under their nails
  • Sarcoidosis and your skin – in the US, African American women are the most at risk for being diagnosed with this skin condition
  • Seborrheic dermatitis – on lighter complexions, this condition looks like red rash but on darker skin tones, this colour of the rash can appear as pink, purple or white
  • Vitiligo – skin conditions where an individual may lose some of their natural pigmentation. This is more noticeable in darker skin tones
  • At Integra, we have two highly experienced adult and paediatric dermatologists. In particular our specialist dermatologist Dr Alison Duncan has a considerable amount of experience with skin issues related to darker skin pigments. It is evident that the frequency of certain dermatological conditions can truly depend on an individual’s skin tone. Therefore, if something does not feel right, we encourage you to get in touch here.

    The post Recognising skin conditions on different skin tones appeared first on Integra Healthcare Ltd.

    ]]>
    /recognising-skin-conditions-on-different-skin-tones/feed/ 0