General Dermatology Skin Conditions & Treatments

With a wide range of general dermatology services, the team at Gold Coast Dermatology Center in Delray Beach can help each one of it’s patients begin the right treatment with the highest level of care possible.

Dr. Danielle Manolakos, along with her highly-trained staff, provides general dermatology treatments for a variety of dermatologic skin conditions. With extensive knowledge of a variety of skin conditions, the Gold Coast Dermatology Center team is able to provide outstanding results to a number of general dermatology services. To learn more, simply contact Gold Coast Dermatology Center by calling our office at 561.495.9797.

Acne

General

Acne has many forms such as clogged pores like blackheads and whiteheads, traditional pimples, cysts, and nodules. Acne is not only a teenage problems; it can affect people well into their 40s., 50’s and even 60s. Though never life threatening, acne can be very problematic while leaving scars both physically and mentally. Treating acne early is incredibly important in order to avoid lifelong scars. Even mild cases can result in acne scars, and severe cases can lead to permanent scarring and disfigurement. Not only a facial problem, acne is also commonly on the neck, upper-arms, shoulders, back and chest.

Every individual case of acne is unique and we can offer a custom plan that can combine different treatment options to successfully eliminate this very treatable condition. Some options are prescription creams and pills, blue light therapy, laser treatments, acne surgery (or extractions), chemical peels and a regular home routine. Consistency with your skin regiment and follow-up with us is very important when committing to clear skin.

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Eczema

General

Eczema and dermatitis describe various inflamed skin conditions that can remain chronic if left untreated. Often very itchy, eczema can take form as redness or inflammation, oozing blisters, brownish spots, lesions, as well as well as thickened or leathery areas known as lichenification. It can take many forms including contact dermatitis, nummular dermatitis, atopic eczema or atopic dermatitis.

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Atopic Dermatitis

General

Atopic Dermatitis often starts in childhood, even in infancy and can be a recurring event in adulthood. Atopic Dermatitis patients often have a history of Atopy (asthma, hay fever, conjunctivitis, or allergies). The skin becomes very itchy and dry and a rash often appears on the face, arms and legs. The itching can be so intense patients can often lose sleep. The scratching often can introduce bacteria to the area and create an infection known as impetigo. Unfortunately there isn’t a cure for atopic dermatitis. So the best treatments right now include prescription creams, skin care regimens and lifestyle changes. Severe cases may need oral medications.

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Psoriasis

General

Usually a long term condition, psoriasis is often characterized as thick, red patches of skin covered in silvery scales. The extent of coverage can vary from small, localized patches to much larger coverage on the body in severe cases. Many mild cases go undetected by the carrier, and can also affect joints, nails, and mucous membranes. Fortunately, psoriasis is not contagious and even the most severe and stubborn cases can be treated. Approximately four to five million people have psoriasis in the United States, with about 150 thousand new cases annually.

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Nail Fungus

General

Scientifically know as Onychomycosis, nail fungus is very common. It causes yellowing, thickening (and occasionally an offensive odor) on the nails of the feet and/or hands. The chances of contracting some form of nail fungus increases as you age, and it currently affects more than 50% of all senior citizens. Treatment options are oral medication or topicals that can be applied directly to the toe nail.. Toe nail fungus is most common due to feet usually being hidden away in the darkness of shoes for hours at a time, providing the dark and warm environment where fungi can thrive.

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Rosacea

General

Informally known as “adult acne,” rosacea causes swelling and redness on the face. The condition commonly starts off with blushing easily and escalates to an ever-present redness covering any combination of the nose, cheeks, chin, and forehead. Most patients will often have pimples associated with the redness and in some cases include watery or irritated eyes.. There are multiple treatments for Rosacea. Treatments often include topical and or oral antibiotics. Laser treatment for the redness is a longer lasting solution.

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Seborrheic Dermatitis

General

Seborrheic dermatitis is very common, mainly affects the scalp and face. It causes scaly patches, red skin, and can also affect the back, upper chest and face. Though not contagious, or detrimental to one’s health, it can be very uncomfortable and embarrassing. Often a chronic condition, several treatments may be needed before symptoms clear up. Besides dandruff, it is sometimes called seborrheic psoriasis, seborrheic eczema, and cradle cap for infants.

