What is Dermatology?
Dermatology is a special area of medicine that focuses on conditions that affect your skin. In addition to your skin, dermatology also includes conditions that affect your nails, hair, and the delicate lining of your eyelids, nose, and mouth. Your skin is your body’s largest organ. It contains nerve endings, sweat glands, hair follicles, pores, blood vessels, and many other structures. Caring for it is important to your overall health.
The Importance of Annual Skin Screening?
Annual skin checks are a facet of maintaining our health that is often overlooked. Skin cancer can sometimes be a tricky disease to detect in its early stages; but, as with most diseases, early detection is can be crucial. There are a number of risk factors that can be more easily mitigated with annual skin checkups. Your annual checkups with your doctor may already include a skin check. If they don’t, you should ask your doctor about including skin checkups at your next visit, or schedule a visit to a skin care specialist. Annual skin screenings can help save you time & money down the road, and possibly your life. It is important that you are receiving an annual skin screening from your board-certified dermatologist.
What Makes Us a Unique Practice?
Our office counts with a group of medical providers trained to care for all skin conditions. Our providers are qualify to treat children, adolescents and adults, providing all latest technology and most modern treatments. We also provider specialized skin cancer MOHS surgery. Under one roof you will find all you skin needs and more.
Acne is an extremely common inflammatory condition of the pilosebaceous unit. The pathogenesis involves multiple factors, including increased sebum production, dead skin cells, proliferation of the bacterium Cutibacterium acnes, and inflammation. It typically begins at puberty as a result of hormonal stimulation.
There is a wide spectrum of clinical disease, ranging from a few comedones to many inflamed papules, pustules, and nodules. Acne vulgaris is most commonly found on areas of skin with the greatest density of sebaceous glands, such as the face, back, and upper chest. Acne can last through the teenage years into adulthood. Acne can lead to permanent scarring and significant psychosocial distress. Therefore, initiation of treatment in the earliest stages is preferable.
Skin cancers are malignant tumors in which there is an uncontrolled proliferation of any one of the many skin cell types, whereas the normal process of regeneration of skin involves replication of the cells in a controlled fashion. Each subtype of skin cancer has unique characteristics. The three most common types are Basal Cell Carcinoma, Squamous Cell Carcinoma, and Melanoma.
Hair loss can be the result of several underlying conditions, stress, or improper hair care. Many patients request an appointment once they notice that their hair is thinning or falling out, but sometimes, hair loss is not obvious.
Signs of hair loss include:
- Receding hairline
- Thinning of the hair on the scalp over time
- Balding that leaves the crown of the head exposed
- Sudden loss of patches of hair
- Loss of hair on the body
During your first appointment we will evaluate your concerns and ask questions about your lifestyle, medications, recent illnesses, general health, and family history before conducting a physical examination of your scalp or the hair loss area. For some patients, especially women, blood work may be done so we can gain a better understanding of your hormone levels and overall health before proceeding with a treatment plan. Oftentimes, hair loss is a side effect of a medication you may be taking, hormonal imbalance, or other underlying issue.
Treating hair loss can be done at home or in our office depending on the type of procedure best suited for your needs.
Psoriasis is a chronic, intermittently relapsing inflammatory disease characterized by scaly plaques most often seen on the scalp, elbows, and knees. Additional sites of involvement include the nails, hands, feet, and trunk. Psoriasis affects about 2% of the world's population and can develop at any age and in both sexes. Psoriasis incidence has a bimodal pattern, with one peak in childhood and a second peak in adulthood. There are several variants of the disease, and variants can coexist in the same individual.. Lesions can last from months to years in the same location.
Molluscum / Wart
Common warts are benign skin proliferations caused by infection of the epidermis with human papillomavirus (HPV), most frequently types 1, 2, and 4. Verruca vulgaris lesions may be acquired from direct contact with HPV-infected skin or, less commonly, from contact with HPV-carrying fomites. Autoinoculation is very common. Warts are frequent at locations that are traumatized. HPV types 2 and 4 may infect virtually any epidermal surface, including mucosal surfaces, but common warts are most often seen on the hands, feet, and knees.
Molluscum contagiosum is a common viral skin infection of childhood caused by a DNA poxvirus. It is usually transmitted by direct skin-to-skin contact, through fomites, or from autoinoculation. There is an increased incidence in children with underlying atopic dermatitis, swimmers, children who bathe together, those who share towels, and immunosuppressed people. Molluscum can be found anywhere on the body.
Atopic dermatitis, also called eczema, the most common inflammatory skin disease worldwide, presents as generalized skin dryness. Atopic dermatitis results from a complex interplay between environmental and genetic factors.
Vitiligo is an acquired type of leukoderma (white skin). Vitiligo is usually asymptomatic, and lesions can range in size from millimeters to centimeters. While any part of the body can be affected, vitiligo often demonstrates distinct patterns including symmetric involvement of the face, upper chest, hands, ankles, axillae, groin, and around orifices, often favoring sites of frequent friction or trauma. Vitiligo occurs in equal proportions regardless of age, sex, or ethnicity. The natural progression of the disease is unpredictable, ranging from insidious to rapid in onset.
Herpes simplex is a common viral infection that presents with localized blistering. It affects most people on one or more occasions during their lives. Herpes simplex is commonly referred to as cold sores or fever blisters, as recurrences are often triggered by a febrile illness, such as a cold.
Shingles is reactivation of a latent infection with the varicella-zoster virus (chicken pox). After primary infection (chickenpox), the virus lays dormant in dorsal root ganglia for life. Reactivation may be triggered by immunosuppression, certain medications, other infections, or physical or emotional stress. The individual lifetime risk of developing herpes zoster is 1 in 3.
Venous malformations are a type of vascular nevus or birthmark. They are due to malformed dilated veins and are non-cancerous. They appear as skin colored, blue or purple swellings on any part of the body, and there are often prominent veins near the skin surface. Like capillary vascular malformations (port wine stains), venous malformations are always present at birth, although they may become more obvious with time. They may vary in size from a small dot to occasionally involving a whole limb.
Infantile hemangiomas are the most common benign tumors of infancy, occurring in up to 10% of infants, with up to 50% appearing in the head and neck. They may be present at birth and often become apparent within the first few months of life. Usually, infantile hemangiomas are noticed at approximately 2-3 weeks of life. The initial proliferative phase usually lasts for about 1 year, with rapid growth during the first 4 months. This is followed by gradual involution over several years. Although infantile hemangiomas involute with time, residual skin changes, such as telangiectasia, scarring, atrophy, and fibrosis, persist in up to 30% of lesions after involution is complete.
Rosacea is a chronic but treatable condition that primarily affects the central face, and is often characterized by flare-ups and remissions. Although rosacea may develop in many ways and at any age, patient surveys indicate that it typically begins any time after age 30 as flushing or redness on the cheeks, nose, chin or forehead that may come and go. Studies have shown that over time the redness tends to become ruddier and more persistent, and visible blood vessels may appear. Left untreated, inflammatory bumps and pimples often develop, and in severe cases — particularly in men — the nose may grow swollen and bumpy from excess tissue. In as many as 50 percent of patients the eyes are also affected, feeling irritated and appearing watery or bloodshot.
An epidermoid cyst is a benign cyst derived from the infundibulum or upper portion of a hair follicle, encapsulated in a thin layer of epidermis-like sac. Epidermoid cysts are typically filled with keratin (dead skin cells) and lipid-rich debris.