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Medical Dermatology

Kathrene Tajnert, M.D.

October 31, 2024 by

Angela Bowers, M.D.

October 31, 2024 by

Skin Cancer

October 24, 2024 by westdermcorp

Early detection of skin cancer plays a critical role in recovery and survival rates.

Skin cancer is defined as the growth of abnormal cells in the outer layer of the skin. A diagnosis of skin cancer means that a person has out-of-control, malignant skin cell growth.

This condition can ultimately be fatal when left untreated or undiagnosed. Skin cancer can grow unchecked and infiltrate other parts of the body.

A comprehensive skin exam with your dermatologist is the first line of defense against skin cancer.

What are the Symptoms of Skin Cancer?

The most common type of cancer, skin cancer, can range from very mild types to those that are life-threatening. Because of this, it’s vital to catch it as early as possible.

To do so, you need to know the common symptoms. In most cases, these include:

  • Bleeding sore that heals but then returns
  • Pearly or waxy bump on skin
  • Flat lesion with a scaly, crusted surface
  • Mole that changes color or size
  • Lesions with irregular borders

Since these symptoms can be associated with various types of skin cancers, it is crucial that you not delay in seeking the advice of your Southlake Dermatology provider to get a proper diagnosis.

Types of Skin Cancer

If you are unfamiliar with skin cancer, you should realize there are multiple types of skin cancer, some of which are mild while others are quite serious.

The most common types of skin cancer are:

  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Melanoma

Basal cell carcinoma is usually found on sun-exposed areas such as the neck or face. Signs of this cancer include flat lesions that are flesh-colored or have a scar-like appearance, as well as a sore that won’t heal or heals and then returns.

Squamous cell carcinoma usually appears on the ears or hands. Characterized by a flat lesion with a scaly and crusty surface, people with darker skin can develop this cancer on areas not often exposed to the sun.

Melanoma can occur anywhere on the body, can affect men and women, and be present on any skin tone.

What Causes Skin Cancer?

Skin cancer is very complex and can be caused by many different factors. No matter the type, skin cancer is caused by mutations in the DNA of skin cells, leading to them growing out of control — creating a cancer cell mass.

The main reasons why this occurs are:

  • Exposure to UV rays from the sun or tanning beds
  • Exposure to toxic substances or radiation
  • Having a compromised immune system

Other risk factors include having a large number of moles on your body, having a predisposition to sunburns, or having a family history of skin cancer.

Treatment for Skin Cancer

Treatment results can vary. Your provider at Southlake Dermatology will advise you as to the appropriate course of treatment based on your individual circumstances and the type of skin cancer that you have.

Due to the seriousness of skin cancer, don’t take chances by delaying your diagnosis and treatment. With skin cancer, early detection plays a critical role in recovery and survival.

Never try to diagnose an unusual-looking mole by yourself at home, schedule a consultation with us if you have concerns.

Mole Removal

October 24, 2024 by michaelboache

Dangerous or unsightly moles can be removed from almost anywhere on the body. Mole removal is safe, effective, and virtually painless. 

What is a Mole?

A mole is a growth on the skin. Most moles are benign, but they can turn cancerous.

People can be born with moles, or they can develop moles over the course of their lives. It’s important to be aware of what moles you have and where they are located.

Although you don’t generally need to worry about moles, any changes in the mole’s appearance should be brought to the attention of your dermatologist at Southlake Dermatology. In particular, look for changes in color and/or size.

Sometimes moles can occur in areas of the body that negatively impact appearance or self-esteem, such as on the face.

Moles are detected during routine skin screenings done by our dermatologists, or you may know about a mole you’ve had your entire life. Moles may appear as you age, or a lifelong mole may change in shape, appearance, or size.

Mole removal is available, even when the mole poses no health risk.

Have a suspicious-looking mole? Our skilled dermatologists can screen the mole and your skin for malignancy concerns and discuss removal options.

What Causes Moles?

Skin moles arise when skin cells grow in clusters. These cells, known as melanocytes, are found throughout your skin and produce melanin, the pigment that colors your skin.

