Treating Tinea Corporis (Ringworm) in Older Adults | Village Dermatology Katy & Houston, TX
A 65-year-old man was treated for a persistent red rash diagnosed as Tinea Corporis (ringworm) at Village Dermatology in Katy, TX. Learn about the antifungal treatment and care tips.
By: Dr. Ashley Baldree
Introduction
At Village Dermatology, we see patients across all age groups with chronic, undiagnosed rashes. In this case, a 65-year-old man presented with a 6-month history of a red, persistent rash on his upper thigh and leg. The lesion was ultimately diagnosed as Tinea Corporis, a common fungal infection of the body, also known as "ringworm."
Patient Presentation
Patient: 65-year-old male
Primary Complaint: Rash on the left proximal thigh and leg
Symptoms: Red, persistent, non-healing rash
Duration: 6 months
Previous Treatment: None
Clinical Examination & Diagnostic Approach
A full skin exam was performed, with close evaluation of the left anterior lateral thigh and leg. Though the KOH prep (a diagnostic test for fungal infection) was equivocal, the clinical presentation—scaly red patches in a ring-like configuration—strongly suggested Tinea Corporis.
Diagnosis: Tinea Corporis (Ringworm)
Tinea Corporis is a fungal skin infection caused by dermatophytes. Despite its name, it is not a worm but a superficial fungal infection often transmitted from pets, communal showers, or contaminated clothing. It is common in warm, humid climates like Houston and Katy, Texas.
Treatment Plan
We initiated empiric antifungal treatment with:
Topical Ketoconazole 2% Cream
Instructions: Apply to the affected area twice daily
Duration: Continue for 1 week beyond resolution of symptoms
Counseling: Explained potential for irritation; use less frequently if needed
Patient Education & Lifestyle Counseling
We also educated the patient on:
Avoiding moisture buildup (tight clothing, excessive sweating)
Using breathable fabrics to prevent recurrence
Washing towels and bedding frequently
Avoiding skin-to-skin contact or shared clothing during treatment
Despite excellent cure rates, recurrence is common, especially in older patients with thinner skin or immune system challenges.
Why It Matters in Katy & Houston
The warm, humid Gulf Coast climate creates a perfect breeding ground for fungal infections. Delayed or incorrect diagnoses can allow fungal rashes to persist for months. At Village Dermatology, we use a combination of clinical expertise, diagnostic testing, and patient education to treat conditions like Tinea Corporis quickly and effectively.
Follow-Up Plan
The patient is scheduled to return in 4 weeks for reevaluation. If the rash persists, oral antifungal therapy (e.g., terbinafine or griseofulvin) may be considered.
Full-Body Skin Exam Reveals Benign Lesions in a 23-Year-Old | Village Dermatology Katy & Houston, TX
A 23-year-old woman received a full-body skin check at Village Dermatology in Katy, TX. Her benign nevi, sun spots, and cherry angiomas were identified and monitored through expert dermoscopy and patient education.
By: Dr Caroline Vaughn
Introduction
At Village Dermatology in Katy and Houston, Texas, we encourage annual full-body skin exams to help identify skin cancer early and educate patients about skin health. This case describes a 23-year-old woman’s first comprehensive skin check. Though her lesions were benign, this visit offered a valuable opportunity for prevention, education, and reassurance.
Case Overview
Patient: 23-year-old female
Concerns: Long-standing, asymptomatic skin lesions and evaluation for skin cancer risk
History: No personal or family history of melanoma or non-melanoma skin cancer
The patient had moderate tanning and presented with numerous pigmented lesions across the body. She was especially interested in learning how to protect her skin, identify suspicious growths, and understand what was normal.
Comprehensive Skin Exam
A detailed skin examination was conducted using a dermatoscope, covering:
Scalp, face, and ears
Chest, back, arms, and legs
Fingers, toes, and nails
Trunk, breasts, buttocks, and groin (patient declined underwear removal)
Despite the widespread nature of her nevi, all lesions evaluated were benign and showed no signs of atypia or malignancy.
Key Diagnoses & Counseling
✅ 1. Benign Nevi (Moles)
Locations: Right and left upper back, left upper arm
Appearance: Symmetric, evenly pigmented, no irregular borders
Education:
Monthly self-skin checks
Warning signs: change in size, shape, color, or symptoms like itching or bleeding
Sunscreen and sun-avoidance emphasized
✅ 2. Solar Lentigines ("Sun Spots")
Location: Left anterior thigh
Cause: Chronic sun exposure
Treatment Options Discussed:
Topical retinoids or brightening creams
Chemical peels or laser therapy
Daily broad-spectrum SPF 30+ sunscreen
✅ 3. Cherry Angiomas
Location: Right abdomen
Characteristics: Bright red, dome-shaped vascular papules
Notes:
Harmless and common
Removable with laser or electrodesiccation if desired
Preventive Education for Young Adults
Even in your 20s, early skin evaluations provide peace of mind and education for lifelong skin health. This patient was advised on:
Daily broad-spectrum sunscreen use
Wearing protective clothing outdoors
Avoiding tanning beds
Monitoring moles monthly using the ABCDE criteria (Asymmetry, Border, Color, Diameter, Evolution)
Follow-Up Plan: Annual full-body skin check unless new symptoms arise
Why This Matters in Katy & Houston, TX
With sunny climates and year-round UV exposure, early skin cancer screenings are essential—even for young adults with no personal or family history. Village Dermatology offers comprehensive full-body skin exams, personalized education, and treatment for everything from sunspots to suspicious lesions.
