Granular Cell Tumor is a neural tissue abnormality that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Approximately, 1/3 of all Granular Cell Tumors are in the skin and the rest are on the tongue or internal organs. Clinically, a Granular Cell Tumor appears as a red/brown nodule. Although, they […]
Neurofibromas are a very common skin lesion that I encounter routinely in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, a Neurofibroma appears as a flesh colored raised papule/nodule that is soft and mobile. Neurofibromas are benign and may appear as a solitary lesion or multiple lesions may exist. When multiple Neurofibromas are […]
Telangiectasia Macularis Eruptiva Perstans (TMEP) is a rare type of mastocytosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, TMEP appears as very small red brown macules on the trunk and extremities. This condition is benign and there is limited treatment available.
Urticaria Pigmentosa is a benign type of cutaneous mastocytosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Urticaria Pigmentosa accounts for the majority of childhood mastocytosis cases. Clinically, Urticaria Pigmentosa appears as multiple red/brown indurated papules and nodules. Blistering can occur in the lesions especially when they are rubbed […]
Solitary Mastocytoma is a benign skin lesion that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Solitary Mastocytoma appears as a single lesion that is usually smaller than 1cm with a smooth surface and a red/brown color. They most commonly occur in children. The most common anatomic location is […]
Mastocytosis is a disease process that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology clinics that involves mast cells behaving in an abnormal fashion. Mastocytosis can be localized to the skin or systemically involved. Mast cells originate from the bone marrow and possess chemicals such as histamine, heparin and other cytokines […]
Myxomas are benign fibrous tissue abnormalities that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Myxomas appear as flesh colored nodules. They may appear as a solitary lesion or multiple small papules. Myxomas are occasionally seen in genetic syndromes such as the Carney Complex, in which patients may have […]
Malignant Fibrous Histiocytoma is a cancerous fibrous tissue abnormality that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices. Malignant Fibrous Histiocytoma is the most common soft tissue sarcoma in middle to late adulthood. The most common anatomic site for this lesion is the upper leg or buttock. They can arise from […]
Atypical Fibroxanthoma is a malignant fibrous tissue abnormality that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Atypical Fibroxanthoma is a low grade cancer that is related to the more aggressive malignant fibrous histiocytoma, which is larger and deeper in the skin. Atypical Fibroxanthomas occur most often on sun exposed areas such […]
Nodular Fasciitis is a benign common skin condition that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Nodular Fasciitis is a tender flesh colored nodule most often found on the extremities. The lesion begins in the muscle fascia and may extend into the subcutaneous layer of the skin. In most […]
Dermatofibromsarcoma Protuberans (DFSP) is a malignant fibrous tissue abnormality that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, DFSP resembles a large flesh colored/reddish brown protuberant nodule that may have an appearance of a keloid. They are most often found on the trunk and proximal extremities. DFSPs become larger […]
Acrochordons are one of the most common skin lesions that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Acrochordons, also called skin tags, clinically appear as a flesh colored soft papule. They are most often found on the eyelids, neck, axillae, underneath the breasts and groin. Typically, Acrochordons are asymptomatic unless […]
Chondrodermatitis Nodularis Helicis (CNH) is a very common skin condition I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, CNH appears as a tender red inflamed papule on the helix of the ear. CNH is a benign condition but can cause significant pain and discomfort. Typically, CNH appears on the ear […]
Subungual Exostosis is a benign fibrous tissue abnormality that I occasionally encounter in both my The Woodlands and Conroe dermatology offices. Clinically, Subungual Exostosis appears as a protrusion from below the end of the nail plate on the fingers and/or toes. Subungual Exostosis is most often found in women and appears pink to flesh colored. […]
Acral Fibrokeratoma is a benign fibrous tissue abnormality that I occasionally encounter in both my The Woodlands and Conroe dermatology offices. Acral Fibrokeratomas clinically appear on the fingers, toes, palms and soles and are usually a raised flesh colored scaly nodule that has a surrounding collarette at the base. Acral Fibrokeratomas may resemble an accessory […]
