Medical & Surgical Dermatology
Dr. Moulton-Levy treats a variety of skin, hair and nail conditions, including inflammatory, infectious, allergic/immunologic and hormonal ailments. She performs surgical procedures to treat skin cancers and benign growths. The practice welcomes patients of all ages.
Acne
Acne is a skin condition with blackheads, whiteheads, red pimples and cysts. It usually affects the face, but can also involve the upper body. Acne affects people of all ages and in some, can leave dark marks or pitted scars. Treatment for mild acne starts with topical antibiotics, retinoids (vitamin A based topicals), and benzoyl peroxide.
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Allergy Patch Testing
Patch tests are used to identify the cause of contact allergic dermatitis. Standard series of allergens are recommended for use in everyone undergoing patch testing because these include the most common and important allergens that cause dermatitis. The patches are generally left in place for 48 hours.
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Cysts
Cysts, mole, and skin tags are extremely common occurrences on the body and face, but are the cause of self-consciousness, embarrassment or even discomfort for many men and women of all ages. Cysts and skin tags can, however, be removed quickly and simply on an outpatient basis. A local anesthetic is normally used when removing moles and cysts. The majority of moles and cysts are removed by simple excision, and where only one or two exist, the procedure would normally take no more than twenty minutes.
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Eczema
Eczema is a chronic skin disorder that involves scaly and itchy rashes. Eczema Treatment TriBeCaAtopic eczema is the most common type of eczema and often runs in the family. People with eczema will often have asthma or hay fever as well. Eczema is most common in infants, and children often outgrow their eczema as they reach adulthood. Periodic flares or worsening of eczema may occur. Things which may worsen eczema include dry skin, contact with fragrances or rough materials, allergies, illnesses, and stress. Skin care at home is of primary importance in the management of eczema. Treatment includes anti-inflammatory products to reduce itching and alleviate symptoms.
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Hyerhidrosis (excessive sweating)
Hyperhidrosis is a condition where patients experience excessive sweating. Hyperhidrosis can affect the entire body, or isolated parts. While it is most common in the underarms, hyperhidrosis also typically affects the hands and feet. Excessive sweating can cause skin irritation from the constant increased moisture, and patients may also feel embarrassed or self-conscious by their condition. Treatment is available in the form of topical medications and injections.
Hyerhidrosis
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Immunobullous (blistering) diseases
Immunobullous (blistering) diseases of the skin are autoimmune disorders. Any autoimmune condition involves the immune system "attacking" its own organs or tissues by producing autoantibodies (antibodies against the self). In the skin, there are proteins that attach epidermal cells to each other and proteins that attach the epidermis to the dermis. These proteins are the glue that keeps the skin intact. When these proteins are damaged by autoantibodies, the cells separate from each other and a blister appears. The two main forms of immunobullous disease of the skin are Pemphigus and Pemphigoid.
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Lichen planus
Lichen planus (LP) is a disease of the skin and/or mucous membranes that resembles lichen. The cause is unknown, but it is thought to be the result of an autoimmune process with an unknown initial trigger. There is no cure, but many different medications and procedures have been used to control the symptoms.
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Lipomas
A lipoma is a slow-growing, fatty lump that's most often situated between your skin and the underlying muscle layer. A lipoma, which feels doughy and usually isn't tender, moves readily with slight finger pressure. Lipomas are usually detected in middle age. Some people have more than one lipoma. A lipoma isn't cancer and usually is harmless. Treatment generally isn't necessary, but if the lipoma bothers you, is painful or is growing, you may want to have it removed.
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Melasma
Melasma presents with brown patches on the cheeks, bridge of the nose, forehead and upper lip. It is most common in women with skin of color and occurs more frequently in those with a family history of the condition. If you have melasma, the most important part of treatment is a daily sunscreen that protects against UVA and UVB with an SPF of 30 or higher.
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Molluscum
Molluscum contagiosum is caused by a skin virus and appears as painless white bumps on the skin. This condition is common in children. The bumps can appear anywhere on the body, most commonly the trunk and extremities. Molluscum is spread via skin-to-skin contact and may be worsened by scratching. Some children have a few lesions, while others have numerous bumps all over their body. Patients can expect their molluscum to last anywhere from 6 months to 2 years. If lesions are itchy or spreading, treatment can be provided. Our doctors will discuss treatment options, including medications that can be applied and procedures to remove the molluscum.
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Psoriasis
Psoriasis is a chronic skin disorder characterized by raised lesions with silvery scale that most often occur on the scalp, elbows knees and lower back. It can range from a very mild, hardly noticeable rash to a severe eruption that covers large areas of the body. In some patients, psoriasis causes nail changes and joint pain (psoriatic arthritis). Psoriasis affects 2% of people and is not contagious, but may be inherited. Psoriasis is not curable, but is controllable. No single approach works for everyone. Therapy is individually tailored and based on your health, goals and a careful assessment of potential risks and benefits of treatment.
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Rosacea
Rosacea is a common skin disease that causes redness and red pimple-like breakouts on the face. It begins with a tendency toward "flushing and blushing" and may then progress to a persistent redness of the central face. With time, small blood vessels and tiny pimples appear, but there are no black or whiteheads. Rhinophyma is the most severe form of rosacea, in which the nose becomes bulbous and enlarged with prominent oil glands. This type of rosacea is most common in men. Treatment of rosacea includes a variety of topical medications, washes and antibiotics.
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Shingles
Shingles is a viral infection that causes a painful rash. Although shingles can occur anywhere on your body, it most often appears as a single stripe of blisters that wraps around either the left or the right side of your torso. Shingles is caused by the varicella-zoster virus - the same virus that causes chickenpox. After you've had chickenpox, the virus lies inactive in nerve tissue near your spinal cord and brain. Years later, the virus may reactivate as shingles. While it isn't a life-threatening condition, shingles can be very painful. Vaccines can help reduce the risk of shingles, while early treatment can help shorten a shingles infection and lessen the chance of complications.
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Skin cancer screening and treatment
Skin cancer is the most common type of cancer in the United States, and anyone can get it. The three most common types of skin cancer are basal cell carcinoma, squamous cell carcinoma, and melanoma. Most of the time, skin cancer is caused by sun exposure and use of tanning beds. Any new growth or change in the skin should be carefully evaluated by a dermatologist.
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Skin Tags
Skin Tags are benign, skin colored or brown growths that are most commonly located on the neck, in the armpits or in the groin area. The cause of skin tag is thought to be friction. They are more common in people who are overweight or who have diabetes. Treatment is not necessary but removal for cosmetic purposes can be accomplished with surgery, cryosurgery (freezing) or electrodessication (burning).
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Warts
Warts are non-cancerous growths caused by an infection of the top layers of the skin by the human papilloma virus. There are several different types of wart and their appearance varies depending on their location. Common warts usually grow on the fingers, around the nails and on the backs of the hands. They appear as skin colored with a rough surface and black dots. Over-the-counter salicylic acid products are often effective treatments; however, nitrogen, acids, or electrodessication may be required.
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