Annual Full-Body Skin Exam Identifies Early Precancerous Lesions in 71-Year-Old Female | Village Dermatology in Katy & Houston, TX
A 71-year-old Houston woman underwent a routine full-body skin check at Village Dermatology revealing actinic keratoses, benign nevi, and a suspicious lesion. Early detection and patient education ensured proactive care.
Regular full-body skin exams are a cornerstone of skin cancer prevention and early detection, particularly in older adults with a history of sun exposure and family history of skin cancer. This case highlights a 71-year-old female patient from the Houston area who visited Village Dermatology for her annual comprehensive skin evaluation.
📋 Chief Complaint: Routine Full Body Skin Exam
The patient, a well-nourished, alert, and oriented 71-year-old woman, presented without current skin symptoms but with a history of non-melanoma skin cancers and multiple past Mohs surgeries. Her motivation for care was preventive, driven by both personal and family history.
🔬 Clinical Findings:
During her full-body dermatological evaluation, the following key findings were noted:
Benign Nevi: Evenly pigmented, symmetrical macules and papules on the right upper back. No signs of malignancy.
Seborrheic Keratoses: Common age-related, benign lesions seen on the forehead, epigastric area, and upper back.
Lentigines: Reticulated light brown macules distributed on sun-exposed skin of the trunk, consistent with UV damage.
Actinic Keratoses (AKs): Nine precancerous lesions treated with liquid nitrogen cryotherapy, located on the forearms, hands, and face.
Cherry Angioma: A benign red papule on the right cheek, discussed but not treated.
Neoplasm of Uncertain Behavior: A suspicious papule on the upper back underwent shave biopsy for histopathologic diagnosis.
💬 Patient Counseling and Management
Our board-certified dermatologist provided in-depth counseling on:
Sun protection: SPF 30+ sunscreen, reapplication every 2 hours, sun-protective clothing, and lip balm with SPF.
Self-skin exams: Monthly checks for changes in moles or the appearance of new lesions.
Treatment strategy:
Immediate cryotherapy for AKs.
Scheduled shave biopsy for the suspicious neoplasm.
Monitoring benign nevi and seborrheic keratoses without intervention.
🧴 Prevention Tips for Houston-Area Residents
Given the intense sun exposure in Katy and Houston, Texas, we strongly advise:
Daily application of broad-spectrum sunscreen.
Avoidance of tanning beds.
Wearing UPF clothing and wide-brimmed hats.
Scheduling annual full-body skin exams, especially for those over 60 or with a family history of skin cancer.
✅ Outcome
The patient tolerated all procedures well, including the cryotherapy and shave biopsy. A follow-up appointment was scheduled in 6 months for monitoring and continuity of care.
📍 Why This Matters for Residents in Katy and Houston, TX
This case emphasizes the importance of routine dermatologic care and early identification of precancerous and cancerous skin changes. At Village Dermatology, we’re committed to delivering expert skin cancer screening and treatment for our community in Katy and Houston.
Managing Adult Female Acne – A Hormonal & Aesthetic Approach in Katy & Houston, TX
A 39-year-old woman with long-standing hormonal acne was successfully treated at Village Dermatology in Katy, TX using a customized regimen of spironolactone, tretinoin, and optional microneedling with PRP.
By: Dr. Caroline Vaughn
Introduction
At Village Dermatology, we understand that acne isn’t just a teenage concern. Many women in their 30s and 40s struggle with persistent breakouts driven by hormonal shifts, stress, and skincare routines. In this case, we highlight the experience of a 39-year-old woman from the Houston area who presented with chronic adult acne—primarily on her chin and jawline—and how we developed a personalized treatment plan to address both active acne and long-term skin health.
Patient Profile & Symptoms
Patient: 39-year-old female
Primary Concern: Moderate acne on the lower face
Duration: Several years
Symptoms: Blackheads, whiteheads, and inflammatory pimples
Skin Type: Oily and dry combination skin
Previous Treatment: None effective; online prescriptions not helpful
Diagnosis: Hormonal Acne
Her acne pattern—localized to the chin and jawline, with onset in her mid-20s—suggested a hormonal component. A thorough physical exam using a dermatoscope confirmed comedonal and inflammatory acne lesions on the cheeks and chin.
