Telemedicine, COVID-19 And Liver Diseases

For liver diseases, there have been successful experiences with the use of different modalities of telemedicine [i.e. asynchronous telemedicine (analysis of patient's data by a single physician or multidisciplinary team), synchronous real-time patient management and tele-education]
Our Telemedicine program showed successful results as the sustained virologic responses achieved by those patients treated in primary care settings under the expert guidance.
Currently, this type of care is considered a vital tool for the goal of global elimination of HCV infection.In addition to HCV management, telemedicine offers opportunities for a better management of patients with chronic liver diseases by increasing their access to tertiary care, thus improving efficiency of healthcare delivery at reasonable cost .
We forsee expansion of telemedicine into other areas of hepatology is desirable and hold potential for improving management of pre- and post-liver transplant patients, patients with hepatocellular carcinoma (HCC) and patients with both compensated and decompensated cirrhosis.
It is important to note that in liver transplant setting existing data suggest that use of telemedicine may expedite evaluation and listing of patients referred to liver transplant centers and could improve outcomes (hospital readmissions, and quality of life) after liver transplantation.
In the case of HCC, telemedicine aslo offers the possibility of multidisciplinary evaluation in virtual tumor boards leading to tailored and more effective treatments . Finally, in cirrhosis, telemedicine may enhance self-care and facilitate HCC surveillance eventually preventing readmissions in recently hospitalized patients.
With the onset of COVID-19 pandemic everyone has forced the implementation of telemedicine actions for many liver patients.
Major international societies have released recommendations encouraging the use of remote care to manage patients with all liver diseases, particularly liver transplant patients.
However, the crisis will seriously impact cirrhosis care with social distancing and isolation causing major delays in elective procedures and routine care with potential overwhelm of medical centers managing postponed and potentially decompensated patients in the upcoming months.
Developing robust telemedicine programs and revamping remote care initiatives in hepatology will be critical during COVID times. The next challenge will be how to integrate telemedicine into routine clinical care beyond the COVID-19 pandemic.

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Rise of Fungal Skin Infections During Monsoon: Causes, Symptoms & Prevention

The monsoon season brings much-needed relief from the scorching heat. However, with the cool showers also come a host of skin problems—most commonly, fungal infections. The rise of fungal skin infections during monsoon is a growing concern, especially in humid regions like India. The combination of moisture, heat, and sweat creates an ideal environment for fungi to thrive on the skin.

In this blog, we will discuss the causes, types, symptoms, treatment, and most importantly, how to prevent fungal skin infections during the rainy season.

What Are Fungal Skin Infections?

Fungal infections are caused by different types of fungi that grow on the skin. These infections are usually superficial but can be very uncomfortable. They often appear as red, itchy, and scaly patches on various parts of the body. Common areas affected include the feet, groin, underarms, and areas where sweat accumulates.

Why Do Fungal Infections Increase During Monsoon?

The rise in fungal infections during monsoon is primarily due to:

High Humidity: Moisture in the air causes the skin to remain damp, especially in folds and creases.
Sweating: Even though it's cooler, the body still sweats, creating wet and warm conditions ideal for fungi.
Wearing Wet Clothes: Many people continue wearing damp clothes or socks, which promotes fungal growth.
Poor Hygiene: Due to frequent rain and waterlogging, maintaining hygiene becomes difficult.

Common Types of Fungal Infections in Monsoon

Athlete’s Foot (Tinea Pedis): Affects the feet, especially between the toes. Common in people who wear shoes for long periods.
Ringworm (Tinea Corporis): Circular, red, itchy patches that can appear anywhere on the body.
Jock Itch (Tinea Cruris): Affects the groin area and is common among men.
Yeast Infections (Candidiasis): Occurs in warm and moist areas like underarms and skin folds.

Symptoms to Watch Out For

Itchy, red, or scaly skin
Burning sensation or discomfort
Circular rash or dry, flaky skin
Cracking or peeling skin, especially between the toes
Unpleasant odor

If left untreated, these infections can worsen or spread to other parts of the body.

Who is More at Risk?

People with diabetes or weakened immune systems
Those who wear tight or synthetic clothing
People living in humid or waterlogged areas
Children playing outdoors in the rain
Gym-goers who sweat excessively

How to Prevent Fungal Infections During Monsoon

Keep Your Skin Dry: Always pat your skin dry after a shower or getting wet in the rain.
Use Antifungal Powders: Especially in areas prone to sweating.
Wear Breathable Clothing: Cotton clothes allow better air circulation.
Change Wet Clothes Immediately: Do not stay in damp clothing for long.
Maintain Personal Hygiene: Take regular showers and clean skin folds properly.
Don’t Share Personal Items: Towels, razors, or clothing can carry fungi.
Use Clean Footwear: Avoid wearing wet shoes; dry them before the next use.

Treatment Options

Most fungal infections can be treated with over-the-counter creams and powders. However, if the infection persists or worsens, consult a dermatologist.

Common treatments include:

Topical antifungal creams
Oral antifungal medications (for severe cases)
Medicated powders
Good hygiene practices

Avoid self-medication, especially if the symptoms are severe or not improving.

Home Remedies (To Complement Medical Treatment)

While not a substitute for medical care, some natural remedies can help soothe symptoms:

Tea Tree Oil: Has antifungal properties. Mix with a carrier oil before applying.
Apple Cider Vinegar: Diluted with water, it can be applied to affected areas.
Neem Leaves: Boil in water and use the cooled water for bathing.

Always do a patch test before trying any home remedy.

Final Thoughts

Fungal infections during monsoon are common but preventable. With a little care and awareness, you can keep your skin healthy and free from infections. Pay attention to hygiene, keep your body dry, and treat any signs of infection early.

If you experience persistent itching or unusual skin changes during the rainy season, don’t ignore it. Early detection and treatment can save you from further discomfort.

Call to Action

Want to stay infection-free this rainy season? Learn more about how to protect your skin from the rise of fungal skin infections during monsoon. Explore our expert tips and product recommendations to keep your skin healthy and safe!