General Dermatology

ALOPECIA (HAIR LOSS)
alopeciaAlopecia is a loss of hair, usually sudden, that is not related to pattern baldness in males. This problem exists in both males and females, and more often in families where another member of the family has it. However, it is not contagious, nor is it a symptom of a more serious disease. It affects children and young adults more than others, and occurs in both genders equally. There are a variety of treatments to help improve this condition.
DRUG ERUPTIONS, CONTACT DERMATITIS AND URTICARIA (HIVES)
urticariaThese common skin problems can come from a variety of sources – a reaction to a medication, a food, a cream or a new soap, as well as from exposure to sun or to extreme cold temperatures. Some individuals even develop urticaria when they are in unusually stressful situations. Whether the cause of your discomfort is from an allergy or from another reason, Dr. Rodriguez-Vazquez will not only treat the problem, but we’ll also help you to find out the underlying cause so you won’t unknowingly be exposed again to the agent that caused the problem.
DRY SKIN (ASTEATOTIC DERMATITIS)
dermatitisDry skin is a problem for many individuals, but there are some who suffer from skin so dry that it resembles dried river bed or cracked porcelain and the skin is often so dry that it is painful and may crack and bleed. It is usually found on the shins of elderly patients or patients who have recently stopped using steroid creams in the area. The treatment for this kind of problem goes beyond the lotions and creams that are usually available at the drugstore or supermarket. We will set up a treatment program to help with this problem.
ECZEMA (ATOPIC DERMATITIS)
eczemaTreatment of eczema can take many forms. Some patients benefit simply from preparations that stop itching and moisturize the skin. Others require more aggressive treatment with prescription medications. Most patients require a combination of treatments to get the best possible outcome and to keep eczema under control. These may include prescription medications that are applied to the problem area, medications that are taken by mouth, or light therapy.
FUNGAL SKIN INFECTIONS
fungal-skin-infectionsThis type of infection is quite common, particularly in the warmer summer months, though it is possible to get at any time of the year. The most common types of fungal skin infections are jock itch, athlete’s foot, ringworm and thrush. While they are usually confined to just the surface of the skin, it is possible for some types of fungal infections to invade internal organs, although this rarely happens in people who don’t have suppressed immune systems. Symptoms of fungal infections are often quite annoying and the organism that causes them is easily spread from person to person. For these reasons, it is important that they are treated as soon as they are discovered and for the correct length of time. Sometimes, symptoms will improve before all treatment has been complete, but it is important to continue the prescribed treatment to the very end in order to prevent the problem from being passed to another person or from returning.
HYPERHIDROSIS

hyperpigmentationIn some people, the body’s mechanism for cooling itself is overactive — so overactive that they may sweat four or five times more than is necessary, or normal. When sweating is this extreme it can be embarrassing, uncomfortable, anxiety-inducing, and disabling. It can disrupt all aspects of a person’s life, from career choices and recreational activities to relationships, emotional well-being, and self-image.

This kind of excessive sweating is a medical condition called hyperhidrosis and it afflicts millions of people around the world, approximately 3% of the population. Because of lack of awareness, more than half of these people are never diagnosed or treated for their symptoms. Some traditional treatments, like antiperspirants and iontophoresis, have been improved and we now know how to make them more effective. New treatments, like Botox injections, have started giving relief to those who never thought they’d find it. Dr. G can come up with a treatment plan for you.