Angiofibromas are a very common benign fibrous tissue abnormality that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Angiofibromas are small flesh colored to red papules that are most commonly found on the ala of the nose. They can be removed by shave biopsy but tend to recur. Occasionally, Angiofibromas […]
Connective Tissue Nevi are benign skin lesions I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Connective Tissue Nevi typically occur on the chest and back and appear as yellow/orange slightly elevated plaques. They typically occur as multiple lesions. The texture of the Connective Tissue Nevi is described as resembling shagreen leather. […]
Tumoral Calcinosis is a type of Calcinosis Cutis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, the lesions are very large white nodules that appear in areas of increased pressure such as the joints of the elbow or knee. Typically, the skin is not involved as the calcium […]
Giant Cell Tumor of the Tendon Sheath is a benign fibrous tissue abnormality that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Giant Cell Tumor of the Tendon Sheath (GCTTS) is most commonly found on the hands and clinically presents as a 1cm or larger nodule. Although benign, these lesions […]
Dupuytren Contracture is a very common skin condition I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Dupuytren Contracture occurs when the palmar aponuerosis becomes very fibrotic and thick which appears as nodules on the palmar aspect of the hand. It is most common in men and with time can lead to […]
Desmoid Tumors are benign fibrous tissue abnormalities that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Desmoid Tumors are large well circumscribed nodules below the skin that originate from the fascia of the muscles. The most common location is the abdominal wall and they are most frequently seen during pregnancy. Although benign, […]
Knuckle Pads, also called heloderma, are a common skin condition that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Knuckle Pads are firm round plaques that form as thickenings over the dorsal portion of the finger joints. They reach sizes of approximately 1cm and typically persist indefinitely. Usually, they are flesh […]
Plantar Fibromatosis is a common skin condition that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Plantar Fibromatosis, also called Ledderhose’s disease, is very similar to Dupuytren’s Contracture in which nodules develop on the soles of the feet. Fibrosis develops along the plantar fascia and is typically idiopathic, no known cause. Treatment […]
Keloids are a very common skin lesion that I encounter frequently in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Keloids are scars which have grown excessively beyond their original borders into tender, firm protruding nodules. They can arise from trauma to the skin, surgical incisions, and even acne lesions. The most common […]
Angiosarcomas are malignant cutaneous vascular anomalies that I occasionally encounter in both my The Woodlands and Conroe dermatology offices. The most common setting of an Angiosarcoma is an elderly patient developing a red/purple nodule or patch on their head or neck region. Angiosarcomas are most common in men. Over time, Angiosarcomas become larger and may bleed easily […]
Epithelioid Hemangioendothelioma is a cutaneous vascular anomaly that I only rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices. Epithelioid Hemangioendotheliomas can be viewed as a skin lesion that behaves both clinically and histologically between a hemangioma and an angiosarcoma (malignant). Clinically, an Epithelioid Hemangioendothelioma begins as a red/purple nodule that slowly grows on […]
Kaposi Sarcoma is a malignant cutaneous vascular anomaly that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Kaposi Sarcoma can be divided into 5 subtypes: Classic Kaposi Sarcoma, African Cutaneous Kaposi Sarcoma, African Lymphadenopathic Sarcoma, AIDS Associated Kaposi Sarcoma, and Immunosuppressed Kaposi Sarcoma. Classic Kaposi Sarcoma is most commonly found […]
Spindle Cell Hemangioendothelioma is a benign cutaneous vascular anomaly that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Spindle Cell Hemangioendotheliomas typically appear as blue red nodules that occur localized in a cluster on an extremity. The etiology usually involves trauma to an underlying blood vessel. They can be excised […]
Proliferating Angioendotheliomatosis is a skin condition that I rarely encounter in my The Woodlands dermatology and Conroe dermatology offices. Two types of Proliferating Angioendotheliomatosis exists: a reactive type and a malignant type. The reactive type occurs in patients with any underlying systemic disease or infection. Clinically, red/purple lesions develop on the skin especially on the lower […]