Various complications can result for some people who have moles, such as:

  • Having very large moles
  • Having too many moles
  • Having moles of irregular shapes or textures

When any of these complications occur, you run the risk of developing melanoma or other types of skin cancer.

To be on the safe side, any mole that you have should be examined by your Southlake Dermatology dermatologist. 

Should you have a mole that is giving you problems or has changed its size, shape, and texture recently, don’t ignore it. Contact your dermatologist at Southlake Dermatology right away to schedule a thorough examination of your skin and moles.

What is Mole Removal?

Mole removal is the process of removing benign or malignant moles for aesthetic or medical purposes.

Our dermatologists can remove dangerous or unsightly moles almost anywhere on the body. Mole removal is safe, effective, and virtually painless. The process of mole removal in a dermatologist’s office has been done for a number of decades and is FDA-approved.

What is Mole Removal Used For?

There are many situations in which a person should seek help from a dermatologist for mole removal.

Moles can be indicative of a serious skin condition, such as melanoma. Left untreated, a malignant mole can grow into a life-threatening condition that may be irreversible.

Mole removal is also used to remove unsightly benign moles. Certain moles can be disfiguring, or they can appear in unflattering areas on the body.

Types of Mole Removal

Once you and your dermatologist have agreed that mole removal is the best next step, your dermatologist will decide which type of mole removal procedure to use.

The type of mole removal will depend upon your individual circumstances, the size and nature of the mole, and the reason for the mole removal.

  • Laser therapy. A specialized laser can be used to remove benign moles. The intense, focused light beam neutralizes the cells within the mole, causing them to die and fall away. Multiple laser therapy visits may be needed for complete mole removal.
  • Shaving. Shallow moles may be removed with surgical shaving, where a scalpel is used to shave away the mole cells.
  • Excision. Surgical excision is used when a mole is deep and requires to be cut out. This procedure may also require stitches and can leave a small scar.

Am I a Candidate For Mole Removal?

Most patients can have their mole/s removed. There are few reasons why a mole cannot be removed. The main question is what kind of mole removal procedure is best for your unique circumstances.

Certain types of mole removal procedures may leave a small scar. If you are considering having a mole removed purely for esthetic reasons, you need to decide if it’s worth risking a scar in place of the mole, even if it’s a small scar.

All moles on the body should be carefully monitored. Our dermatologists at Southlake Dermatology are adept at identifying and diagnosing dangerous moles.

Request an appointment with us today!

Atopic Dermatitis (Eczema)

October 24, 2024 by michaelboache

Eczema is a broad term used to describe a range of skin conditions characterized by rashes, itchiness, and redness.

It’s estimated that over 31 million people in the U.S. alone have some form of eczema. Episodes of eczema may be chronic, one-time issues, or continual.

Whatever kind of eczema you are experiencing, you can rely on our professional team of clinicians to help with diagnosis and treatment.

Visible redness or irritated patches on the skin may look concerning, but eczema is not contagious. Although there is no known cure for eczema, you will find effective treatments and symptom relief at our easy-to-reach clinic in Southlake.

What are the Symptoms of Eczema?

If you have eczema, various parts of your body can develop rashes and dry, itchy skin. Usually, this occurs behind your knees, inside your elbows, and on your hands, feet, and face. However, remember that eczema is not contagious.

The most common symptom of eczema is itching, which in turn leads to scratching and rubbing the skin, increasing the irritation. Other symptoms include:

  • Skin patches that are rough and leathery
  • Red and raised bumps on the skin known as hives
  • Scaly skin patches
  • Skin that is swollen and sore
  • Skin color changes.