Customized Treatment Plan
Our goal was to treat both active breakouts and post-inflammatory hyperpigmentation. We developed a three-pronged regimen that includes:
💊 1. Oral Spironolactone (50mg twice daily)
Helps regulate hormone-induced oil production
Side effects discussed: breast tenderness, menstrual changes, rare electrolyte imbalance
Lab monitoring for potassium and kidney function if needed
🌙 2. Topical Tretinoin 0.025% Cream
Used at bedtime, gradually increased in frequency
Addresses clogged pores and improves pigmentation and skin texture
Patient advised on side effects and slow introduction to minimize irritation
💉 3. Optional Microneedling with PRP
Discussed as a procedure to boost collagen, minimize scarring, and improve overall texture
Non-invasive, aesthetic option offered to accelerate results
Skincare & Lifestyle Education
We provided detailed counseling on:
Gentle cleansers: CeraVe, Cetaphil, La Roche Posay
Non-comedogenic moisturizers & SPF 30+
Daily AM/PM routine tailored for acne-prone, sensitive skin
Realistic expectations: 60–80% improvement expected in 2–3 months
Sun protection, product layering, and gradual adaptation to tretinoin were emphasized, and the patient was given written handouts and visual instructions for use.
Why This Matters in Katy & Houston
Women in their 30s and 40s often face unique skincare challenges. Whether due to hormonal fluctuations, stress, or incorrect products, adult female acne can affect both appearance and self-esteem. At Village Dermatology, we offer a clinical and cosmetic hybrid approach—combining evidence-based prescriptions with aesthetic treatments tailored to your skin goals.
Follow-Up Plan
We will reassess in 6 weeks with a full-body skin exam and adjust treatment based on acne improvement, medication tolerance, and interest in aesthetic procedures.
A Mysterious Rash Uncovered – Managing Dermatitis, Scabies & Nerve-Related Itching in Katy & Houston, TX
A 70-year-old woman presented with an itchy rash across her legs and trunk. Learn how Village Dermatology in Katy & Houston managed overlapping diagnoses of dermatitis, scabies, and notalgia paresthetica
By: Dr. Ashley Baldree
Introduction
Skin rashes can have a variety of causes—from allergies and infections to nerve-related issues. At Village Dermatology, we pride ourselves on delivering a thorough and patient-centered approach to diagnosis and treatment. In this case, we saw a 70-year-old woman from the Houston area with an itchy, red rash across her legs and trunk—which evolved into a multidimensional diagnosis and treatment plan.
Case Overview: Itchy Rash of Unclear Origin
Patient: 70-year-old female
Symptoms: Itchy, red rash for 2 weeks, primarily on the legs and trunk
Initial Treatment: OTC topical steroids (clobetasol and hydrocortisone)
Despite prior treatment, the patient’s rash had not improved. Upon clinical evaluation, we identified multiple overlapping causes contributing to her symptoms.
Differential Diagnoses Considered
Urticaria (Hives) – Red, raised spots consistent with allergy or histamine response
Allergic Contact Dermatitis (ACD) – Possible reaction to recent change in laundry detergent
Scabies – Due to rash distribution and clinical suspicion, despite a negative KOH scraping
Notalgia Paresthetica – Nerve-related itching due to a history of spinal disc issues and recent back surgery
Step-by-Step Management Approach
✅ 1. Dermatitis/Urticaria Treatment
Topical: Triamcinolone 0.1% cream applied twice daily
Oral: Hydroxyzine 25mg tablets as needed for itch
Lifestyle: Switch detergent to All Free & Clear
Counseling: Advised against prolonged steroid use and explained risk of skin thinning and hypopigmentation
✅ 2. Scabies Treatment (Empiric)
Despite a negative KOH skin scraping, treatment was initiated due to the possibility of early or atypical scabies.
Prescription: Ivermectin 3mg (two doses, one week apart)
Topical: Permethrin cream applied from neck to toes for 8 hours, repeated in 1 week
Hygiene Education:
Isolate bedding and clothing for 72 hours
Wash items on high heat
Treat household contacts
✅ 3. Notalgia Paresthetica Relief
Topical OTC: CeraVe or Sarna Anti-Itch Cream
Education: Provided a handout on the nerve-related cause of itching
Monitoring: Recommended further work-up if symptoms persist or worsen
Why This Case Matters in Katy & Houston, TX
With overlapping skin conditions and histories of nerve problems or allergy exposure, a single diagnosis isn’t always enough. This case highlights how Village Dermatology delivers thorough evaluations, considers all possible causes, and tailors treatment to each patient’s history and lifestyle.
Whether you’re dealing with rash, itching, or chronic skin issues, our dermatology team in Katy and Houston is equipped to help—from diagnostics to comprehensive care.
From Viral Rash to Nail Fungus – Treating Molluscum and Onychomycosis in Katy & Houston, TX
A 42-year-old male presented with molluscum contagiosum and onychomycosis at Village Dermatology in Katy, TX. Learn how cryotherapy and topical antifungals helped manage both conditions.
By: Dr. Ashley Baldree
Introduction
At Village Dermatology, we see a wide variety of skin conditions, from viral rashes to fungal nail infections. In this case, a 42-year-old man from Katy, Texas presented with two common dermatologic concerns: a bumpy rash in the underarm area and a chronic fungal nail infection. This blog post shares how our team accurately diagnosed and effectively treated both conditions using evidence-based, patient-focused care.