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Rash

General

Rashes can be any number of bothersome skin conditions characterized by uncomfortable skin changes and inflammation. A rash can be the beginning of a chronic skin issue like seborrheic, psoriasis, eczema, dermatitis, or acne.

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Cysts

General

Most commonly appearing on the face and neck, cysts are usually benign growths that are just beneath the skin. There are multiple types of cysts, including epidermal cysts, pilar cysts and milium. Cysts grow slowly and usually only need treatment when painful, infected, or ruptured. Successful removal consists of a simple surgical procedure, in most cases.

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Warts

General

Warts or Verucca are small bumps or growths caused by a virus. Some warts include black dots around them in a pattern of clotted blood vessels. They often disappear on their own, but problematic cases can be treated with liquid nitrogen, topical or injectable medications.

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Hair Loss/Alopecia

General

One’s family history, exposure to stress, and hormones are some of the most common conditions that lead to hair loss, also known as alopecia. Many causes of hair loss can be treated successfully after initial blood tests are administered in order to rule out less common underlying conditions.

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Excessive Sweating

General

Also known as Hyperhidrosis, excessive sweating affects the groin, feet, hands, under-arms and head. Botox injections are one treatment option, along with topical and oral treatments.

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Skin Tags

General

Skin tags are prevalent in areas where skin rubs on skin. Common affected areas include the armpits, eyelids, chest, neck, and underneath breasts. They are benign and are easily removed in the office.

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Molluscum Contagiosum

General

Moluscum contagiosum is caused by a virus and is easily spread though skin contact. They are small flesh or pinkish bumps that regularly become red or inflamed. Fortunately, they do not affect internal organs. This virus is just as it is named contagious and often can be seen in school-aged children. Treatments vary from be creams that can be applied at home or even in office, to in office liquid nitrogen and other forms of destruction.

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Herpes

General

The herpes simplex virus (HSV) may be found anywhere on the skin or mucous membranes. Most commonly they take the form of sores and blisters on or around the genitals, buttocks, nose and mouth. Often reoccurring, HSV can be painful and unsightly; this viral infection can be serious for newborn babies and the chronically ill. HSV is classified as either Type 1 or Type 2.

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Shingles

General

Most common in people aged fifty and older who have previously had chicken pox; shingles can range from an asymptomatic rash to a very painful and red blistering rash. A vaccine that can prevent shingles is often recommended is available to those over fifty. Once infected, an anti-viral medication can temper the symptoms and the longevity of the rash. These medications can often prevent long-term nerve pain. With shingles, early treatment is key and always more effective than waiting.

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Skin Discoloration

General

Patches that range from greyish to brown is common form of skin or pigmentation discoloration. Usually they appear on the face, making daily application of sunscreen very important. Topical remedies are available by prescription and may offer an alternative for advanced cases.

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Melasma

General

Melasma is a skin condition resulting in brown patches; most commonly it affects adult women of darker pigmentation. Fewer than 10% of cases all are men. The condition often materializes on the cheeks, nose, upper lip and forehead. Especially susceptible are women who are pregnant or on hormones and that have sun-exposure.

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Patch Testing

General

Patch testing is an excellent diagnostic tool used to discover the specific allergic cause of dermatitis. Allergic causes are very broad, and include latex rubber, poison ivy, clothing detergents, cosmetics, perfumes, and hair care products.

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Skin Cancer

General
  • Skin Cancer
  • Basal Cell Carcinomas (BCC)
  • Squamous Cell Carcinoma (SCC)
  • Melanoma

Skin Cancer

Skin cancer is far and away the most common form of cancer in the United States. It is often the result of regular and long-term exposure to the sun. It is very important to see a doctor after noticing any new growths, changes, itching or bleeding in skin spots or moles. Dr. Manolakos does full skin examinations and uses a dermatoscope to help aide in the early diagnosis of skin cancers.

Basal Cell Carcinomas (BCC)

Basal cell carcinomas (BCC) often develop on the head, neck, ears or other parts of the body commonly exposed to the sun. Traditionally, they appear a white or waxy bump, sometimes including blood vessels. It is common for untreated bumps to bleed and develop a crust. This type of skin cancer grows slowly. It rarely spreads to other parts of the body. Treatment is important because BCC can grow wide and deep, destroying skin tissue and bone. Treatment options include excision, Curettage and electrodessication, MOHS Surgery, Medicated creams, and Radiation.

