Medical Treatments

Our team of expert dermatologists been serving the Vancouver community for over 35 years. We are committed to providing professional, reliable, personalized care for patients of all ages. 

Skin Conditions We Treat

Whether evaluating a lesion for skin cancer or diagnosing a rash, we provide the highest quality of care rooted in the latest medical research and technology. Learn more about some of the conditions we treat by reviewing the below list:

Acne surgery and extractions involve the careful removal of blackheads, whiteheads, and milia. Our experts cleanse the skin, then use sterile tools to gently extract the contents of clogged pores. Acne surgery is a great option for individuals experiencing stubborn acne that does not respond to conventional treatments. If you are interested in learning more about acne surgery or wonder if acne surgery is the right treatment for you, please schedule a consultation by calling our office: 360-254-5267.

Cryosurgery is a surgical treatment that utilizes liquid nitrogen, a very cold gas, to freeze and destroy various skin lesions such as warts, seborrheic keratoses, and pre-cancerous growths called actinic keratoses.

Cryosurgery is done frequently in dermatology and does not require anesthesia or needles. Cryosurgery can sting and be painful but the discomfort is usually temporary, typically lasting a few minutes. Once a skin lesion is treated with liquid nitrogen, it becomes red, inflamed, and eventually can become crusty or even blister before healing.

Not all skin lesions resolve with cryosurgery and some may need multiple treatments or even recur. Cryosurgery can sometimes result in pigment changes in the skin and even a scar. Cryosurgery can be expensive depending on your insurance coverage and deductible.

Curettage and desiccation (C&D) is a common surgical procedure used to treat skin cancers such as basal cell carcinoma and squamous cell carcinoma. Initially, the area of the skin cancer is anesthetized with lidocaine. Because the skin cancer tissue is abnormal, it is generally softer than the surrounding healthy skin and therefore able to be scraped away with a tool called a curette. Then, electrocautery is used to stop any bleeding, and destroy a small margin of tissue. This process of “scraping” (curettage) and “burning” (cautery) is repeated three times to get a small margin of uninvolved tissue surrounding the skin cancer. The procedure leaves you with a wound that heals by granulation, which means it heals from the bottom up and the sides in, without stitches. This means it will take longer to heal than a wound that is sutured, however a patient does not have the same activity restrictions as a patient who has had a surgical excision. Because the skin cancer is not excised, there are not surgical margins to evaluate under the microscope. Cure rates from curettage and desiccation are very high and are similar to those of excisions.

Please click here for wound care instructions (pdf)

Grenz Ray Treatment is a form of low voltage radiation with very low penetration – it does not penetrate beyond the first 2 mm of skin (the thickness of a few sheets of paper). Grenz ray helps to decrease inflammation and is a safe treatment. It can be used for a variety of skin conditions including psoriasis, eczema, and chronic itchy skin areas. Treatments are not painful and occur weekly for 6-8 weeks on average. Possible side effects include a mild sunburn and hyperpigmentation (darkening) of the skin.

Grenz ray treatments should not be confused with the “superficial radiation therapy” or “superficial X-Ray” which are used in the treatment of skin cancers.

There are many medications available to treat different dermatologic conditions. The first step in determining the correct medication, is to determine the correct diagnosis. Once the diagnosis is established, then our provider will review your medical history and determine their recommended treatment plan. If more conservative treatments don’t adequately treat the condition, then systemic treatments will be considered. Some systemic treatments available are referred to collectively as Biologic Medications. Biologic medications are a class of drugs that are produced using a living system, such as a microorganism, plant cell, or animal cell. They are used to treat a wide variety of conditions and can be very effective. Please select here to visit the Biologic Medications Page for some additional information about these treatments. 

Narrowband Ultraviolet Light B Therapy (NBUVB) is the most common form of phototherapy used to treat skin diseases. “Narrowband” refers to a specific wavelength of ultraviolet (UV) radiation, 311 to 312 nm. These wavelengths have the most benefit in treating skin conditions. This treatment is administered in our office by a medical assistant or a nurse. Typically, the patient undresses to expose the affected areas of their skin to the ultraviolet light. The patient stands in a treatment booth called a light box, the walls of which are lined with UVB bulbs. Narrowband UVB treatments are short – they typically last seconds to minutes. Narrowband UVB treatment is typically done 2-3 times per week and is used for a variety of skin conditions including psoriasis, eczema, mycosis fungoides, and itching.

With a referral from your neurologist, we are able to perform a skin biopsy to help your neurologist diagnose, or rule out, small fiber neuropathy (SFN).

Photodynamic therapy (PDT) is a treatment we offer in the office that targets actinic keratoses (pre-cancerous skin lesions). It is an optimal treatment for actinic keratoses because it is a non-invasive method to treat an entire anatomic area at once (field treatment) instead of targeting individual lesions with liquid nitrogen. PDT has a much shorter treatment duration and recovery period compared to topical therapies for actinic keratoses. It may also result in improved cosmetic appearance of the skin and fewer sun spots. The goal of photodynamic therapy is to eliminate as many pre-cancerous lesions as possible so they do not evolve into skin cancer.

Generally, PDT is well-tolerated and involves minimal downtime from work – on average you can usually expect a period of 1 week or less before skin appears normal/near normal. The majority of insurance plans cover PDT treatment, including Medicare.

For more information, please reference our patient handout, minor consent form, or call our office to schedule a consultation: 360-254-5267.

Select there for the Patient PDT Handout Form (pdf)

Select here for the Minor Consent Form (pdf) 

A skin biopsy is a very common procedure performed by dermatologists to evaluate lesions suspicious for skin cancer and investigate rashes to help determine the diagnosis. Skin biopsies are minor surgical procedures that involve first numbing the site with a local anesthetic. A scalpel, small blade, or circular punch tool is then used to remove the tissue specimen. Electrocautery may be performed to stop bleeding and sometimes sutures are used to close the biopsy site. Dr. Dawson, Dr. Datloff, or a dermatopathologist examines the biopsy specimen under the microscope and generates a pathology report with the diagnosis. It can take 1-2 weeks to obtain the pathology report.

Select here for wound care instructions (pdf)

Surgical excisions are performed to remove a wide variety of skin lesions ranging from benign growths such as cysts and lipomas to malignant lesions including basal cell carcinoma, squamous cell carcinoma, and melanoma.

Surgical excisions are performed under local anesthesia. Typically, an elliptical (football) shape of skin is removed that encompasses the primary skin lesion in addition to a margin of uninvolved skin. Any bleeding is controlled with electrocautery. The resulting wound is then repaired by loosening the surrounding skin and then suturing layers of tissue together; first the deep layer with sutures that dissolve, then the superficial layer with sutures you will see and that need to be removed.

The incision line will be straight and is often longer than the patient expects because the final length of the incision is usually three times as long as the diameter of the wound. All excisions will result in a scar which can take a few months to a year to heal completely. The scar can be minimized by the proper care of your wound and adhering to activity restrictions.

Prior to your excision appointment, please bathe and wash your hair to minimize your risk of a surgical site infection. The day of your excision, please eat breakfast or lunch as you normally would, there is no need to fast. It is important that you do not take any anti-anxiety medicines, over the counter or prescription pain medicines the day of the excision.

After a surgical excision, pain is typically minimal and can usually be controlled with acetaminophen (Tylenol), and/or icing the area. Bruising and swelling are common following an excision and can last for several days. Using ice in the first 24 hours helps reduce these symptoms. The risk of post-operative infection is very low. If you are concerned about worsening symptoms of redness along the incision line, pain, drainage, swelling, or you have fevers, please call our office immediately: 360-254-5267.

