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Dr. Perri is a featured contributor on Acne Treatment, Mole Removal and other cosmetic dermatology treatments on RealSelf.

Dr. Perri's Blog

Entries in Dermatology Tomball (261)

Saturday
Apr302011

Eczema - Ocular Manifestations

Although Eczema is mainly a disease of the skin, some atopic patients experience problems with their eyes related to this skin disease and I occasionally encounter these ocular manifestations in both my The Woodlands dermatology and Conroe dermatology offices.  Eczema predisposes patients to the development of cataracts.  The cataracts can either be either anterior or posterior subcapsular and the incidence is directly proportional to the severity of the Eczema.  Another ocular problem seen in atopic patients is the development of keratoconus.  Keratoconus occurs when the structure of the cornea breaks down so the normal curvature becomes more conical (like a cone).  This causes severe visual problems and fortunately occurs in less than 1% of patients with Eczema.

 

Cataracts (http://www.diabetesmine.com/wp-content/uploads/2012/11/Cataract-Eye.jpg)

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Monday
Apr252011

Eccrine Neoplasms - Mucinous Carcinoma

Mucinous Carcinoma is a malignant lesion that arises from the integumentary glands which I rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices.  The majority of Mucinous Carcinomas arise from the eyelid in the glands of Moll.  Clinically, Mucinous Carcinomas apepar as flesh colored or red papules which may be ulcerated.  Local recurrence after excision of Mucinous Carcinomas is very common but distant metastasis is fortunately rare.  The treatment of Mucinous Carcinomas is surgical excision.

 

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Sunday
Apr242011

Eczema - Infections

Eczema has a propensity for developing infection within the eczematous plaques and I commonly encounter this scenario in both my The Woodlands dermatology and Conroe dermatology offices.  When Eczema becomes infected, it becomes very treatment resistant and the rash tends to flare and spread.  Impetigo is a superficial bacterial infection due to Staph aureus or Streptococcus which develops a moist crusted yellow honey colored plaque.  This infection is usually treated with topical and systemic antibiotics.  Eczema Herpeticum, also called Kaposiform Varicelliform Eruption, is a very common viral infection that can occur in eczematous plaques.  Typically, Eczema Herpeticum is due to either HSV-1 or HSV-2.  Vesicles (blisters) or ulcers are seen in the eczematous areas and this virus can quickly spread to the rest of the skin and can cause blindness if it affects the eyes and in severe cases can be fatal.  Treatment is with antivirals such as Acyclovir or Valacyclovir.  Good atopic skin care is essential to prevent these skin infections.

Impetigo (http://3.bp.blogspot.com/_63HrcuEl5zs/TUfdAWRwhII/AAAAAAAABZ8/u-kjL9Qk7s8/s1600/impetigo-1.jpg)

Eczema Herpeticum (http://dermimages.med.jhmi.edu/images/Eczema_herpeticum_1_050515.jpg)

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Tuesday
Apr192011

Eccrine Neoplasms - Syringofibroadenoma

Syringofibroadenoma is a rare benign Eccrine Neoplasm that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Syringofibroadenomas clinically appear as scaly nodules or plaques and have a predilection for the extremities.  Multiple Syringofibroadenomas can be seen in certain genodermatoses such as hidrotic ectodermal dysplasia, Schopf syndrome, and Clouston syndrome.  In rare instances, Syringofibroadenomas can become malignant.  The treatment of Syringofibroadenomas is surgical excision.

Syringofibroadenoma (http://jcp.bmj.com/content/60/2/145/F5.large.jpg)

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Sunday
Apr172011

Eczema - Skin Care

The treatment of Eczema begins with prevention of skin dryness with good atopic skin care so flare ups do not occur and this is what I stress with my atopic patients in both my The Woodlands and Conroe dermatology offices.  As the skin in Eczema dries out readily, it is very important to use the correct soap when showering or bathing.  Some soaps such as Dial, Irish Spring, and Ivory clean the skin very well because they are so high in detergent but they also remove most of the skin's moisture.  The best soaps are those with low levels of detergent such as Dove body wash and Cetaphil cleanser.  After showering/bathing, is the best time to apply a moisturizer to trap the residual water into the skin.  Baby oil is very good for the skin immediately after a shower.  At least twice a day, patients with Eczema should use a good moisturizing cream such as Eucerin or Lubriderm or an ointment such as Aquaphor or Vaseline.  In areas with eczematous plaques, a topical steroid should be applied prior to the application of a moisturizer.  Once the eczematous plaque has resolved, the topical steroid should be discontinued.  Topical immunomodulators such as Protopic and Elidel can be used in place of a topical steroid in some patients.  Occasionally, eczematous areas can become infected and it is very important to treat this infection as it can worsen the Eczema and make it treatment resistant.  Patients are advised to keep their nails trimmed short as the eczematous areas will inevitably be scratched and this will limit the trauma to the skin. 

Eczema (http://0.tqn.com/d/pediatrics/1/0/G/K/eczema.jpg)

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