Granulocytes are the predominant white blood cells released from the bone marrow. They are responsible for ingesting and killing or inactivating most infectious organisms, a process called phagocytosis. The granules referred to in the name are actually the lysosomes in the cell that contain caustic and digestive enzymes. These same … Continue reading →
Bullous Pemphigoid (BP) is an uncommon autoimmune skin disease which leads to a very
itchy hive-like rash and blisters. The blisters can occur anywhere on the body, but the underarms, arms, groins, and lower legs seem more commonly affected in my experience, sometimes limited to these areas alone. The mucous … Continue reading →
Psoriasis is a heavy burden for both the physical and economic health of the nation, affecting about 7.5 million Americans. The annual cost for treating psoriasis in the U.S. in 2008 was $11.25 billion. The average cost per patient, estimated at $5500 per year, is much higher for more severe … Continue reading →
The answer to the question depends on the extent of training in dermatology and the individual physician’s comfort level in dealing with skin diseases. Currently, the definition of “primary care providers” includes family practitioners, internists, pediatricians, and gynecologists, but may be expanded to include nurse practitioners. The education of U.S. medical … Continue reading →
Cyclosporine (CS), a potent immunosuppressive peptide, was discovered by Sandoz in 1975. Clinical testing showed that it was very effective for preventing rejection of life-saving organ transplants such as kidney, heart, liver, and bone marrow. Investigators also noted the impressive ability of CS to clear up any psoriasis on the … Continue reading →
Rosai-Dorfman disease (RDD) is a rare disease characterized by proliferation of histiocytes in lymph nodes and other organs. Skin involvement occurs in about 10% of systemic cases, but more cases of skin-limited RDD are being recognized, especially in women, based on recent case reports and personal experience.
When I worked as a Dermatologist at the Cleveland Clinic, we encountered many patients who were either referred by an outside Dermatologist, or self-referred, for a second opinion on their diagnosis or treatment or both. Most patients would bring copies of their records for us to review, and invariably, … Continue reading →
Dermatitis herpetiformis (DH) is an autoimmune skin disease caused by eating wheat protein called gluten. It has nothing to do with the infection caused by the Herpes virus. In DH, the patient … Continue reading →
A 55-year-old man presented with painful, burning sores in his mouth for several weeks,
aggravated by eating spicy foods and caffeine-containing drinks. Examination showed multiple irregularly shaped erosions with yellow bases and a few white circular areas on the inside of both cheeks (the buccal mucosae). An oral … Continue reading →
Dr. Camisa is board certified in dermatology and dermatological immunology, practicing medicine for over 30 years. He is Director of the Phototherapy Department at Riverchase Dermatology and an Affiliate Associate Professor of Dermatology at the University of South Florida in Tampa. He specializes in psoriasis, lichen planus, bullous diseases, connective tissue diseases, cutaneous T-cell lymphoma, and diseases of the mouth and lips. Dr. Camisa is a leading expert in psoriasis, bullous disease, and other complex skin conditions, and patients throughout the country seek his experience. More about Dr. Camisa...