Adult and Geriatric Dermatology
We specialize in treating acute and chronic skin diseases, offering comprehensive care for adults and seniors. Our dedicated team evaluates and manages new skin lesions and a wide range of skin conditions, including those listed below and more. Your skin health and well-being are our top priorities – if you have any concerns, we’re here to help!
Acne
It occurs when hair follicles become clogged with oil, dead skin cells, and bacteria, leading to the formation of pimples, blackheads, and cysts. In adults, acne can be triggered by hormonal changes, stress, diet, and certain medications.
Alopecia (Hair Loss)
Hair loss, or alopecia, refers to the partial or complete absence of hair in areas where it is normally present, affecting both men and women. It can result from various factors, including genetics, hormonal changes, medical conditions, stress, and certain medications.
Athlete’s Foot
Athlete’s foot, or tinea pedis, is a common fungal infection that primarily affects the skin between the toes and the soles of the feet. It is characterized by itching, burning, and flaking or peeling skin. The infection is caused by dermatophytes, a type of fungus that thrives in warm, moist environments, such as public showers or swimming pools.
Atopic Dermatitis (Eczema)
Atopic dermatitis, commonly known as eczema, is a chronic inflammatory skin condition that causes dry, itchy, and red patches on the skin. It often begins in childhood but can persist into adulthood. Symptoms can vary in severity and may include intense itching, dry skin, and areas of thickened skin.
Bed Sores
Bed sores, also known as pressure ulcers or pressure sores, are injuries to the skin and underlying tissues that occur when there is prolonged pressure on the skin. They commonly develop on areas of the body where bones are close to the skin, such as the heels, sacrum, and elbows.
Blistering disorders
Blistering disorders are conditions that result in the formation of blisters—fluid-filled sacs on the skin. Common types include pemphigus vulgaris, bullous pemphigoid, and epidermolysis bullosa. Contact dermatitis can also cause blisters as a reaction to irritants or allergens. Treatment varies depending on the underlying cause.
Cold Sores
Cold sores, also known as fever blisters, are small, painful blisters that typically appear on or around the lips and mouth. They are caused by the herpes simplex virus (HSV), most commonly HSV type 1, although HSV type 2 can also be a cause. The initial infection may be asymptomatic, but subsequent outbreaks can occur, often triggered by factors like stress, illness, sun exposure, or hormonal changes.
Cysts
Cysts are closed pockets of tissue filled with fluid, air, or other substances that can develop anywhere in the body, including the skin. They vary in size and texture, with common types including epidermoid cysts, pilar cysts, and ganglion cysts. While most cysts are benign and don’t require treatment, they may need attention if they become painful, infected, or bothersome.
Hidradenitis Suppurativa
This is a chronic skin condition characterized by painful, inflamed nodules and abscesses that occur in areas with hair follicles, such as the armpits, groin, and under the breasts. The condition arises when hair follicles become blocked and inflamed, leading to the formation of lumps that can rupture and drain pus. It often leads to recurrent flare-ups and can cause scarring and changes in skin texture.
Hyperhidrosis (Excessive Sweating)
Hyperhidrosis is a condition characterized by excessive sweating that goes beyond what is necessary for regulating body temperature. It can affect specific areas, such as the palms, feet, underarms, and face, or be generalized across the body.
Hyperpigmentation (Dark Spots)
Hyperpigmentation is a common skin condition characterized by patches of skin that become darker than the surrounding areas due to an excess production of melanin, the pigment responsible for skin color. Common types of hyperpigmentation include sunspots (solar lentigines), melasma, and post-inflammatory hyperpigmentation.
Keloids
Keloids are raised, thickened areas of scar tissue that develop at the site of an injury, surgery, or acne. They occur when the body produces too much collagen during the healing process, resulting in an overgrowth of tissue that extends beyond the original wound. Keloids can vary in color, ranging from pink to dark brown, and may feel itchy, tender, or painful.
Precancerous Lesion
Precancerous skin lesions are abnormal growths that can develop into skin cancer if not treated. Common types include actinic keratosis, which appears as rough, scaly patches from sun exposure; seborrheic keratosis, which are benign, wart-like growths; and dysplastic nevi, atypical moles with irregular borders and colors. Regular skin examinations are crucial for early detection and management.
Seborrheic Dermatitis (Dandruff)
Dandruff is a common scalp condition marked by flakes of dead skin, which can lead to itching and irritation. This often results in visible white or yellowish flakes in the hair and on clothing. Various factors can trigger dandruff, including dry skin, sensitivity to hair products, and fungal infections from Malassezia yeast.
