Book
Appt

Written by Dr. Ringpfeil

Dry Skin - Xerosis

Dry skin, also known as xerosis, is a common complaint during cold weather, in arid climates and among the elderly. It is caused by water loss from the uppermost layer of the skin, the stratum corneum. Environmental factors such as low humidity and excessive exposure to soaps and detergents can foster water loss through damaging the skin barrier. Dry skin is often itchy and xerosis is the most common cause of itchy skin. Dry skin becomes more prevalent during winter months because exposure to both cold windy air and indoor heating is drying to the skin.

Diagnosis

Dry skin is usually a diagnosis that can be made clinically by observing skin with fine scale, cracking or fissuring. Sometimes dryness is just one manifestation of underlying inflammation and a biopsy may be needed to rule out inflammatory dermatoses such as atopic dermatitis, psoriasis or a fungal skin infection. Certain diseases such as hypothyroidism, HIV and Sjogren syndrome can cause dry skin and if dry skin does not respond to treatment additional testing to rule out such diseases may be necessary.

Management

Treating dry skin involves replenishing the water content in the skin. This is best achieved by bathing in cooler water with a gentle soap immediately followed by liberal application of moisturizing cream. Excessive washing should be avoided. Environmental modifications such as keeping room temperature as low as comfortable during the winter and the use of room humidifiers can also be beneficial.

Prevention

Consistently adhering to gentle bathing habits and daily use of moisturizer can prevent dry skin problems. Exposed skin should be protected from winter cold through the use of gloves and scarves. For dry skin on the hands, moisturizer should be applied each time the hands are washed. Rubber or vinyl gloves should be worn when cleaning with chemicals or washing dishes. Excessive use of hand sanitizer should be avoided.

Coping

If a patient follows the above recommendations but dry skin persists, evaluation by a dermatology professional may be needed to discover the reason for the persistent xerosis.

How can we help you?

SKIN

# of surveys: 3750
Last updated: 05/25/2018 9:32 AM,

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

I found the office pleasant and staff, medical assistant, and doctor very friendly, yet very efficient, well-informed, professional, and knowledgeable. A very satisfying experience!

#12018-12-19

The doctor was extremely attentive, respectful and thorough. This was a very good visit overall.

#22018-09-08

The unhurried time spent by everyone

#32010-11-30 10:51:14

The time the doctor spent with me.

#42019-07-13

Physician was very excellant in explaining treatment and cause of skin problem.

#52018-10-25

The ambiance, staff and physician

#62019-02-06

The doctor explained things thoroughly to me. She was able to treat a couple of skin growths on site today. I was given a couple of sample products as well as a coupon toward the purchase of one of the prescribed products that I am to use.

#72011-05-18 16:40:00

The doctor was very friendly and made everything relaxing.

#82019-08-21

Clear information about treatment options which had not been offered in the past. It is possible that these treatment options are new, but it is also possible that the physician is especially knowledgeable.

#92019-03-05

The doctor and her Medical Assistant are very thorough and they take time to explain everything that you need to understand.

#102019-04-19

What can we do better?

(answers:373)

This was a great experience and I would not change anything

#12018-11-13

Your rain spouts put water into the driveway to the back parking lot. As it gets colder, it will freeze and create a dangerous pathway for clients

#22010-12-13 11:23:03

Less wait time for an appointment.

#32010-11-17 15:23:04

Keep doing the same thing.

#42019-06-16

My only complaint is that I work and live (1 mile from) Center City, PA and I wish the office (Dr. Ringpfield) had weekend or later hours. Dr. Heckman was great but she cannot assist me with my cosmetic issues. Overall - like the office and professionalism.

#52011-08-10 18:44:27

Friday appointments with Dr. Ringpfiel

#62011-01-17 16:36:22

I am a little annoyed that I called to say I was on my way and I was told that I may not get here in time and will probably have to reschedule. Then when I got here, I filled out the paperwork then had to wait 20 minutes to be seen. It would be nice to know the receptionist's name so I know who I am calling when I have questions. It would be nice to have WiFi available during the wait.

#72011-06-22 17:06:20

The experience was very pleasant, and relaxed. I would not recommend changing anything!

#82018-10-07

Your rain spouts put water into the driveway to the back parking lot. As it gets colder, it will freeze and create a dangerous pathway for clients

#92010-12-13 11:23:03

With such excellent service, there's nothing I can add to it. I am a very satisfied patient.

#102010-09-09 11:12:17
Customer Rating : 4.5

Based on 110 ratings