Hemangiopericytoma is a cutaneous vascular anomaly that I very rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Hemangiopericytomas appear as a red or blue nodule on almost any anatomic skin location. When examined histologically, Hemangiopericytomas have characteristic “stag horn like” vascular spaces. It is difficult to determine a benign from […]
Glomus Tumors are benign cutaneous vascular anomalies that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Glomus Tumors typically arise underneath the nail plate and clinically have a blue color. They are very painful and are tender when pressure is applied. They arise from the neurovascular bundle present in the […]
Tufted Angiomas are benign cutaneous vascular anomalies that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Tufted Angiomas usually appear in early childhood and are typically located on the neck, chest and back. Tufted Angiomas are also called angioblastomas. Clinically, they are flat red lesions that can be up to […]
Microvenular Hemangiomas are benign cutaneous vascular anomalies that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, these lesions are slow growing red/purple nodules that typically appear on the extremities of young adults and do not have symptoms. They do not require treatment but if they become bothersome surgical excision […]
Glomeruloid Hemangiomas are benign vascular lesions that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Glomeruloid Hemangiomas appear as red nodules but there histology is unique from other hemangiomas in which they appear like a renal glomerulus in the kidney. These lesions can be seen in syndromes such as […]
Targetoid Hemosiderotic Hemangiomas are benign vascular anomalies that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, a Targetoid Hemosiderotic Hemangioma has a central red/purple nodule surrounded by a flat purpuric (bruise like) ring. These lesions are not usually present at birth and arise later in life. They are likely […]
Infantile Hemangiomas are the most common benign tumor in children and are composed of blood vessel capillaries. Approximately, 1/3 of Infantile Hemangiomas are present at birth and the rest appear soon after in the first few weeks of life. The majority of these lesions arise on the head and neck and clinically they have appear […]
Cherry Angiomas are one of the most common skin lesions that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Cherry Angiomas appear as small red papules and can be found on any anatomic location. They typically begin at age 30 and we accumulate more with time. Occasionally, Cherry Angiomas may […]
Angioma Serpiginosum is a benign cutaneous vascular anomaly that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Angioma Serpiginosum occurs as red papules that spread peripherally leaving an area of involution in the center. It is most commonly seen on the lower legs and 90% of cases occur in girls […]
Pyogenic Granulomas (also called Lobular Capillary Hemangiomas) are benign lesions composed of blood vessels that I frequently encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, a Pyogenic Granuloma is a red/purple nodule that grows rapidly and bleeds with incidental trauma. Pyogenic Granulomas occur at any age and are very common during […]
Angiolymphoid Hyperplasia with Eosinophilia (AHLE) is a rare skin disorder that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. AHLE is most common in females usually beginning after age 30. Clinically, painful red papules and plaques appear on the scalp around the ears. These lesions may also be seen in […]
Lymphangiomas are a very common cutaneous vascular anomaly that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Lymphangiomas (also called lymphangiectases) are enlargements of lymphatic vessels in the skin. Clinically, Lymphangiomas resemble “frogs eggs” as they are clear to flesh colored fluid filled papules. They can be found in various anatomic […]
Seborrheic Dermatitis arising on the penis is a very common skin condition I encounter in many patients in both my The Woodlands and Conroe dermatology offices. Seborrhea has a predilection for the penis and clinically appears as a red scaly plaque along the glans of the penis and the penile shaft. It is not contagious […]
Angiokeratomas of the Scrotum are a very common skin condition that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Angiokeratomas of the Scrotum appear as small red or purple papules that are superficially located along the scrotum. These lesions may bleed profusely if scratched. They are benign and if treatment is […]