HYPERPIGMENTATION
hypertendrosysSometimes certain parts of our skin take on a different color than the surrounding areas – these sections appear darker, almost as though they are stained or dirty. This can make you very self-conscious and uncomfortable, especially if the darker areas are on the face, neck and arms. This is often a result of over-exposure to the sun. There are several different treatments for hyperpigmentation that can lessen or even remove this unwanted discoloration. Some of these treatments involve the use of lasers, while other times application of topical agents may lessen the problem. Then, recommend an excellent sunscreen for you to use to help reduce the likelihood that the problem will reoccur.
ITCHY SKIN (PRURITUS)
pruritusDry itchy skin may be just that, or it may be a symptom of other, more serious problems. The only way to be certain is to consult a physician who knows and understands you and your skin. We have many types of treatments for itchy skin, most of which are not found in stores or as over-the-counter preparations. You don’t have to suffer – who knows your skin better than your dermatologist?
PSORIASIS
psoriasisWhether the treatment involves creams or solutions applied to the areas, medication taken by mouth, light therapy, or more advanced therapies, the Dr. Rodriguez-Vazquez can provide state of the art care for treatment of your psoriasis. We can provide treatment using the most advanced methods, such as the class of drugs known as biologics.
ROSACEA
rosaceaRosacea occurs when tiny blood vessels that are at the surface of the skin become enlarged and cause blotchy redness over the area. This redness is usually seen most over the cheeks and forehead. It is often associated with acne-like eruptions that resemble pimples, but without the ‘whiteheads’ and ‘blackheads’ that we normally associate with teenage acne. Rosacea often does not appear until the individual is in his or her 40s or 50s. Treatment of rosacea is varied and may involve topical medications, laser treatments and oral medications. In addition, rosacea sufferers have come to recognize certain foods or events that trigger the ‘flushing’ associated with rosacea. Eliminating these ‘triggers’ will help in reducing the symptoms of rosacea.
SEBORRHEIC KERATOSIS (AGE SPOTS)
seborrheic-keratosisThese are very common crusty spots that are usually found in sun-exposed areas. They may look smooth and flat at first, but usually become thicker and scaly, resembling warts. They may or may not itch. It has been estimated that almost every person will develop at least one as they age. They seem to run in families and are more prevalent in individuals with lighter skin. Some of them look very much like skin cancers, so it is always the best plan of action to have them seen by a dermatologist as soon as you notice them. Your dermatologist may choose to take a biopsy to be certain that there is no skin cancer found. Removal of these lesions will not only ensure that there are no further problems with them, but also improve how you look!
LYMPHOMA
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MELANOMAS
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SQUAMOUS

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Skin Cancers

Atypical (Dysplastic) Nevi (Moles)
atypical-neviAtypical nevi are growths that begin as and resemble moles but develop some of the signs that we usually associate with cancerous growths. Atypical nevi may be irregular in shape or color and may look scaly or crusty. If you notice any growths with this type of appearance, or if a mole changes to one that resembles these characteristics, it is important to have it checked by your dermatologist immediately. While most atypical nevi are just that, it is also possible for some types of skin cancer to look a lot like moles.

Basal Cell Cancer:
basal-cellBasal Cell Cancer is the most common type of skin cancer – there are almost 1 million new cases each year, and the rate is rising every year. About 90% of Basal cell cancer is caused by unprotected exposure to the sun. This type of cancer occurs in the bottom layer of cells of the epidermis. The good news is that this type of skin cancer rarely spreads beyond the skin and can usually be completely removed if caught early enough.

Cutaneous T-Cell Lymphoma
lymphomaThis is a type of lymphoma (cancer of the white blood cells) that shows itself in problems with the skin. It is a disease that is throughout the body, but shows up in most in the skin and connective tissue. It is diagnosed by taking a sample of the growth or lesion that is on the skin.

Melanomas:
melanomasMelanoma is a type of cancer that occurs in the cells that provide color to our skin. While the cancer may begin with the skin, this type of cancer can spread to other parts of the body. Early detection is important – when the cancer is small and confined to the skin it is almost always completely curable. Once the cancer has grown large or has spread to other parts of the body, it is much more difficult to cure and can even be fatal. If the type of melanoma that you have is appropriate for local surgery, it can be done right in our office, without the need to travel to another physician’s office. If your cancer has grown too big to be removed in the office, you will be referred to a plastic surgeon or to a general surgeon to have it removed.

Squamous Cell Cancer:
squaomaSquamous cell cancer develops in the top layer of the skin and is usually not serious, although it does require treatment as soon as it is discovered. Without immediate removal, it can become much more difficult to remove it without leaving substantial scarring and it can even spread to other organs of the body, though this is rare. This type of cancer is almost always caused by over-exposure to the sun, although it can also occur on areas of the body that have been burned, repeatedly exposed to x-rays or to harsh chemicals.