Dallas Associated Dermatologists

Medical Dermatology

Acne

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Acne is a common, benign skin condition characterized by localized breakouts in the form of postures, blackheads, and whiteheads.

Although acne is most common in teens, adults may also experience episodes of acne breakouts.

The worst part about this condition is its appearance. Since acne most frequently occurs on the face, breakouts can cause extreme embarrassment and lead to a lack of self-confidence.

Acne is highly treatable by your dermatologist.

What are the Symptoms?

Since there are many types, symptoms can vary depending on the type and severity.

Generally, the most common symptoms include:

  • Whiteheads. These are pores that are both closed and plugged.
  • Blackheads. These happen in pores that are plugged, yet still open.
  • Papules. These are small bumps that are red and tender to the touch.
  • Pimples. Commonly known as pustules. These are papules, but they have pus at their tips.
  • Nodules. These are painful lumps under the skin that are solid and typically large.
  • Cystic lesions. These are defined as pus-filled lumps under the skin that are quite painful.

Types of Acne

The two most common forms of acne are:

  • Noninflammatory
  • Inflammatory

Within these categories are subcategories. For example, noninflammatory is characterized by blackheads and whiteheads, both of which rarely cause swelling and usually respond to over-the-counter medications.

As for inflammatory acne, this includes papules, pustules, nodules, and cysts. This type is more difficult to treat since it involves infections that are deeper underneath the skin.

What Causes It?

When it appears, it is due to four main factors that may work in combination with one another. These include:

  • Hair follicles clogged by dead skin cells and oil
  • Excess production of oil
  • Inflammation
  • Bacteria

Along with these factors, other things can trigger an attack or worsen existing conditions. Among these are:

  • Hormonal changes
  • Medications
  • Stress
  • Diet

When hormonal changes occur during puberty or midlife, androgen production increases and can trigger or worsen this. Also, medications containing testosterone or corticosteroids can make acne worse.

Treatment Options

You may have spent a lot of time trying various treatments to get rid of your acne. But the best treatment for all types of acne is dermatologic treatment.

If you have seen no improvements or your condition has worsened, it’s time to schedule an appointment with your dermatologist.

Schedule your appointment with us now!

Psoriasis

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About Psoriasis

What is Psoriasis?

Psoriasis is an autoimmune disorder in which your skin produces skin cells much faster than normal. This causes them to build up into thick, flaky, itchy, inflamed patches. There are several types of psoriasis, including plaque, guttate, nail, inverse, and several other types that are rare. Common areas of the body where psoriasis develops include the scalp, torso, arms, thighs, armpits, groin, fingernails, and toenails. There’s also very painful psoriatic arthritis, in which both the skin and the nearby joints are stiff and inflamed. While psoriasis most commonly appears in people between the ages of 15 to 35, approximately 10% of people who develop psoriasis will be under the age of 10 when symptoms appear and 4% will have their first sign of psoriasis occur over the age of 60.

External Symptoms

Symptoms of this, especially early on, can be similar to other conditions like eczema or skin allergies. However, as time goes on, the physical symptoms of psoriasis can worsen including itchy, flaking skin that bleeds or cracks and thick, discolored, and/or ridged nails.

Internal Symptoms

Some of the most damaging symptoms of psoriasis occur internally with the emotional distress one faces with this, as well as psoriatic arthritis which occurs in 30% of people who are affected by the disease. Psoriatic arthritis is painful and affects the joints most commonly in the fingers and toes, feet, and lower back. Also, there is a higher rate of heart disease, stroke, and other internal diseases associated with psoriasis.

What causes it?

Genetics and the immune system function play major roles in the appearance of psoriasis. Instead of the immune system protecting the body from viruses, foreign proteins, and bacteria, the immune system in someone with psoriasis “misfires” and attacks healthy cells. This causes inflammation in the skin leading to more rapid growth of skin cells. The increased growth of skin cells requires more blood circulation to feed the process which results in a multitude of psoriatic symptoms.
The genetic predisposition to psoriasis involves the abnormal function of the inflammatory cells called T-lymphocytes, or “T-cells”. While many people live with these abnormal T-cells without having symptoms of this, there are many situations that can trigger these cells to create the red, scaly patches.
Common triggers include…

Strep infections

For children ages 10 or younger, the most common trigger is strep infection, the most common of which is strep throat.

Emotional distress

Emotional distress is a common trigger in adults.

Skin irritation

Skin irritations such as scrapes or irritations from getting a tattoo applied are other triggers.

Medications

Certain medications including lithium, antimalarials, Inderal, quinidine, and indomethacin have been associated with triggering psoriasis.

Common treatments

Though psoriasis is not contagious, it is unpredictable. You may heal without warning only to have it return just as quickly or years later. Unfortunately, there is no known cure for this, but our dermatologists have the knowledge and experience necessary to help you manage your symptoms. Our psoriasis treatment options include topical medications, Vitamin D (steroids or retinol creams/gels), oral treatments, biologic treatments (retinoid pills, chemotherapy medicine), light therapy, and UV-B light (controlled doses of sunlight).

Our approach & expertise

We know that an aggressive and troublesome skin condition like psoriasis can affect you both physically and psychologically. As your community skin specialists, we’re here to provide encouragement and answers to questions you may have about this problematic skin issue. Contact us today if you notice symptoms so that we can help you deal with this unpredictable condition. We provide treatment options that can be tailored to suit your needs and goals, and we’ll be by your side each step of the way, addressing your concerns and providing advice and after-care support.

Schedule your appointment with us now!