Dermatology Blog

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 […]

Melanoacanthoma is a benign melanocytic nevus that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  The appearance of a Melanoacanthoma is very similar to a pigmented seborrheic keratosis, which is a black scaly plaque that seems to be “stuck on” the skin.  Histologically, Melanoacanthomas have features of both a seborrheic […]

Becker’s Nevus is a benign melanocytic nevus that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  It is most often found in men and first appears around the beginning of adolescence.  Clinically, a Becker’s Nevus is a solitary brown/hyperpigmented large patch typically found on the upper arms, shoulders and upper back/chest.  Most […]

Partial Unilateral Lentiginosis is a rare melanocytic condition that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  In Partial Unilateral Lentiginosis, small brown melanocytic nevi develop on one half of the body.  The melanocytic nevi may be located on the entire half of the body or in one localized area.  […]

Centrofacial Lentiginosis is a skin condition that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices in which a patient develops multiple lentigines, small flat brown macules, on their central face.  Patients typically develop Centrofacial Lentiginosis early in life and it is sometimes associated with underlying abnormalities in the spine and central […]

Solar Lentigos, also called Lentigo Senilis or Liver Spots, are one of the most common skin lesions that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Solar Lentigo is a brown circular macule found on sun exposed areas.  Essentially, they can be thought of as large freckles.  Sun damage causes Solar Lentigos and […]

Lentigo Simplex are very common benign melanocytic nevi which I encounter frequently in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Lentigo Simplex appears as a small brown/black macule.  They usually are 1mm or smaller in size.  Lentigo Simplex is not caused by the sun and can be found anywhere on the […]

Nevus Spilus, also called speckled lentiginous nevus, usually appears at birth and affects 1-2% of the population so I frequently encounter this skin lesion in both my The Woodlands dermatology and Conroe dermatology offices.  A Nevus Spilus is a melanocytic nevus and has the clinical appearance of a “chocolate chip cookie” as there are small […]

Melanocytic Nevi are one of the most common skin lesions that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Melanocytes are cells which produce melanin and nevi/nevus are skin lesions comprised of an aggregation of melanocytes.   Essentially, the common term “mole” applies to Melanocytic Nevi.  Most Melanocytic Nevi begin in childhood and […]

Tumors of the Follicular Infundibulum are benign hair follicle neoplasms that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Tumor of the Follicular Infundibulum is a flat scaly papule or plaque that is most commonly found on the face and can also be seen on the neck.  They […]

Folliculosebaceous Cystic Hamartoma is a benign hair follicle neoplasm that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, they appear as a single lesion on the face and scalp and are flesh colored nodules under 1cm in size.  The nose is the most common anatomical location to find a […]

Basaloid Follicular Hamartomas are benign hair follicle neoplasms that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, they consist of either a solitary papule or multiple papules coalescing into a plaque.  They are most often found on the face and scalp.  They cause hair loss in the area which they arise.  In some […]

Trichoadenomas are benign hair follicle neoplasms that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, Trichoadenomas are scaly warty like growths that have the appearance of a seborrheic keratosis.  They usually arise as single lesions on the face but can be located on any anatomic area.  They are differentiated […]

Pilar Sheath Acanthomas are clinically identical to Dilated Pores of Winer and I occasionally encounter them in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Pilar Sheath Acanthoma appears as a dilated pore and is most commonly found on the face.  The only difference between a Pilar Sheath Acanthoma and a Dilated Pore […]

Dilated Pore of Winer is an extremely common skin lesion that I encounter on a daily basis in both my The Woodlands and Conroe dermatology offices.  Essentially, a Dilated Pore of Winer is a distinctively larger pore on the face that may appear to be a “hole.”  Dilated Pore of Winer ranges in size from […]

Birt Hogg Dube Syndrome is a genetic syndrome that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  It is due to a genetic mutation in the gene folliculin.  Patients with Birt Hogg Dube manifests three benign hair follicle neoplasms: Fibrofolliculomas, Trichodiscomas, and Perifollicular Fibromas.  Clinically, all three of these lesions […]