Angiokeratoma of Mibelli is a type of cutaneous vascular anomaly that I frequently encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Angiokeratoma of Mibelli appears as small red papules that have a warty appearance. The most common location to find Angiokeratoma of Mibelli are the dorsal surface of the hands/feet, knees and elbows. […]
Melasma is a very common skin condition that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Melasma results from excess production of melanin (pigment) in the skin. Melasma is induced by UV interaction with the skin so strict sun protection is essential in preventing and treating Melasma. Both broad brimmed hats […]
Unilateral Nevoid Telangiectasia is a skin condition that I encounter in both my The Woodlands and Conroe dermatology offices. Clinically, Unilateral Nevoid Telangiectasia appears as a red patch of fine blood vessels in a localized area of the body. It typically appears in a dermatome which is an area of the skin innervated by a […]
Generalized Essential Telangiectasia (GET) is a skin disorder that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. In GET, veins and capillaries become dilated (enlarged) over a large area of the body. GET is not a manifestation of a systemic disease. It is most often seen in women in their 40s. […]
Telangiectasias are dilated blood vessels in the skin that I encounter very frequently in both my The Woodlands dermatology and Conroe dermatology offices. Telangiectasias can arise from venules, capillaries, or arterioles. Clinically, they appear as very fine red linear vessels with a tortuous course on the surface of the skin. Telangiectasias can occur on any […]
Venous Lakes are benign cutaneous vascular anomalies that I commonly encounter in both my the Woodlands dermatology and Conroe dermatology offices. Clinically, a Venous Lake appears as a small blue/purple papule that can be compressed to force the blood out resulting in a transient dissapearance of the lesion. The most common anatomic locations to find […]
Spider Angiomas are a very common skin lesion that I frequently encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, a Spider Angioma has a central red pin head size “body” with very small “legs” that project in all directions. When a Spider Angioma is pressed with a glass slide it can […]
Lymphangioma Circumscriptum, also called superficial lymphatic malformations, is a congenital malformation of the superficial lymphatics that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Lymphangioma Circumscriptum appears as deep seated vesicles/papules and are usually present at birth. The most common sites affected are the tongue, abdomen, axillae, and genitalia. […]
Arteriovenous Fistulas are benign cutaneous vascular anomalies that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. An Arterovenous Fistula forms when a connection is made between an artery and a vein and the normal capillary bed that blood diffuses through under low pressure is bypassed. Arteriovenous Fistulas may be acquired […]
Nevus Flammeus is a very common cutaneous vascular anomaly that I routinely encounter in both my The Woodlands dermatology and Conroe dermatology offices. Also called a port wine stain or a “stork bite,” Nevus Flammeus clinically appears as a pink/red patch on the posterior neck that occurs at birth. It is present in 5% of the […]
Angiokeratomas are benign cutaneous vascular anomalies that I encounter on a daily basis in both my The Woodlands dermatology and Conroe dermatology offices. Angiokeratomas are vascular malformations of veins and capillaries in the dermis and subcutaneous tissues. Clinically, Angiokeratomas appear as a blue/red papule. They are most commonly found on the legs but also can […]
Nevus Anemicus is a benign cutaneous vascular anomaly that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Nevus Anemicus begins at birth and is an area of skin that is paler than the surrounding skin. It usually has an irregular shape and is rather well defined. When the areas of skin […]
Eccrine Angiomatous Hamartoma is a benign cutaneous vascular anomaly that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Eccrine Angiomatous Hamartomas appear as a solitary blue nodule typically found on the hands and feet. They usually occur at birth and exhibit excessive sweating from the lesion and can be very […]
Phakomatosis Pigmentovascularis is a group of skin disorders in which patients have a combination of a vascular skin malformation(s) and a melanocytic skin lesion(s) that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. The skin lesions that may be involved in this disorder include nevus flammeus, nevus spillus, Mongolian spots, epidermal nevus, cutis […]
Solar Purpura is one of the most common skin conditions I encounter in both my The Woodlands dermatology and Conroe dermatology offices. It is most commonly seen on the dorsal aspect of the forearms and is due to the accumulation of UV damage in the skin which ultimately leads to atrophy (thinning) of the skin. […]
