Hyperhidrosis is a condition that causes excessive sweating on the hands, feet, armpits, face and genital area, or all over the entire body. The exact cause of this condition is unknown, although it often runs in families and begins during childhood.
Patients with hyperhidrosis may sweat all over their body or in certain areas. Their skin may become white and wrinkled or red and irritated as a result of the constant moisture, and it may develop an odor as well. Living with hyperhidrosis often causes patients to feel embarrassed, awkward and self-conscious, especially during social situations.
Treatment for Hyperhidrosis
Treatment for hyperhidrosis depends on the severity of the condition, but may include prescription-strength antiperspirant or medication to help control sweating or stop the stimulation of the sweat glands. Botox® injections in the armpits block the nerves that cause sweating and can effectively treat hyperhidrosis for up to six months for each injection.
In severe cases, surgery may be required to remove the nerves that control the sweat glands, or the actual glands themselves. This procedure is usually considered a last resort to be used only after conservative methods have failed. Patients who undergo surgery may develop more intense sweating, a condition known as compensatory sweating, later in life.
There are several different diseases that affect the nails, often as a result of a fungal or bacterial infection. Ingrown toenails are the most common nail ailment, involving the corners of the nails digging into the surrounding soft tissue, causing irritation and swelling. Fungal infection commonly affects the toenails (and sometimes the fingernails as well), as a result of exposure to a warm, moist environment, and cause thick, brittle and distorted nails.
Treatment for nail diseases may include oral or topical medications. The nail may need to be removed for severe infections. Patients can prevent nail conditions from developing by keeping the feet clean and dry, wearing shoes that fit well and clipping toenails straight across.
Hair loss, or alopecia, is a common condition which may be a consequence of natural aging, a side effect of medication, or a manifestation of a health disorder. It can result in total baldness, thinning of the hair, or patchy bald spots and may be confined to the scalp or affect other areas of the body. Hair loss may be temporary or permanent, depending on its cause.
Treatment for Hair Loss
Treatment for hair loss is usually based on the cause of the condition. When hair loss results from a fungal infection, it may be treated with anti-fungal medication. Hair loss that results from cancer treatment is usually temporary. For other types of hair loss, one of the following treatments may be considered:
- Hair transplant surgery, hair plugs, scalp reduction
- Over-the-counter medications, such as Rogaine or Nizoral
- External laser comb
- Hair-stimulating treatments
For some patients, wigs or hairpieces may be useful in creating an attractive appearance and reducing self-consciousness about hair loss.
Vitiligo is a common skin condition in which pigment cells are destroyed and white patches of skin appear on different parts of the body. Hair growing in these areas may turn white as well. Vitiligo can affect any area of the skin, but is most common on the face, lips, hands, arms, legs and genital areas.
The most common treatment for vitiligo is PUVA therapy, which combines ultraviolet A light treatment with a medication called psoralen. Psoralen increases the skin's sensitivity to the ultraviolet light to enable more absorption. The medication should be taken approximately one-and-a-half to two hours before each phototherapy session.
Photodynamic therapy (PDT), also known as photoradiation therapy, is a minimally invasive procedure used to treat skin cancer and other conditions such as acne, rosacea and actinic keratosis. PDT uses a topical photo sensitizer called Levulan along with a light energy source to destroy abnormal skin cells. The Levulan is applied to the skin and incubated for a certain amount of time before it is exposed to light energy to activate the medication and destroy the targeted cells.
Most people see successful results from PDT after three treatment sessions spaced two to four weeks apart. This procedure can be combined with other treatments, such as intense pulsed light, in order to maximize results and leave skin as healthy and beautiful as possible.
Photochemotherapy, also known as psoralen plus ultraviolet light therapy, is an ultraviolet radiation treatment used for severe skin conditions in adults. Photochemotherapy treats a wide variety of skin problems including eczema, vitiligo, psoriasis and mycosis fungoides, a type of cutaneous T-cell lymphoma skin cancer. The procedure combines UV radiation with psoralen, a medicine that will make the skin temporarily more sensitive to UVA light.
Several hours prior to treatment, the psoralen medicine is administered. The patient then stands in a booth containing UVA fluorescent bulbs, wearing goggles to protect the eyes from the radiation. The procedure may take anywhere from 45 to 60 minutes, depending on the size of the area targeted for treatment. Following the photochemotherapy, most patients see a significant improvement in their skin condition. While photochemotherapy is considered safe, potential risks include skin damage or burning, cataracts and nausea.
Pediatric dermatology involves comprehensive diagnosis and treatment services for the unique skin of infants, children and adolescents. While children and adults experience many of the same skin conditions, certain conditions are more prevalent in younger patients and require special care that takes into account the growing needs of these patients. Children are often at risk for fungal and bacterial infections of the skin, as well as a wide array of other acquired and congenital conditions.
As our skin ages, it loses fat and elasticity, becomes drier, and starts to sag, forming wrinkles. Years of sun exposure causes damage, sometimes invisible or barely visible and sometimes harmful. Our office treats signs and problems associated with aging skin, including age and liver spots (lentigines), wrinkles, telangiectasias (broken capillaries), bruising, cherry angiomas, assorted skin diseases (shingles, leg ulcers, seborrheic dermatitis) and cancerous and pre-cancerous problems including actinic and seborrheic keratoses, melanoma, basal and squamous cell carcinomas. Common elective procedures are Botox® injections, laser rejuvenation and chemical peels.