Trichilemmomas are benign hair follicle neoplasms that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Trichilemmomas appear clinically as small flesh colored papules on the face and may be mistaken for basal cell cancers.  Trichilemmomas are usually solitary but when they are multiple it is worrisome for Cowden’s Syndrome.  Patients […]

Desmoplastic Trichoepithelioma is a benign hair follicle neoplasm and a rare variant of a Trichoepithelioma that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Desmoplastic Trichoepithelioma appears like a basal cell cancer with a rolled border and a can have a central depression called a “central dell.”  Desmoplastic […]

Trichoepitheliomas are benign hair follicle neoplasms that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  The most common anatomic location for a Trichoepithelioma is the face.  Clinically, Trichoepitheliomas are flesh colored nodules and may be mistaken for basal cell cancers.  Treatment of Trichoepitheliomas is surgical excision if desired.  Most Trichoepitheliomas […]

Trichoblastomas are benign hair follicle neoplasms that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Trichoblastomas arise from the hair follicle’s germinative cells.  Clinically, Trichoblastomas appear as flesh colored nodules.  The most common anatomical location to find a Trichoblastoma is the scalp.  Trichoblastomas do not usually occur until adulthood and […]

Trichofolliculomas are hair follicle neoplasms that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Trichofolliculomas are benign and clinically appear as flesh colored small papules with a characteristic group of small fine hairs protruding through the center of the lesion.  They are most commonly found on the head and neck.  […]

Pilomatricomas, also called Calcifying Epithelioma of Malherbe, are benign hair follicle neoplasms that arise from the hair matrix cells and I occasionally encounter these skin lesions in both my The Woodlands dermatology and Conroe dermatology clinics.  The most common anatomical location for a Pilomatricoma is the face and neck.  They are occasionally found on the […]

Juvenile Plantar Dermatosis is a type of Eczema that occurs in children and I occasionally encounter this skin disease in both my The Woodlands dermatology and Conroe dermatology offices.  Typically, a scaly red plaque develops on the large toe and progresses to the weight bearing areas of the feet with a predominance for the forefoot […]

Xerosis, dry skin, is one of the most common causes of Eczema and I encounter this form daily in both my The Woodlands dermatology and Conroe dermatology offices.  Xerotic Eczema is also called “Winter’s Itch” as the decrease in humidity during the Winter and increase usage of heaters exacerbates this condition.  Clinically, Xerotic Eczema appears […]

Hand Dermatitis is a very common form of Eczema that I encounter on a daily basis in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, the hands develop scaly red plaques that on the fingers and palms which can ultimately become very thick and develop cracks and fissures.  Excessive hand washing worsens Hand […]

Nummular Eczema is a very common type of Eczema, which I encounter on a very frequent basis in both my The Woodlands dermatology and Conroe dermatology offices.  Nummular Eczema is most often found on the legs and arms and occasionally on the trunk.  The itching in Nummular Eczema can be severe.  Clinically, the skin lesions in […]

Apocrine Gland Carcinoma is very rare and fortunately I do not encounter it often in my The Woodlands dermatology and Conroe dermatology offices. Typically, Apocrine Gland Carcinoma appears as a deep mass in the anogenital area or axilla (armpits).  It is very aggressive as up to 50% of cases have metastasis.

Nipple Eczema is a very common skin condition, which I encounter frequently in both my The Woodlands dermatology and Conroe dermatology offices.  Nipple eczema appears as scaly red plaques on the areola or nipple.  It is typically bilateral (on both sides) and is more concerning if it is unilateral (on one side only) as there is […]

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 […]

Aggressive Digital Papillary Adenocarcinoma is a very aggressive skin cancer that I fortunately rarely encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  The most common location to find an Aggressive Digital Papillary Adenocarcinoma is on the finger between the nail plate and the distal interphalangeal joint.  Clinically, these cancers resemble a flesh […]

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 […]

