Methotrexate (MTX) is by far the most popular oral agent used by dermatologists today for psoriasis and has been so for the last 40 years. Its epitaph was nearly written after the more potent biologic immunomodulators such as Enbrel and Humira were predicted to render MTX obsolete. Now it appears that … 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 →
Vitamin D analogues are popular for the local treatment of psoriasis. The first compound approved in the U.S. was calcipotriene (brand name Dovonex) available as cream, ointment, and lotion (for the scalp) for twice daily application. It was modestly … 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 →
Blemishes, Pimples, and Zits. These are all common names for the skin disease called acne. Acne is so common during childhood and teenage years that it is considered a normal rite of passage. However, when … Continue reading →
Actinic keratosis (AK), also known as solar keratosis, are commonly referred to as pre-cancerous skin growths. In fact, they are the most common pre-cancerous growth of humans. Actinic keratoses (plural) are most commonly found on sun exposed areas, namely, the face, lips, bald scalp, and backs of hands and arms.
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...