Xerosis (Dry Skin)
This is a common condition characterized by a lack of moisture in the skin, leading to rough, flaky, or itchy patches. It can occur anywhere on the body but is most prevalent on areas such as the hands, arms, and legs. Dry skin can also be a symptom of underlying health issues, such as eczema or psoriasis.
Urticaria (Hives)
Hives are raised, itchy welts on the skin that can vary in size and shape. They occur when histamine and other chemicals are released into the skin, often as a reaction to allergens, medications, infections, or stress. Hives can appear suddenly and may last for a few hours to several days.
Keratosis Pilaris
Keratosis pilaris, often referred to as “chicken skin,” is a common and harmless skin condition characterized by small, rough bumps, usually found on the upper arms, thighs, cheeks, and buttocks. These bumps are caused by the buildup of keratin, a protein that protects the skin, which clogs hair follicles. While keratosis pilaris does not pose any health risks, it can be aesthetically bothersome for some individuals.
Nail Conditions
Nail conditions include a variety of issues affecting nail health and appearance. Common problems are fungal infections, which can lead to discoloration and brittleness; ingrown nails, where the nail grows into the skin causing pain; and nail psoriasis, resulting in pitting and ridges. Other conditions include onycholysis, the separation of the nail from the nail bed, leukonychia, which presents as harmless white spots or lines, and brittle nails.
Nevi (Moles)
Moles, or nevi, are small, dark spots on the skin that can vary in color, shape, and size. They are caused by clusters of pigment-producing cells called melanocytes and can appear anywhere on the body. If you notice any concerning changes or have new moles that develop, it’s advisable to consult your dermatologist for evaluation.
Pruritis (Itching)
Pruritus, or itching, is a common symptom that can affect any part of the body and may arise from various causes, including dry skin, allergies, insect bites, or skin conditions like eczema and psoriasis. It can be localized or widespread and may accompany redness or rash.
Psoriasis
Psoriasis is a chronic autoimmune condition that causes rapid skin cell growth, leading to thick, red, scaly patches on the skin. These patches, often covered with silvery scales, can occur anywhere on the body but are commonly found on the elbows, knees, scalp, and lower back. Symptoms can vary in severity and may include itching, burning, and discomfort. Psoriasis can also affect the nails and joints, leading to psoriatic arthritis.
Rashes
Rashes are changes in the skin’s appearance and texture, often resulting in redness, swelling, and irritation. Common types of rashes include contact dermatitis, eczema (atopic dermatitis), and psoriasis. Fungal infections, such as ringworm or athlete’s foot, can also cause red, itchy patches, as can viral rashes associated with illnesses like chickenpox or measles. If you have a rash that persists, is painful, or is accompanied by other symptoms, it’s important to consult your dermatologist.
Rosacea
Rosacea is a chronic skin condition that primarily affects the face, leading to redness, visible blood vessels, and sometimes small, pus-filled bumps. It typically appears as a flushed or blushing complexion, often affecting the cheeks, nose, forehead, and chin.
Shingles (Herpes Zoster)
Shingles, or herpes zoster, is a viral infection caused by the reactivation of the varicella-zoster virus, which also causes chickenpox. It typically presents as a painful rash with fluid-filled blisters, usually localized to one side of the body, often on the torso or face. Symptoms often start with pain, itching, or tingling before the rash appears.
Skin Cancer Screening
Skin cancer screening involves a thorough examination of the skin to identify any unusual moles, spots, or growths that could indicate skin cancer. This screening is important for early detection, as early-stage skin cancer is often more easily treated and has a better prognosis.
Skin Infections
Skin infections are caused by a variety of pathogens, including bacteria, viruses, fungi, and parasites, entering the skin through cuts, abrasions, or other openings. Symptoms of skin infections can range from localized redness, swelling, and pain to more widespread symptoms like pus formation and fever.
Skin Tags
Skin tags, also known as acrochordons, are small, benign growths of skin that often appear as soft, hanging flaps. They can vary in size and color, typically resembling the color of the surrounding skin, and are most commonly found in areas where skin rubs against skin or clothing, such as the neck, armpits, groin, and eyelids.
Sunburn
Sunburn is a skin condition caused by overexposure to ultraviolet (UV) radiation from the sun or artificial sources, such as tanning beds. It typically manifests as red, painful skin that may feel hot to the touch and can lead to swelling and blistering in more severe cases. Symptoms usually appear within a few hours of sun exposure and can last for several days.
