Skin care is a complex issue. The skin is susceptible to a variety of different disorders and diseases that require accurate diagnosis in order to ensure prompt, effective treatment. At our New York practice, we focus on providing comprehensive patient care to address a variety of different medical skin conditions and issues.
If you’d like to learn more about medical skin care treatment like cyst removal or minimizing birthmarks, please don’t hesitate to contact us online today or call 212-535-3088. Dr. Michele S. Green, a board certified NYC dermatologist, practices the latest techniques at the forefront of skin care to restore the health that you deserve.
Hives, which are also called urticaria, are welts on the skin that often itch. Hives can appear anywhere on the skin and can vary in size to a millimeter to several centimeters. When they grow in clusters they are called welts. As one spots subsides, a new spot often forms elsewhere on the skin within 24 hours.
An acute hive appears suddenly and often disappears in a few days or weeks. Hives that last longer than six weeks are called chronic hives. Hives may be associated with deep swelling of the eyelids and lips in a process called angioedema. There are many causes of hives ranging from an allergic reaction to a medication, a virus, the sun, food, animals, insect bites, pollen, stress and lupus, among others.
Dr. Green can diagnosis hives simply by looking at the skin. If needed, blood work may be ordered to rule out an illness or infection. Allergy tests may be needed later to uncover the cause of the reaction. At times a skin biopsy may be performed as well to differentiate the rash from other similar reactions.
Treatment varies based on the cause of the hives. Antihistamines, topical steroids, and oral cortisones are some of the medications used by Dr. Green to treat this condition.
Cysts and Skin Tags
Cysts and skin tags are extremely common benign occurrences on the body and face but are easily removed. Dr. Green provides both skin tag and cyst removal from her New York practice on an outpatient basis.
A local anesthetic is used to numb the area of the skin. The skin tags or cysts are removed by simple shave excision. There is little or no recuperation and the procedure takes no more than fifteen minutes.
Scabies is a contagious skin infection that occurs among humans caused by a tiny itch mite called Sarcoptes Scabiei. The mite is so tiny that you cannot see it on a person’s skin. The mite burrows under the host’s skin and causes intense allergic itching.
The disease is highly contagious and may be spread from person to person or from inanimate objects. After first time exposure, the rash may manifest itself after two to six weeks. If there is a history of previous exposure, the rash may be evident in 24 hours.
Scabies can be seen in all people, even the very young infants and the elderly. Crusted scabies, also called Norwegian Scabies, may develop in the elderly or those who have weakened immune systems.
Treatment of scabies is generally 5% permethrin cream. For severe widespread scabies, Dr. Green may prescribe ivermectin in the form of a one-dose pill. Other treatments may consist of antihistamines to control the itch or pramoxine lotion and steroid creams.
Since scabies is highly contagious, everyone in your home may need to be treated to minimize exposure. Once treatment is initiated, Dr. Green recommends washing all of your clothes, towels, bedding, and washcloths in the hottest water possible and drying them thoroughly. Any items that cannot be washed should be sealed in a plastic bag for at least 1 week. Vacuum your entire home including carpeting and upholstered furniture.
Scabies must be treated with prescription medications from the doctor and does not go away without treatment.
Folliculitis is the inflammation of one or more hair follicles. The condition can occur in any area of the body that has skin with hair. Most cases of folliculitis are caused by staphylococcus aureus and psudomonas aeruginosa.
Typically, one pustule or a group of pustules appears. Dr. Green will culture one of the pustules to determine the bacterial cause. Treatment can include both mechanical extraction of hair follicles and intralesional cortisone injections to hasten recovery. Dr. Michele Green may also prescribe topical or oral antibiotics to treat the infection.
In recurring cases of folliculitis, particularly in the bikini or neck area, laser hair removal may be an effective option to permanently remove the hair and prevent these infections. Electrocautery can be used to remove the lesions, as well as pulsed dye laser with the VBeam® or IPL, without any discoloration.
Molloscum contagiosum is a viral infection of the skin caused by the pox virus. It is very common infection in children aged one to ten years old. The skin infection can also affect adults and at times mucous membranes. Molloscum is common on the trunk, arms, and legs. It is spread through direct contact or shared items such as towels and clothing.
Molloscum generally spreads from person to person in direct skin-to-skin contact. The virus can spread from one part of the body to another. It can also spread from exposed objects such as clothing. The incubation time is generally two to six weeks from exposure.
Diagnosis is based on the appearance of dome shaped, red or pearly, umbilicated papules, present singly or in groups. Often, there is secondary infection around the lesion from scratching. Patients tend to have eczema around the lesions in approximately 10% of cases. In a process called autoinoculation, the virus may spread to neighboring skin area. Children are very susceptible to autoinoculation and may have many groups of lesions on the body.
There are various mechanical and chemical methods for destruction of these lesions. The pulsed dye laser (VBeam®) has been shown to be a highly effective method for treating molloscum as well with no scarring.
There are several types of ringworm that can affect different areas of the body such as the scalp, groin or feet. Diagnosis is made by a skin examination, scraping and fungal culture. Because the fungus grows slowly, the culture can take several weeks to become positive.
Ringworm is a fungal infection that’s most commonly treated with topical antifungal medications. These anti-fungals stop the organisms from surviving and multiplying. In addition, Dr. Green may prescribe a topical corticosteroid cream to relieve the irritation secondary to scratching.
When the fungal infection is widespread, systemic treatment with oral medications may be needed. Although the rash infection usually resolves within two weeks, it is best to continue topical therapy for an additional week to ensure that all of the fungus is eradicated. Common antifungal creams prescribed by Dr. Green are clotrimazole, miconazole, and ketoconazole.
If you’re troubled by symptoms of a skin issue, there’s a solution that can help. Contact us online today or call 212-535-3088 to learn more about Dr. Green’s combination approach for optimum skin health.