Types of Eczema

There are many different types of eczema, diagnosed both by symptoms and where it occurs on the body, including:

  • Atopic Dermatitis. The most common form of eczema, atopic dermatitis usually starts during childhood and may disappear or become much milder by adulthood. Linked to allergies, many people with this condition also suffer from hay fever and asthma.
  • Contact Dermatitis. Resulting in red, irritated skin, contact dermatitis occurs when your skin comes in contact with a substance to which it is allergic, such as latex, certain types of metal, or chemicals. Certain skincare ingredients and makeup, plants such as poison ivy and poison oak, or even tobacco smoke can sometimes trigger contact dermatitis.
  • Dyshidrotic Eczema. More common in women than men, dyshidrotic eczema is characterized by small, fluid-filled blisters forming on fingers, palms, toes, and soles of your feet. Stress is thought to be a primary trigger for outbreaks.
  • Hand Eczema. Only affecting the hands, this form of eczema is common among hairdressers, cleaning personnel, and others whose hands are regularly exposed to various chemicals.
  • Neurodermatitis. Very similar to atopic dermatitis, neurodermatitis presents as thick, scaly patches of skin that are very itchy, even when you are sleeping.
  • Nummular Eczema. Causing round, coin-shaped spots on your skin, nummular eczema is known for making the skin extremely itchy, and is often triggered by insect bites.
  • Stasis Dermatitis. Somewhat uncommon, stasis dermatitis occurs when fluid leaks out of weakened leg veins onto the skin, causing itching and redness.

What Causes Eczema?

When skin cannot retain moisture very well or has a disrupted barrier that lets moisture from the skin evaporate too freely, eczema often occurs.

Some of the most common causes of eczema include:

  • Environmental factors such as pollen or mold
  • Allergies such as hay fever
  • Asthma
  • Soaps, detergents, and shampoos
  • Synthetic or wool fabrics
  • Viral, fungal, and bacterial infections
  • Pet dander
  • Chemicals and solvents

Treatment for Eczema

Southlake Dermatology offers insights into diverse eczema treatments. Schedule your appointment today for personalized information and care. 

Molluscum Contagiosum

April 13, 2018 by WestDerm

About Molluscum Contagiosum

What is it?

The condition spreads through contact with an infected person or a contaminated object. Though painless, the small bumps might itch. Scratched bumps can spread the infection to the surrounding skin. The bumps usually disappear on their own. In rare cases, the bumps can be removed using medications or other procedures.

What causes it?

This is a very common ailment for children, and from a virus called molluscum contagiosum which is a skin infection.
People catch molluscum contagiosum when they get the virus on their skin. Skin-to-skin contact with someone who has molluscum, touching an object that someone who has molluscum touched. Or, sharing a personal item, such as clothing or a towel.
Anyone can get molluscum contagiosum, some people are more likely to catch it. Children who are 1 to 10 years old are more prone to get this skin infection because they have the most skin-to-skin contact. They seem especially vulnerable if they have eczema. The extremely dry, cracked skin of eczema may make it easier for the virus to infect the skin. Athletes who share equipment, or have skin-to-skin contact. People with compromised immune systems can be more vulnerable to catching this, as well as those who are sexually active.

Common treatments

Several treatment options are available, it’s important to know that there is no one best treatment for molluscum. One of our highly trained dermatologists will choose a treatment based on many considerations, such as overall health, the number of molluscum bumps, and where the bumps appear. No matter which treatment is used, it takes time.
A common treatment is cantharidin (beetle juice). Made from blister beetles, it has been used this to treat warts and molluscum since the 1950s. Your dermatologist will apply it to each bump in such a way that a water blister forms. You should see a blister on each treated bump within 24 to 48 hours. As the skin heals, the bumps clear. This usually occurs within 2 weeks. To be effective, most patients need more than one treatment. This is a safe and effective treatment and is topical.
Other treatments are cryotherapy, an extremely cold substance to each molluscum bump. You will need to return for treatment until the bumps clear. Another is curettage which can be used, this is a simple and effective treatment that causes little or no bleeding. Pulsed dye laser (PDL) may be a treatment option for someone who has many molluscum bumps. It’s also recommended for patients with difficult-to-treat molluscum, such as people with AIDS.
Trust your doctor to advise you on the most effective way to treat your skin, the health of your skin is very important to us.

