Health Enewsletter April 2016

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Onychomycosis - Fingernail or Toenail Fungal Infection

Walk to Cure Arthritis Saturday 06/04/2016

Our Logo

Diet and Bone Density

Keloids and their Management

Memphis Dermatologic Society Citywide Skin Cancer Screening Saturday morning 05/07/2016

Rheumatology and Dermatology Associates
8143 Walnut Grove Road
Cordova TN 38018

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Dr. George
Woodbury and Dr. Cathy Chapman
Rheumatology and Dermatology Associates
5210 Poplar Ave #150
Memphis TN
8143 Walnut Grove Road
Cordova, TN 38018
 (901) 753-0168


Onychomycosis: an infection in a toenail or fingernail from a fungus is called an “onychomycosis.” Such infections are quite common in the Southern U.S., with our high heat and humidity. Symptoms include nail thickening, discoloration, separation of the nail plate from its bed, and even nail breakage or loss. Fortunately, in 2016  there are 5 oral pills and several new topical medicines for management. At Rheumatology and Dermatology, we have an in-house laboratory to help to identify the organism, thereby revealing where the infection came from, perhaps from a cat, another person, or the yard. Such identification can also help in finding the right medicine to clear the infection. It’s a priority to get these nail infections treated before they spread to the foot, the rest of the body, or even to other family members. Most treatments involve blood tests to monitor liver function while on oral drugs.

The first patient below has typical features of a toenail fungal infection: toenail thickening, yellow discoloration, and even warping of the nail plate. Fortunately, with the medications currently available, this condition is quite manageable.  

The second patient below also has typical features of a toenail fungal infection: toenail thickening, yellow discoloration, and even separation of the nail plate from its bed. This separation can eventually lead to actual loss of the toenail if not managed properly.

Rheumatology and Dermatology staff and friends joined the Walk to Cure Arthritis June 6th 2015, in Shelby Farms, Memphis TN.
Over 500 people participated in this walk to raise money for arthritis research.

Come join us Saturday morning June 6th 2016, at Shelby Farms Park, in Memphis, TN, likely at 9:00 AM, to once again raise money for arthritis research.

There are over 300 types of arthritis, and some even affect kids. In fact, the Arthritis Foundation tells us that over 6700 children in Tennessee suffer from varieties of juvenile arthritis. Over 1.2 million adults in Tennessee suffer from adult types of arthritis. The key to improvements in treatment lies in medical research. Check out Arthritis

Dr. Chapman has been a long-term advocate for the Arthritis Foundation.

For more: contact Michelle Dooner:, or call 1-901-322-1517

Look at how much fun Rheumatology and Dermatology Medical Assistants Vicki and Shirley had at the Walk to Cure Arthritis last June. Don't miss this year's event.

Do you know where our logo came from?
Emily Woodbury - our daughter - now a senior
medical student at Columbia University in
New York City anticipating going into obstretics
and gynecology - designed the logo to illustrate
that people benefit most when healthcare personnel
work together with the whole family to meet
healthcare needs - i.e. we try to nurture a team-wise
approach to keeping you healthy.
George R. Woodbury Jr, MD
Cathy M. Chapman, MD
Rheumatology and Dermatology Associates, P.C.

Diet and Bone Density
To bolster your bones, you should consume three key things: calcium, protein, and vitamin D.

Higher levels of calcium are needed for postmenopausal women, adolescent girls, and women who are pregnant or nursing.

Calcium :(1,000-1,300 mg/day):
Found in:
-Dairy products –dietary supplements
-Fortified juices, cereals, and oatmeal             -Beans and legumes
-Dark leafy greens -Salmon and sardines with bones
-Certain nuts, such as almonds Vitamin D: (600-800 IU/day):
-Fortified dairy products -Fortified cereals

Protein:  (Focus on lean versions): -Meats and fish
-Beans -Cheese 

Vitamin D: for more on this important topic, check out the upcoming May 2016 Health Enewsletter.

For more on bone health, or
    - Cathy Chapman MD, 06/08/2015
Keloids and Their Management
A keloid is a type of scar that jumps out of its boundaries and becomes raised. Keloids are often itchy and painful, and they can enlarge, so it’s often a good idea to bring them to medical attention.  They develop after even simple injuries to the skin, such as insect bites. Larger keloids require surgical removal, but if caught early, keloids can be managed with what are called triamcinolone injections or with topical steroids. Silicone gel sheeting is also an option. 

The patient below had a keloid develop upon the right posterior shoulder - a lesion which could be managed with triamcinolone injections into the lesion.

This patient has a condition on the posterior scalp called acne keloidalis, which is the development of keloid-like scars within an area of scalp inflammation. Fortunately, treatment with oral antibiotics, topical steroid ointments, and triamcinolone injections once a month will often help to alleviate the itching and pain in these areas, and many patients get some regrowth of scalp hair, too.


Memphis Citywide Skin Cancer Screening
Saturday morning 05/07/2016, 9:00 AM to 11:00 AM:

Below is a photograph from the Skin Cancer Foundation website of what's called a melanoma arising in a mole. Melanoma is estimated to take over 9700 lives in the United States this year. Since it's a type of skin cancer that should be visible to the naked eye, this is 9700 lives too many.

The Memphis Dermatologic Society is sponsoring a free
citywide skin cancer screening for Memphis Saturday morning 05/07/2016: 9:00 AM to 11:00 AM.
Locations: Downtown YMCA, Cordova YMCA, Inside Out Gymn, Shady Grove Elementary, and the Bartlett Recreation Center. Early detection saves lives!

Tips on finding a good sunscreen: go with SPF 15 or higher, reapply every 90-120 minutes, and it takes 2 ounces for your entire body to be adequately covered with sunscreen.


For questions, comments, or if you would like to
be added to our email list, please email “”or call 1-901-753-0168.

George Woodbury Jr. M.D.


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Rheumatology & Dermatology Assoc, PC. · 8143 Walnut Grove Rd · Memphis, TN 38018 · USA