The Woodlands
281.943.2749
Conroe
936.522.4966

 

 

 

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 (259)

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)

Woodlands dermatology - Woodlands dermatologist - Conroe dermatology - Conroe dermatologist

 

Magnolia dermatology - Magnolia dermatologist - Spring dermatology - Spring dermatologist

 

Kingwood dermatology - Kingwood dermatologist - Tomball dermatology - Tomball dermatologist

 

Huntsville dermatology - Huntsville dermatologist - Livingston dermatology - Livingston dermatologist

 

Houston dermatology - Houston dermatologist - Humble dermatologist - Humble dermatology

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)

Woodlands dermatology - Woodlands dermatologist - Conroe dermatology - Conroe dermatologist

 

Magnolia dermatology - Magnolia dermatologist - Spring dermatology - Spring dermatologist

 

Kingwood dermatology - Kingwood dermatologist - Tomball dermatology - Tomball dermatologist

 

Huntsville dermatology - Huntsville dermatologist - Livingston dermatology - Livingston dermatologist

 

Houston dermatology - Houston dermatologist - Humble dermatologist - Humble dermatology

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)

Woodlands dermatology - Woodlands dermatologist - Conroe dermatology - Conroe dermatologist

 

Magnolia dermatology - Magnolia dermatologist - Spring dermatology - Spring dermatologist

 

Kingwood dermatology - Kingwood dermatologist - Tomball dermatology - Tomball dermatologist

 

Huntsville dermatology - Huntsville dermatologist - Livingston dermatology - Livingston dermatologist

 

Houston dermatology - Houston dermatologist - Humble dermatologist - Humble dermatology

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.

 

Woodlands dermatology - Woodlands dermatologist - Conroe dermatology - Conroe dermatologist

 

Magnolia dermatology - Magnolia dermatologist - Spring dermatology - Spring dermatologist

 

Kingwood dermatology - Kingwood dermatologist - Tomball dermatology - Tomball dermatologist

 

Huntsville dermatology - Huntsville dermatologist - Livingston dermatology - Livingston dermatologist

 

Houston dermatology - Houston dermatologist - Humble dermatologist - Humble dermatology

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)

Woodlands dermatology - Woodlands dermatologist - Conroe dermatology - Conroe dermatologist

 

Magnolia dermatology - Magnolia dermatologist - Spring dermatology - Spring dermatologist

 

Kingwood dermatology - Kingwood dermatologist - Tomball dermatology - Tomball dermatologist

 

Huntsville dermatology - Huntsville dermatologist - Livingston dermatology - Livingston dermatologist

 

Houston dermatology - Houston dermatologist - Humble dermatologist - Humble dermatology