Providers

Our approach & expertise

We understand how molluscum contagiosum can be a physical nuisance, itchy, and even affect your self-esteem. As your experienced community skin experts, we have the knowledge to help you manage this condition. Healthy skin is our passion. Contact us for an appointment today if you suspect you have molluscum contagiosum.

Actinic Keratoses

April 13, 2018 by westdermcorp

Actinic keratosis is a skin condition characterized by one or more rough, scaly patches as a result of cumulative sun exposure.

Actinic keratosis can occur on any part of the body, but it most often occurs in out-of-the-way areas where a person has omitted using sunblock. This includes the ears, lips, back of the neck or hands, or even the scalp.

Actinic keratosis is sometimes called solar keratosis because it is caused by sun exposure. Those over the age of 40 are more apt to develop this condition since it occurs from the cumulative effects of UV light exposure.

Screening and treatment for actinic keratosis is available at Southlake Dermatology.

What are the Symptoms of Actinic Keratosis?

Though actinic keratosis can differ from one person to another, the signs and symptoms remain the same across the board. Typically, the most common signs and symptoms include a patch of skin that is dry, rough, or scaly. Most often, this patch of skin is less than one inch in diameter.

Other symptoms include color variations such as brown, red, or pink, itching or burning, crusting or bleeding, a slightly-raised bump on the top layer of skin, and new patches on such sun-exposed areas as hands, neck, head, and forearms.

Types of Actinic Keratosis

There are five different types of actinic keratosis:

  • Hypertrophic
  • Atrophic
  • Bowenoid
  • Acantholytic
  • Pigmented

Of these five, the hypertrophic and atrophic types are the most common.

Also, studies have shown that for those individuals who suffer from hypertrophic actinic keratosis, there is a greater chance it may evolve into a form of cancer known as squamous cell carcinoma.

What Causes Actinic Keratosis?

When an actinic keratosis forms, it is most often due to a person being exposed to intense UV rays on a frequent basis.

While most cases result from overexposure to the sun’s UV rays, many people with this condition have also exposed their skin to the intensity of tanning beds.

While anyone can potentially get actinic keratosis, some have certain risk factors that put them at even greater risk.

These factors include:

  • Having red or blond hair and either blue or light-colored eyes
  • Prior history of bad sunburns
  • Tendency to freckle or burn when exposed to sunlight
  • Aged 40 or older
  • Working primarily outdoors
  • Possessing a weakened immune system
  • Living in a sunny climate

Treatment for Actinic Keratosis

While a simple examination of your skin may allow a doctor to diagnose actinic keratosis, a skin biopsy may be performed as an added precaution.

Don’t gamble with actinic keratosis, a potential precursor to skin cancer. Entrust your care to our esteemed providers. Schedule an appointment today.

Psoriasis

February 27, 2018 by westdermcorp

Psoriasis is a treatable skin condition that causes dry, scaly, and itchy patches on the surface of the skin.

Psoriasis varies in intensity from individual to individual and from episode to episode. It’s possible to have long intervals of time in between flare-ups.

Treatment for psoriasis is largely centered around the management of symptoms because there is no known cure for this condition. Psoriasis may be experienced along with other conditions associated with immune disorders.

Our compassionate team will work with you to create a management and treatment plan for your psoriasis.

What are the Symptoms of Psoriasis?

Primary symptoms of psoriasis include:

  • Red patches of skin
  • Dry patches on skin
  • Scaly areas of skin
  • Itching
  • Pain
  • Burning sensation
  • Silvery discoloration on skin

Note that some symptoms can arise out of psoriasis that are not directly connected with the skin. These include:

  • Achy, swollen, and/or stiff joints
  • Thickened finger or toenails
  • Pitted or ridged finger or toenails

Types of Psoriasis

There are many kinds of psoriasis, depending on where it is located on the body, how it presents, and its seriousness.

