The Department of Dermatology is a comprehensive department treating all skin conditions in patients of all ages, including the following:
Acne is a common condition caused by inflamed sebaceous glands and can present with black heads, pimples, cysts, infected abscesses and/or scarring. Dermatologists evaluate and treat acne in all ages, from infants to older adults. Considerations are given for skin type, extent and severity, hormonal abnormalities, and scarring and discoloration (the latter two which can be more prominent in patients of color). Treatments can include topical, oral and injection therapies, phototherapy, and cosmetic services for scarring and discoloration.
Aging skin is characterized by wrinkles, loss of muscle tone and sun damage (sun spots, liver spots, wrinkles), typically on the face, hands or chest. Various office procedures include cosmetic services such as chemical peels, Botox, fillers (such as Restylane), laser and topical treatments. We have special expertise in treating aging skin in patients of color.
Eczema (contact dermatitis), one of the most common skin diseases in the world, is characterized by redness, inflammation, scaliness and itching. Atopic dermatitis is a form of eczema associated with allergies and skin sensitivities. Chronic hand washing, dryness, irritants or allergens can cause dermatitis. Seborrheic dermatitis on the scalp, face or in and around the ears, is called â€œdandruffâ€ in adults and â€œcradle capâ€ in infants and babies. We offer extensive patch testing to identify and/or rule out potential allergens. Topical and oral therapies may be used, as might phototherapy.
Hair loss is also known as alopecia. Dermatologists are experienced in treating many forms of alopecia, including female and male pattern hair loss, hair loss due to medications, stress or other underlying medical conditions, and the hair loss conditions found more commonly in patients of color. Strategies may include oral or topical therapies. We also offer hair transplantation.
Keloids, excessive scar formation resulting from injury or surgery, can affect any one, but is more commonly seen in people of color. Treatments include injection therapy and laser therapy.
Melasma and dark spots are treated similarly. Melasma is a pigment disorder, which presents as darker, brown patches on the forehead, temple and cheeks and upper lip. Melasma is more common in women and most common in people of color. Dark spots, also known as post-inflammatory hyperpigmentation, occur at sites of injury or inflammation, such as from bites, scrapes or acne. Treatments for both melasma and dark spots include topical skin lightening, cosmetic procedures such as chemical peels, laser treatments and teaching patients appropriate use of sunscreens.
Nail disease includes a range of fungus, psoriasis, brittle nails and pigmented streaks on the nails. Oral medications and topical therapies are typically prescribed.
Pediatric dermatology is another area of expertise for the department. Pediatric dermatologists treat infants, children and adolescents for the full range of common childhood dermatological conditions, including:
Depending on the condition, pediatric tests and treatments include patch testing, laser therapies, phototherapy, punch grafting, immunotherapy (for autoimmune diseases), and topical, oral and injectable therapies.
Photosensitivity is an abnormal allergic reaction to sunshine.Patients with chronic episodes of photosensitivity are photo patch tested to see if the combination of sunlight and an allergen is causing the condition. Once it is determined what is causing the photosensitivity, approaches include guidance on eliminating the agent if present, and the careful use of non-irritating sunscreen. Other therapies are also available.
Psoriasis is a genetic autoimmune disease that presents with itchy, inflamed and red patches. Clinical management includes topical and injection therapies and phototherapy. Because psoriasis can be unsightly, there are psychosocial implications for many patients. The departmentâ€™s approach to psychocutaneous conditions offers support and further treatment.
Psychocutaneous conditions are a unique group of diseases, which the department is especially suited to treat. The department offers an interdisciplinary approach to dermatological diseases that often have psychological implications (severe psoriasis, for instance), as well as psychological conditions that impact the skin (for instance, a person who has hair loss due to a major trauma or who has a psychological addiction to picking the skin). Specific clinics are offered in which the dermatologist coordinates the skin care with the psychologist in order to maximize the best outcome for the patient.
Rosacea is a form of adult acne (sometimes related to sun damage), which can either present as redness in the central face, pustules near the nose and central cheeks, or near and on the eyelids. Treatment includes topical and oral therapies.
Sexually transmitted diseases often have skin implications, such as blisters, sores, rashes or genital warts. The department has expertise in treating these diseases with a faculty member who is a dermatologist especially trained in this field. Treatments include vaccination, surgical removal of warts, topical and oral therapies.
Skin cancer and melanoma. The department treats patients who have skin cancer or melanoma, as well as closely follows patients who are at risk for developing these conditions. Surveillance includes prevention strategies, staying up-to-date with personal and family histories, and frequent total body and skin examinations. For patients who are diagnosed with cancer, treatment is almost always surgical with the department offering expertise in the advanced and skin-sparing Mohs surgery. Surgery can often be supplemented with topical therapy and phototherapy.
Skin of color. There are many conditions â€“ acne, alopecia, vitiligo, among others -- that affect patients of color in special ways and these cases benefit from the expertise the department offers through its Skin of Color Center. A full staff of board-certified dermatologists with expertise in treating skin of color provides individualized and culturally sensitive care.
Vitiligo is an autoimmune disease that causes pigment loss. Treatment is determined by extent of disease, the location of the pigment loss and the normal skin color, and can include topical treatments, phototherapy, excimer laser and punch grafting for targeted areas, as well as vitamin therapies to aid in re-pigmentation. The department also addresses and looks for other forms of autoimmune diseases via its immunodermatology services.
St. Luke's Practice