Case Overview
Patient: 42-year-old male
Complaints:
Rash in the axilla (underarm area) for 2 weeks
Toenail infection for over 1 year
He was not on any prescription medications, though he had attempted to self-treat the nail issue using over-the-counter antifungal products with limited success.
Diagnosis 1: Molluscum Contagiosum
The underarm rash was diagnosed as Molluscum Contagiosum, a viral skin infection caused by a poxvirus. It presents as pink, umbilicated (dimpled) bumps, often spread through skin-to-skin contact or shared water sources like pools. In this case, the patient’s children also had molluscum, supporting a diagnosis of household transmission.
Affected areas:
Left axilla
Rib cage
Posterior axilla
Lateral chest
Treatment: Liquid Nitrogen Cryotherapy
The patient chose cryotherapy with liquid nitrogen (LN2)—a quick and effective method to destroy molluscum lesions. We treated 57 lesions in total using two freeze-thaw cycles per site.
Post-treatment counseling included:
Possible side effects: blistering, pigment changes, recurrence
Hygiene and skin care tips
What to do if lesions worsen or spread
Follow-up: Scheduled in 4 weeks to monitor progress and consider topical tretinoin if needed.
Diagnosis 2: Onychomycosis (Toenail Fungus)
The second complaint involved a discolored, dystrophic left toenail, which began after trauma during a softball tournament. Clinical exam revealed superficial onychomycosis, a common fungal nail infection.
Treatment Plan: Topical Tolcylen
Given the superficial nature of the infection, the patient was prescribed Tolcylen, a medical-grade topical antifungal that penetrates the nail plate. Oral medications offer higher cure rates but carry risks such as liver toxicity and bone marrow suppression.
Key patient education:
Topicals often require prolonged use and may not always cure the infection
Oral antifungals are more effective but not without potential serious side effects
50% of patients experience recurrence even after successful treatment
Follow-up: 4 weeks for reassessment of nail and skin conditions
Why This Matters in Katy & Houston, Texas
Common dermatologic issues like molluscum contagiosum and toenail fungus can easily be misdiagnosed or undertreated. At Village Dermatology, we provide accurate diagnostics, thorough patient education, and personalized care plans—from pediatric infections to adult fungal conditions.
Treating Squamous Cell Carcinoma with ED&C – A Dermatology Case in Katy & Houston, TX
A 76-year-old man with a squamous cell carcinoma on his leg was successfully treated with electrodesiccation and curettage (ED&C) at Village Dermatology in Katy, TX. Learn more about the procedure and recovery.
Introduction
At Village Dermatology, we routinely diagnose and treat skin cancers in patients across Katy and Houston, Texas. This case highlights our care of a 76-year-old man with squamous cell carcinoma (SCC) on his lower leg. We’ll walk through his biopsy, diagnosis, and treatment using electrodesiccation and curettage (ED&C)—a non-surgical option for low-risk skin cancers.
Case Presentation: From Biopsy to Treatment
Patient: 76-year-old male
Location: Left distal pretibial region (front of the lower leg)
Chief Complaint: Follow-up for lesion diagnosed as a well-differentiated squamous cell carcinoma (SCC)
The patient initially visited us in April 2025 for a suspicious lesion on his lower leg. A shave biopsy confirmed the presence of well-differentiated SCC, a common but potentially invasive form of skin cancer caused by long-term sun exposure, radiation, or immune suppression.
Why ED&C?
For superficial, well-differentiated SCCs on the trunk or extremities, ED&C (electrodesiccation and curettage) offers a highly effective and minimally invasive treatment. While surgical excision or Mohs surgery remains the gold standard for many skin cancers, ED&C is an appropriate choice for:
Low-risk or superficial SCC
Patients with contraindications to surgery
Those preferring faster recovery and lower costs
Procedure Details
On his return visit, the patient underwent the ED&C procedure at our Katy clinic. Here's how it was performed:
Anesthesia: 2 cc of 1% lidocaine with epinephrine was injected locally.
Technique: The tumor was removed using a curette (a surgical scraping instrument), followed by electrodesiccation to destroy residual cancer cells.
Cycles: Two full cycles were performed to ensure complete removal of visible cancer.
Final lesion size: 1.3 cm.
Post-procedure: A pressure dressing was applied, and detailed wound care instructions were provided.
Counseling & Education
We always ensure patients understand their condition and options. This patient was educated on:
Risk Factors: Sun exposure, radiation, immunosuppression, and HPV.
Recurrence: ED&C has slightly higher recurrence rates compared to surgical excision but is still effective for specific low-risk cases.
Warning Signs: To contact us immediately if new lesions appear, especially those that bleed, ulcerate, or fail to heal.
Why Early Treatment Matters in Katy & Houston
As Houston’s sun exposure and aging population contribute to rising skin cancer rates, early detection and treatment are essential. At Village Dermatology, we combine evidence-based procedures with personalized counseling to ensure optimal outcomes and peace of mind.
Follow-Up Care
The patient is scheduled for a follow-up visit in one month to evaluate healing and confirm no signs of recurrence. Ongoing monitoring will help ensure long-term success and skin health.