Stasis Dermatitis is one of the most common skin conditions I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Stasis dermatitis is a red sometimes blistering rash that develops on the lower legs when there is significant edema (swelling) in the legs. The blisters and bullae that develop on the leg consists […]
Acquired Partial Lipodystrophy (APL) is a skin condition in which there is markedly reduced subcutaneous fat and I occasionally encounter this skin disorder in both my The Woodlands dermatology and Conroe dermatology offices. APL is also called Barraquer-Simons syndrome and was the most common type of lipodystrophy prior to the introduction of HAART for HIV […]
Genital herpes is a very common skin disease and I encounter it very frequently in my The Woodlands dermatology and Conroe dermatology offices. Herpes Simplex Virus-2 (HSV-2) is the most common cause of genital herpes although some patients have genital herpes caused by HSV-1. It is estimated that 1/4 of all adults in the United […]
Herpetic Whitlow occurs when Herpes Simplex Virus (HSV) Type 1 or 2 infects the fingers, which I encounter frequently in my The Woodlands dermatology and Conroe dermatology offices. Most cases in children are caused by HSV-1 but the majority of adult cases are due to HSV-2 and is most common in women. Dentists and dental […]
Herpes Gladiatorum is a herpes infection that occurs amongst wrestlers and other athletes in contact sports involving skin to skin contact, which I encounter in my The Woodlands dermatology and Conroe dermatology offices. HSV-1 (the type that causes orolabial herpes) is the type of herpes virus, which most commonly causes Herpes Gladiatorum. 90% of all […]
Eczema Herpeticum, also called Kaposi Varicelliform Eruption, is a very common skin disorder I frequently encounter in my eczema patients in both my The Woodlands dermatology and Conroe dermatology offices. In patients with eczema flares, the cause of the flare may be superinfection with the herpes virus. Eczema patients have an impaired skin barrier, so […]
Gouty Panniculitis is a skin disorder that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Uric acid crystals deposit in the subcutaneous tissue in patients who have gout resulting in inflammation and pain. Treatment involves the lowering of the uric acid levels through the use of colchicine or allopurinol.
Orolabial Herpes (Cold Sores) is a very common dermatological condition, which I see routinely in both my The Woodlands dermatology and Conroe dermatology offices. Orolabial herpes is most commonly caused by HSV-1, whereas genital herpes is usually due to HSV-2. HSV-1 has a predilection for the trigeminal nerve ganglion, where it resides for a patient’s […]
Opthalmic Zoster is a severe complication that can occur when shingles involves the V1 branch of the trigeminal nerve as the eye can be involved causing severe ocular complications. Typically, I encounter Opthalmic Zoster about once a month in my The Woodlands dermatology and Conroe dermatology clinics. When the V1 branch of the trigeminal nerve […]
Zostavax is a live vaccine to prevent shingles indicated for patients 60 years of age and older. I encounter patients with questions about Zostavax on a daily basis in both my The Woodlands and Conroe dermatology clinics. As shingles can be life threatening as well as have significant morbidity, I recommend Zostavax to patients if […]
Cytophagic Histiocytic Panniculitis (CHP) is a type of panniculitis that I only rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices. CHP clinically presents as diffuse indurated red nodules which may have a bruise like appearance and can ulcerate. Many patients with CHP are febrile and develop systemic complications such as hepatosplenomegaly […]
One of the most common complications of shingles is the development of Post Herpetic Neuralgia, which is a very common skin disorder that I encounter daily in my The Woodlands dermatology and Conroe dermatology clinics. As the varicella zoster virus lays dormant in the dorsal root ganglion and travels along the nerves to cause an […]
Herpes Zoster (Shingles) is one of the most common skin conditions that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Shingles is a reactivation of the Varicella Zoster Virus (VZV), which causes chickenpox. After infection with chickenpox or vaccination with the chickenpox vaccine, the virus remains dormant in the dorsal root ganglion of the […]
Alpha 1 Antitrypsin Deficiency Panniculitis is a rare form of panniculitis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Alpha 1 Antitrypsin is an enzyme that normally circulates throughout the body and functions as an anti-protease enzyme. Patients who have a genetic deficiency in Alpha 1 Antitrypsin do not have the […]
