MEDICAL DERMATOLOGY

Full Body Skin Exam

Full Body Skin exams are an essential method for detecting benign or cancerous lesions that may otherwise go unnoticed by patients. Even though many areas of the body are protected from the sun by clothing, potentially dangerous lesions such as melanoma skin cancer can arise and be harder to detect in areas such as the scalp, back, legs, and bottoms of the feet. With full body skin exams, we can often find suspicious growths in a timely manner that will allow early treatment. This quick and painless measure is a valuable tool to assist Dr. Lambert in providing the best screening possible for our patients.

Acne Treatment

Acne is a skin condition that presents as plugged pores, pimples, and even cystic nodules. It typically affects the face, neck, chest, and back of teenagers; however, some patients notice the onset of acne as an adult. Acne can be very frustrating to the patient and have negative effects on a patient’s self-image, especially when scarring occurs. Therefore, the treatment of acne is very important to prevent permanent scarring.

There are many misconceptions about acne. It is not usually caused by foods or having a dirty face. It is important to wear non-comedogenic makeup (won’t clog pores) and wash the face twice daily with a gentle cleanser to remove oily debris. Adult-onset acne may be related to hormonal changes associated with childbirth, menopause, or stopping birth control pills. It is useful to note whether your acne flares around periods.

There are many different treatment options for acne. It is important to remember that what works well for one person’s acne may not work for others. Depending on the severity and extent of skin lesions, Dr. Lambert will provide you with a customized acne treatment plan to fit your personal skin type. Once your skin is clear, it is important to use maintenance treatments to prevent acne from returning. Options for acne treatment include:

  • Topical creams, gels, or lotions
  • Oral antibiotics
  • Accutane (isotretinoin)
  • Acne surgery (blackhead extraction)
  • Chemical peels
  • Microdermabrasion
  • Skin care products

Warts

Warts are common skin growths caused by the human papillomavirus (HPV). It has been estimated that up to 1 in 20 school age children will have warts. Common warts usually affect the hands of children or adults with significant water exposure, which softens the skin and allows penetration of the wart virus. Plantar warts occur on the soles of the feet and may be annoyingly painful with walking. Flat warts tend to be very small and appear in large numbers. They can appear on the face of children, but are also seen on the beard area of men and legs of women due to shaving. Warts are contagious and can be spread from one person to another with skin contact.

In most cases, the natural course of warts is to disappear without treatment over months to years. If warts are troublesome to the patient, painful, or spreading rapidly, the patient should see a Dermatologist. Warts in adults may not go away without proper treatment. Dr. Lambert is very skilled in the most advanced techniques for wart removal. There are several painless options, which are especially important for children.

Treatments include:

  • Cryotherapy (freezing with liquid nitrogen)
  • Topical “peeling” agents
  • Immunotherapy
  • Curettage (scraping out the root)

Psoriasis Treatment

Psoriasis is a common inflammatory skin condition with persistent red patches covered with thick, silvery scale. It typically affects the elbows, knees, trunk, scalp, palms and soles. It can also affect the nails. The cause is not known; however, it tends to run in families and may be due to an overactive immune response. It is not an infection or contagious to other people.

Psoriasis is often triggered or worsened by several factors. These include stress, strep infection, and oral medications. It tends to flare or worsen during the winter due to low humidity, cold air, and lack of sunlight exposure. Some psoriasis patients notice the “Koebner phenomenon,” which refers to the appearance of new skin lesions at sites of skin trauma.

It is estimated that 10-30% of psoriasis patients also develop painful, stiff, or swollen joints called psoriatic arthritis. It can develop at any time, but it appears between the ages of 30 and 50 in most patients. It is important to tell your Dermatologist if you experience these symptoms because early recognition and treatment can prevent progressive joint deformity and disability.

Dr. Lambert can create a treatment plan personalized to specific needs and disease severity. Therapeutic advances are constantly developing and giving new hope to patients who suffer chronically from this disease.

Psoriasis treatments include:

  • Topical creams and ointments
  • Light therapy (ultraviolet phototherapy in the form of medical-grade tanning bed treatment)
  • Oral medications
  • Biologic therapies (at-home injections)