Once the excision is complete, a pressure dressing will be placed on the wound and should be left in place for 2 days. Rarely, post-operative bleeding occurs and can usually can be stopped with direct, firm pressure to the surgical site for 20 minutes. For any bleeding that is not controlled with pressure, please call our office immediately: 360-254-5267.

Following surgery, you should plan on decreased activity (no exercise or heavy lifting), and restrict travel for 2 weeks, possibly longer depending on the location of the surgical site. This will minimize the scar from spreading and reduce the chance of bleeding after surgery. Sutures will need to be removed 7-14 days following the excision- the timing depends on the site of the surgery. You will schedule this appointment after the excision appointment is finished.

The excision specimen will be examined under the microscope to generate the pathology report and diagnosis. It can take 1-2 weeks to obtain the pathology report. There is always a chance that the excision margins did not completely remove the lesion, in which case an additional excision may need to be performed at a later date, particularly if the lesion is malignant.

Select here for post-surgical care instructions (pdf)

Medical Treatments

Our team of expert dermatologists been serving the Vancouver community for over 35 years. We are committed to providing professional, reliable, personalized care for patients of all ages. 

Acne surgery and extractions involve the careful removal of blackheads, whiteheads, and milia. Our experts cleanse the skin, then use sterile tools to gently extract the contents of clogged pores. Acne surgery is a great option for individuals experiencing stubborn acne that does not respond to conventional treatments. If you are interested in learning more about acne surgery or wonder if acne surgery is the right treatment for you, please schedule a consultation by calling our office: 360-254-5267.

Cryosurgery is a surgical treatment that utilizes liquid nitrogen, a very cold gas, to freeze and destroy various skin lesions such as warts, seborrheic keratoses, and pre-cancerous growths called actinic keratoses.

Cryosurgery is done frequently in dermatology and does not require anesthesia or needles. Cryosurgery can sting and be painful but the discomfort is usually temporary, typically lasting a few minutes. Once a skin lesion is treated with liquid nitrogen, it becomes red, inflamed, and eventually can become crusty or even blister before healing.

Not all skin lesions resolve with cryosurgery and some may need multiple treatments or even recur. Cryosurgery can sometimes result in pigment changes in the skin and even a scar. Cryosurgery can be expensive depending on your insurance coverage and deductible.

Curettage and desiccation (C&D) is a common surgical procedure used to treat skin cancers such as basal cell carcinoma and squamous cell carcinoma. Initially, the area of the skin cancer is anesthetized with lidocaine. Because the skin cancer tissue is abnormal, it is generally softer than the surrounding healthy skin and therefore able to be scraped away with a tool called a curette. Then, electrocautery is used to stop any bleeding, and destroy a small margin of tissue. This process of “scraping” (curettage) and “burning” (cautery) is repeated three times to get a small margin of uninvolved tissue surrounding the skin cancer. The procedure leaves you with a wound that heals by granulation, which means it heals from the bottom up and the sides in, without stitches. This means it will take longer to heal than a wound that is sutured, however a patient does not have the same activity restrictions as a patient who has had a surgical excision. Because the skin cancer is not excised, there are not surgical margins to evaluate under the microscope. Cure rates from curettage and desiccation are very high and are similar to those of excisions.

Please click here for wound care instructions (pdf)

Grenz ray treatment is a form of low voltage radiation with very low penetration – it does not penetrate beyond the first 2 mm of skin (the thickness of a few sheets of paper). Grenz ray helps to decrease inflammation and is a safe treatment. It can be used for a variety of skin conditions including psoriasis, eczema, and chronic itchy skin areas. Treatments are not painful and occur weekly for 6-8 weeks on average. Possible side effects include a mild sunburn and hyperpigmentation (darkening) of the skin.

Grenz ray treatments should not be confused with the “superficial radiation therapy” or “superficial X-Ray” which are used in the treatment of skin cancers.

There are many medications available to treat different dermatologic conditions. The first step in determining the correct medication, is to determine the correct diagnosis. Once the diagnosis is established, then our provider will review your medical history and determine their recommended treatment plan. If more conservative treatments don’t adequately treat the condition, then systemic treatments will be considered. Some systemic treatments available are referred to collectively as Biologic Medications. Biologic medications are a class of drugs that are produced using a living system, such as a microorganism, plant cell, or animal cell. They are used to treat a wide variety of conditions and can be very effective. Please see the Biologic Medications page for some additional information about these treatments. 

Narrowband Ultraviolet Light B Therapy (NBUVB) is the most common form of phototherapy used to treat skin diseases. “Narrowband” refers to a specific wavelength of ultraviolet (UV) radiation, 311 to 312 nm. These wavelengths have the most benefit in treating skin conditions. This treatment is administered in our office by a medical assistant or a nurse. Typically, the patient undresses to expose the affected areas of their skin to the ultraviolet light. The patient stands in a treatment booth called a light box, the walls of which are lined with UVB bulbs. Narrowband UVB treatments are short – they typically last seconds to minutes. Narrowband UVB treatment is typically done 2-3 times per week and is used for a variety of skin conditions including psoriasis, eczema, mycosis fungoides, and itching.

With a referral from your neurologist, we are able to perform a skin biopsy to help your neurologist diagnose, or rule out, small fiber neuropathy (SFN).

Photodynamic therapy (PDT) is a treatment we offer in the office that targets actinic keratoses (pre-cancerous skin lesions). It is an optimal treatment for actinic keratoses because it is a non-invasive method to treat an entire anatomic area at once (field treatment) instead of targeting individual lesions with liquid nitrogen. PDT has a much shorter treatment duration and recovery period compared to topical therapies for actinic keratoses. It may also result in improved cosmetic appearance of the skin and fewer sun spots. The goal of photodynamic therapy is to eliminate as many pre-cancerous lesions as possible so they do not evolve into skin cancer.

Generally, PDT is well-tolerated and involves minimal downtime from work – on average you can usually expect a period of 1 week or less before skin appears normal/near normal. The majority of insurance plans cover PDT treatment, including Medicare.

For more information, please reference our patient handout, minor consent form, or call our office to schedule a consultation: 360-254-5267.

Select there for the Patient Handout Form (pdf)

Select here for the Minor Consent Form (pdf) 

A skin biopsy is a very common procedure performed by dermatologists to evaluate lesions suspicious for skin cancer and investigate rashes to help determine the diagnosis. Skin biopsies are minor surgical procedures that involve first numbing the site with a local anesthetic. A scalpel, small blade, or circular punch tool is then used to remove the tissue specimen. Electrocautery may be performed to stop bleeding and sometimes sutures are used to close the biopsy site. Dr. Dawson, Dr. Datloff, or a dermatopathologist examines the biopsy specimen under the microscope and generates a pathology report with the diagnosis. It can take 1-2 weeks to obtain the pathology report.

Select here for wound care instructions (pdf)

Surgical excisions are performed to remove a wide variety of skin lesions ranging from benign growths such as cysts and lipomas to malignant lesions including basal cell carcinoma, squamous cell carcinoma, and melanoma.

Surgical excisions are performed under local anesthesia. Typically, an elliptical (football) shape of skin is removed that encompasses the primary skin lesion in addition to a margin of uninvolved skin. Any bleeding is controlled with electrocautery. The resulting wound is then repaired by loosening the surrounding skin and then suturing layers of tissue together; first the deep layer with sutures that dissolve, then the superficial layer with sutures you will see and that need to be removed.

