What We Treat
At the Department of Dermatology at The Mount Sinai Hospital, our physicians are comfortable with a wide range of dermatological conditions, from the most mild to the most severe.
- Acne is an inflammation in the glands that produce oil for our skin. Acne is a frustrating condition takes different forms and can affect all ages. Some acne is deeper and is referred to as cystic acne, while others can occur in higher levels of the skin and present as blackheads and whiteheads. Acne treatments are targeted to stop the causes by decreasing bacteria on the skin and increasing the cell turn over.
- Acne scars may develop at sites where acne lesions have resolved and the severity of acne correlates with the severity of scarring. "Picking" can predispose to the development of acne scars, which are typically depressed. Deeper skin tones generally develop darkening within the scars, while lighter skin tones usually scar with redness. Treating acne lesions by seeing a dermatologist early may prevent potentially permanent scarring. Therapeutic options for acne scars include vitamin A derivatives, chemical peels, fillers, and laser skin resurfacing. The pulse dye laser may be used for redness within scars, and topical bleaching agents may mitigate hyperpigmentation.
- Bullous diseases are a heterogeneous group of disorders that result in detachment of the skin and/or mucous membranes. We treat a broad spectrum of these diseases, such as pemphigus vulgaris, bullous pemphigoid, dermatitis herpetiformis, among many others. We offer the latest in biologic therapy, including Rituxan® (rituximab) and intravenous immune globulins (IVIg), as well as a gamut of other options, such as mycophenolate mofetil, azathioprine, methotrexate, prednisone, and Dapsone.
- Eczema (also known as atopic dermatitis) generally starts in childhood, but it can also present later in life. Eczema presents as an itchy red rash, most often on the arms, legs, and trunk. There is no definitive cause of eczema, but we know that it is most likely a due to a disruption in the skin’s ability to hold moisture and maintain a healthy skin barrier. There are many targeted treatment for eczema, including topical anti-inflammatories, medical-grade ultraviolet therapy, and oral medications. We are fortunate to have a special program dedicated to eczema care and research in our Department, so you can be assured that you are getting the most advanced treatment.
- Hyperhidrosis (excessive perspiration) is a condition in which patients experience excessive sweating. It can be generalized or localized to armpits, hands, and/or feet. Generalized hyperhidrosis is usually associated with a medical condition that can be diagnosed and treated appropriately by your primary care doctor. However, the majority of cases are localized, and it is not usually associated with a medical disease. In this case, your dermatologist may consider several treatments, including topical or oral medications, BOTOX® injections, an innovative new medical device called miraDry®, or surgical procedures.
- Moles (or nevi) are dark bumps or flat areas on the skin. These are made of a collection of melanocytes, or pigment-producing cells, underneath the skin. Sometimes, you might be born with a mole, but it is also common to have them occur in childhood or beyond. Although there are certain criteria to look for in moles to determine if they are abnormal or not, it is best to have any suspicious mole examined by a board certified dermatologist.
- Mycosis fungoides is a rare form of T-cell lymphoma of the skin, which is typically slowly progressive and chronic. In individuals with mycosis fungoides, the skin becomes infiltrated with patches or lumps composed of white cells called lymphocytes. In advanced cases, the disease can cause ulcerated tumors and infiltration of lymph nodes and spread to other parts of the body. The cause is unknown, and the diagnosis is often delayed for months or years and may require several biopsies, as early mycosis fungoides can be difficult to differentiate from other skin conditions, especially eczema. Treatment of individual patients varies and depends on the stage. Topical treatments including corticosteroids are frequently used as well as light therapy called phototherapy, which is available at The Mount Sinai Hospital.
- Psoriasis is an autoimmune, genetic condition caused by inflammation of the skin, as well as other organs. Most commonly, psoriasis presents as thick, silvery, scaly plaques on the elbow, knees, scalp, and trunk – although the condition can affect any area of the skin. Psoriasis is associated with arthritis, known as psoriatic arthritis, in approximately 30 percent of patients. Other associated conditions include heart disease, diabetes and insulin resistance, obesity, metabolic syndrome, depression, and alcoholism. Treatment of psoriasis includes topical agents (e.g., creams, ointments, lotions, foams, and sprays), light therapy, and oral and biologic injectable (shots) medications. Biologics are the latest class of medication available to treat psoriasis. These medications not only treat the skin, but these also help with joint pain and in some studies have been shown to decrease the risk of cardiovascular (heart and vessel) disease in psoriasis patients. Since there are so many options available for treatment, it's important for the patients to work with a doctor they know and trust. Since no approach is right for all the patients, our doctors will choose a personalized treatment regimen for you.
- Rosacea is a common chronic skin condition characterized by many symptoms that may include facial redness/swelling, skin bumps, visible tiny blood vessels, and eye redness. Some common triggers that may cause flare-ups of rosacea include, but are not limited to, eating hot/spicy foods, drinking hot drinks, drinking alcohol, extremes of temperature, sun exposure, and stress. Depending on the severity of this condition, treatment is composed of gels, creams, lotions, and oral medications. To avoid flares and control symptoms, patients should use daily sunscreen and sun protection, avoid triggers, refrain from using irritating products on your face, and wash skin with a gentle cleanser.