Pancreatic Panniculitis is a skin condition that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. It arises most commonly from either pancreatitis or pancreatic carcinoma. Other causes of Pancreatic Panniculitis are pseudocysts, anatomic pancreatic abnormalities, or medication induced pancreatitis. The most common type of pancreatic cancer causing Pancreatic Panniculitis is […]
Sclerosing Lipogranuloma is a type of panniculitis that I encounter in both my The Woodlands dermatology and Conroe dermatology offices due to a granulomatous reaction to a foreign body implanted in the skin. Typically, the foreign body is injected for cosmetic purposes such as silicone or mineral oil. The formation of a Sclerosing Lipogranuloma may […]
Traumatic Panniculitis is a common skin condition that is encountered in both my The Woodlands dermatology and Conroe dermatology offices. Traumatic panniculitis occurs when the skin experiences trauma resulting in fat necrosis. The most common anatomic area for traumatic panniculitis is the breasts of women. Clinically, the skin lesion that manifests in traumatic panniculitis is […]
Post Steroid Panniculitis is a rare form of panniculitis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Post Steroid Panniculitis typically occurs in children who have taken very high doses of systemic steroids and then undergo rapid withdrawal of these steroids. Usually within a month tender indurated nodules arise in […]
Cold Panniculitis is a common skin condition that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Cold Panniculitis is mostly seen in infants and young children. Clinically, red indurated plaques develop within a few days on areas of the skin that have experienced a very cold object such as an ice […]
Subacute Fat Necrosis of the Newborn(SFN) is a rare type of panniculitis that I almost never encounter in my The Woodlands dermatology and Conroe dermatology offices. Typically, SFN occurs in the first month of life and most cases usually appear in the first week. Clinically, the skin develops painful red nodules on the back, buttocks, […]
Sclerema Neonatorum is a rare type of physical panniculitis that occurs in very ill premature infants. The skin of these infants develops an induration or hardening in the first few days of life. The hardening begins on the lower extremities or buttocks and rapidly progresses to involve the rest of the body. Typically, the palms […]
Nodular Vasculitis is a type of panniculitis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Nodular Vasculitis is a lobular panniculitis and is identical both clinically and histologically to another type of panniculitis called erythema induratum. The only difference between the two skin diseases is that erythema induratum is […]
Panniculitis – Pancreatic Panniculitis Pancreatic Panniculitis is a rare form of panniculitis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. It occurs in 2-3% of all patients with pancreatitis however some patients with this skin disease may only have subclinical pancreatitis or elevated levels of circulating serum pancreatic enzymes amylase […]
Lipodermatosclerosis is a very common form of lobular panniculitis that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Lipodermatosclerosis is a result of venous insufficiency in the lower legs typically occuring in obese patients. The skin below the knees becomes red, indurated and very painful. As the disease progresses, the legs […]
Erythema Nodosum, also called septal panniculitis, is the most common form of panniculitis that I encounter in both my The Woodlands dermatology and Conroe dermatology offices. Although, Erythema Nodosum can occur at any age and sex, it is most often seen in young adult females. Clinically, Erythema Nodosum appears as a spontaneous eruption of red/brown […]
Panniculitis, otherwise known as inflammation of the subcutaneous tissue, which is the third layer of the skin and commonly referred to as the fat layer, has many different etiologies. However, most types of panniculitis present with a similar clinical appearance of an indurated, tender nodule in the skin. Typically, a skin biopsy is needed to delineate the etiology […]
Grover’s Disease, also called Transient Acantholytic Dermatosis, is a blistering skin disease that I encounter occasionally in both my The Woodlands dermatology and Conroe dermatology offices. Grover’s disease is most commonly seen in men over age 50. Clinically, very fragile vesicles (blisters) appear on the chest, upper abdomen, and upper back and quickly rupture resulting […]
Childhood Linear IgA Disease is an autoimmune blistering skin disease that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices. Typically, this skin disease begins around age 2 and goes into remission by age 12. Clinically, blisters (bullae) develop on the buttocks and lower extremities as well as on the scalp and […]
