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 […]

Sea Blue Histiocytosis is a type of histiocytosis that is very rarely encountered in both my The Woodlands dermatology and Conroe dermatology offices.  It is both an inherited disease and an acquired disease that can arise sporadically.  The hallmark of Sea Blue Histiocytosis is a histiocyte cell that stains bluish green using a Giemsa stain.  […]

Indeterminate Cell Histiocytosis is a rare type of Non-X Histiocytosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Indeterminate cells are the precursors of Langerhans cells but lack the distinctive intracellular Birbeck granules.  Indeterminate Cell Histiocytosis is most common in males and occurs equally across all ages.  Clinically, Indeterminate […]

Multicentric Reticulohistiocytosis is a rare Non-X Histiocytosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Multicentric Reticulocytosis usually appears after age 50 and is most common in women.  Patients present with reddish brown papules typically on the fingers around the nailfold and the clinical appearance has been termed “coral […]

Hereditary Progressive Mucinous Histiocytosis in Women is a rare type of Non-X Histiocytosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  In patients with this disease it is genetically derived and is transmitted either in an autosomal dominant or X-linked fashion.  It is exclusively found in women. Clinically, the skin […]

Papular Xanthoma is a type of Non-X Histiocytosis that I occasionally encounter in both my The Woodlands and Conroe dermatology offices.  Papular Xanthoma typically appears as multiple small yellow papules.  The lesions in Papular Xanthoma can be found anywhere on the body and have a predilection for the extensor surfaces.  In some instances, the lesions […]

Progressive Nodular Histiocytosis is a type of Non-X Histiocytosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a patient develops a nodule that has a superficial portion near the surface of the skin and a deeper portion that can extend into the fat layer of the skin.  Multiple […]

Xanthoma Disseminatum is a type of Non-X Histiocytosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, Xanthoma Disseminatum appears as yellow/red/brown papules and nodules that can occur anywhere on the skin but are most prevalent in the folds and creases as well as the eyelids.  Over time, the […]

Generalized Eruptive Histiocytosis is a rare Non-X histiocytosis skin disease that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a patient develops multiple yellowish nodules on the arms, chest and back with no internal involvement.  Generalized Eruptive Histiocytosis rarely occurs in children and is most often seen in adults.  […]

Benign Cepahlic Histiocytosis is a type of Non-X Histiocytosis that I rarely encounter in my The Woodlands dermatology and Conroe dermatology offices as it occurs in children less than 5 years of age.  Red yellow papules occur on the head first and later appear on the neck and trunk.  The lesions in Benign Cephalic Histiocytosis […]

Juvenile Xanthogranuloma (JXG) is the most common Non-X Histiocytosis and I occasionally encounter this skin disease in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, JXG appears as a small red/pink nodule with a yellowish tinge that usually occurs on the head and neck.  90% of all JXGs are solitary.  In most cases, […]

Histiocystoses is a category of skin disease that is composed of dysregulation of a type of white blood cell called a histiocyte which is either a macrophage or a Langerhans cell.  The category of Histocytoses is further sub divided into the Non-X Histiocytoses composed of macrophages and the X Histiocytoses composed of Langerhans cells.  The Non-X Histiocytoses include: Juvenile […]

The treatment of cutaneous sarcoidosis is typically with topical corticosteroids or intralesional injection of 3mg/cc of Kenalog.  As the cutaneous lesions are usually asymptomatic the goal of treatment is to prevent the cosmetic disfigurement of sarcoidosis.  Systemic steroids are very effective but a high dose is generally needed, thus many side effects can result from […]

Erythema Nodosum is a very common condition seen in sarcoidosis that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Eythema Nodosum is a non-specific cutaneous manifestation of sarcoidosis meaning that it is a reaction to a patient having the disease but when biopsied the skin does not have any sarcoidal granulomas […]

Morpheaform Sarcoidosis is a rare manifestation of cutaneous Sarcoid that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Morpheaform Sarcoidosis clinically appears like morphea in which the overlying skin is very indurated and scar like with a pink/red/purple hue.  The histology of this variant resembles Sarcoid and has no microscopic features of […]

Ichthyosiform Sarcoid is a cutaneous variant of Sarcoidosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Ichthyosis is a condition in which scaly plate like coverings occur across the superficial portion of the skin. Ichthyosis can be acquired via medications or through the development of conditions such as Sarcoidosis, […]

