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

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

Importance of the Second Opinion: Editorial with Illustrative Cases

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

Spinal Steroid Injection Scare

By now, anyone who reads or watches the news has heard of the outbreak of fungal meningitis caused by injections of contaminated lots of the steroid methylprednisolone acetate given for neck or back pain. The medicine … Continue reading