Vitiligo
Vitiligo is a skin condition characterized by the loss of pigment, resulting in white patches on the skin. This occurs when melanocytes, the cells responsible for producing melanin (the pigment that gives skin its color), are destroyed or stop functioning.
Warts
Warts in adults are benign growths on the skin caused by the human papillomavirus (HPV). They can appear anywhere on the body but are most commonly found on the hands, feet, and face. Warts may vary in size, color, and texture, often presenting as rough, raised bumps.
Pediatric Dermatology
We specialize in the treatment of acute and chronic skin diseases and evaluation of new skin lesions. We have a special pediatric facility dedicated to the treatment of skin diseases of the childhood. Below is a list of some common pediatric conditions we treat. If you have questions about any of these conditions, please consult us for more information and guidance.
Acne
Acne is a skin condition characterized by clogged hair follicles and inflamed sebaceous glands, often occurring during puberty. It manifests as pimples, blackheads, and cysts, affecting both self-esteem and skin health. Treatment aims to reduce scarring and enhance the skin’s appearance.
Atopic Dermatitis “Eczema”
This chronic skin condition leads to itching, redness, and flaking, primarily affecting babies and young children. Fortunately, there are effective treatment regimens to help reduce itching and inflammation, moisturize the skin, and prevent infection.
Birthmarks
Birthmarks are areas of discolored or raised skin that are typically noticeable at birth, though they may not appear until later in life. While the exact cause of birthmarks is unknown, it is important for babies with birthmarks to be evaluated by a doctor to determine if there are any underlying medical concerns.
Blisters
A blister is a raised bump under the skin filled with clear or bloody fluid. It can be caused by burns, scalds, or sunburns. However, blisters may also signal more serious conditions, such as genetic conditions, contagious bullous impetigo or viral infections.
Diaper Dermatitis (Diaper Rash)
Diaper dermatitis refers to various skin rashes in the diaper area, often caused by irritation or yeast infections. This red, scaly rash is commonly seen in infants aged 9 to 12 months. Symptoms may resemble other skin conditions, so it’s important to have your child evaluated.
Drug Rashes
Drug rashes are reactions to certain medications that can range from mild to severe and typically resolve once the medication is discontinued. However, allergic reactions can be serious and potentially life-threatening. If your child experiences acute symptoms like wheezing, difficulty breathing, tightness in the throat or chest, or vomiting, call 911 immediately.
Erythema Infectiousum (Fifth Disease)
Erythema infectiosum, commonly known as fifth disease, is a viral infection caused by the human parvovirus B19. It typically presents with a distinctive red rash on the cheeks, often referred to as “slapped cheek” appearance, followed by a lacy, red rash on the body and limbs. This condition is most common in children but can affect people of all ages. Symptoms may also include mild fever and fatigue.
Bites
Bites from fleas, mites, and chiggers can lead to small, raised, itchy spots on the skin. Some children may have allergic reactions that cause more intense symptoms.
Folliculitis
Folliculitis is an inflammation of the hair follicles, which can occur anywhere on the body where hair grows. It often appears as small, red bumps or pus-filled blisters around the follicles, and it can be itchy or tender. Folliculitis can be caused by various factors, including bacterial infections, irritation from shaving, or certain skin conditions.
Furuncles (Boils)
Folliculitis can sometimes progress to more serious infections, leading to the development of boils or furuncles. These are larger, painful lumps filled with pus that form when the infection extends deeper into the skin. If you notice any signs of a boil, such as increased redness, swelling, or severe pain, it’s important to seek medical attention, as they may require drainage or additional treatment.
Impetigo
Impetigo is a highly contagious bacterial skin infection that commonly affects young children but can occur in anyone. It usually starts as red sores or blisters, often around the nose and mouth, which can rupture and ooze. Over time, these sores may form a yellow-brown crust.
Lice
Lice are tiny, parasitic insects that live on the scalp and feed on human blood. The most common type affecting children is head lice. Symptoms include intense itching, which occurs as a reaction to lice bites, and you may also see small red bumps or sores on the scalp.
Molluscum Contagiosum
Molluscum contagiosum is a common viral skin infection that results in small, painless, round bumps on the skin. These bumps can be skin-colored, white, or pink, and they often have a dimple in the center. The virus spreads through direct skin-to-skin contact or by sharing personal items. While the bumps usually resolve on their own within 6 to 12 months, treatment options are available if they are bothersome or persist.