Adult Linear IgA Disease is a skin blistering disease that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Adult Linear IgA Disease presents as either small vesicles similar to dermatitis herpetiformis or larger tense bullae as in bullous pemphigoid. The oral mucosa is involved in half of all patients with […]
Dermatitis Herpetiformis is a rare skin blistering disease that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Dermatitis Herpetiformis presents as very fragile vesicles (blisters) that quickly rupture leaving erosions and ulcers as this condition has intense itching. The most common anatomic areas affected are the frontal scalp, elbows, neck, […]
Cicatricial Pemphigoid is a rare skin blistering disease that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices. Also called benign mucosal pemphigoid, Cicatricial Pemphigoid is differentiated from other blistering diseases as it causes scarring of the skin and other organs it involves. Clinically, Cicatricial Pemphigoid begins as flaccid bullae (blisters) that rupture easily […]
Pemphigoid Gestationis is a rare skin blistering disease that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Pemphigoid Gestationis occurs during pregnancy or in the post partum period and is extremely rare occurring in one patient out of 40,000-50,000 pregnancies. The second trimester is the most common time at which […]
Bullous Pemphigoid is a skin blistering disease that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. The clinical appearance of Bullous Pemphigoid are large non-ruptured tense bullae (blisters). Unlike Pemphigus Vulgaris, the bullae in this skin disease are less fragile and are usually found intact. Also, Bullous Pemphigoid typically does […]
Neutrophilic IgA Dermatosis is a rare blistering disease of the skin that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, the blisters are very fragile and rupture quickly forming a crust or scab. Typically, the oral mucosa is not involved. Within the blisters pus is usually found since the […]
Paraneoplastic Pemphigus is a blistering disease of the skin that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. In general, a paraneoplastic condition is a reactive process that appears in direct correlation with an underlying malignancy or tumor. Typically, paraneoplastic conditions follow the time course of the underlying condition as they begin approximately the same […]
Pemphigus Erythematous, also called Senear-Usher Syndrome, is a rare blistering disease that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Pemphigus Erythematous typically presents as scaly red plaques that may resemble Lupus Erythematous hence the name. Occasionally, these plaques may develop bullae (blisters). The face is the most common area […]
Endemic Pemphigus, also called Fogo Selvagem, is a very rare blistering disease of the skin that I rarely ever encounter in either my The Woodlands dermatology and Conroe dermatology offices. Endemic Pemphigus is typically limited to Brazil but with international travel can be seen anywhere in the world. It is most common in children and young adults. Clinically, […]
Pemphigus Foliaceus is a blistering skin disease that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, patients experience fragile bullae (blisters) which quickly rupture and form a crusted scale. The chest and back are commonly affected areas and Pemphigus Foliaceus almost always spares the oral cavity. It is most […]
Pemphigus Vegetans is a blistering disease of the skin that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, Pemphigus Vegetans begans as a very fragile blister/bulla that quickly ruptures and develops a fungating like plaque that can be described as a “vegetation.” The most commonly affected areas are the […]
Pemphigus Vulgaris is a blistering disease that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Clinically, the lesions of Pemphigus Vulgaris are very fragile blisters (bullae) that rupture easily and leave erosions and ulcers on the skin. The oral cavity is the most common location for Pemphigus Vulgaris to arise […]
X Type Histiocytosis is a very rare disease that I only seldom encounter in both my The Woodlands dermatology and Conroe dermatology offices. X Type Histiocytosis is a disease of Langerhans cell proliferation that involves not only the skin but multiple organ systems such as the bones, spleen, liver, lymph nodes, endocrine glands, central nervous […]
Congenital Self Healing Reticulohistiocytosis (CSHR), also called Hashimoto-Pritzker Disease, is a very rare X-Type Histiocytosis that I would only rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices. CSHR usually occurs at birth and can occur as either a solitary or generalized variant. Clinically, the lesions in CSHR are red/brown nodules that […]