- "Unknown rashes:" We are a tertiary center treating the most complicated of rashes. Our doctors take pride in our ability to clarify and treat challenging conditions. We are experienced in treating skin manifestations of lupus, lichen planus, pyoderma gangrenosum, leg ulcers, infectious diseases like methicillin-resistant staph infection (MRSA), and many others.
- Vitiligo is a skin condition that involves complete loss of pigment. Typically, the area of skin affected is small, but it can increase over time. Vitiligo can affect any race, but it is more noticeable in patients with darker skin. There is currently no cure for vitiligo, but common therapies include narrow-band UVB phototherapy and excimer laser. The Department of Dermatology at The Mount Sinai Hospital was the first to patent the use of the excimer laser for treatment of vitiligo.
- Deep wrinkles and fine lines are the product sun damage and loss of elasticity within our skin, these and are natural as we age. While we cannot turn back the clock and reverse all of the damage that has been done, our dermatologists have many exciting treatment options to help restore youthfulness and improve skin texture and tone. Treatment options include neuromodulators for active wrinkles, fillers for some areas with wrinkles and hollow areas, as well as laser options to smoothen out and stimulate new collagen regrowth superficial skin. Any of our board certified dermatologists can help you explore the options to return you to a healthier, more youthful state.
- Premature aging is a condition in which one looks older than his or her stated age. Premature aging is most commonly caused by lifestyle choices and internal illness. The most common cause of premature aging is sun exposure. Ultraviolet radiation causes permanent skin damage that causes skin cancer, wrinkles, uneven pigmentation, and loss of subcutaneous tissue, resulting in the sagging skin that we associate with aging. Other unhealthy lifestyles also contribute, such as smoking and alcohol abuse. Treatment of premature aging is multifactorial, including limiting sun exposure and nutritional supplementation. The Department of Dermatology at The Mount Sinai Hospital has the most cutting edge cosmetic procedures such as laser resurfacing, chemical peels, filler injections, and BOTOX to help minimize the appearance of premature aging and turn back the clock.
- Uneven skin tone: Skin with unwanted dark spots and light spots is a common problem. Many times, this irregular pigmentation is made even worse with sunlight and inflammation. Although there are many reasons for uneven skin color, the best therapies begin with preventing more unwanted color changes by using daily sun protection and treating underlying inflammatory skin conditions. Once the skin has been stabilized, further therapies can be discussed and include bleaching agents and lasers.
- Unwanted hair: Excess hair can be very frustrating, and daily removal can be time consuming. While it is important to see your doctor in order to rule out an underlying medical condition, most unwanted hair is completely harmless. Permanent hair removal is possible regardless of the cause, and it usually can be accomplished with the appropriate lasers and setting for your skin type. New technologies are virtually painless and our Department has lasers that are appropriate for all skin tones.
- Vascular skin lesions in adults typically consists of dilated or an increased number of blood vessels. Causes include sun exposure, age, and a predisposition to certain skin conditions. Some examples of vascular skin lesions are telangiectasia, cherry angiomas, spider angiomas, and rosacea. Many of these conditions are harmless and can be cosmetically treated with laser therapy. The most common type of laser used for vascular lesions is the VBeam laser, which we as it achieves results while minimizing side effects.
Skin Cancer and Growths
Our physicians are experts in diagnosing and treating most skin cancers. We routinely offer biopsies of growths, often on the same day as they are noticed. We are happy to remove unwanted moles, skin tags, seborrheic keratosis, cherry angiomas, or other benign growths. We take pride in offering prompt appointments for the treatment of any worrisome growth or cancer.
There are several types of skin cancer that can affect your skin. For all of these, sun exposure is your greatest risk factor.
- Melanoma is the most serious form of skin cancer that arises from pigment producing cells called melanocytes. The majority of melanomas are dark in color, but they can also be skin-colored.
- Asymmetry – uneven halves
- Border – irregular or jagged border
- Color – different colors
- Diameter – larger than the diameter of a pencil eraser
- Evolution – change in color, shape or size over time
- Squamous cell carcinoma is a type of skin cancer characterized by skin color changes, peeling, bleeding, crusting, and ulceration. This type of skin cancer occurs usually on skin damaged by long-term exposure to sun.
- Basal cell carcinoma (BCC) is the most common type of skin cancer. There are several different subtypes of BCCs. The two that patients should be most concerned about are nodular BCCs and superficial BCCs. Nodular BCCs have rolled borders and can sometimes bleed without trauma. Superficial BCCs look like flat red patches. The treatment approach to BCCs will depend on the size and subtypes of the cancer as well as its location. BCC has a very low risk of metastasis.
- Merkel cell carcinoma, also called neuroendocrine carcinoma, is a very rare form of skin cancer that usually arises on sun-exposed skin. This type of skin cancer arises from uncontrolled growth of a certain type of cells close to nerve fibers called Merkel cells and tends to grow quickly and may spread if not treated in a timely manner.
Mount Sinai Dermatology
5 East 98th Street, 5th Floor
New York, NY 10029
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