The incision line will be straight and is often longer than the patient expects because the final length of the incision is usually three times as long as the diameter of the wound. All excisions will result in a scar which can take a few months to a year to heal completely. The scar can be minimized by the proper care of your wound and adhering to activity restrictions.

Prior to your excision appointment, please bathe and wash your hair to minimize your risk of a surgical site infection. The day of your excision, please eat breakfast or lunch as you normally would, there is no need to fast. It is important that you do not take any anti-anxiety medicines, over the counter or prescription pain medicines the day of the excision.

After a surgical excision, pain is typically minimal and can usually be controlled with acetaminophen (Tylenol), and/or icing the area. Bruising and swelling are common following an excision and can last for several days. Using ice in the first 24 hours helps reduce these symptoms. The risk of post-operative infection is very low. If you are concerned about worsening symptoms of redness along the incision line, pain, drainage, swelling, or you have fevers, please call our office immediately: 360-254-5267.

Once the excision is complete, a pressure dressing will be placed on the wound and should be left in place for 2 days. Rarely, post-operative bleeding occurs and can usually can be stopped with direct, firm pressure to the surgical site for 20 minutes. For any bleeding that is not controlled with pressure, please call our office immediately: 360-254-5267.

Following surgery, you should plan on decreased activity (no exercise or heavy lifting), and restrict travel for 2 weeks, possibly longer depending on the location of the surgical site. This will minimize the scar from spreading and reduce the chance of bleeding after surgery. Sutures will need to be removed 7-14 days following the excision- the timing depends on the site of the surgery. You will schedule this appointment after the excision appointment is finished.

The excision specimen will be examined under the microscope to generate the pathology report and diagnosis. It can take 1-2 weeks to obtain the pathology report. There is always a chance that the excision margins did not completely remove the lesion, in which case an additional excision may need to be performed at a later date, particularly if the lesion is malignant.

Select here for post-surgical care instructions (pdf)

Skin Conditions We Treat

Whether evaluating a lesion for skin cancer or diagnosing a rash, we provide the highest quality of care rooted in the latest medical research and technology. Learn more about some of the conditions we treat by reviewing the below list:

Acne is a common skin disease that causes blackhead, whiteheads, pimples, and cysts. Acne lesions form when hair follicles get clogged and can develop anywhere on the body, primarily the face and trunk. Acne can develop at any age, even in the elderly, but is more common in teenagers and young adults when hormone levels are changing. It can be emotionally distressing and lead to permanent scarring. Most cases of acne can be treated effectively with the goal to clear up existing lesions, prevent new lesions from forming, and prevent acne scarring. Please call us to schedule a consultation regarding your acne: 360-254-5267.

Actinic keratoses (AKs) are dry, scaly, rough skin lesions found on chronically sun exposed areas of the body such as the face, ears, scalp, hands, arms, and legs. These can be the first step in developing skin cancer.

You are more likely to develop AKs if you:  Have fair skin, blue or green eyes, or blond or red hair;  Had a kidney or other organ transplant;  Take medicines that suppress the immune system;  Spend a lot of time each day in the sun (for example, if you work outdoors); Had many severe sunburns early in life

It is important to treat Actinic Keratoses so they do not develop into skin cancer. We have many methods to treat actinic keratoses including cryosurgery, surgical removal, photodynamic therapy (blu-lite treatment) and topical chemotherapy creams.

Please call us to schedule a consultation if you think you have actinic keratoses or are concerned about any skin lesions: 360-254-5267.

Alopecia means hair loss. There are many different types of hair loss that affect both men and women. Some forms of alopecia are reversible while others can lead to permanent hair loss and scarring. We can help diagnosis and treat hair loss. If you think you have alopecia, please call us to schedule a consultation: 360-254-5267.

Atopic dermatitis is the most common form of eczema, a skin disorder that involves itchy, dry rashes. People with atopic dermatitis tend to have more sensitive skin because they lack certain proteins maintain the skin’s barrier to water. Atopic dermatitis is most common in infants and many people outgrow it by early adulthood however it can be a lifelong condition. The tendency for atopic dermatitis is often associated with asthma and hay fever.

We can help diagnose and treat atopic dermatitis, as well as other forms of eczema and rashes. Please call 360-254-5267 to schedule a consultation.

When you have an autoimmune or connective tissue disease, your immune system mistakenly attacks healthy cells in your body which can cause problems with various organs, including the skin. There are more than 80 types of autoimmune and connective tissue diseases, and some have similar symptoms which can make it difficult for your health care provider to know if you really have one of these diseases, and if so, which autoimmune or connective tissue disease. We can help diagnose and treat these conditions, please call 360-254-5267 to schedule a consultation.

Birthmarks are typically apparent when a baby is born. The most common types of birthmarks are vascular lesions or pigmented lesions. We are not sure why some people develop birthmarks, they may be inherited or related to a genetic condition. If you are concerned about a birthmark or other skin lesion on your child, please call 360-254-5267 to schedule a consultation.

Contact dermatitis is a condition in which the skin becomes red, itchy, or inflamed after direct contact with an allergen or an irritant. Irritant dermatitis is the most common type. It can be caused by contact with water (frequent wetting and drying of the skin), acids, soaps and detergents, fabric softeners, solvents, or other chemicals. The reaction most often looks red, dry, and can be itchy. It is not caused by an allergy, but rather the skin’s reaction to an irritating substance. If you think you have an irritant contact dermatitis, or are worried about a rash, please call 360-254-5267 to schedule a consultation.

Allergic contact dermatitis occurs when your skin encounters something you are allergic to, and results in a red, itchy, sometimes weeping rash. Examples of common contact allergens include nickel and poison oak. If you think you have an allergic contact dermatitis, it is best to contact an Allergist and have them evaluate you for possible patch (contact) testing to determine what you’re reacting to.

A cyst is a sac containing fluid or solid material, often composed of dead skin cells (keratin). These can occur anywhere on the body and sometimes become inflamed, painful, drain, and can get infected. Cysts can be treated with minor surgery, intralesional injections, and sometime oral antibiotics. If you think you have a cyst or are concerned about a skin lump or bump, please call 360-254-5267 so we can evaluate the lesion.

Dry skin (xerosis) occurs when your skin loses too much water and oil.  Dry skin is a common problem and can affect anyone at any age.  It is usually worse in the winter and can be itchy and irritating. Dry skin can be caused by:

  • The climate, such as cold, dry winter air or hot, dry desert environments
  • Dry indoor air from heating or cooling systems
  • Not moisturizing after bathing
  • Excessively hot showers
  • Some soaps and detergents
  • Skin conditions, such as eczema, or psoriasis
  • Multiple diseases, such as diabetes, underactive thyroid, and Sjogren’s syndrome
  • Certain medications (both topical and oral)
  • Aging, during which skin gets thinner and produces less natural oil

Dry skin can be itchy and cause inflammation of the skin, leading to eczema.  There are many good moisturizers and skin care strategies to help alleviate and manage this common problem.   If you are bothered by dry skin, itchy skin, or rashes, please call our office to schedule an appointment at 360-254-5267.

Eczema (dermatitis) is typically a red, dry, itchy rash that can develop anywhere on the body. Atopic dermatitis is the most common form of eczema, while contact and irritant dermatitis are also very frequent.