From Mystery Bump to Diagnosis – A Young Woman’s Dermatology Journey in Katy & Houston, Texas
A 23-year-old woman in Katy, TX presented with a persistent chest lesion and facial rash. Learn how Village Dermatology diagnosed and treated her conditions using ILK injections and topical therapy, offering expert care in Houston and Katy, Texas.
By Dr. Caroline Vaughn
Introduction
At Village Dermatology in Katy and Houston, Texas, we frequently see patients concerned about new or changing skin lesions. While many skin bumps are benign, proper evaluation is crucial to ensure accurate diagnosis and treatment. In this case report, we highlight a 23-year-old woman’s experience with a persistent chest lesion and an unexpected facial rash—showcasing our patient-centered approach and expertise in general and medical dermatology.
Case Overview: Chest Lesion Evaluation
Chief Complaint: A brown lesion on the chest, present for six months, recently inflamed.
A healthy 23-year-old woman came to our clinic in Katy for a first-time dermatologic consultation. Her main concern was a moderately pigmented bump on her lower sternum that had started showing signs of inflammation within the past week. She had never received prior treatment and was understandably anxious about the sudden change in the lesion’s appearance.
Expert Examination & Diagnosis
Our board-certified dermatologists conducted a comprehensive skin exam, using a dermatoscope for close evaluation. Based on the lesion's location, features, and recent inflammation, two potential diagnoses were considered:
Epidermal Inclusion Cyst (EIC): A benign sac filled with keratin that can become inflamed or rupture.
Inflammatory Papule: A more general term for a raised, inflamed lesion.
After discussing treatment options and risks with the patient, including the possibility of surgical excision or anti-inflammatory therapy, she opted for a Kenalog (ILK) injection—a minimally invasive solution with minimal downtime.
Treatment Administered:
Intralesional Kenalog (ILK) Injection: 4.0 mg/cc (0.1 cc total volume).
Counseling: Education on lesion care, potential outcomes, and signs that warrant follow-up.
Unexpected Diagnosis: Perioral Dermatitis
During her visit, the patient also mentioned a facial rash she had been managing on her own. Our exam revealed redness and inflammation around the mouth and cheeks, characteristic of Perioral Dermatitis—a chronic inflammatory skin condition.
Treatment Plan:
Topical Metronidazole 0.75% Cream: To be applied nightly.
Lifestyle Modifications: Avoiding cosmetic products, using non-comedogenic skincare, and protecting the skin from wind and sun exposure.
Patient Education: Triggers such as steroid creams, certain toothpastes, and environmental factors were discussed.
Follow-Up & Outcomes
We scheduled follow-ups at:
4–6 weeks for the chest lesion post-ILK.
6 months for reassessment of Perioral Dermatitis, with a backup plan for doxycycline therapy if needed.
This dual-case highlights the importance of seeing a qualified dermatologist—even for what seems like a “simple bump.” Accurate diagnosis, patient education, and personalized treatment are pillars of dermatologic care at Village Dermatology, serving Katy and Houston, TX.
Why This Matters in Katy & Houston, Texas
In growing urban and suburban communities like Katy and Houston, patients often delay seeing a specialist. This case underscores how early evaluation by an experienced dermatologist can save time, reduce anxiety, and lead to effective, tailored treatment plans. Whether you're dealing with a puzzling bump, persistent rash, or just want peace of mind, our team at Village Dermatology is here to help.
Comprehensive Skin Check Uncovers Common Skin Concerns in a 68-Year-Old Patient: A Case Report from Village Dermatology
This case report from Village Dermatology highlights the importance of annual full-body skin exams, especially for patients with a personal or family history of skin cancer, in Katy, Texas and Houston, Texas."
At Village Dermatology, serving Katy, Texas and Houston, Texas, we are committed to proactive skin health.
Today, we share the case of a 68-year-old woman who visited us for a full-body skin exam and evaluation of several long-standing skin lesions. Her history, including a personal diagnosis of basal cell carcinoma and a family history of melanoma, underscores the importance of annual skin checks — especially for patients at higher risk.
Patient Background
This new patient presented with brown lesions located on her upper back and left breast. These lesions had been present for years, but she had never sought treatment before. Her medical history was significant for:
Basal cell skin cancer (previously treated)
Family history of melanoma (mother)
Family history of non-melanoma skin cancer (father)
In addition to evaluating her lesions, she sought education about sun exposure and advice on monitoring her existing moles.
Examination Findings
Using both clinical inspection and a dermatoscope, a thorough examination of her skin, scalp, nails, and mucosa was performed. Key findings included:
Benign Nevi: Regularly shaped, evenly colored moles with no signs of malignancy.
Lentigines: Light tan macules, common signs of sun damage, scattered throughout sun-exposed areas.
Cherry Angiomas: Benign vascular growths across the body.
Seborrheic Keratoses: Benign "warty" growths on the back and shoulders.
Actinic Keratoses: Precancerous lesions on the forehead.
Irritated Seborrheic Keratosis: Inflamed, crusted lesion behind the left ear.
