Macaione & Papa

Medical Services

•   Adult and pediatric dermatology
•   Skin cancer screening
•   Acne and Rosacea
•   Psoriasis and Eczema
•   Moles
•   Hair loss
•   Nail diseases
•   Warts and Molluscum
•   Fungal, viral, and bacterial infections
•   Evaluation and treatment of atypical moles
•   Botox^® Treatment for Hyperhidrosis
•   Keloids
•   Patch Testing for Skin Allergies
•    XTRAC Excimer Laser for psoriasis and vitiligo
•    Levulan^® Photodynamic Therapy for actinic keratoses
•   Mohs Surgery for skin cancer

Definitioner

Warts

Warts are tumors or growths of the skin caused by infection with Human Papilloma Virus. More than 70 Human Papilloma Virus (HPV) subtypes are known. Warts are very common in childhood and are spread by direct contact or autoinocculation. This means if a wart is scratched, the viral particles may be spread to another area of skin. It may take as long as twelve months for the wart to appear. In children, 50% of warts disappear on their own within 6 months, and 90% are gone in 2 years. They tend to be more persistent in adults, lasting 5-7 years, but always go eventually.

Rosacea

Rosacea is a facial rash that occurs in middle-aged men and women. It is tought to be related to an overgrowth of a mite that normally resides on the skin. Rosacea affects people mainly in the 30s and 40s, especially those with fair-skin, blue eyes and of Celtic origin. Rosacea used to be called "acne rosacea" but it is quite different from acne. The red spots and pustules are dome-shaped rather than pointed and there are no blackheads, whiteheads, deep cysts, or lumps. Sometimes the affected skin is swollen and hot. Rosacea affects the cheeks, nose and forehead , rarely it involves the trunk and upper limbs. Facial creams or oils, and topical steroids may aggravate it.

Psoriasis

Psoriasis is a disorder of the skin, which typically consists of red plaques covered by silvery-white scales. These red scaly patches are usually found on the elbows, knees, lower back, and scalp. When psoriasis involves the groin, armpits, and genital area and beneath the breasts it tends to be less scaly and have a glazed appearance. Psoriasis infrequently affects the face. It does not cause scarring and rarely results in hair loss. Psoriasis is common, affecting approximately 2% of adults. Its exact cause is unknown but the result is skin, which grows about seven times quicker and thicker than usual. It is thought to be due, at least in part, to an abnormal immune reaction against some component of the skin. Genetic factors play a part; only some families develop the condition, and about half those affected know of someone else in the family with it. The rash often seems to start after some sort of trigger factor. This may be emotional stress, skin injury (cuts and scratches for example), a streptococcal sore throat, hormones (it often first occurs at puberty), or rarely, certain medications. These factors should be avoided whenever possible by people with psoriasis. Psoriasis is not an allergy, nor is it infectious to others.

Moles

Moles are common harmless skin lesions. Moles (melanocytic nevi) may be flat or protruding. They vary in color from pink flesh tones to dark brown or black. The number of moles a person has depends on genetic factors and on sun exposure. Moles begin to grow in infancy but new ones can appear at any age, sometimes in crops. Moles may darken following sun exposure or during pregnancy. During adulthood they often lose their pigmentation, and may disappear altogether in old age.

Keloids

Occasionally scars enlarge spontaneously to form firm, smooth, hard growths called keloids that may be uncomfortable or itchy, and may grow much larger than the original wound. If there is excessive tension on a healing wound, the healing area can thicken more than usual. This is known as a hypertrophic scar.

Hyperhidrosis

Hyperhidrosis is the name given to excessive sweating. Hyperhidrosis may affect the entire body, or it may be localized to the armpits, palms or soles. Hyperhidrosis may occur in childhood or start later in life. Other family members may be similarly affected. An increase in air temperature, exercise, fever, anxiety, or spicy food may cause sweating. Sweating usually reduces at nighttime, but can continue throughout the day.

Vitiligo

Vitiligo is a condition in which pigment cells are destroyed by cells of the immune system, resulting in irregularly shaped white patches on the skin. Any part of the body may be affected. Common sites are exposed areas (face, neck, eyes, nostrils, nipples, navel, genitalia), body folds (armpits, groin). Also, sites of injury (cuts, scrapes, burns), around pigmented moles, hair (early greying of hair on scalp and body), and the retina.

Eczema

Eczema affects about one in every five people at some time in their lives. It results from a variety of different causes and has various patterns. The terms "dermatitis" and "eczema" are often used interchangeably. Dermatitis can be "acute" or "chronic" or both. Acute eczema refers to a rapidly evolving red rash, which may be blistered and swollen. Chronic dermatitis refers to a longstanding irritable area. It is often darker than the surrounding skin, thickened and much scratched. It is typically triggered by an irritating soap, hot water, a fragrance and even stress.

Acne

Acne is chronic inflammation of the pilosebaceous units (hair follicle and oil gland) of the face and trunk that commonly begins during adolescence. Acne presents clinically with comedones, papules, nodules, cysts or papulopustules, sometimes followed by pitted or hypertrophic scars. An overproduction of oil, an overgrowth of P. acne bateria and a clogging of the pores are the main cause acne. This condition can be aggravated by stress, illness or comedogenic cosmetics. It is unclear as to whether diet plays a direct role in acne