Eczema is not contagious however it can wax and wane and be a chronic skin problem. Diagnostic testing (skin biopsies, patch testing for skin allergies) and various treatments are available to help manage different types of eczema. We can help diagnose and treat eczema as well as other types of rashes. Please call 360-254-5267 to schedule a consultation.

 

Herpes is an infection that is caused by herpes simplex virus 1 and 2 (HSV-1 and HSV-2).  Oral herpes (HSV-1) causes cold sores most commonly around the mouth or on the face.  Genital herpes (HSV-2) tends to affect the genitals, buttocks, or anal area. Other herpes infections can affect the eyes, skin, or other parts of the body. Herpes infections are very common and tend to be chronic and recurring – there is no cure for Herpes.  The good news is that herpes can be diagnosed and treated relatively successfully.  If you are concerned you might have Herpes, or another type of skin infection or sexually transmitted disease, please call our office at 360-254-5267 to schedule a consultation. 

Hidradenitis suppurativa (HS) is a skin condition that causes painful lumps deep in your skin. These lumps usually develop on parts of the body where skin touches skin like the armpits, inner thighs, and groin area. HS can look like acne, boils, cysts, or sores. Without proper treatment this skin condition can worsen, and the lumps can sometimes become infected and cause significant pain. There are many treatments available for HS that require a dermatologist to effectively manage. If you think you might have Hidradenitis Suppurativa, please call our office to schedule a consultation: 360-254-5267 .

Hives, also called urticaria, are red and often itchy bumps and welts on your skin.  There are multiple possible causes for hives including allergic reactions to a medication or food, infections, and thyroid or connective tissue disease.  People who have other allergies are more likely to get hives than other people.

Hives are very common and often resolve on their own; however, they can be a chronic problem for some patients.  In severe cases, hives can cause a dangerous swelling in your airways, making it hard to breathe – which is a medical emergency. If you think you have hives, or are bothered by an itchy rash, please call our office at 360-254-5267 to schedule a consultation.

Hyperhidrosis is a medical condition in which a person sweats excessively and sometimes unpredictably due to overactive sweat glands. People with hyperhidrosis may sweat even when the temperature is cool or when they are at rest. The uncontrollable sweating can lead to significant discomfort, both physical and emotional. There are topical, oral, and injectable treatments available for hyperhidrosis. If you think you have hyperhidrosis, or excessive sweating, please call our office at 360-254-5267 to schedule a consultation.

Keratosis pilaris is a common skin condition in which a protein in the skin called keratin forms hard plugs within hair follicles. The most common location for keratosis pilaris is on the back of the upper arms. Keratosis pilaris is harmless (benign) and tends to run in families.  It is a marker of dry skin and is more common in people with atopic dermatitis (eczema).

Various treatments can improve keratosis pilaris however there is not a cure.  If you think you have keratosis pilaris, or are concerned about dry itchy skin or a rash, please call our office at 360-254-5267 to schedule a consultation.

Melanoma is the most serious type of skin cancer because it can spread very quickly to lymph nodes and other organs. Melanoma can be treated successfully when detected early; however, it can be fatal if it spreads (metastasizes) to other parts of the body. Melanoma is often a pigmented skin lesion – brown, black, tan in color – but can also be pink or red, or have no color at all (amelanotic). They can arise within a pre-existing mole, or develop as a new skin lesion. Warning signs for melanoma include a skin a lesion that has a change in size, shape, color, or becomes symptomatic (itching, bleeding). If you are concerned about a mole, pigmented lesion, or worry that you have melanoma, please call our office at 360-254-52677 so we can evaluate the lesion.

Merkel Cell Carcinoma is a very rare form of skin cancer. Sun exposure and having a weakened immune system can affect the risk of Merkel Cell Carcinoma. These usually appear as a single, painless, lump on sun-exposed skin. If you have any concerns about a spot or a lesion on your body, please call our office to schedule an evaluation at 360-254-5267 .

Moles are very common growths on the skin. They can be flat or raised and come in various colors. They are usually round or oval and no larger than a pencil eraser. Most people have between 10 and 40 moles on their body. A person may develop new moles from time to time, usually until about age 40.

Most moles are harmless and do not require treatment however they can evolve into a melanoma. If you are concerned about a new or changing mole, have a suspicious skin lesion, or worry that you have melanoma, please call our office at 360-254-5267 so we can evaluate the lesion.

Molluscum contagiosum is a viral skin infection that causes small, raised, painless bumps on the skin. They are similar to warts, and spread easily by skin-to-skin contact. Molluscum contagiosum is common in children and occurs when a child comes into direct contact with an infected person’s skin, or an object that has the virus on it. Molluscum can also be transmitted sexually if the lesions are present in the genital area. The infection is most often seen on the face, neck, armpit, arms, and hands. Sometimes Molluscum contagiosum lesions resolve on their own; however, they can spread and be persistent in kids and adults. Treatment is available and includes liquid nitrogen, destruction with topical medications, or removal with a curette. Sometimes multiple appointments are needed to eradicate all the molluscum contagiosum lesions. If you think you or your child has molluscum contagiosum, or are bothered by skin bumps or lesions that seem to be spreading, please call our office at 360-254-5267 to schedule a consultation.

Your toenails and fingernails protect the tissues of your toes and fingers. They are made up of layers of a hardened protein called keratin, which is also in your hair and skin. Nail disorders that sometimes require treatment include:

  • Bacterial and fungal infections
  • Benign lesion growing under and adjacent to nails, such as warts
  • Skin cancer – this can develop under and adjacent to nails

We commonly diagnosis and treat a variety of nail problems.  If you are concerned about your fingernails or toenails, please call our office to schedule an appointment: 360-254-5267.

This condition usually starts by experiencing extremely itchy skin. Scratching and rubbing the skin then causes hard, itchy bumps to appear on the skin. These bumps may be red, pink, skin-colored, or brownish-black. It is unclear why some people develop this condition, but sometimes is associated with another condition that causes extremely itchy skin like atopic dermatitis, stasis dermatitis, scabies, or extremely dry skin. These conditions can cause repeated itching and scratching, which is referred to as the itch-scratch-itch cycle. Part of the treatment for Prurigo Nodularis is breaking the itch-scratch-itch cycle. If you suspect you have this condition and would like to be evaluated, please call our office to schedule a consultation at 360-254-5267.

Psoriasis is a common, typically chronic skin disorder that causes red, scaly areas on the scalp, trunk, and extremities. Sometimes the palms and soles are affected and for some patients, psoriasis can be itchy, even painful.

Psoriasis can run in families and appears to be caused by dysregulation of the immune system. Various things can cause psoriasis to flare, including: infections, stress, smoking, medications, and obesity.  There are many treatments available for psoriasis, including topical medications, oral and injectable medications, narrow-band ultraviolet light therapy, and Grenz ray therapy.  We offer all of these treatments at Dermatology Associates. If you think you have psoriasis or want to get better control of your psoriasis, please call our office to schedule a consultation: 360-254-5267.

A rash is a general term for an area of red, irritated, or swollen skin. Many rashes are itchy, some can be painful due to blisters or patches of raw skin. Some rashes develop right away while other rashes form over several days. Although most rashes clear up quickly, some rashes can be long-lasting and need long-term treatment. There are numerous reasons rashes develop and treatments can vary depending on the type of rash. We commonly evaluate, diagnosis and treat rashes. If you have a skin rash, please call our office to schedule a consultation: 360-254-5267.