Treatment Plan
The patient underwent cryotherapy (liquid nitrogen treatment) for:
9 seborrheic keratoses (upper back and shoulders)
2 actinic keratoses (right forehead)
1 irritated seborrheic keratosis (postauricular skin)
She was counseled extensively on:
Sun protection: Regular use of broad-spectrum SPF 30+ sunscreen, sun-protective clothing, and lip balm with SPF.
Self-exams: Monthly self-skin checks for any new or changing lesions or moles.
Follow-up care: Importance of annual full-body skin exams.
The patient was advised that lentigines, cherry angiomas, and seborrheic keratoses are benign and treatment is optional unless they become symptomatic.
The Importance of Regular Skin Exams
This case highlights the need for yearly skin checks, especially for individuals with:
A personal or family history of skin cancer
Chronic sun exposure
A history of precancerous lesions such as actinic keratoses
Early detection and preventive treatment can greatly reduce the risk of progression to squamous cell carcinoma or melanoma.
At Village Dermatology, we pride ourselves on thorough, compassionate care for every patient — whether addressing cosmetic concerns, precancerous changes, or skin cancers.
✅ If you live in Katy, Texas, or Houston, Texas, and you are due for your annual skin check or have noticed new or changing moles, we invite you to schedule an appointment with our expert dermatology team today!
Prioritize your skin health — early detection saves lives.
Treating Actinic Keratosis and Squamous Cell Carcinoma in Older Adults: A Real Patient Story from Houston and Katy
Dr. Ashley Baldree shares how cryotherapy and personalized care helped treat actinic keratoses and squamous cell carcinoma in an older adult patient at Village Dermatology in Katy and Houston.
Article by Dr. Ashley Baldree
At Village Dermatology, we often see patients in their later years with skin changes due to sun exposure over a lifetime. One recent patient, an 88-year-old man, came to us with darkening, enlarging lesions on his scalp that had become irregular over time. These skin changes were concerning not just because of how they looked—but because they could be signs of precancerous or cancerous skin growths.
In this blog, I’ll share how we evaluated and managed his condition, and what this case can teach us about actinic keratosis (AK) and squamous cell carcinoma (SCC) in older adults.
The Patient's Visit: Evaluation and Diagnosis
This gentleman had multiple lesions on his scalp and cheek that had changed in size and color. These are classic warning signs for sun-related skin damage. During his exam, we noticed scaly, red patches and thickened nodules—findings that led us to diagnose both actinic keratoses and biopsy-proven squamous cell carcinomas.
We used a dermatoscope, a special magnifying tool, to closely inspect the lesions. His overall health was good, and he was fully alert and oriented—key factors when planning treatment in older adults.
What Are Actinic Keratoses?
Actinic keratoses (AKs) are precancerous skin lesions caused by chronic sun exposure. They often appear as rough, red or pink patches and are common on the scalp, face, ears, and hands—especially in fair-skinned individuals.
These spots can turn into squamous cell carcinoma if left untreated, though not all do. That’s why it’s important to treat AKs early. For this patient, we treated 10 AKs using cryotherapy, where liquid nitrogen freezes the lesions, causing them to crust and fall off naturally over a few weeks.
We also counseled him on:
Wearing broad-spectrum sunscreen SPF 30+ daily
Using sun protective clothing
Regular follow-ups to check for new or changing lesions
Learn more about AKs and skin cancer at Village Dermatology's Skin Cancer Education Page.
Diagnosing and Managing Squamous Cell Carcinoma (SCC)
This patient also had two areas on his scalp that were confirmed by biopsy to be well-differentiated squamous cell carcinomas. SCC is a common type of non-melanoma skin cancer and can become more serious if not addressed.
We discussed treatment options including:
Mohs surgery (a highly precise surgical technique)
Surgical excision
Radiation therapy (XRT)
Although Mohs surgery is our standard for high-risk areas like the scalp (due to precision and low recurrence rates), the patient declined surgery and opted for radiation therapy instead. We coordinated with his primary care provider for referral to a radiation oncologist.
This type of shared care ensures that the patient gets treatment tailored to his preferences and health status while also addressing the seriousness of his diagnosis.
Learn more about SCC and treatment choices on our site:
Basal and Squamous Cell Carcinoma Treatments
Key Takeaways from This Case
✅ Sun damage is cumulative—what we did decades ago can show up now.
✅ Actinic keratoses are warning signs and should be taken seriously.
✅ Squamous cell carcinoma is treatable, especially when caught early.
✅ Radiation therapy can be an option for patients who can’t or prefer not to undergo surgery.
✅ Personalized care matters, especially in older adults with specific health goals.
At Village Dermatology in Katy and Houston, we’re committed to delivering expert, compassionate care for every age. If you have changing skin lesions or a history of sun exposure, schedule a skin cancer screening with us.
Early Detection, Expert Treatment: Managing Basal Cell Carcinoma on the Forehead
In this patient case from Village Dermatology Houston, Dr. Caroline Vaughn shares how a 68-year-old woman successfully treated basal cell carcinoma on her forehead with Mohs surgery. Learn about early skin cancer detection, expert surgical care, and prevention tips for patients in Katy and Houston.
