Medical Dermatology

General Dermatology

Pediatric Dermatology

Skin Cancer Evaluation and Treatment

 

Acne

Acne is a skin condition involving plugged and/or infected skin pores. Although common, it continues to be one of the most traumatic and scarring skin conditions for patients. It can appear in ones early teens and in some cases does not develop until adulthood. There are many causes for acne such as skin type, stress, hormones and environmental factors. Treatment varies depending on the type and location of acne. SCD has the most up-to-date and successful treatments designed for your specific type of acne. Read More »

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Actinic Keratosis

Actinic Keratosis (AK) is a precancerous lesion of the skin caused by prolonged and repeated sun exposure. AKs are usually found on the face, ears, trunk, forearms, and back of hands. If left untreated, they may become squamous cell carcinomas. Early treatment, frequently by cryosurgery, topical medications, or specialized light treatments can eliminate them while they are only precancerous. Prevention includes sun avoidance and protection with UVB/UVA sunscreens and regular check-ups with a dermatologist.

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Basal Cell Carcinoma

Basal Cell Carcinoma (BCC) is the most common skin cancer and affects one out of every 5 Americans. It is most often caused by overexposure to the sun. If diagnosed early through a biopsy, BCC can be treated easily by a few different methods such as: topical creams, curettage-electrodessication, cryosurgery or if necessary, surgical removal. Treatments vary and are best determined by a qualified dermatologist.

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Contact Dermatitis

Contact dermatitis is a common condition caused by allergy or irritation from a specific exposure, such as poison ivy. Other causes include metals such as nickel, cosmetics or other topical preparations. This condition is treated with topical or occasionally oral steroids. In office allergy patch tests can be done to determine the cause of the dermatitis 

in some cases.

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Dysplastic Nevi

Dysplastic Nevi (Atypical moles) are moles that usually start off being benign. There are different levels of atypia in these moles ranging from mild to severe which can put one at higher risk of developing melanoma. Detection is best done by a biopsy to determine the level of atypia. Treatment, if required, can be as simple as close observation or 

surgical excision, depending on the degree of atypia.

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Eczema

Eczema is a common condition that involves dry, irritated skin. The most common type is called atopic dermatitis. Some cases can be triggered by allergic reaction and can be treated by avoiding trigger factors determined by a dermatologist. Although in most cases the exact cause in unknown, it is not contagious. Treatment, as for psoriasis, varies from patient to patient. The most common treatments are topical steroids, gentle creams/moisturizers and in some cases phototherapy treatments.

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Melanoma

Melanoma is a malignant tumor that originates from cells that produce pigment (color) for our skin, hair and eyes. Early detection with a biopsy done by a qualified dermatologist can make the difference in prognosis. With early detection and treatment, melanoma can be nearly 100% curable. There are different levels of melanoma - treatment options vary from simple surgical excision for early melanoma to lymph node dissection and chemotherapy among other treatments for advanced stages.

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Moles (Nevi)

Moles are brown or black growths, usually round or oval, that can appear anywhere on the skin. They can be rough or smooth, flat or raised, single or in multiples. They occur when cells that are responsible for skin pigmentation, known as melanocytes, grow in clusters instead of being spread out across the skin. Generally, moles are less than one-quarter inch in size. Most moles appear by the age of 20, although some moles may appear later in life. Read More »

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Psoriasis

Psoriasis is a condition that affects skin causing red, scaly patches. It frequently appears on elbows or knees; however, it can appear on the scalp and full body. It is now believed that psoriasis often runs in families and is linked to our immune system. Treatment depends on the severity of disease as determined by a dermatologist and can be as simple as applying topical creams, phototherapy light treatment and in severe cases, medicated injections. Read More »

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Rashes

"Rash" is a general term for a wide variety of skin conditions. A rash refers to a change that affects the skin and usually appears as a red patch or small bumps or blisters on the skin. The majority of rashes are harmless and can be treated effectively with over-the-counter anti-itch creams, antihistamines and moisturizing lotions. Read More »

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Rosacea

Rosacea is a disease that affects the skin on the face. It can appear like a blush across the nose, cheeks, chin and forehead. Often small blood vessels develop across the nose and cheeks. Although there is no cure for rosacea, there are treatments that can help control symptoms. Treatments include limiting sun exposure, hot drinks, alcohol, spicy foods, exercise, stress and temperature extremes. Patients may benefit from treatment as determined by their dermatologist. Topical antibiotics and, in some cases, laser surgery for blood vessels, followed by gentle skin care, sunscreen and moisturizers, can be very helpful. Read More »

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Squamous Cell Carcinoma

Squamous Cell Carcinoma (SCC) is the second most common type of skin cancer. Most cases are caused by overexposure to the sun; however some SCCs can occur spontaneously or are inherited. Most are not serious if identified and treated early. Advanced, SCC can be harder to treat and possibly cause disfigurement. It may even become life threatening. With early detection from a biopsy by a qualified dermatologist, SCC can be treated as easily as by application of topical medicine, surgical excision and/or other treatments determined by your dermatologist.

Vitiligo

Vitiligo is a disease in which the pigment cells of the skin, melanocytes, are destroyed in certain areas. Symptoms and signs of vitiligo include loss of skin color in the form of depigmented, or white, patches of skin in any location on the body.Vitiligo can be focal and localized to one area, or it may affect several different areas on the body.The exact cause of vitiligo is unknown, although most experts believe that it is an autoimmune condition in which the body's immune system mistakenly attacks and destroys certain cells within the body. Vitiligo is sometimes associated with other medical conditions, including thyroid dysfunction.

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Warts

Warts are small, harmless growths that appear most frequently on the hands and feet. Sometimes they look flat and smooth, other times they have a dome-shaped or cauliflower-like appearance. Warts can be surrounded by skin that is either lighter or darker. Warts are caused by different forms of Human Papilloma Virus (HPV). They occur in people of all ages and can spread from person-to-person and from one part of the body to another. Warts are benign (noncancerous) and generally painless. Read More »

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Wrinkles

Wrinkles are a natural part of the aging process. They occur most frequently in areas exposed to the sun, such as the face, neck, back of the hands and forearms. Over time, skin gets thinner, drier and less elastic. Ultimately, this causes wrinkles - either fine lines or deep furrows. In addition to sun exposure, premature aging of the skin is associated with smoking, heredity and skin type (higher incidence among people with fair hair, blue-eyes and light skin). Read More »

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Skin Cancers

Skin cancer is the most common form of human cancers, affecting more than one million Americans every year. One in five Americans will develop skin cancer at some point in their lives. Skin cancers are generally curable if caught early. However, people who have had skin cancer are at a higher risk of developing a new skin cancer, which is why regular self-examination and doctor visits are imperative. Read More »

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MOHs Skin Cancer Surgery

Mohs Micrographic Surgery is the most advanced and effective procedure available today to treat skin cancer. This state-of-the-art treatment is performed by dermatologists who are trained in the specialized technique.  This is the most precise method of tumor removal, minimizing the chance of cancerous re-growth while leaving the smallest scar. Mohs surgery has the highest success rate of all treatments for skin cancer – over a 99 percent cure rate. The Mohs procedure is the treatment of choice for cancers of the face and other sensitive areas because the accuracy of the microscopic surgical procedure. Mohs surgery has become the gold standard of treatment of skin cancer.

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