Diagnosis and treatment for skin, hair & nails

Clogged pores, oil and inflammation cause blackheads, whiteheads, pimples and deeper cysts on the face, chest and back. We build a treatment plan around your skin type, from topical and oral medications to in-office extractions and injections, and offer options to soften scars once breakouts are under control.

A long-term condition that causes facial flushing, persistent redness, visible blood vessels and sometimes acne-like bumps. It can’t be cured, but prescription creams, oral medication, trigger management and light-based treatment can keep it calm.

Inflamed or infected hair follicles that look like small red or pus-filled bumps, often after shaving, sweating or hot-tub use. Treatment depends on the cause — bacterial, fungal or irritation — and may include medicated washes, creams or oral medication.

A chronic inflammatory condition that causes painful, recurring lumps and abscesses in the armpits, groin and other skin folds. Early, consistent treatment with topical and oral medications, injections and lifestyle measures helps reduce flares and scarring.

Dry, itchy, inflamed patches that come and go, common in children but seen at every age. Treatment combines gentle skin care and moisturizing with prescription creams, and newer oral or injectable medications for moderate to severe eczema.

An itchy, red or blistering rash caused by something touching the skin — either an irritant (soaps, cleaners, frequent hand-washing) or an allergen (nickel, fragrance, preservatives, hair dye). We identify the trigger and calm the rash.

Small amounts of common allergens are taped to your back for about 48 hours and checked over the following days to find out what is causing allergic contact dermatitis, so you know exactly what to avoid.

Itchy, raised welts that appear and fade within hours, sometimes triggered by foods, medications, infections or stress. Most cases respond to antihistamines; long-lasting (chronic) hives may need further evaluation and treatment.

An allergic reaction to urushiol, an oil in these plants, causing an itchy rash with streaks of blisters one to two days after contact. Prescription steroid creams or tablets ease severe or widespread reactions.

Persistent itching with or without a visible rash. It can come from dry skin, eczema, infections or infestations, and sometimes from internal conditions, so we look for the cause as well as relieving the itch.

Thick, leathery patches of skin caused by a cycle of itching and scratching the same spot over time. Treatment breaks the itch-scratch cycle with strong anti-itch and anti-inflammatory creams, covering the area and sometimes injections.

A harmless rash that usually starts with one larger oval “herald patch,” followed days later by smaller scaly patches on the trunk. It typically clears on its own within 6–10 weeks; we confirm the diagnosis and treat any itch.

“Rash” covers many different conditions — allergic, infectious, inflammatory or medication-related. A careful exam (and sometimes a culture or biopsy) tells us what it is so it can be treated correctly.

Fluid-filled bumps caused by friction, burns, infections or allergic reactions, and less often by autoimmune blistering conditions. We find the cause, treat the skin and prevent infection.

An immune-related condition that causes thick, red, scaly plaques, often on the elbows, knees, scalp and lower back, and can affect the nails and joints. Options range from creams and scalp treatments to oral and biologic medications.

An inflammatory condition that causes itchy, flat-topped, purplish bumps on the skin and sometimes lacy white patches in the mouth. Prescription creams and other medications relieve symptoms while it settles.

Tiny rough bumps, usually on the upper arms, thighs or cheeks, caused by built-up keratin around hair follicles. It is harmless; exfoliating creams and good moisturizing make the skin smoother.

Conditions in which the skin becomes hard and thickened because of excess collagen. Morphea affects only the skin; systemic scleroderma can involve internal organs. We evaluate skin changes, treat the skin and coordinate care with your other doctors.

A head-to-toe check of your skin, including the scalp, nails and areas that are hard to see, looking for skin cancer and changing moles. Recommended yearly for most adults, and more often if you’ve had skin cancer or have many moles.

Moles that are larger, irregular in shape or uneven in color. Most are benign, but they can resemble melanoma and signal a higher risk, so we monitor them and biopsy any that change.