Blog Article by Dr. Caroline Vaughn
At Village Dermatology Houston, we understand that skin cancer screenings can be anxiety-provoking—but early detection paired with precise treatment can make all the difference. In this article, I want to share the case of a 68-year-old patient we first saw in March 2025, whose story highlights the value of thorough skin exams, patient education, and personalized care.
Initial Visit: A Concern for Suspicious Lesions
Our patient, a vibrant 68-year-old woman, came to our clinic as a new patient seeking evaluation for suspicious skin lesions on her right upper back and chest, as well as overall surveillance for skin cancer. She also wanted counseling on sun protection and help monitoring existing moles.
During her full-body skin exam, which included the use of a dermatoscope, we identified two areas of concern:
A papule on her left dorsal forearm, which we suspected could be a seborrheic keratosis, squamous cell carcinoma, or a neoplasm of uncertain behavior.
A darkly pigmented macule on the left forehead, which had features raising concern for basal cell carcinoma (BCC).
To evaluate these lesions further, shave biopsies were performed on both. The forehead lesion was later confirmed to be a nodular basal cell carcinoma, the most common—and fortunately, one of the most treatable—types of skin cancer.
Learn more about BCC in our Village Dermatology skin cancer overview and basal cell carcinoma guide.
Why Basal Cell Carcinoma Needs Prompt Attention
Basal cell carcinoma (BCC) is a slow-growing skin cancer that often appears in sun-exposed areas like the forehead, nose, and ears. Although BCC rarely spreads to other parts of the body, it can grow deep into the skin and cause significant tissue damage if left untreated.
The forehead is considered a high-risk area (Area M) for cosmetic and functional reasons. Given the tumor’s location and size (1.1 x 1 cm), Mohs micrographic surgery was the recommended and most appropriate treatment.
April 2025: Mohs Surgery & Complex Repair
Mohs surgery was performed in April 2025, with excellent results. The cancer was fully removed in just one stage, and no residual tumor cells were detected on frozen section analysis. The final defect measured 1.4 x 1.7 cm, extending into the adipose (fat) layer.
Due to the location and lack of surrounding skin laxity, we performed a complex layered repair with a Burow’s graft to ensure the wound was closed properly and healed with minimal scarring.
What is a Burow’s graft?
A Burow’s graft uses nearby healthy skin, shaped and repositioned to fill in the surgical defect. In this case, tissue from the adjacent forehead was used to create a natural closure with good cosmetic outcomes.
What to Expect After Mohs Surgery
Mohs surgery is a meticulous technique that removes skin cancer while preserving as much healthy tissue as possible. It’s especially valuable in cosmetically sensitive areas like the face.
Our patient experienced no complications, and the wound was closed with both deep sutures and a running epidermal stitch. She returned for a suture removal and wound check one week later.
Skin Cancer Prevention Tips
Our patient came to us not only for treatment but also to learn how to prevent future skin cancers. Here's what we recommend for all our patients, especially those in sunny areas like Katy and Houston:
Apply broad-spectrum SPF 30+ sunscreen every day, even on cloudy days.
Wear a wide-brimmed hat and protective clothing when outdoors.
Schedule yearly full-body skin exams with a board-certified dermatologist.
Check your skin monthly at home for new or changing moles or growths.
Final Thoughts
This case is a great example of why early detection and personalized treatment planning matter so much. Because our patient came in early and we were able to act quickly, her basal cell carcinoma was treated successfully with minimal tissue loss and an excellent cosmetic result.
If you’re in Katy or Houston and concerned about a skin lesion—or just want peace of mind through regular skin checks—schedule a visit with Village Dermatology Houston today. Whether it’s a new mole, a non-healing spot, or a general skin concern, we’re here to help you protect your skin and your health.
Managing Psoriasis Flares with Biologic Therapy: A Case Study from Village Dermatology
Blog Article by Dr. Caroline Vaughn
At Village Dermatology, we understand that psoriasis is a chronic and often unpredictable condition that requires consistent, personalized care. Today, I’m sharing the story of a 32-year-old male patient from our Katy and Memorial Houston offices who returned to clinic due to a psoriasis flare after being off his biologic medication, Taltz, for four months because of insurance issues.
Psoriasis: Chronic and Complex
Psoriasis is an autoimmune condition that causes skin cells to build up and form scaly, itchy plaques. This patient’s case was moderate in severity with symptoms like flaking and itching, primarily affecting the scalp and body. On examination, approximately 5–10% of his body surface area (BSA) was involved. Psoriasis is not only skin-deep; this patient also reported joint pain in his hands and knees, a possible sign of psoriatic arthritis.
The Role of Biologic Therapy
Biologic therapies, like Taltz (ixekizumab), target the immune pathways involved in psoriasis. Our patient had experienced improvement in both skin and joint symptoms while on Taltz. After discussing treatment expectations and the importance of monitoring for infections and immunosuppression, we reinitiated the process to restart his medication. A TB test was ordered to ensure safety prior to resuming therapy.
