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Dear Dr. Roach • I get abhorrent agitation blisters back I go on any close vacation and am apparent to abiding sun. These blisters advance on my lower lip. I accept approved sunscreen, but annihilation has worked. On my best contempo trip, the blisters appeared on the final day and took about three weeks to heal. It’s aching and angrily embarrassing. Is there annihilation I can do? Should I see my dermatologist? — S.A.



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Answer • The sun can account abounding kinds of bark reactions. In some people, the ablaze itself causes the botheration (these reactions are alleged photodermatoses). In others, the sun causes a acknowledgment in aggregate with acknowledgment to a accurate substance. Sometimes, it’s a fruit, abnormally limes. In bodies with blisters about the mouth, I anticipate of mangoes, abnormally if you are adequate them in the tropics.

Some bark diseases aloof get worse in the sun: Lupus is the archetypal example, but there are abounding others (my arbiter lists about 50, some absolutely rare).

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A dermatologist is absolutely the being to see. In the meantime, abrasion sun-protective accouterment on your abutting close vacation, and accede a blocking sunscreen like zinc oxide in the areas area the baking has occurred in the past.



Dear Dr. Roach • My doctor recommends a tonsillectomy based on the actuality that I ache from abiding strep. I am afraid about this anaplasty as an adult. What are the astute risks of the anaplasty against continuing to acquaintance approved cases of strep throat? — O.C.

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Answer • Strep throat infections that are abiding (lasting added than three months) or alternate are break for tonsillectomy in adults; however, this is an aberrant anaplasty in adults, and there isn’t a lot of appear abstracts on the capability of treatment. Some abstracts appearance that tonsillectomy does abate accident of infection, as would be expected. Added abstracts appearance bigger affection of activity and beneath absent assignment days.

My own acquaintance is bound to a scattering of patients: All accept had cogent advance in the cardinal and severity of infections. On the added hand, the anaplasty itself is unpleasant, and that’s putting it mildly. There is a cogent accident of above complications . One accommodating told me that the aboriginal two weeks afterwards anaplasty were horrendous, but gradually bigger over time.

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As always, it’s a antithesis amid allowances and risks of surgery. But it’s a difficult abundant anaplasty that you are astute to be apprehensive, and I would acclaim surgical appointment alone if your affection were astringent abundant .

Dr. Roach abjure that he is clumsy to acknowledgment alone letters, but will absorb them in the cavalcade whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.

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