Pityriasis Rosea
Pityriasis rosea is a skin condition that often begins with a single large, round patch that is pink or reddish. After a few days, smaller patches may appear, and the rash can become itchy.
Poison Ivy
Poison ivy is a plant that can cause an allergic skin reaction upon contact, which can trigger itching, redness, and swelling, often resulting in a blistering rash. The rash usually appears within 12 to 72 hours after exposure and can last for several weeks.
Scabies
Scabies is a highly contagious skin condition caused by tiny mites that burrow into the skin, leading to intense itching and a rash. The rash often appears as red, swollen bumps and may include small blisters or sores from scratching. It’s important to treat all close contacts to prevent reinfestation.
Seborrheic Dermatitis
Seborrheic dermatitis in infants is a common condition that causes greasy, scaly patches on the scalp and body, often accompanied by redness. It may also be referred to as “cradle cap” when it occurs on the scalp.
Skin Pigment Disorders
Skin pigment disorders affect the color of your skin, leading to lighter or darker patches. Common types include vitiligo, which causes loss of skin color, and melasma, characterized by dark patches. These changes can result from genetics, sun exposure, or hormonal shifts. While many are harmless, some may need treatment.
Sunburn
Sunburn in children occurs when their skin is overexposed to ultraviolet (UV) rays from the sun, leading to redness, pain, and sometimes swelling or blisters. Children’s skin is particularly sensitive, making them more susceptible to sunburn. Symptoms typically appear within a few hours and can last several days.
Tinea Infections (Fungal Infections)
Tinea infections, commonly known as ringworm, are fungal infections caused by dermatophytes that affect the skin, hair, and nails. Common types include tinea corporis (body), tinea pedis (athlete’s foot), tinea cruris (jock itch), and tinea capitis (scalp). These infections are contagious and can spread through direct contact or sharing personal items.
Tinea Versicolor
Tinea versicolor is a common fungal skin condition caused by an overgrowth of a type of yeast that naturally lives on the skin. It leads to discolored patches that may appear lighter or darker than the surrounding skin, often on the back, chest, and arms. These patches may be more noticeable after sun exposure, as the affected areas do not tan like the rest of the skin.
Warts
Warts are small, benign growths on the skin caused by human papillomavirus (HPV). They can appear anywhere on the body but are most common on the hands, feet, and face. Warts may have a rough texture and can be raised or flat. While they are usually harmless, they can be unsightly and sometimes painful, especially if located on weight-bearing areas like the soles of the feet.
Surgical Dermatology
We focus on the effective treatment of various skin conditions, including the removal of skin lesions, biopsies, and surgical interventions for both cosmetic and medical needs. Our experienced team is dedicated to providing safe, high-quality care in a comfortable environment. Whether you have a specific concern or need a routine evaluation, we’re here to help!
Biopsies
A biopsy is a medical procedure in which a small sample of tissue is taken from the body for examination. This is often done to diagnose a condition or to check for the presence of cancer or other abnormalities.
Cryosurgery
Cryosurgery is a medical procedure that uses extreme cold to destroy abnormal or diseased tissue, often for the treatment of skin conditions such as warts, precancerous lesions, and certain types of skin cancer. During the procedure, a healthcare provider applies a cryogenic agent, typically liquid nitrogen, to the targeted area. This freezes the tissue, causing cell damage and ultimately leading to the death of the abnormal cells.
Mohs Micrographic Surgery
Precise surgical technique used to treat skin cancer through total margin control that offers the highest cure rate. During Mohs surgery, the surgeon excises the cancerous skin along with a thin layer of surrounding tissue. This tissue is then examined microscopically for cancer cells. If cancer cells are detected, the surgeon removes another layer of skin, and this process is repeated until no further cancer cells are found. This technique allows for precise removal of cancerous tissue while minimizing the risk of recurrence and preserving healthy skin.
Mole Removal
Mole removal is a procedure to eliminate moles from the skin for cosmetic reasons or if there’s a concern about skin cancer. There are several methods for removing moles, depending on their size, location, and characteristics, including excisional removal, shave removal, laser removal or cryotherapy.
Skin Cancer Treatment
Surgical treatment for skin cancer involves the removal of cancerous tissue and is one of the most common and effective approaches. For certain skin cancers, especially melanoma, a sentinel lymph node biopsy may be performed to determine if cancer has spread to nearby lymph nodes.
Scar Revision
Scar revision is a medical procedure aimed at improving the appearance of scars or reducing their visibility. It can be performed using various techniques including surgical excision, dermabrasion, light therapy, injectable filler, microneedling or chemical peels.