Squamous Cell Carcinoma (SCC)

Squamous cell carcinoma (SCC) often takes shape on parts of the skin usually exposed to the sun, but can also occur anywhere on the body regardless of sun exposure. Symptoms vary and can include a firm red nodule, a flat sore with a scaly crust, a rough and open sore on the lip, a red sore or rough patch inside the mouth. This type of skin cancer grows slowly. It rarely spreads to other parts of the body. Treatment is important because BCC can grow wide and deep, destroying skin tissue and bone. Treatment options include excision, Curettage and electrodessication, MOHS Surgery, Medicated creams, and Radiation.

Melanoma

Melanoma’s initial symptoms often include a change in the shape or size of an already existing mole or the development of a new strange-looking growth. Be on the lookout for moles with an asymmetrical shape that have changed colors, have an irregular border, or becomes itchy. Melanoma that is recognized and treated early, it is almost always curable. However, if the cancer is not found in its superficial stages, it can spread to other parts of the body, where it becomes hard to treat and can be fatal. Self examinations should be performed once a month to help find skin cancers early. The ABCDE’s of melanoma are a good way to remember how to check your self at home for melanoma.
• A=Asymmetry: One half is unlike the other half.
• B=Border: An irregular, scalloped or poorly defined border.
• C=Color: Having a variety of colors is another warning signal. A number of different shades of brown, tan or black could appear. A melanoma may also become red, blue or some other color.
• D=Diameter: Melanomas are often larger than 6mm or a pencil tip earser.
• E=Evolving: Melanomas often change in size, shape, color, elevation, or another trait, or any new symptom such as bleeding, itching or crusting-points to danger.

If you see any of the above symptoms be sure to have the spot checked by your dermatologist.

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Moles (Nevus)

General

Nevus is the medical term for a mole. Congenital nevi are moles present at birth; acquired nevi develop anytime later. Nevi are made up of a particular type of cell, and the name is used to distinguish them from other, similar appearing fleshy growths. Having anywhere from ten to forty moles is not unusual in adulthood. These lesions are not harmful, but need to be monitored periodically for symptoms of skin cancer. Skin cancer screenings should be performed once a year by a board certified dermatologist.

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Actintic Keratosis

General

Actinic Keratosis (AK) is a common pre-cancer caused by excessive exposure to ultraviolet rays. AK can also go by solar keratosis. They present, with a rough texture, and are usually raised. Caucasians are far more likely to be affected by AK, and a current estimation has fifty-eight million Americans with some form of it. If left untreated, Actintic Kerastosis can turn into squamous cell carcinomas. Treatment options include liquid nitrogen, medicated creams, photodynamic therapy (blue light), curettage,

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Lipoma

General

A fatty lump that grows slowly and is almost doughy to the touch, Lipoma is usually harmless and treatment is not necessary. However, if the lipoma is painful or growing, they can be surgically removed in the office under local anesthesia.

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Fungus

General
  • Tinea Corporis (Ringworm)
  • Tinea Captitis
  • Tinea Cruris (Jock itch/Groin Ringworm)
  • Tinea Pedis (Athlete's Foot)

Tinea Corporis (Ringworm)

Tinea Corporis, or ringworm, can affect the trunk, legs, or arms. Acute cases present as itchy, inflamed red patches and may be pustular. More chronic cases come on slower and grow from a mild, slightly inflamed rash.

Tinea Captitis

Tinea Captitis is a superficial skin infection affecting the scalp, which often is seen in children. It can create a patchy hair loss.

Tinea Cruris (Jock itch/Groin Ringworm)

Tinea Cruris, also known as jock itch or ringworm of the groin, is a fungus infection affecting the groin area. Not just confined to the groin or genital area, it can also affect the thighs and the buttocks. Characterized by an itching and burning sensation, affected areas appear red, tan, or brown, with flaking, rippling, peeling, or cracking skin.

Tinea Pedis (Athlete's Foot)

Tinea Pedis, or athlete’s foot, is an often chronic fungal infection of the feet. More common to males, and contagious, it can be caught walking barefoot in in any locker room or shower area. It is a fungal infection that thrives in damp conditions, like in sweat socks inside of tight athletic shoes. Not properly drying feet after exercising or bathing often contributes to developing a case.

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