Doctor insights on:
Cyanosis In African Americans
Yes: Besides the usual recommendations by the jnc7 (joint national committee), and possible the upcoming jnc8 (jnc2013) that ace inhibitors are effect as monotherapy for hypertension (especially in the appropriate clinical settings) there are some studies that suggest that ace inhibitors, such as ramipril, are an effective agent for the treatment of hypertension in african americans. ...Read more
Early puberty: I do not believe that the reason is known, although many researchers have studied this situation. ...Read more
Yes: Yes.Get a more detailed answer ›
As for everyone else: Hypertension tends to be more severe in people of african-american ancestry; the kidneys tend to retain salt better than other folks which was a plus under the deplorable conditions of slavery. This produces a somewhat greater risk to the kidneys. Diabetes, emphysema and coronary artery atherosclerosis are very common as well. ...Read more
Yes: The short answer is yes, but it is less common in the US. Head lice move around the scalp by gripping hair shafts. Most head lice in the US have claws that are better adapted to grip the round hair shaft in people with straight or wavy hair. Curly hair tends to have a more elliptical hair shaft. ...Read more
Why is sickle-cell more common in african americans where their ancestors live in areas that had or have malaria?
Malaria resistance: Malaria is especially a killer of children. Those who carry the sickle trait - one normal and one s hemoglobin - have some resistance to this disease and this has caused persistence of this trait. Of course having both s and s causes severe disease and having either are not helpful in non-malaria regions. But it mutated in central africa and persists there in proportion to the malaria. ...Read more
My anus is the color gray. The perianal area is a mixture of brown, pink, and gray. Is this normal for African Americans? "
Well: This often and usually is normal. It would be of concern if there are changes in the color or discomfort of the area. Recommend Healthtap visit for specific diagnosis and advice ...Read more
How to prevent sun poisioning on african americans? And what kind sunscreen lotions can be used on very sensitive skin?
Depends: I recommend a broad-spectrum sunscreen offering protection against both uva and uvb rays. Usually, at least three active ingredients are called for. These generally include paba derivatives, salicylates, and/or cinnamates for uvb absorption; benzophenones for shorter-wavelength uva protection; and avobenzone, ecamsule, and titanium dioxide, or zinc oxide for the remaining uva spectrum. ...Read more
Why do african- americans come in so many shades of colors from high yellow - dark brown genetically. (Not skin-bleaching and vitiligo-Naturally)?
Depends on the spot: Fading dark spots on dark skin is difficult and dependent on what caused the dark spot in the 1st place., how long it has been there, and where in the skin (depth) it is. Best advice is to see a dermatologist who can evaluate the pigmentary changes and help provide the best treatment options (bleaching agent, lasers, surgery, tincture of time etc.). Good luck. ...Read more
You need the: Opinion of an experienced, knowledgable Dermatologist. My brief review suggests that many lasers have been used: CO2 laser, Q-switched ruby laser, and the most mentioned: Q-switched 755 nm alexandrite laser! Other treatments include cryotherapy, dermabrasion, trichloroacetic acid and tretinoin gel (Retin-A) have all been used. You need a Professional! Good wishes:) ...Read more
You are not too old: You are not too old, however as men age the viability of the sperm decreases with age. This can be due to a number of reasons including family history, viability or health of sperm, sperm counts, and nutritional status. There are several men that have fathered children in their 60s. Many gentlemen are putting of fatherhood longer in today's world to try and get more established before having kids. ...Read more
Please: Consult with a beautician.Get a more detailed answer ›
See below: Latest statistics from cdc show a prevalence of 2400/100, 000 african american men. ...Read more
Vitamins & Minerals: Biotin, zinc and iron are all important for hair to grow well. Taking 100% of the recommended daily allowance of these for a few months and help hair grow thicker. Minimize the use of heat and chemical relaxers on the scalp as both can thin hair over time. Consult a dermatologist to check thyroid hormone and other labs. ...Read more
Healthtap doctors: Are asked not to endorse specific brands or product lines. ...Read more
Send photo: Could be multiple things: a tan, Addison's disease, Lupus or other autoimmune issues. Send us a photo to help. ...Read more
See below:: Probably due to a variety of social factors: disparities in health care access and communication; neighborhood social structure; and environmental effects of living in low quality living conditions. ...Read more
My daughter is 5. African American and has white palms, is there anything that could be wrong with her?
Have you ever: Noticed that your Caucasian friends don't get a suntan on the palms of their hands & soles of their feet? Everyone has a thick layer of skin called the stratum lucidum that protects our palms & soles against UV light, so our melanocytes don't have to produce melanin there. However, If your daughter's palms look whiter than usual, take her to her MD for a physical exam & labs to rule out anemia. ...Read more
Why does GFR test ask about african-american? What's optimal gfr? Are age, gender, and race taken into account? Why?
It's the muscle mass: The muscle mass is more in african americans vs others, men vs women, young vs old. When muscle mass is high, creatinine will be expected to be high without actual kidney weakness (overestimates kidney weakness). Accordingly, we need to factor these elements in the equation to estimate kidney function (gfr). ...Read more