Rough, scaly spots on sun-exposed skin such as the face, scalp, ears and hands. They are precancerous, so we treat them — often with cryotherapy or prescription creams — before they can turn into squamous cell carcinoma.

Basal cell carcinoma and squamous cell carcinoma are the most common skin cancers and are highly treatable when found early. Melanoma is less common but more serious. We biopsy suspicious spots, treat many skin cancers in the office and refer for Mohs surgery when needed.

Rough skin growths caused by the human papillomavirus (HPV), common on the hands and feet. Treatments include freezing (cryotherapy), prescription topicals and other in-office methods.

Small, smooth, pearly bumps with a dimple in the center, caused by a common virus and seen most often in children. They usually clear on their own over months, but in-office treatment can speed this up and limit spreading.

Thickened skin that forms where shoes or activity cause repeated pressure or friction. We carefully pare them down in the office and advise on padding and footwear to keep them from returning.

A bacterial infection of the deeper skin that causes spreading redness, warmth, swelling and pain, usually on the legs. It needs prompt antibiotic treatment — seek urgent care for fever, rapidly spreading redness or severe pain.

A fungal infection — not a worm — that causes itchy, ring-shaped patches with a scaly border. It usually clears with antifungal creams; widespread cases may need oral medication.

A fungal infection of the groin and inner thighs that causes an itchy, red rash, more common with heat and sweating. Antifungal creams and keeping the area dry clear it up.

A fungal infection of the scalp, most common in children, causing scaly patches and hair loss. It needs oral antifungal medication, as creams alone can’t reach the hair roots.

A common, non-contagious overgrowth of skin yeast that causes lighter or darker patches on the chest, back and shoulders. Antifungal washes or creams clear it; the skin color can take a few months to even out.

Overgrowth of Candida yeast in warm, moist areas such as skin folds, the diaper area or the corners of the mouth, causing a red, itchy rash. Antifungal creams and keeping the area dry are the main treatment.

A painful, blistering rash in a band on one side of the body, caused by the chickenpox virus reactivating. Antiviral medication works best when started within about 3 days of the rash appearing; vaccination helps prevent it.

Common childhood viruses such as hand, foot and mouth disease (coxsackievirus), fifth disease and roseola cause fever and distinctive rashes. They usually run their course; we confirm the diagnosis and help with comfort.

A contagious infestation with tiny mites that burrow into the skin, causing intense itching that is often worse at night. Prescription treatment is needed for the patient and close contacts at the same time, along with washing bedding and clothing.

Melasma causes brown or gray-brown patches, mostly on the face, triggered by sun and hormones. Dark spots can also follow acne or injury. Daily sun protection, prescription lightening creams, peels and select light treatments help even the tone.

Loss of pigment in patches of skin because the immune system attacks pigment cells. Prescription creams and other therapies can help restore color and slow spreading.

Marks present at birth or shortly after — pigmented (such as café-au-lait spots and congenital moles) or vascular (such as hemangiomas and port-wine stains). Most are harmless; we evaluate them and advise on monitoring or treatment.

Losing 50–100 hairs a day is normal; patchy loss or noticeable thinning is not. Causes include genetics, stress, illness, hormones and conditions such as alopecia areata. We find the cause and treat it with topical, oral or injected medication.

Changes in nail color, thickness or shape can point to fungal infection, psoriasis, injury or, rarely, something more serious. We diagnose nail problems — sometimes with a culture — and treat ingrown, infected and diseased nails.

Hyperhidrosis is sweating beyond what the body needs, often of the underarms, hands or feet. Bromhidrosis is odor from bacteria breaking down sweat. Prescription antiperspirants, medicated washes and other treatments help.

Sun exposure and time thin the skin and break down collagen. Daily sunscreen and prescription retinoids help, and in-office treatments such as Morpheus8 radiofrequency microneedling, IPL and chemical peels can firm and refresh the skin.