Caryn Schulz, MD
Caryn Schulz, MD
Many people are under the impression that they must have a doctor’s referral to see a dermatologist. What a good thing that is not the case with most insurance plans! Many skin problems defy recognition for otherwise capable, conscientious doctors who are not skin specialists. Any of the following conditions that I am going to discuss should bring you to a dermatologist directly without the delay of getting a referral. Rashes are a good place to start. These are some of the most common things I see in my office.
Seborrheic dermatitis is a skin inflammation located in dense areas of secretory glands like oil glands. This can include the eyelids, around the creases of the nose, behind the ears and around the chin. Inflammation in any of these areas is often seborrheic dermatitis. It can be treated easily and effectively with a combination of pills, cream and occasionally injectable medication.
Hand Dermatitis, Psoriasis and Eczema
Symptoms of hereditary hand dermatitis include cracking, itching, scaling and flushing. Related categories of hereditary hand dermatitis include psoriasis and eczema. Treatments for each are similar and are very effective.
Psoriasis is a hereditary disorder which also arises spontaneously in 40% of hand dermatitis cases. It usually appears as a scaly plaque on the elbows and knees, but there are wide variations that can
be missed by a non-expert’s eyes. There are many good treatments for psoriasis. The conventional drugs work very well and the new ones, known as biologics, also work well. Hand dermatitis also can be eczema.
Eczema is a hereditary condition in which the body’s immune system is overactive and as a consequence, the patient experiences rashes, itching and a general sense of being too dry.
Far too many of these are misdiagnosed as fungus. They are often psoriasis, nail bed damage, artificial nail or manicure damage.
There is a characteristic lyme disease rash, but lyme disease is frequently misdiagnosed. In addition to the rash, typical symptoms include fever, headache and fatigue. If you think you may have been bitten by a bear tick, get it checked. Lyme disease is curable and if untreated it can be serious.
Botox injections are an acceptable treatment to stop sweating. However, there is a safe and effective drug that can be taken by mouth. The drug is quite safe, comes in an inexpensive generic
form and drastically reduces excessive sweating without any serious side affects.
There are many types and causes. It is a particular area of interest to dermatologists. Treatment is available and is often effective.
Conservative treatment is often sufficient, but when it is not, isotretinoic acid (formerly Accutane) is usually successful.
I hope I have cleared up some of the reasons to see a dermatologist. If it is on your skin and it does not look the way it should, you should see a dermatologist.
Dr. Schulz – Caryn Schulz, MD
For information or to schedule an appointment:
715-839-9400 | www.oakleafmedical.com
Dr. Schulz sees patients in Eau Claire.