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There are several presentations for patients who have or believe they have ''bugs'' in or on their skin. There are the haves, have nots and the ''I know I have it and I brought proof but have nots.'' The haves are easy to diagnose. The most common of these are lice, scabies, ticks, bed bugs and the occasional erythema migracans.
The have nots ...
This was a 71-year-old female who reported a rash for 7 months. Her primary physician thought she needed a dermatologist evaluation.
At the beginning of taking her history, she was pointing to lentigines scattered on her face, arms and legs that she ''disliked.'' The patient reports the ability to remove each lentigo with toe nail ...
Vivatia is an advanced skin care system offering
patients undeniable results. This system is a new take on anti-aging skin care,
focusing on safe and effective delivery of key ingredients such as
anti-oxidants and hydroquinone.
Vivatia consists of 3 steps:
Gentle Cream Cleanser - A non-foaming cream cleanser that is hydrating while ...
Teens and adults suffer from acne due to hormone
fluctuations and stress. Some feel diet may play a role. These factors
stimulate sebaceous glands that causes the oil production that the P. acne live
on. Most patients have tried a variety of over-the-counter acne remedies before
they get to our clinic.
Acne can range from mild ...
During my first rotation in family medicine, we had a patient present to the
clinic with a random collection of symptoms that seemed to come and go with no
particular pattern. She had been experiencing sweating, dizziness, nausea and
shock-like sensations around her chest. A work-up was done for a
pheochromocytoma but all the labs came back ...
Many people have overactive sweat glands that produce excess sweating. This condition is called hyperhidrosis, and it can occur in the underarms, palms and soles. In severe hyperhidrosis, sweating significantly exceeds the body's normal requirement for cooling. This can be stressful for patients because they have to change clothing frequently or ...
Neocutis is a Swiss skin care and pharmaceutical line that harnesses the power of PSP (processed skin cell proteins, a proprietary ingredient). These products are used to promote skin rejuvenation, to provide post-procedural skin care and to provide general care for sensitive or irritated skin.
Each product in this line was developed after ...
Sometimes it can be very beneficial to step outside our comfortable office and challenge our practice in a foreign setting.
I left my office stocked with pharmaceutical samples, running water, electricity, my assistant, sterile supplies and everything else I took for granted during my normal workday and flew to Haiti to serve dermatology ...
As a society striving to look younger, we are in constant search to find the so-called ''fountain of youth.'' We envision an overflowing magic potion that erases or prevents the damages of time. In my mind, there is no myth or legend behind the fact that sunscreen is our current day fountain of youth. Aside from sun abstinence, this is the closest ...
As the seasons change, we begin to see an influx of xerosis, dermatitis and eczema cases. Far too often these patients receive topical cortisone creams and kenalog shots visit after visit.
Prolonged, excessive usage of steroids in the treatment of eczema can create a chronic dermatitis by producing vasodilation.
These photos show a 26-year-old ...