They are:

  • Plaque psoriasis. Silverish, or white-ish patches over red, inflamed areas of the skin. This is the most common type of psoriasis.
  • Pustular psoriasis. Presents as pus-filled white blisters and wide swaths of red, swollen skin in localized areas.
  • Inverse psoriasis. Shows as bright pink, shiny patches of skin, usually in warm, moist areas like the groin, under the breasts or armpits.
  • Guttate psoriasis. Presents as tiny, flat, pink spots alone or in clusters.
  • Erythrodermic psoriasis. This type can be life-threatening. It generally covers large areas of the body and may appear very much like a sunburn. Often accompanied by a fever and a feeling of illness.

Certain types of psoriasis are very benign and go away on their own, while other types can be life-threatening. This is why it’s so important to always have your psoriasis diagnosed and analyzed by your dermatologist.

What Causes Psoriasis?

The symptoms of psoriasis may come and go “mysteriously.” However, with attention and focus, certain life events or behaviors may be found to “trigger” psoriasis episodes.

Common triggers for psoriasis episodes include:

  • Overindulgence in sugary foods and alcohol
  • Increased stress
  • Traumatic events
  • Other illnesses, such as flu or cold

It is thought that psoriasis is an autoimmune condition, which is caused by the body’s own immune system attacking itself. It is believed that the immune system overreacts to stimuli, resulting in the visible skin outbreaks mentioned above.

Certain people are more likely to develop psoriasis, especially those with:

  • Family history of psoriasis
  • Heart disease
  • Type 2 diabetes
  • IBD (inflammatory bowel disease)
  • Chronic depression
  • Chronic anxiety
  • Psoriatic arthritis

Treatment Options For Psoriasis

Your dermatologist will carefully diagnose and analyze your particular type of psoriasis in order to determine the best treatment for your situation. With proper dermatologic treatment, you could soon enjoy fewer or less severe outbreaks of psoriasis.

Relief is just a visit away. Contact us today for more information!

Acne

February 27, 2018 by westdermcorp

Acne is a common, benign skin condition characterized by localized breakouts in the form of postures, blackheads, and whiteheads.

Although acne is most common in teens, adults may also experience episodes of acne breakouts.

The worst part about acne is its appearance. Since acne most frequently occurs on the face, breakouts can cause extreme embarrassment and lead to a lack of self-confidence.

Acne is highly treatable! Come in for a visit with one of our expert providers.

What are the Symptoms of Acne?

Since there are many types of acne, symptoms can vary depending on the type and severity.

Generally, the most common symptoms of acne include:

  • Whiteheads. These are pores that are both closed and plugged.
  • Blackheads. These happen in pores that are plugged, yet still open.
  • Papules. These are small bumps that are red and tender to the touch.
  • Pimples. Commonly known as pustules. These are papules, but they have pus at their tips.
  • Nodules. These are painful lumps under the skin that are solid and typically large.
  • Cystic lesions. These are defined as pus-filled lumps under the skin that are quite painful.

Types of Acne

The two most common forms of acne are:

  • Noninflammatory
  • Inflammatory

Within these categories are subcategories. For example, noninflammatory acne is characterized by blackheads and whiteheads, both of which rarely cause swelling and usually respond to over-the-counter medications.

As for inflammatory acne, this includes papules, pustules, nodules, and cysts. This type of acne is more difficult to treat since it involves infections that are deeper underneath the skin.

What Causes Acne?

When acne appears, it is due to four main factors that may work in combination with one another. These include:

  • Hair follicles clogged by dead skin cells and oil
  • Excess production of oil
  • Inflammation
  • Bacteria

Along with these factors, other things can trigger an acne attack or worsen existing acne. Among these are:

  • Hormonal changes
  • Medications
  • Stress
  • Diet

When hormonal changes occur during puberty or midlife, androgen production increases and can trigger or worsen acne. Also, medications containing testosterone or corticosteroids can make acne worse.

Treatment for Acne

You may have spent a lot of time trying various treatments to get rid of your acne. But the best treatment for all types of acne is dermatologic treatment.

With our premier dermatology practice, Southlake Dermatology can help end the cycle of acne.

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