Rosacea is a chronic skin condition that primarily affects the central face with redness and pimples.  Rosacea can also affect the eyes (ocular rosacea). Rosacea most often affects middle-aged and older adults.

In most cases, rosacea only affects the face.  Symptoms can include:

  • Frequent redness of the face, or flushing
  • Small, red lines under the skin
  • Pimples, pus bumps
  • Red, dry, itchy eyes and sometimes vision problems

No one knows what causes rosacea.  You may be more likely to have it if you blush a lot or if rosacea runs in your family. There is no cure for rosacea, but many treatments are available to help control it.  If you think you have rosacea, or are bothered by frequent flushing and red bumps on your face, please call our office to schedule a consultation: 360-254-5267.

 

Scabies is highly contagious skin infestation caused by a microscopic mite, Sarcoptesscabei. The mite burrows under the top layer of skin and causes a very itchy rash that is usually worse at night. It is common all over the world, and can affect anyone. Scabies spreads quickly in crowded conditions where there is frequent skin-to-skin contact between people such as hospitals, child-care centers, and nursing homes. Scabies can easily infect sex partners and other household members. Sharing clothes, towels, and bedding can sometimes spread scabies. If you have an itchy rash or think you have scabies or have been exposed to scabies, please call our office to schedule a consultation: 360-254-5267 .

Scars can result following a skin wound and are a natural part of the healing process. Scars can be darker or lighter than the surrounding skin and often have a different texture. The appearance of scars tends to improve over time but scars never completely resolve. Sometimes a scar will become thickened, itchy, or painful. Treatments are available to improve these symptoms, and possibly, the appearance of the scar. If you are bothered by a symptomatic scar, please call our office to schedule a consultation: 360-254-5267 .

Seborrheic dermatitis, also known as dandruff, is a common, inflammatory skin condition that causes flaky, white to yellowish scales to form on oily areas such as the scalp, face or inside the ear. It can occur with or without redness of the skin. Although there is no cure for seborrheic dermatitis, there are many successful treatments to help manage the condition. If you think you have seborrheic dermatitis or are bothered by itching and flaking on your scalp, ears, or face, please call our office to schedule a consultation: 360-254-5267.

A seborrheic keratosis is a common wart-like, scaly growth on the skin. Seborrheic keratoses can be itchy and become inflamed but are not harmful. They develop in adulthood, can be many different colors, and can appear anywhere on the body. The tendency to develop seborrheic keratoses runs in families. If you are concerned about a skin lesion or bothered by a growth that is red, inflamed, or itchy, please call our office to schedule a consultation: 360-254-5267 .

Shingles, also known as herpes zoster, is a painful rash caused by the varicella-zoster virus – the same virus that causes chickenpox. After you have chickenpox, the virus stays in your body and can reappear years later as shingles. Although it is most common in people over age 50, anyone who has had chickenpox is at risk of developing shingles.

Early signs of shingles include burning or shooting pain and tingling or itching, usually on one side of the body or face. The pain can be mild to severe. Rashes or blisters appear anywhere from one to 14 days later. If shingles appears on your face, it may affect your vision or hearing. The pain of shingles may last for weeks, months, or even years after the blisters have healed.

You can’t catch shingles from someone who has it. However, if you have an outbreak of shingles, you can pass the virus to someone who has never had chickenpox or has not been vaccinated for chicken pox. If you have shingles, you should keep the rash covered and avoid touching or scratching the rash to minimize spreading the virus to other people.

There is no cure for shingles however early diagnosis and treatment are very important to help shorten the duration and severity of the shingles outbreak and prevent long-term complications. If you think you have shingles, you should call seek medical care immediately. Feel free to call our office to schedule a consultation: 360-254-5267, call your primary care provider, or go directly to urgent care or an emergency room.

Skin cancer is the most common form of cancer in the United States. Skin cancers are usually form on sun-exposed areas such as the scalp, face, neck, hands, and arms although they can develop anywhere on the body. The two most common types of skin cancer are basal cell carcinoma and squamous cell carcinoma. Melanoma is a less common but more dangerous form of skin cancer and is the leading cause of death from skin cancer.

Anyone can get skin cancer, but it is more common in people who:

  • Spend a lot of time in the sun or have been sunburned
  • Have light-colored skin, hair and eyes
  • Have a family member with skin cancer
  • Are over age 50

Early detection of skin cancer and prevention is very important. Most skin cancers are diagnosed by performing a small skin biopsy to evaluate the tissue under the microscope. Treatments vary from topical creams to surgical procedures including excisions, curettage and desiccation, and Mohs surgery.  Radiation and chemotherapy may also be indicated, depending on the type and extent of skin cancer.  If you are concerned about a new, changing, or symptomatic skin lesion, or worry that you have skin cancer, please call our office so we can evaluate the lesion and do a full body skin exam to look for skin cancer: 360-254-5267.

Your skin and nails help to serve as a barrier however there are many different type of skin infections, such as:

  • Bacterial infections such as impetigo and cellulitis
  • Viral infections such as shingles, warts, and herpes simplex
  • Fungal infections such as athlete’s foot and yeast infections of the skin and nails
    • These can also be referred to as Tinea infections
  • Tinea Versicolor is a common superficial fungal infection of the skin caused by overgrowth of a type of yeast that is found on everyone’s skin. The scaly rash that develops tends to appear on the trunk, sometimes affecting the neck and groin. The condition not contagious and is relatively easy to diagnose and treat.

Treatment of skin infections depend on the causative agent. We can diagnose and treat a variety of skin and nail infections. If you are concerned about a possible skin or nail infection, please call our office to schedule a consultation: 360-254-5267

Squamous cell carcinoma is the second most common type of cancer in the United States. It primarily occurs on sun damaged skin of the head, neck, and extremities. People with fair skin, a history of extensive sun exposure, and immune suppression, such as an organ transplant recipient, are at higher risk for developing squamous cell carcinoma. If left untreated, squamous cell carcinoma can spread to lymph nodes and other organs and be fatal.

It is important to diagnoses and treat squamous cell carcinoma before it spread to other tissues. Fortunately, there are many effective treatments for squamous cell carcinoma including surgical excision, curettage and desiccation, Mohs surgery, cryotherapy, and topical medications. We can help diagnose and treat squamous cell carcinoma, as well as other forms of skin cancer. If you think you have squamous cell carcinoma or have a concerning skin lesion, please call 360-254-5267 to schedule a consultation.

 

Ultraviolet (UV) rays are an invisible form of radiation. They can pass through your skin and damage your skin cells. Sunburns are a sign of skin damage from ultraviolet radiation. UV rays can cause skin damage during any season or at any temperature and penetrate through clouds. Damage from UV rays includes eye problems, wrinkles, skin spots, and skin cancer.

To protect yourself:

  • Stay out of the sun when it is strongest (between 10 a.m. and 2 p.m.)
  • Use sunscreen with an SPF of 30 or higher
  • Wear protective clothing
  • Wear wraparound sunglasses that provide 100 percent UV ray protection
  • Avoid sunlamps and tanning beds

Check your skin regularly for changes in the size, shape, color, or feel of birthmarks, moles, and skin lesions and for the development of new skin lesions or growths – all of which can be a sign of skin cancer.  We can help evaluate suspicious, symptomatic, and changing skin lesions and help with some manifestations of sun damage. If you are concerned about any skin lesions, please call our office to schedule a consultation: 360-254-5267.

