Tinea Faciale

What is Tinea Faciale? This dermatophytic infection of the face appears typically as a serpiginous, erythemetous rash with a sharply demarcated border. With what can tinea faciale confused? Chronic irritant contact dermatitis can also cause scaling on the face, as can seborrheic dermatitis. Tineal faciale may occasionally mimic the rash of a photodermatitis or the… Read More

Tinea Cruris

About Tinea Cruris Tinea cruris, less glamorously known as “jock itch, is a dermatophytic infection of the groin. Patients also commonly have tinea pedis (athlete’s foot). Moisture from perspiration is likely the predisposing risk factor for both of these rashes. Tinea cruris may not be annular, but it will be seripiginous, elevated, and scaling. The… Read More

Tinea Corporis

About Tinea Corporis Tinea corporis, also known as “ringworm”, is a fungal infection of the body. History of exposure to an infected pet or dog is common. The classic lesion is annular (hence the name “ringworm”), with an elevated, scaling border and a central clearing. Some lesions may be serpiginous rather than annular. With what… Read More

Tinea Diagnosis, Treatment and Prognosis

With the exceptions of tinea capitis and tinea unguium, which typically require systemic antifungal treatment, most tinea infections are diagnosed and treated in a similar fashion, and carry a similar prognosis. Tinea diagnosis The dictum “if it scales scrape it” is the guiding principle in diagnosing fungal infection. A simple KOH preparation revealing hyphae is… Read More

Tinea Capitis

About tinea capitis Tinea capitis is a superficial dermatophytic fungal infection of the scalp, usually caused by Tricophyton tonsurans, Microsporum canis, or Microsporum audouinii. Clinically, the disease ranges from scaling patches to a boggy, inflamed, pustule-studded plaque (kerion) accompanied by regional lymphadenopathy (swelling of lymph nodes). Patchy alopecia (hair loss) studded with broken hair shafts,… Read More

Androgenetic Alopecia (common baldness)

About Androgenetic Alopecia Androgenetic alopecia, or common baldness, is a genetically determined sensitivity of the hair follicle to androgens. It occurs post-pubertally in both males and females and is manifest by the non-scarring loss of hair in the vertex and frontotemporal areas. Terminal hairs are first replaced by thin, small vellus hairs. Eventually the follicles… Read More

Telogen Effluvium (Stress-Induced Alopecia)

About Telogen Effluvium Diffuse hair loss can result from physical or psychological stress such as: childbirth (most common cause), high fever, chronic illness, emotional stress, physical stress, nutritional deficiency, and various drugs. The hair loss occurs several months after the stressor. This cause of the hair loss is termed telogen effluvium, and results from the… Read More

Alopecia Areata

Call 973-763-7546 To Schedule Your Alopecia Areata Consultation About Alopecia Areata Alopecia areata is characterized by the acute development of round or oval patches of hair loss, typically 2-3 cm in diamater, without scarring of the scalp. Alopecia areata is presumed to be an autoimmune disorder in with T lymphocytes react with antigens aberrantly expressed… Read More

Actinic Keratosis

About actinic keratosis (keratoses) An actinic keratosis is often better felt than seen, appearing as a poorly defined red-yellow rough patch or papule with adherent scale.  Actinic keratoses are found in sun-exposed areas such as the head, neck, forearms and back of the hands.  Other signs of photoaging, such as solar elastosis and lentigines, are… Read More

Skin Cancer

About skin cancer Skin cancer is the most common malignancy.  There are three major varieties: -Basal cell carconoma -Squamous cell carconoma -Melanoma These are discussed in separate entries.