Contact Dr. Camisa

Naples Office
261 9th St. South
Naples, FL 34102
239-216-4337

 

Fort Myers Office
7331 Gladiolus Drive
Fort Myers, FL 33908
239-437-8810

 


 

All Natural Products
Dermexelle is a healing aid for superficial wounds, burns, fissures and ulcerations. Apply to wound 2-3 times daily.

 

 

 

 

SweetFeet cream is used for moisturization and healing of dry, sore, cracked skin of palms and soles, especially psoriasis and eczema. Massage into skin at bedtime. Cotton gloves or socks are optional
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11 Comments

  1. Hi Dr Camisa-
    I’m sure you don’t remember me… but you were my doctor about ten years ago at Cleveland Clinic in naples. I have had varying degrees of Alopecia Areata for the past twelve years. I am interested in new treatments including the Excimer Laser. Have you tried this treatment for AA?
    Amy

  2. Dear Dr. Camisa,
    I have had a mysterious medical journey over the past 3-4 years, and after reading some of your website, I think perhaps you can help. I am a white, otherwise healthy young 40 year old.
    Three years ago I had a breakout of painful sores on several areas of my body that my dermatologist at the time biopsied and determined to be sweets syndrome. I have had two subsequent breakouts of same sores since then all successfully cleared up with with prednisone treatment. I often feel as if they are brewing just under the skin… (sounds strange..)
    Additionally, two and a half years ago I began have mouth pain and discomfort. This was ultimately found to be sjogrens syndrome via blood tests. I am currently under the care of a rheumatologist, but I still feel there is more going on and that all these odd issues are somehow related. I’m taking several medications and perhaps they help, but I’m still suffering- considerably.
    I have marked fatigue unlike anything I’ve ever experienced before and I am generally “achy” and uncomfortable.
    I look like a perfectly healthy woman which makes it difficult for others to understand how this has changed my quality of life.
    Please let me know if you think you may be able to help me get to the bottom of these strange diagnoses. I appreciate your input.

  3. Hi Dr Camisa,
    I have a question about the growth and metastasis of skin cancers, specifically basal cell carcinoma and squamous cell carcinoma. Can you break down the cell biology, explaining why a squamous cell carcinoma will metastisize and basal cell carcinoma will not (or rarely).

    Thank you for your time!

    1. This is a really complicated issue. I will try to answer without oversimplifying, but I can assure you that there are many details I have left out, and even more yet to be discovered.
      Much is known about these two common “non-melanoma skin cancers,” but some of what follows is theoretical. First, both basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are derived from skin epithelial cells that have been exposed to excessive sun exposure over many years. BCC tend to occur in skin where there are more sebaceous (oil) glands. It is believed that both types of cancer start with a mutation in a tumor suppressor gene in a single cell, and that cell replicates many times to form the tumor. More mutations occur in both types over time, but BCC tend to have the mutations on chromosome #9 and SCC have mutations on multiple chromosomes.
      As you said, BCC almost never metastasize to lymph nodes or other body organs, but they are locally invasive and destructive. SCC are biologically capable of metastasizing, however, you should understand that for chronically sun-damaged skin, the rate of metastasis is only about 5%. (It is much higher for SCC of mucous membranes, but there is no BCC counterpart to compare.)
      So far, the best theory as to why one metastasizes and the other does not, pertains to the stroma or dermal connective tissue surrounding the nests of BCC or SCC. The stroma is produced by fibroblasts in the dermis below the epithelium. The BCC are unconditionally dependent on this stroma for their growth and survival whereas the stroma of SCC are non-specific allowing these cells to grow at sites distant from the original tumor.

    2. Try this: the malignant basal cells induce a stroma that envelops and nourishes them; they cannot live without this stroma and do not migrate (metastasize) away from it. The basal cells also secrete enzymes that digest protein that helps them destroy and invade adjacent healthy tissue. Does that help?

  4. I cry “uncle”! I am having the worst breakout of BP on my ankle. Many blisters, swollen, red, hot foot. I am taking the minocycline 2x daily and I called my pharmacist for methotrexate. (05/02). I will cope with the acne, if I break out again. Question is: may I still enjoy my evening cocktail?

  5. Thankyou doctor for your prompt reply. I would like to know from you that in case we decide to use turmeric which has been in some experiments proven to be useful in lichen planus – is there a possibility that the problem becomes very big in the mean time and is then difficult for doctors to handle?

    Should i use steroids in her case?

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