Vitiligo is a common condition that causes white patches on your skin. It usually starts before age 40 and is more common in people with autoimmune diseases. The white patches are more common where your skin is exposed to the sun although they can develop in the underarms and groin. Vitiligo may cause your hair to gray early. If you have dark skin, you may lose color inside your mouth.

Using sunscreen will help protect your skin, and cosmetics can cover up the white patches. Treatments for vitiligo include topical and oral medications, narrow band ultraviolet light therapy, and surgery. If you think you have vitiligo or are losing pigment in your skin, please call our office to schedule a consultation: 360-254-5267

Warts are very common growths on the skin caused by infection with the human papilloma virus (HPV).  Warts can spread by skin-skin contact and are very common in school-age children.

Types of warts include:

  • Common warts, which often appear on your fingers
  • Plantar warts, which show up on the soles of your feet
  • Genital warts, which are a sexually transmitted disease
  • Flat warts, which can appear in places you shave frequently

Warts are treatable by several different methods including topical medications, cryotherapy (liquid nitrogen), and electrosurgery.  If you think you have warts, please call our office to schedule a consultation: 360-254-5267.

Acne is a common skin disease that causes blackhead, whiteheads, pimples, and cysts. Acne lesions form when hair follicles get clogged and can develop anywhere on the body, primarily the face and trunk. Acne can develop at any age, even in the elderly, but is more common in teenagers and young adults when hormone levels are changing. It can be emotionally distressing and lead to permanent scarring. Most cases of acne can be treated effectively with the goal to clear up existing lesions, prevent new lesions from forming, and prevent acne scarring.

Please call us to schedule a consultation regarding your acne: 360-254-5267.

Actinic keratoses (AKs) are dry, scaly, rough skin lesions found on chronically sun exposed areas of the body such as the face, ears, scalp, hands, arms, and legs. These can be the first step in developing skin cancer.

You are more likely to develop AKs if you:  Have fair skin, blue or green eyes, or blond or red hair;  Had a kidney or other organ transplant;  Take medicines that suppress the immune system;  Spend a lot of time each day in the sun (for example, if you work outdoors); Had many severe sunburns early in life

It is important to treat Actinic Keratoses so they do not develop into skin cancer. We have many methods to treat actinic keratoses including cryosurgery, surgical removal, photodynamic therapy (blu-lite treatment) and topical chemotherapy creams.

Please call us to schedule a consultation if you think you have actinic keratoses or are concerned about any skin lesions: 360-254-5267.

Alopecia means hair loss. There are many different types of hair loss that affect both men and women. Some forms of alopecia are reversible while others can lead to permanent hair loss and scarring. We can help diagnosis and treat hair loss.

If you think you have alopecia, please call us to schedule a consultation: 360-254-5267.

Atopic dermatitis is the most common form of eczema, a skin disorder that involves itchy, dry rashes. People with atopic dermatitis tend to have more sensitive skin because they lack certain proteins maintain the skin’s barrier to water. Atopic dermatitis is most common in infants and many people outgrow it by early adulthood however it can be a lifelong condition. The tendency for atopic dermatitis is often associated with asthma and hay fever.

We can help diagnose and treat atopic dermatitis, as well as other forms of eczema and rashes. Please call 360-254-5267 to schedule a consultation.

When you have an autoimmune or connective tissue disease, your immune system mistakenly attacks healthy cells in your body which can cause problems with various organs, including the skin. There are more than 80 types of autoimmune and connective tissue diseases, and some have similar symptoms which can make it difficult for your health care provider to know if you really have one of these diseases, and if so, which autoimmune or connective tissue disease. We can help diagnose and treat these conditions, please call 360-254-5267 to schedule a consultation.

Birthmarks are typically apparent when a baby is born. The most common types of birthmarks are vascular lesions or pigmented lesions. We are not sure why some people develop birthmarks, they may be inherited or related to a genetic condition.

If you are concerned about a birthmark or other skin lesion on your child, please call 360-254-5267 to schedule a consultation.

Contact dermatitis is a condition in which the skin becomes red, itchy, or inflamed after direct contact with an allergen or an irritant. Irritant dermatitis is the most common type. It can be caused by contact with water (frequent wetting and drying of the skin), acids, soaps and detergents, fabric softeners, solvents, or other chemicals. The reaction most often looks red, dry, and can be itchy. It is not caused by an allergy, but rather the skin’s reaction to an irritating substance. If you think you have an irritant contact dermatitis, or are worried about a rash, please call 360-254-5267 to schedule a consultation.

Allergic contact dermatitis occurs when your skin encounters something you are allergic to, and results in a red, itchy, sometimes weeping rash. Examples of common contact allergens include nickel and poison oak. If you think you have an allergic contact dermatitis, it is best to contact an Allergist and have them evaluate you for possible patch (contact) testing to determine what you’re reacting to.

A cyst is a sac containing fluid or solid material, often composed of dead skin cells (keratin). These can occur anywhere on the body and sometimes become inflamed, painful, drain, and can get infected. Cysts can be treated with minor surgery, intralesional injections, and sometime oral antibiotics. If you think you have a cyst or are concerned about a skin lump or bump, please call 360-254-5267 so we can evaluate the lesion.

Dry skin (xerosis) occurs when your skin loses too much water and oil.  Dry skin is a common problem and can affect anyone at any age.  It is usually worse in the winter and can be itchy and irritating. Dry skin can be caused by:

  • The climate, such as cold, dry winter air or hot, dry desert environments
  • Dry indoor air from heating or cooling systems
  • Not moisturizing after bathing
  • Excessively hot showers
  • Some soaps and detergents
  • Skin conditions, such as eczema, or psoriasis
  • Multiple diseases, such as diabetes, underactive thyroid, and Sjogren’s syndrome
  • Certain medications (both topical and oral)
  • Aging, during which skin gets thinner and produces less natural oil

Dry skin can be itchy and cause inflammation of the skin, leading to eczema.  There are many good moisturizers and skin care strategies to help alleviate and manage this common problem.   If you are bothered by dry skin, itchy skin, or rashes, please call our office to schedule an appointment at 360-254-5267.

Eczema (dermatitis) is typically a red, dry, itchy rash that can develop anywhere on the body. Atopic dermatitis is the most common form of eczema, while contact and irritant dermatitis are also very frequent.

Eczema is not contagious however it can wax and wane and be a chronic skin problem. Diagnostic testing (skin biopsies, patch testing for skin allergies) and various treatments are available to help manage different types of eczema. We can help diagnose and treat eczema as well as other types of rashes. Please call 360-254-5267 to schedule a consultation.

 

Herpes is an infection that is caused by herpes simplex virus 1 and 2 (HSV-1 and HSV-2).  Oral herpes (HSV-1) causes cold sores most commonly around the mouth or on the face.  Genital herpes (HSV-2) tends to affect the genitals, buttocks, or anal area. Other herpes infections can affect the eyes, skin, or other parts of the body. Herpes infections are very common and tend to be chronic and recurring – there is no cure for Herpes.  The good news is that herpes can be diagnosed and treated relatively successfully.  If you are concerned you might have Herpes, or another type of skin infection or sexually transmitted disease, please call our office at 360-254-5267 to schedule a consultation. 

Hidradenitis suppurativa (HS) is a skin condition that causes painful lumps deep in your skin. These lumps usually develop on parts of the body where skin touches skin like the armpits, inner thighs, and groin area. HS can look like acne, boils, cysts, or sores. Without proper treatment this skin condition can worsen, and the lumps can sometimes become infected and cause significant pain. There are many treatments available for HS that require a dermatologist to effectively manage.

