DERMATOMYOSITIS

Dermatomyositis is one of the autoimmune connective tissue diseases. The name is derived from dermato=skin, myo=muscle, and itis=inflammation. Thus, inflammation of unknown cause leads to a distinctive skin rash and weakness and tenderness of the muscles, particularly of the hip and shoulder girdles.  Dermatomyositis (DM) affects women more than men (about 2 to 1), usually … Continue reading

On Moving a Dermatology Practice: A Brief Work History

Moving is popular in the U.S. The average family moves about once every 5 years. But moving a Dermatology or any medical practice is far less common as you might expect. Patients prefer to keep the same doctor in familiar surroundings close to where they live. They expect to lose … Continue reading

Vitamins, Minerals, and Supplements Selected for Sale at Camisa Psoriasis Center

During my 30+ years of practicing the specialty of dermatology and dermatologic immunology, hundreds of patients have asked me for advice regarding supplements that might help boost their immune systems, maintain healthy skin, hair and nails, and protect against age-related diseases.  I have now found and researched a supplier that … Continue reading

Granuloma Annulare and Necrobiosis Lipoidica

Granuloma annulare (GA) is a skin disease commonly encountered in our clinic, either as an initial self-motivated visit or on consultation from another physician. The rash consists of small smooth bumps that may be skin-colored, pink, reddish-purple, brownish-orange. … Continue reading

How Efficient Is Your Dermatologist? Example from My Practice-Eczema or Ringworm

Dermatologists can be incredibly efficient and cost-effective in their practices because of their background and training in medicine and surgical procedures. We are not often acknowledged or appreciated for this by health insurance companies. The skin is the largest  organ in the body and plays an important role in immune … Continue reading

Accutane or Isotretinoin for Severe Acne: Update on Side-Effects

One of the most important drugs used in Dermatology today is Isotretinoin, also known as Accutane, for severe acne.  It is the only medication capable of curing the most severe forms of scarring cystic acne.  AccutaneBottles

Accutane is the brand … Continue reading

Skin Diseases and Granulocyte White Blood Cells: Hidradenitis Suppurativa, Sweet’s Syndrome, and Pyoderma Gangrenosum

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

METHOTREXATE–Reincarnation of an Old Drug

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: Please Don’t Confuse It With Pemphigus Vulgaris

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 Treatments

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