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 […]

Microcystic Adnexal Carcinomas are malignant eccrine neoplasms that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, Microcystic Adnexal Carcinomas appear as a pearly or flesh colored papule or nodule on the face. The upper lip and nose are the most common areas to find Microcystic Adnexal Carcinomas.  Metastasis is […]

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 […]

Syringocystadenoma Papilliferum is a benign sweat gland neoplasm that usually arises in a Nevus Sebaceous on the scalp and I only occasionally encounter this skin lesion in both my The Woodlands dermatology and Conroe dermatology clinics.  Approximately, 50% of Syringocystadenoma Papilliferum lesions are present at birth and the rest arise later in life.  Syringocytadenoma Papilliferum […]

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 […]

Eczema, also called Atopic Dermatitis, is one of the most common skin conditions that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Eczema can occur at any age but is most common in young children.  In children with Eczema, the disease is usually inherited as one or both parents may manifest […]

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 with surgical excision.

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 […]

Malignant Chondroid Syringoma is a maligant Eccrine Neoplasm that I rarely encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Unlike the benign version which occurs most often on the head and neck, Malignant Chondroid Syringomas are most often found on the trunk and extremities.  Malignant Chondroid Syringomas clinically appear as very large […]

Phototherapy is a treatment option for some patients with Psoriasis.  There are various light sources that can deliver radiation that can slow the growth of keratinocytes (skin cells) in Psoriasis.  Narrow Band UVB is one of the most common and effective light sources for treating Psoriasis.  It delivers UVB light at 311nm which the Psoriasis […]

Cylindromas are benign Eccrine Neoplasms that typically appear on the face and scalp and I occasionally encounter them in both my The Woodlands dermatology and Conroe dermatology offices.  Cylindromas usually occur as a single lesion and appear as a firm skin colored nodule.  They can be easily mistaken for Pilar Cysts.  There is a genetic […]

Malignant Eccrine Poromas are the most common form of sweat gland cancer and fortunately I only rarely encounter them in both my The Woodlands dermatology and Conroe dermatology offices.  Clinically, a Malignant Eccrine Poroma appears very similar to a benign Eccrine Poroma, however they are more likely to ulcerate or develop a black nodule.  Malignant […]

Eccrine Poromas are benign eccrine neoplasms that I occasionally encounter in my The Woodlands dermatology and Conroe dermatology offices.  Eccrine Poromas have histological variants called Hidroacanthoma Simplex and Dermal Duct Tumors.  Eccrine Poromas are most often found on the soles of the feet and appear as a red/brown nodule that may be encased in a […]

Spiradenomas are rare benign sweat gland tumors that usually occur on the chest, neck, face and scalp and I occasionally encounter them in both my The Woodlands dermatology and Conroe dermatology clinics.  Spiradenomas typically occur as solitary 1cm or larger nodules.  The skin covering Spiradenomas appears normal as the lesion is very deep in the […]

Syringomas are a common benign skin lesion that arises from sweat ducts and I occasionally encounter them in both my The Woodlands dermatology and Conroe dermatology offices.  Syringomas appear as yellowish small papules on the eyelids and upper face but can be found in other anatomic areas.  There is rare variant of eruptive syringomas in which […]

There is a relatively new class of medicines collectively called the Biologics which work on the chemical mediators of Psoriasis. Tumor Necrosis Factor alpha (TNF alpha) is an important mediator of Psoriasis which induces the inflammation of Posriasis and there is a class of Biologics called the TNF alpha inhibitors which include Enbrel, Humira and Remicade.  These […]

Psoriatic Arthritis occurs in 5% of patients with Psoriasis and I commonly encounter this disease in both my The Woodlands dermatology and Conroe dermatology offices.  Pustular Psoriasis is the most common type of Psoriasis in which patients experience Psoriatic Arthritis.  Approximately 50% of patients have the HLA-B27 genetic marker which is seen in other forms […]