If you think you might have Hidradenitis Suppurativa, please call our office to schedule a consultation: 360-254-5267 .

Hives, also called urticaria, are red and often itchy bumps and welts on your skin.  There are multiple possible causes for hives including allergic reactions to a medication or food, infections, and thyroid or connective tissue disease.  People who have other allergies are more likely to get hives than other people.

Hives are very common and often resolve on their own; however, they can be a chronic problem for some patients.  In severe cases, hives can cause a dangerous swelling in your airways, making it hard to breathe – which is a medical emergency.

If you think you have hives, or are bothered by an itchy rash, please call our office at 360-254-5267 to schedule a consultation.

Hyperhidrosis is a medical condition in which a person sweats excessively and sometimes unpredictably due to overactive sweat glands. People with hyperhidrosis may sweat even when the temperature is cool or when they are at rest. The uncontrollable sweating can lead to significant discomfort, both physical and emotional. There are topical, oral, and injectable treatments available for hyperhidrosis.

If you think you have hyperhidrosis, or excessive sweating, please call our office at 360-254-5267 to schedule a consultation.

Keratosis pilaris is a common skin condition in which a protein in the skin called keratin forms hard plugs within hair follicles. The most common location for keratosis pilaris is on the back of the upper arms. Keratosis pilaris is harmless (benign) and tends to run in families.  It is a marker of dry skin and is more common in people with atopic dermatitis (eczema).

Various treatments can improve keratosis pilaris however there is not a cure.

If you think you have keratosis pilaris, or are concerned about dry itchy skin or a rash, please call our office at 360-254-5267 to schedule a consultation.

Melanoma is the most serious type of skin cancer because it can spread very quickly to lymph nodes and other organs. Melanoma can be treated successfully when detected early; however, it can be fatal if it spreads (metastasizes) to other parts of the body. Melanoma is often a pigmented skin lesion – brown, black, tan in color – but can also be pink or red, or have no color at all (amelanotic). They can arise within a pre-existing mole, or develop as a new skin lesion. Warning signs for melanoma include a skin a lesion that has a change in size, shape, color, or becomes symptomatic (itching, bleeding).

If you are concerned about a mole, pigmented lesion, or worry that you have melanoma, please call our office at 360-254-52677 so we can evaluate the lesion.

Merkel Cell Carcinoma is a very rare form of skin cancer. Sun exposure and having a weakened immune system can affect the risk of Merkel Cell Carcinoma. These usually appear as a single, painless, lump on sun-exposed skin.

If you have any concerns about a spot or a lesion on your body, please call our office to schedule an evaluation at 360-254-5267 .

Moles are very common growths on the skin. They can be flat or raised and come in various colors. They are usually round or oval and no larger than a pencil eraser. Most people have between 10 and 40 moles on their body. A person may develop new moles from time to time, usually until about age 40.

Most moles are harmless and do not require treatment however they can evolve into a melanoma.

If you are concerned about a new or changing mole, have a suspicious skin lesion, or worry that you have melanoma, please call our office at 360-254-5267 so we can evaluate the lesion.

Molluscum contagiosum is a viral skin infection that causes small, raised, painless bumps on the skin. They are similar to warts, and spread easily by skin-to-skin contact. Molluscum contagiosum is common in children and occurs when a child comes into direct contact with an infected person’s skin, or an object that has the virus on it. Molluscum can also be transmitted sexually if the lesions are present in the genital area. The infection is most often seen on the face, neck, armpit, arms, and hands. Sometimes Molluscum contagiosum lesions resolve on their own; however, they can spread and be persistent in kids and adults. Treatment is available and includes liquid nitrogen, destruction with topical medications, or removal with a curette. Sometimes multiple appointments are needed to eradicate all the molluscum contagiosum lesions.

If you think you or your child has molluscum contagiosum, or are bothered by skin bumps or lesions that seem to be spreading, please call our office at 360-254-5267 to schedule a consultation.

Your toenails and fingernails protect the tissues of your toes and fingers. They are made up of layers of a hardened protein called keratin, which is also in your hair and skin. Nail disorders that sometimes require treatment include:

  • Bacterial and fungal infections
  • Benign lesion growing under and adjacent to nails, such as warts
  • Skin cancer – this can develop under and adjacent to nails

We commonly diagnosis and treat a variety of nail problems.

If you are concerned about your fingernails or toenails, please call our office to schedule an appointment: 360-254-5267.

This condition usually starts by experiencing extremely itchy skin. Scratching and rubbing the skin then causes hard, itchy bumps to appear on the skin. These bumps may be red, pink, skin-colored, or brownish-black. It is unclear why some people develop this condition, but sometimes is associated with another condition that causes extremely itchy skin like atopic dermatitis, stasis dermatitis, scabies, or extremely dry skin. These conditions can cause repeated itching and scratching, which is referred to as the itch-scratch-itch cycle. Part of the treatment for Prurigo Nodularis is breaking the itch-scratch-itch cycle.

If you suspect you have this condition and would like to be evaluated, please call our office to schedule a consultation at 360-254-5267.

Psoriasis is a common, typically chronic skin disorder that causes red, scaly areas on the scalp, trunk, and extremities. Sometimes the palms and soles are affected and for some patients, psoriasis can be itchy, even painful.

Psoriasis can run in families and appears to be caused by dysregulation of the immune system. Various things can cause psoriasis to flare, including: infections, stress, smoking, medications, and obesity.  There are many treatments available for psoriasis, including topical medications, oral and injectable medications, narrow-band ultraviolet light therapy, and Grenz ray therapy.  We offer all of these treatments at Dermatology Associates.

If you think you have psoriasis or want to get better control of your psoriasis, please call our office to schedule a consultation: 360-254-5267.

A rash is a general term for an area of red, irritated, or swollen skin. Many rashes are itchy, some can be painful due to blisters or patches of raw skin. Some rashes develop right away while other rashes form over several days. Although most rashes clear up quickly, some rashes can be long-lasting and need long-term treatment. There are numerous reasons rashes develop and treatments can vary depending on the type of rash.

We commonly evaluate, diagnosis and treat rashes. If you have a skin rash, please call our office to schedule a consultation: 360-254-5267.

Rosacea is a chronic skin condition that primarily affects the central face with redness and pimples.  Rosacea can also affect the eyes (ocular rosacea). Rosacea most often affects middle-aged and older adults.

In most cases, rosacea only affects the face.  Symptoms can include:

  • Frequent redness of the face, or flushing
  • Small, red lines under the skin
  • Pimples, pus bumps
  • Red, dry, itchy eyes and sometimes vision problems

No one knows what causes rosacea.  You may be more likely to have it if you blush a lot or if rosacea runs in your family. There is no cure for rosacea, but many treatments are available to help control it.

If you think you have rosacea, or are bothered by frequent flushing and red bumps on your face, please call our office to schedule a consultation: 360-254-5267.

 

Scabies is highly contagious skin infestation caused by a microscopic mite, Sarcoptesscabei. The mite burrows under the top layer of skin and causes a very itchy rash that is usually worse at night. It is common all over the world, and can affect anyone. Scabies spreads quickly in crowded conditions where there is frequent skin-to-skin contact between people such as hospitals, child-care centers, and nursing homes. Scabies can easily infect sex partners and other household members. Sharing clothes, towels, and bedding can sometimes spread scabies.

