Clinical Services

 

 

 

General Dermatology

We offer excellent dermatologic consultations for all problems and questions regarding the skin, hair, nails, and mucous membranes. Our dermatologists are all board certified and highly respected regionally, nationally, and internationally for their work.

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Autoimmunity, Psoriasis, Atopic Dermatitis (Eczema)

Comprehensive services are offered for the diagnosis and management of patients with skin allergies and cutaneous manifestations of autoimmune skin diseases, including lupus, blistering diseases, vasculitis, etc. Special sessions for psoriasis, atopic dermatitis, and other chronic inflammatory autoimmune diseases are offered, along with expertise in advanced and conventional immunomodulating therapies.

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Contact Dermatitis and Occupational Dermatology

Patch testing and photopatch testing services are available for specialized evaluation and education of patients with allergic contact dermatitis and irritant dermatitis. Environmental and industrial-induced dermatitis are evaluated, including work-related dermatitis disability.

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Mohs Micrographic Surgery

Complete surgical and laboratory facilities are available for microscopically controlled excision of cutaneous carcinomas using the Mohs micrographic technique. The procedure is indicated for the treatment of recurrent basal cell and squamous cell carcinomas of the skin and difficult primary carcinomas.

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Laser Surgery and Aesthetic Dermatology

Laser surgery provides state-of-the-art treatment for port-wine stains, tattoos, telangiectasias, and other vascular lesions, recalcitrant warts, veneral warts, and rhinophyma. Laser resurfacing, in conjunction with aesthetician-assisted follow-up, allows us to provide a full range of cosmetic approaches to facial imperfections, including peels and aesthetic products to assist in restoring optimal skin appearance.

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Multidisciplinary Cutaneous Oncology Programs

These programs, developed collaboratively by the Department of Dermatology and the Seidman Cancer Center, provide the type of cross-specialty care and care-path development that is required for optimum patient benefit and efficient delivery of services for patients with high-risk cancers occurring in the skin. Weekly tumor boards staffed by physicians of different specialties, nurses, and program staff allow rapid decision-making based on pathologic, clinical and lab data, and consensus management recommendations.

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Multidisciplinary Cutaneous Lymphoma Program

This program specializes in the differentiation of suspicious lymphoproliferative disorders from actual lymphomas, and in the diagnosis and management of cutaneous T-cell lymphomas, Sezary leukemia, pseudolymphoma, and related disorders. Clinical trials with advanced therapeutics not yet generally available are targeted to most stages of CTCL.

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Multidisciplinary Cutaneous Melanoma Program

A multispecialty panel of physicians and nurses who maintain special expertise in melanoma perform diagnostic reviews of pigmented lesions, histology, and coordination of optimal management of patients with malignant melanoma. Rapid consensus decisions allow integrated management and access to the latest diagnostic and treatment protocols.

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Multidisciplinary Basal/Squamous Cell Carcinoma Program

Specialists from Dermatology, Dermatopathology, Oculoplastics, Plastic Surgery and Radiation Oncology collaborate to develop optimal treatment plans for cancers which may require coordinated care.

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Hospital Dermatology and Consult Service

A dedicated hospital faculty member provides daily inpatient service to hospitalized dermatology patients, and provides consultations and follow-up visits on inpatient consults, which results in excellent continuity of care.

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Pediatric Dermatology

Serving the dermatologic needs of Rainbow Babies and Children's Hospital is an important aspect of the Department of Dermatology's responsibilities. Both the hospital consult service and the outpatient Tuesday afternoon Pediatric Dermatology Clinic enable us to fulfill this function.

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Photopheresis

This novel immunomodulatory therapy has been a standard therapy for cutaneous T cell lymphomas and leukemia (CTCL) for many years. More recently, photopheresis has demonstrated utility in a variety of lymphocyte-mediated diseases, including Graft vs. Host Disease, Allograft Transplant Rejection. Both in-patient and out-patient treatment is available for a variety of investigative as well as standard indications.

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Community Service

We participate in many community service activities. The department sponsors an employee mole check day in conjunction with the national skin cancer prevention and detection month, as well as joining other dermatologists and residents in the annual citywide skin cancer screening coordinated by the American Academy of Dermatology and the Cleveland Dermatological Society. Special monthly and weekly conferences are coordinated in which we work with community physicians to discuss diagnosis and management of difficult cases. The Department provides dermatologic services to a Neighborhood Health Center in an under-served urban area.

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