If you are not happy with the way your skin looks or have a medical skin condition that needs to be addressed, call us. We have Board Certified dermatologists here serving Maryland. We can help.
Sometimes it’s weather. sometimes its a genetic skin condition. Whatever it is that you want to improve about your skin we can help. We work with you one-on-one, our skilled physicians, use the latest treatments and technologies to help you look as young as you feel.
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We treat all types of medical conditions: Severe acne, Dermatitis, Varacose Veins, Shingles, Rosacea, Eczema, Psoriasis, Urticaria, Hives, Mole Removal, Birthmark Removal, Keloid Treatment, Skin Tag Removal, Melasma Treatment
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Experience, knowledgeable and safe. All are cosmetic and medical treatments are specifically designed to get the results you want. Treat yourself to a vision of beauty…your own…and get ready to love your skin again.
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DermatitisDermatitis is also known as atopic dermatitis or eczema. About 35 million people in the United States suffer from it which is about 1-3% of adults. About 10-20% of children mostly below the age of 5 also suffer from it. So if you have dermatitis symptoms you are not alone. Call a board certified dermatologist to resolve your dermatitis.
What is Dermatitis?Dermatitis, also known as eczema is an autoimmune skin condition that results in dry, itchy, peeling and some times red skin. In some cases, the skin can retain fluid. Dermatitis is often a reaction to allergies, stress or hereditary predisposition. Dermatitis typically has two different types of causes, allergic reactions and irritants. Baby eczema or baby dermatitis can be alarming as parents try to figure out the cause of the baby's eczema – allergic or irritant.
Different types of Dermatitis
Atopic DermatitisAtopic Dermatitis is itchy, dry and often peeling skin. Sometimes it can appear to be red and scaly as well. Dermatitis can be caused by allergic reactions to food, irritation from fragrance soaps and detergents, excessive bathing, stress, changes in weather from dry to cold,. Mild atopic dermatitis can appear as a common skin rash. After noticing the appearance of atopic dermatitis review your diet over the past 24-48 hours. This may provide clues to the reason for the outbreak of dermatitis. Also, avoid excessive bathing, use a non-fragrance moisturizer, use non-fragrance soaps and detergents, wear soft fabric clothing and avoid coarse fabrics like wool as you resolve your outbreak of dermatitis.
Seborrheic DermatitisSeborrheic dermatitis is a condition that is a form of eczema that affects the scalp. In infants it is commonly called “cradle cap.” It presents with dry and flaky skin on the scalp, it is very close to dandruff. Seborrheic dermatitis however, is a greasy peeling on the scalp, which can extend to the face, eye brows. Seborrheic dermatitis sometimes will extend to the back and abdomen.
Cradle cap or seborrheic dermatitis in infants is a condition that is characterized by thick, yellow, peeling skin on the head of infants and some toddlers. 10-20% of infants have this for of dermatitis. Seborrheic dermatitis in infants, or cradle cap is also known as baby eczema. Although alarming to new mothers, the condition is easily treated by a dermatologist.
Contact DermatitisContact Dermatitis is when a patient develops a rash after touching something and developing an allergic reaction. The symptoms of this form of dermatitis usually appear within 10 days. In this form of dermatitis, it is important to review what the patient touched. Be sure to consider excessive bathing, soaps and detergents etc. when formulating the source of contact dermatitis.
Dyshidrotic EczemaDyshidrotic eczema or dyshidrosis is when there are blisters on the sole of the feet, hands and/or fingertips. The blister can be filled with fluid. Men are affected by the Dyshidrotic eczema or dyshidrosis 50% less than women. The condition normally lasts for 4 weeks and is caused by allergies and/or stress. It can be effectively treated with moisturizing lotions, vaseline, mineral oil, corisone or steriod based ointments in severe cases. If you have a Dyshidrotic eczema or dyshidrosis outbreak, it is wise to first evaluate your diet and the last food items that were consumed. Dyshidrotic eczema or dyshidrosis can be quite alarming so it is important to call a dermatologist.
Nummular DermatitisNummular dermatitis is oval or round shaped itchy patches of dry skin. As they dry out they can appear similar to psoriasis or ring worm. Frequent bathing, wool and perfumed soaps can make the condition worse. The condition tends to be chronic with intermittent flare ups. The condition can be controlled with cortisone ointments. Overall it is important to keep the skin lubricated with a non-fragrance lotion. Do not shower more than once per day. Before drying off, apply a non-fragrance lotion to lock in the water on your skin. There are 200,000 to 1 million cases of nummular dermatitis cases each year.
Dermatitis HerpetiformisDermatitis Herpetiformis are bumps and blisters that look like herpes lesions but are not caused by the herpes virus. The Dermatitis Herpetiformis resolves itself after the patient adheres to a strict Glutten free diet. People of northern European descent are more likely to develop this condition than those of African or Asian heritage to develop DH. The condition is somewhat more common in men than women. And men are more likely to have atypical oral or genital lesions.