If you have an itchy rash or think you have scabies or have been exposed to scabies, please call our office to schedule a consultation: 360-254-5267 .

Scars can result following a skin wound and are a natural part of the healing process. Scars can be darker or lighter than the surrounding skin and often have a different texture. The appearance of scars tends to improve over time but scars never completely resolve. Sometimes a scar will become thickened, itchy, or painful. Treatments are available to improve these symptoms, and possibly, the appearance of the scar.

If you are bothered by a symptomatic scar, please call our office to schedule a consultation: 360-254-5267 .

Seborrheic dermatitis, also known as dandruff, is a common, inflammatory skin condition that causes flaky, white to yellowish scales to form on oily areas such as the scalp, face or inside the ear. It can occur with or without redness of the skin. Although there is no cure for seborrheic dermatitis, there are many successful treatments to help manage the condition.

If you think you have seborrheic dermatitis or are bothered by itching and flaking on your scalp, ears, or face, please call our office to schedule a consultation: 360-254-5267.

A seborrheic keratosis is a common wart-like, scaly growth on the skin. Seborrheic keratoses can be itchy and become inflamed but are not harmful. They develop in adulthood, can be many different colors, and can appear anywhere on the body. The tendency to develop seborrheic keratoses runs in families.

If you are concerned about a skin lesion or bothered by a growth that is red, inflamed, or itchy, please call our office to schedule a consultation: 360-254-5267 .

Shingles, also known as herpes zoster, is a painful rash caused by the varicella-zoster virus – the same virus that causes chickenpox. After you have chickenpox, the virus stays in your body and can reappear years later as shingles. Although it is most common in people over age 50, anyone who has had chickenpox is at risk of developing shingles.

Early signs of shingles include burning or shooting pain and tingling or itching, usually on one side of the body or face. The pain can be mild to severe. Rashes or blisters appear anywhere from one to 14 days later. If shingles appears on your face, it may affect your vision or hearing. The pain of shingles may last for weeks, months, or even years after the blisters have healed.

You can’t catch shingles from someone who has it. However, if you have an outbreak of shingles, you can pass the virus to someone who has never had chickenpox or has not been vaccinated for chicken pox. If you have shingles, you should keep the rash covered and avoid touching or scratching the rash to minimize spreading the virus to other people.

There is no cure for shingles however early diagnosis and treatment are very important to help shorten the duration and severity of the shingles outbreak and prevent long-term complications. If you think you have shingles, you should call seek medical care immediately.

Feel free to call our office to schedule a consultation: 360-254-5267, call your primary care provider, or go directly to urgent care or an emergency room.

Skin cancer is the most common form of cancer in the United States. Skin cancers are usually form on sun-exposed areas such as the scalp, face, neck, hands, and arms although they can develop anywhere on the body. The two most common types of skin cancer are basal cell carcinoma and squamous cell carcinoma. Melanoma is a less common but more dangerous form of skin cancer and is the leading cause of death from skin cancer.

Anyone can get skin cancer, but it is more common in people who:

  • Spend a lot of time in the sun or have been sunburned
  • Have light-colored skin, hair and eyes
  • Have a family member with skin cancer
  • Are over age 50

Early detection of skin cancer and prevention is very important. Most skin cancers are diagnosed by performing a small skin biopsy to evaluate the tissue under the microscope. Treatments vary from topical creams to surgical procedures including excisions, curettage and desiccation, and Mohs surgery.  Radiation and chemotherapy may also be indicated, depending on the type and extent of skin cancer.

If you are concerned about a new, changing, or symptomatic skin lesion, or worry that you have skin cancer, please call our office so we can evaluate the lesion and do a full body skin exam to look for skin cancer: 360-254-5267.

Your skin and nails help to serve as a barrier however there are many different type of skin infections, such as:

  • Bacterial infections such as impetigo and cellulitis
  • Viral infections such as shingles, warts, and herpes simplex
  • Fungal infections such as athlete’s foot and yeast infections of the skin and nails
    • These can also be referred to as Tinea infections
  • Tinea Versicolor is a common superficial fungal infection of the skin caused by overgrowth of a type of yeast that is found on everyone’s skin. The scaly rash that develops tends to appear on the trunk, sometimes affecting the neck and groin. The condition not contagious and is relatively easy to diagnose and treat.

Treatment of skin infections depend on the causative agent. We can diagnose and treat a variety of skin and nail infections.

If you are concerned about a possible skin or nail infection, please call our office to schedule a consultation: 360-254-5267

Squamous cell carcinoma is the second most common type of cancer in the United States. It primarily occurs on sun damaged skin of the head, neck, and extremities. People with fair skin, a history of extensive sun exposure, and immune suppression, such as an organ transplant recipient, are at higher risk for developing squamous cell carcinoma. If left untreated, squamous cell carcinoma can spread to lymph nodes and other organs and be fatal.

It is important to diagnoses and treat squamous cell carcinoma before it spread to other tissues. Fortunately, there are many effective treatments for squamous cell carcinoma including surgical excision, curettage and desiccation, Mohs surgery, cryotherapy, and topical medications. We can help diagnose and treat squamous cell carcinoma, as well as other forms of skin cancer.

If you think you have squamous cell carcinoma or have a concerning skin lesion, please call 360-254-5267 to schedule a consultation.

 

Ultraviolet (UV) rays are an invisible form of radiation. They can pass through your skin and damage your skin cells. Sunburns are a sign of skin damage from ultraviolet radiation. UV rays can cause skin damage during any season or at any temperature and penetrate through clouds. Damage from UV rays includes eye problems, wrinkles, skin spots, and skin cancer.

To protect yourself:

  • Stay out of the sun when it is strongest (between 10 a.m. and 2 p.m.)
  • Use sunscreen with an SPF of 30 or higher
  • Wear protective clothing
  • Wear wraparound sunglasses that provide 100 percent UV ray protection
  • Avoid sunlamps and tanning beds

Check your skin regularly for changes in the size, shape, color, or feel of birthmarks, moles, and skin lesions and for the development of new skin lesions or growths – all of which can be a sign of skin cancer.  We can help evaluate suspicious, symptomatic, and changing skin lesions and help with some manifestations of sun damage.

If you are concerned about any skin lesions, please call our office to schedule a consultation: 360-254-5267.

Vitiligo is a common condition that causes white patches on your skin. It usually starts before age 40 and is more common in people with autoimmune diseases. The white patches are more common where your skin is exposed to the sun although they can develop in the underarms and groin. Vitiligo may cause your hair to gray early. If you have dark skin, you may lose color inside your mouth.

Using sunscreen will help protect your skin, and cosmetics can cover up the white patches. Treatments for vitiligo include topical and oral medications, narrow band ultraviolet light therapy, and surgery.

If you think you have vitiligo or are losing pigment in your skin, please call our office to schedule a consultation: 360-254-5267

Warts are very common growths on the skin caused by infection with the human papilloma virus (HPV).  Warts can spread by skin-skin contact and are very common in school-age children.

Types of warts include:

  • Common warts, which often appear on your fingers
  • Plantar warts, which show up on the soles of your feet
  • Genital warts, which are a sexually transmitted disease
  • Flat warts, which can appear in places you shave frequently

Warts are treatable by several different methods including topical medications, cryotherapy (liquid nitrogen), and electrosurgery.

If you think you have warts, please call our office to schedule a consultation: 360-254-5267.