Blog

Leukocytoclastic Vasculitis: Small-Vessel Vasculitis…

Vasculitis is a direct result of inflamed blood vessels.  The vast majority of cases of cutaneous Leukocytoclastic Vasculitis, also referred to as Small-Vessel Vasculitis (LCV) follow an acute infection or exposure to a new medication.  Palpable Purpura is the hallmark of LCV, the lesions ranging from pinpoint to several centimeters in diameter. Annular, vesicular, bullous… Read more »

Silicone Granulomas: Body Contouring Disasters…

Liquid injectable Silicone (LIS) has been used for decades as a permanent filler for soft tissue augmentation in many locations to include the face, lips, eyelids, buttocks, hips and penis.  LIS has a chemical composition of dimethyl polysiloxane.  Pure LIS is nontoxic, noncarcinogenic, chemically inert and does not support the growth of microorganisms.  It has… Read more »

Keloids: Beyond the Margins…

Keloids are benign dermal fibroproliferative tumors with no malignant potential.  The first description of abnormal scar formation in the form of Keloids was recorded in the Smith Papyrus regarding surgical techniques in Egypt around 1700 B.C.  The actual term Keloid, means “crab claw” and was first coined by Alibert in 1806 in an attempt to… Read more »

Kaposi Sarcoma: The Old & The New…

Kaposi Sarcoma (KS) was originally described by Moritz Kaposi in 1872 when he called it “multiple benign pigmented idiopathic hemorrhagic sarcoma.”  Since those initial descriptions there have been three clinical presentations that have been referred to as “Classic form” or Old World KS:  Initially KS was an indolent disease seen chiefly in middle-age men of… Read more »

Xanthomas: Signs of Dyslipidemia…

Xanthomas are deposits of lipids in tissues, usually skin and tendons.  These are often signs of dyslipidemia, which is a sign of inherited hyperlipidemia, often hypercholesterolemia.  In other words, there are abnormalities of lipid amount or processing in the body and thus are important markers of underlying potential for heart disease and strokes.  There are… Read more »

Ultimate Trainer/Recovery: The Science of Fitness…

Many performance-enhancing supplements are increasing in popularity among professional and amateur athletes alike.  There is gathering evidence that these agents demonstrate significant benefits not only for athletes, but may also prove helpful in critically ill patients in whom preservation and restoration of lean body mass and neuromuscular function are crucial.  Beneficial supplements include creatine, branched-chain… Read more »

There is No Such Thing as Adhesive Arachnoiditis Syndrome: My Take…

Some of you may be wondering what the heck I’m doing posting about Adhesive Arachnoiditis…it’s not exactly a condition a dermatologist would be asked to be involved with, but there is a story here.  Some of you may not know that in addition to being a dermatologist I am also an internist, and at one… Read more »