Cyclosporine is considered a “rescue drug” for severe Psoriasis flares, especially pustular Psoriasis so I occasionally prescribe this medicine for patients in my The Woodlands dermatology and Conroe dermatology clinics.  Cyclosporine is an immunosuppressive drug that was initially used to prevent organ transplant rejection but is FDA approved for treating severe Psoriasis.  Neoral is a […]

Hidrocystomas are very common eccrine neoplasms (sweat gland tumors) that I encounter frequently in both my The Woodlands dermatology and Conroe dermatology clinics.  Hidrocystomas are benign flesh colored papules that may have a bluish appearance.  Hidrocystomas are most often found in women.  They are most often found around the eyelids and can be clinically mistaken for […]

Methotrexate is a systemic medicine FDA approved for the treatment of severe Psoriasis and has efficacy in the treatment of Psoriatic arthritis and I occasionally manage and prescribe this medicine in both my The Woodlands dermatology and Conroe dermatology offices.  Methotrexate is usually prescribed in pill form which is taken once a week.  There is […]

Topical treatments for Psoriasis are the most commonly used and the safest of the treatment modalities for Psoriasis and I prescribe them to my patients on a daily basis in both my The Woodlands dermatology and Conroe dermatology offices.  Topical medicines come in many different forms which include creams, ointments, solutions, gels, sprays and shampoos.  […]

Seborrheic Dermatitis and Psoriasis are distinct skin diseases but have many similarities that can occasionally overlap into a skin condition called Sebopsoriasis, which I encounter on a daily basis in both my The Woodlands dermatology and Conroe dermatology clinics.  Sebopsoriasis is found on the scalp and face and usually occurs when seborrheic dermatitis is not […]

Although the majority of patients with Psoriasis have a genetic component responsible for the disease, some patients may experience a limited course of Psoriasis due to medicines which I routinely encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Drug induced Psoriasis can also occur in patients with Psoriasis in which they have […]

Geographic Tongue, also called Benign Migratory Glossitis, is a condition of the oral mucosa that occurs in 3% of the population and I encounter this skin disease in both my The Woodlands dermatology and Conroe dermatology clinics.  Geographic Tongue occurs with increased incidence in Psoriasis patients.  Clinically, the tongue appears to change in appearance on […]

Nail changes are a very common finding in Psoriasis and I encounter Psoriatic nails often in both my The Woodlands dermatology and Conroe dermatology offices.  Up to 50% of all patients with Psoriasis exhibit signs of Psoriatic nail involvement.  Only 5% of patients with Psoriatic nails have no cutaneous signs of Psoriasis.  There are many […]

Impetigo Herpetiformis is a term for Pustular Psoriasis of Pregnancy and I occasionally encounter this form of Psoriasis in both my The Woodlands dermatology and Conroe dermatology offices.  Impetigo Herpetiformis usually occurs in the 3rd trimester and is usually seen in women with no prior history and no family history of Psoriasis.  Essentially, the pregnancy […]

Erythrodermic Psoriasis is the rarest form of Psoriasis occuring in approximately 1% of all Psoriasis patients during their lifetime, thus I do not encounter this type very often in my The Woodlands dermatology and Conroe dermatology offices.  Erythrodermic Psoriasis occurs when the entire skin becomes red and scaly, essentially one very large Psoriasis plaque.  This […]

Inverse Psoriasis is a type of Psoriasis which occurs in the skin folds and I encounter this skin disease often in both my The Woodlands dermatology and Conroe dermatology offices.  It is considered the “hidden Psoriasis” as the plaques are found in the axilla (underarms), groin, underneath the breasts, and below protuberant abdomens.  Friction, heat and […]

Acrodermatitis Continua of Hallopeau, also called Dermatitis Repens, is considered a subtype of Pustular Psoriasis and I occasionally encounter this skin disease in both my The Woodlands dermatology and Conroe dermatology offices.  Acrodermatitis of Hallopeau is most commonly seen in middle aged women and may begin after trauma to the fingers or toes.  Clinically, it […]