Erythrodermic Sarcoid is a rare manifestation of Sarcoidosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Typically Erythrodermic Sarcoid begins as scaly red plaques scattered throughout the body.  As they become larger, they coalesce into a diffuse all encompassing rash that covers the entire body.  A handful of skin […]

Ocular Sarcoidosis is a condition I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Approximately 20% of patients with Sarcoidosis experience ocular involvement.  From a dermatologic standpoint, lacrimal gland enlargement is the most apparent finding.  The lacrimal gland produces tears and enlarges so that it can be seen protruding from underneath […]

Subcutaneous Sarcoid is a rare type of Sarcoidosis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Subcutaneous Sarcoid clinically appears as indurated red nodules usually located on the arms, legs, chest and back.  The inflammation is located in the third layer of skin. the subcutaneous tissue.  Subcutaneous Sarcoid is […]

Macular Sarcoid is a very common form of cutaneous Sarcoidosis that I encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Macular Sarcoid clinically appears as flat brown/red lesions usually located on the head and neck.  The appearance of Macular Sarcoid may occasionally be mistaken for granulomatous rosacea both clinically and histologically.

Lupus Pernio is a subtype of Sarcoidosis which I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Lupus Pernio is unrelated to Lupus but is a rather disfiguring form of Sarcoidosis that typically appears as brown to purple plaques affecting the skin of the head and neck.  The skin lesions in […]

Annular Sarcoidosis is a cutaneous morphological variation of Sarcoid that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  The lesions in Annular Sarcoidosis have a ring like circular shape.  The color of Annular Sarcoid is usually reddish brown but may also appear pink.  The lesions in Annular Sarcoid may resolve with […]

Papular Sarcoid is the most common cutaneous morphology of sarcoidosis which I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Papular Sarcoid lesions are small raised “bumps” that may have a red, brown or flesh colored appearance.  They are most commonly located on the head and neck.  Occasionally, the papules may fuse […]

Sarcoidosis is a systemic disease of granulomatous inflammation that commonly affects the skin and I occasionally encounter this disease in both my The Woodlands dermatology and Conroe dermatology offices.  Approximately, 25% of patients with Sarcoidosis have cutaneous involvement.  Commonly affected organ systems are the lungs, kidneys, heart, lymph nodes, eyes, bones, spleen, liver and central […]

Soft Tissue Melanoma is a rare cancer that is not commonly encountered in my The Woodlands dermatology and Conroe dermatology offices.  Also called clear cell sarcomas, Soft Tissue Melanomas are usually located below the skin attached to fascia and muscle tendons.  Clinically, Soft Tissue Melanomas appear as deep nodules underneath the skin.  The foot and ankle are the […]

Amelanotic Melanoma is a rare variant of melanoma that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Amelanotic Melanoma “breaks the rule” of other melanomas in that it does not have clinically apparent pigment so these melanomas do not have the characteristic black, brown or blue coloration.  Thus, detection of […]

Desmoplastic Melanoma is a type of melanoma that I occasionally encounter in my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Desmoplastic Melanoma does not have the typical features seen in a classic melanoma as its histopathology differs in that it has a more scar like pattern, thus its clinical appearance may be that […]

Polypoid Melanoma is a rare subtype of melanoma that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Polypoid Melanoma is a clinical variant of a Nodular Melanoma.  It appears as a Nodular Melanoma but has a narrow stalk at the base attaching it to the skin surface.  Although most Polypoid […]

Mucosal Melanoma is a rare type of melanoma which occurs in the mucosa of the oral cavity, vulvar region, nasal mucosa or the anal area that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Mucosal Melanomas begin with a horizontal (radial) phase that is in situ and hasn’t become invasive.  However, due to the […]

Nodular Melanoma is a subtype of melanoma which I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Nodular Melanoma is very aggressive as it arises without a horizontal (radial phase) so it has no in situ component.  Thus, it is invasive from its inception; however, it is still of utmost importance to […]

Acral Lentiginous Melanoma is a subtype of melanoma that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Acral Lentiginous Melanoma is the most common subtype affecting darker skinned patients and Asians and occurs at sites such as the hands, feet and nail unit.  The thumb and great toe are the most […]

Superficial Spreading Melanoma is a subtype of melanoma that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Superficial Spreading Melanoma can occur with almost equal frequency on both sun damaged and sun protected skin.  Clinically, a Superficial Spreading Melanoma is a flat pigmented lesion that has multiple different colors throughout such […]

