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Entries in Dermatology Tomball (261)

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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Friday
Apr152011

Apocrine Neoplasms - Hidradenoma Papilliferum

Hidradenoma Papilliferum is a benign apocrine neoplasm that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Hidradenoma Papilliferum is almost always found in the vulvar and perineal areas.  It appears as a flesh colored dermal nodule.  Treatment of Hidradenoma Papilliferum is surgical excision.

 

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Thursday
Apr142011

Eccrine Neoplasms - Papillary Eccrine Adenoma

Papillary Eccrine Adenoma, also called a Tubular Apocrine Adenoma, is a benign sweat gland tumor that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Papillary Eccrine Adenomas clinically appear as dermal skin colored nodules.  They are most commonly found on the extremities, especially the dorsum of the hands and feet.  These lesions have a high rate of recurrence so surgical excision is the treatment of choice.

Papillary Eccrine Adenoma (http://jcp.bmj.com/content/60/2/145/F10.large.jpg)

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Monday
Apr112011

Eccrine Neoplasms - Chondroid Syringoma

Chondroid Syringomas, also called Mixed Tumors, are benign eccrine neoplasms that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Chondroid Syringomas are most often seen in men.  Chondroid Syringomas clinically appear as a firm skin colored subcutaneous nodule and are usually asymptomatic.  They can also be found in salivary glands.  The treatment of Chondroid Syringomas is surgical excision. 

 

Chondroid Syringoma (http://jcp.bmj.com/content/60/2/145/F4.large.jpg)

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