Dermatitis DietThe best way to find out if your diet is the cause of your dermatitis --limit your diet to food with minimal chemical content. Below is a list of 7 foods you can eat that have minimal amounts of chemicals and should allow you to isolate your diet as a cause of your outbreak. The foods include: Bananas Beef or chicken broth Potatoes Green onions Buckwheat Rice milk Mung bean sprouts
TreatmentTreatment usually requires moisturizers and steroid creams in severe cases. It's important to be mindful of your diet to ensure that you don't consume food that may cause an allergic reaction. Check list: Diet (avoid food allergies) Bathing (avoid excessive bathing) Avoid harsh and heavily fragranced soaps/detergents Use moisturizing lotions, mineral oils, vaseline (apply while still wet from bath/shower)
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AcneAcne starts when oil and dead skin cells clog up your pores. Some people call it blackheads, blemishes, whiteheads, pimples, or zits. When you have just a few red spots, or pimples, you have a mild form of acne. Severe acne can mean hundreds of pimples that can cover the face, neck, chest, and back. Or it can be bigger, solid, red lumps that are painful (cysts). Acne is very common among teens. It usually gets better after the teen years. Some women who never had acne growing up will have it as an adult, often right before their menstrual periods. Acne starts when oil and dead skin cells clog the skin's pores camera. If germs get into the pores, the result can be swelling, redness, and pus. For most people, acne starts during the teen years. This is because hormone changes make the skin oilier after puberty starts. Using oil-based skin products or cosmetics can make acne worse. Use skin products that don't clog your pores. They will say "noncomedogenic" on the label. Acne can run in families. If one of your parents had severe acne, you are more likely to have it.
Types of acneIdentifying which type of acne you’re experiencing is key to successful treatment. Acne may be noninflammatory or inflammatory. Subtypes of acne within these two categories include: Noninflamation acney Noninflammatory acne includes blackheads and whiteheads. These normally don’t cause swelling. They also respond relatively well to over-the-counter (OTC) treatments.
Blackheads (open comedones)Blackheads occur when a pore is clogged by a combination of sebum and dead skin cells. The top of the pore stays open, despite the rest of it being clogged. This results in the characteristic black color seen on the surface. Whiteheads (closed comedones) Whiteheads can also form when a pore gets clogged by sebum and dead skin cells. But unlike with blackheads, the top of the pore closes up. It looks like a small bump protruding from the skin. Whiteheads are more difficult to treat because the pores are already closed. Products containing salicylic acid can be helpful. Topical retinoids give the best results for comedonal acne. Currently, adapalene (Differin) is available over the counter as a retinoid. If it does not work for you, stronger topical retinoids are available by prescription from your dermatologist. Inflammatory acne Pimples that are red and swollen are referred to as inflammatory acne. Although sebum and dead skin cells contribute to inflammatory acne, bacteria can also play a role in clogging up pores. Bacteria can cause an infection deep beneath the skin’s surface. This may result in painful acne spots that are hard to get rid of. Products containing benzoyl-peroxide may help reduce swelling and get rid of bacteria within the skin. These can also remove excess sebum. Your doctor may prescribe either an oral or topical antibiotic along with the benzoyl-peroxide to treat your inflammatory acne. Topical retionoids are also an important part of combatting inflammatory papules and pustules. Papules Papules occur when the walls surrounding your pores break down from severe inflammation. This results in hard, clogged pores that are tender to the touch. The skin around these pores is usually pink.
PustulesPustules can also form when the walls around your pores break down. Unlike papules, pustules are filled with pus. These bumps come out from the skin and are usually red in color. They often have yellow or white heads on top. Nodules Nodules occur when clogged, swollen pores endure further irritation and grow larger. Unlike pustules and papules, nodules are deeper underneath the skin. Because nodules are so deep within the skin, you can’t typically treat them at home. Prescription medication is necessary to help clear these up. Your doctor or dermatologist will likely prescribe the oral medication isotretinoin (Sotret). This is made from a form of vitamin A and is taken daily for four to six months. It can treat and prevent nodules by decreasing oil gland size within the pores. Cysts Cysts can develop when pores are clogged by a combination of bacteria, sebum, and dead skin cells. The clogs occur deep within the skin and are further below the surface than nodules. These large red or white bumps are often painful to the touch. Cysts are the largest form of acne, and their formation usually results from a severe infection. This type of acne is also the most likely to scar. The prescription medication isotretinoin (Sotret) is commonly used to treat cysts. In severe cases, your dermatologist may surgically remove a cyst. It’s possible to have multiple types of acne at once — some cases may even be severe enough to warrant a visit to the dermatologist. Treatments There are many home treatments that are effective for people with acne. However, if a more aggressive approach is needed a dermatologist use a variety of treatments. Photodynamic therapy (PDT) and other light and laser-based therapies are being used to treat acne. These include the use of blue light, red light, intense pulsed light (IPL), and infrared or pulsed dye lasers. Sometimes these therapies are used along with medicines, but they may also help people who cannot be treated with medicines. Other treatments include dermabrasion, microdermabrasion, and laser skin resurfacing are effective treatments for severe acne. They can make acne scars less noticeable. Dermal fillers also work well for some types of acne scars.
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