Lentigo Maligna is a subtype of Melanoma that I commonly encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Lentigo Maligna typically occurs on sun-exposed areas such as the face.  Clinically, a Lentigo Maligna appears as a brown/black enlarging flat patch with multiple colors and irregular edges.  Fortunately, Lentigo Maligna has a prolonged […]

Melanoma is a very lethal skin cancer that I frequently encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Melanomas arise from melanocytes which are pigment producing cells that can become cancerous.  The majority of Melanomas arise from the melanocytes found at the dermoepidermal junction which is in the upper portion of the […]

Deep Penetrating Nevus is a benign melanocytic lesion that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, Deep Penetrating Nevi present as a pigmented papule on the head and neck region.  They are most common in young adults.  Histologically, they may be confused with a melanoma at first glance […]

Malignant Blue Nevus is very rare and I fortunately do not encounter this lesion very often in both my The Woodlands dermatology and Conroe dermatology offices.  A Malignant Blue Nevus is a melanoma arising within a Blue Nevus and is treated with wide excision and possibly sentinel lymph node biopsy.  Clinically, a Malignant Blue Nevus […]

Epitheloid Blue Nevi are a benign menlanocytic lesion that I occasionally encounter in both my The Woodlands and Conroe dermatology offices.  Epitheloid Blue Nevi are a rare type of Blue Nevus and are usually seen in patients that have the genetic syndrome Carney Complex as one of the cutaneous features.  Clinically, Epitheloid Blue Nevi appear identical to […]

Cellular Blue Nevus is a variant of a Blue Nevus that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Cellular Blue Nevus is a large dark blue nodule typically located in the lower back region and buttocks.  Females are over 2X more likely to have a Cellular Blue […]

Candida albicans is a yeast which is part of the normal flora of the skin, gastrointestinal tract and genitourinary tract.  Candida usually remains quiescent and does not become a human pathogen unless the right conditions emerge.  In patients on long term antibiotic usage, the normal bacterial flora can diminish and allow Candida to become pathogenic […]

Blue Nevus of Jadassohn-Tiche (also called Common Blue Nevus) is a very common type of Blue Nevus which I encounter frequently in both my The Woodlands dermatology and Conroe dermatology offices.  Common Blue Nevi usually occur at a very early age and appear as a blue/grey/black macule or papule and may be mistaken for “pencil […]

Blue Nevi are very common melanocytic nevi which I encounter frequently in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Blue Nevus appears as a very dark blue or black macule or papule.  There are multiple types of Blue Nevi: Blue Nevus of Jadassohn-Tiche, Cellular Blue Nevus, Epithelioid Blue Nevus, Amelanotic Blue Nevus, and […]

Nevus of Ito is a benign melanocytic nevus that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Nevus of Ito is very similar to a Nevus of Ota but the blue/black patch overlies the side of the neck, supraclavicular area and the shoulder.  Nevus of Ito follows the […]

Nevus of Ota is a a melanocytic proliferation that occurs around the eye which I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  The skin innervated by the first and second branch of the trigeminal nerve is typically involved.  The affected area will have a bluish grey color and the sclera […]

Dysplastic Nevi are one of the most common skin lesions I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Dysplastic Nevi are melanocytic nevi that usually have an atypical clinical appearance with multicoloration, irregular borders, and/or increasing size with atypical histological features.  Although Dysplastic Nevi are benign, they can be viewed as pre-malignant […]

Spitz Nevi are benign melanocytic nevi that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Spitz Nevi are most often found in children but adults account for 1/3 of all cases.  Typically, a Spitz Nevus is a solitary pink papule but some can be heavily pigmented with a very black […]

Halo Nevi are very common melanocytic nevi that I frequently encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Halo Nevus appears like a normal brown/black melanocytic nevus with a white depigmented ring around it that resembles a halo.  Halo Nevi are most commonly seen in children and adolescents.  The halo […]

Balloon Cell Nevus is a benign melanocytic nevus which I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  The clinical appearance of a Balloon Cell Nevus is identical to the common melanocytic nevus.  The histologic appearance is what defines a Balloon Cell Nevus, as the melanocytes appear like balloons.  In some Balloon […]

A Recurrent Nevus is a very common skin condition that I encounter on an almost daily basis in both my The Woodlands dermatology and Conroe dermatology offices.  A Recurrent Nevus is usually a previously biopsied nevus that ultimately repigments months to years after the original biopsy.  In most cases, the biopsy technique was a shave […]