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LifestylePage 2WHAT WE DOWHO WE ARE* Create a plan to maximize yourbusiness deductions.* Reduce your taxes on both abusiness and individual level.* Create a business plan that works.* Operational Bookkeeping andPayroll Management.* Legal Bookkeeping requirements.* All SARS related matters.* Tax Planning & Tax Preparation.As a Xero Platinum partnerchampion firm, we have access tothe leading accounting softwareand can provide technologicalinsight to turn your business into onethat stands out from the crowd.As your Financial and Businessadvisor, we add value by ensuringyou achieve your business goalsand full financial potential.We are VHA Accounting Solutions.Winner emerging firm of theyear 2022 with XEROCONTACT US ON 087 109 071
LifestylePage 3BULLOUSDISEASEWITH DR R. SINGHThis skin Feature wasrendered by Dr Raj Singh,educating the communityon skin disease.He is available for aconsultation at his,Scottsville branch inPietermaritzburg or at hisDurban branch.BULLOUS DISEASES of the skin include bullouspemphigoid, pemphigus vulgaris,pemphigus vegetans,phemphigus foliaceous, paraneoplastic phemphigus,mucous membrane phemphogoid, linear lgA bullousdisease, dermatitis herpetic-formis, and epidermolysisbullosa acquisita. The hallmark of these diseases is thedevelopment of blisters. Blisters are the accumulationof fluid between cells in the upper layers of the skin,specifically the epidermis (top layers) or dermis (layerbeneath the epidermis). The type of disease dependsupon what level in the skin, the blisters form and wherethey appear on the body. Many of these diseases arealso categorized as autoimmune diseases in which thebody’s immune system, the system that protects anddefends the body, malfunctions (breaks down) andattacks the body’s own tissues.THE CAUSE OF AUTOIMMUNE DISEASESThe cause of autoimmune diseases is unknown, butgenetic make-up and environmental exposures may befactors. None of these disease are contagious, however,certain medications may trigger the development ofthese disorders. They are more common in the elderly.BULLOUS PEMPHIGOID is made up blisters that do notbreak easily. They develop on the abdomen, groin, innerthighs, arms, and occasionally on the mouth, eyes,and nose. The blisters form under the epidermis at thejunction where the epidermis and dermis meet.Bullous pemphigoid may begin with itching, a rash, orhives, typically over the entire body or in one area. Thedisease may last for several months to years.PEMPHIGUS VULGARIS is the most common type ofpemphigus. Flaccid (soft and limp) blisters appearon healthy-looking skin and mucous membranes,especially in areas of pressure. These blisters form withinthe epidermis, high in the skin, and may be painful.Skin may be “ peeled” off by rubbing a finger on it(Nikolsky sign). The blisters heal with darker spots (postinflammatoryhyper pigmentation). Pemphigus occursfrequently during middle age, and may last for years.PEMPHIGUS VEGETANS is a variant of pemphigus withthick erosions (sores) in the groin and under arms.PEMPHIGUS FOLIACEOUS, another variant ofpemphigus, is more itchy than other auto-immuneblistering diseases. The face and chest are the mostcommon sites affected. It can involve the skin anywhereon the body. The blisters rupture easily leaving shallowerosions. There may also appear to be loose, moistscales on the skin.PARANEOPLASTIC PEMPHIGUS is the most rare andserious type of pemphigus because it is associated withan underlying tumour. Special tests may be needed toidentify this type of autoimmune blistering disease.MUCOUS MEMBRANE PEMPHIGOID has blisters anderosions that affect the mucous membranes like themouth, nose, eyes, throat, and genitals. It may last foryears and usually heals with scarring. It may also beassociated with burning and itching.LINEAR lgA BULLOUS DISEASE has blisters that are veryitchy and often occur in a ring-shape. It is unassociatedwith internal problems and is prevalent in middle age.DERMATITIS HERPETIFORMIS affects the elbows, knees,neck, and buttocks with symmetrical (same on bothsides) tiny blisters, bumps, and erosions. There is severeitching, and the condition is associated with glutensensitivebowel disease. Deposits of the immunoglobulinlgA in the skin help make the diagnosis. It is primarilyseen in younger people.EPIDERMOLYSIS BULLOSA ACQUISTA (EBA) is anautoimmune reaction to the patient’s own collagenanchoring fibrils. There is also anti-bodies in the blood.EBA has symptoms that include itching, blisters, and/orhives. The hands and feet are more commonly affected.The lesions heal with scarring and tiny milia (cysts). It isprevalent in middle age.More on Bullous disease treatments next week...Our contact details are below, for more information or a consultation with Dr R. SinghDR RSDR R. SINGHSPECIALIST DERMATOLOGISTMBBS, F.C. DERM (SA) • PR. NO. 012 000 015 9573 • GENERAL DERMATOLOGY & DERMATOLOGY SURGERYDurban: 031 208 0694 / 5 / 6 Cell: 073 579 3578 | Email: rsingh@worldonline.co.zaPietermaritzburg: 033 342 5406 / 9052 • Cell: 068 465 2829 | Web: www.skindoc.co.za
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Page 15: LifestylePage 15VacanciesBRANCH MAN

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