You can learn more about psoriasis and its treatment options on our dedicated pages here:
👉 Psoriasis Overview
👉 Psoriasis Treatments
Personalized Care with Every Visit
At Village Dermatology, we work closely with patients to ensure they understand their condition and treatment options. By staying proactive with follow-up visits and high-risk medication monitoring, we aim to keep flares under control and improve overall quality of life.
Understanding Rash Diagnosis and Treatment: A Case of Pityriasis Rosea vs. Drug Eruption
A 43-year-old man visited our Katy and Memorial Houston offices with a red, itchy rash on his arm and trunk. Dr. Caroline Vaughn explains how she evaluated and treated this case—learn what may cause a sudden rash and how dermatologists approach diagnosis and treatment.
Written by Dr. Caroline Vaughn
At Village Dermatology, we often see patients with sudden-onset rashes that can be confusing, uncomfortable, and distressing. One such recent case involved a 43-year-old male from the Katy and Memorial Houston area who came in with a red, bumpy, and itchy rash primarily on his left upper arm and trunk.
Patient Background and Symptoms
The patient reported that the rash began five days prior as a single lesion before spreading across his torso and arm. He described it as itchy and irritating but had only tried oral Benadryl with no significant relief. He also noted a recent sinus infection for which he had been prescribed amoxicillin.
Clinical Evaluation and Diagnosis
Upon thorough physical examination using a dermatoscope, the rash presented as well-distributed, erythematous papules on the upper back, epigastric area, and left arm. Based on the clinical presentation and patient history, the differential diagnosis included:
Pityriasis Rosea – an inflammatory skin condition often preceded by a “herald patch,” common in younger individuals and typically self-limited.
Drug Eruption – a potential reaction to recent antibiotic use, in this case, amoxicillin.
Unspecified Dermatitis – a broad classification pending more definitive diagnosis.
Treatment Plan
The patient was prescribed topical triamcinolone 0.1% cream to be applied twice daily for up to two weeks. He was also advised to use antihistamines and soothing lotions like Sarna for itch relief.
Patient Counseling
We discussed the expected course of pityriasis rosea, including its self-limiting nature. The patient was educated on the risks of prolonged steroid use and instructed to avoid applying high-potency creams to sensitive areas like the face or groin.
Follow-Up
A follow-up visit is scheduled in three weeks to reassess the rash’s progression and determine if further intervention is needed.
If you’re experiencing a new rash or skin irritation, don’t wait—schedule an appointment with our board-certified dermatologists today.
Navigating Perioral and Seborrheic Dermatitis: A Case Study
Discover how Dr. Ashley Baldree at Village Dermatology in Katy and Memorial Houston treated a 35-year-old patient struggling with perioral and seborrheic dermatitis. Learn about the tailored approach, effective treatments, and expert guidance to manage chronic skin conditions.
By Dr. Ashley Baldree, Village Dermatology, Katy and Memorial Houston
At Village Dermatology, we often encounter patients dealing with challenging skin conditions that affect their confidence and comfort. Recently, a 35-year-old female visited our clinic with a two-month history of a painful, dry, and flaking rash on her face. After trying and failing treatments, including doxycycline, ketoconazole, and hydrocortisone, she sought a solution to regain control over her skin health.
Understanding the Diagnosis
Upon examination, the patient displayed signs of two conditions: perioral dermatitis and seborrheic dermatitis.
Perioral Dermatitis: This chronic rash, characterized by inflamed areas around the mouth and nose, was identified on her chin, cheek, and upper lip. Common triggers for this condition include cosmetics, topical steroids, fluorinated toothpaste, and environmental factors like wind or sun exposure.
Seborrheic Dermatitis: Additionally, the patient exhibited pink/orange scaly plaques on the glabella, consistent with seborrheic dermatitis—a chronic condition prone to flares triggered by stress.
Seborrheic Dermatitis
Tailored Treatment Plan
To address these concerns, we devised a comprehensive treatment strategy:
Perioral Dermatitis:
Prescribed Soolantra 1% cream (or Metrocream as an alternative) for daily application.
Provided Rhofade sample for temporary redness management before events.
Recommended gentle cleansing with La Roche-Posay Toleriane and daily use of Tizo tinted sunscreen to prevent UV-induced flares.
Counseling on minimizing cosmetic use and avoiding triggers.
Seborrheic Dermatitis:
Suggested moisturizers like Cetaphil, CeraVe, and La Roche-Posay Toleriane for gentle care.
Emphasized using shampoos with tar, selenium, or zinc pyrithione to improve scalp health.
Patient Education and Follow-Up
Patients with chronic skin conditions like these require education on long-term management. We counseled her on expectations, including the potential for periodic flares and the importance of regular sunscreen application. A follow-up was scheduled within 2-4 weeks to evaluate progress and fine-tune the regimen.
Empowering Skin Health
At Village Dermatology, we prioritize individualized care to help patients feel confident in their skin. If you're managing perioral or seborrheic dermatitis, visit our dedicated page on seborrheic dermatitis or contact us for an appointment. Let us guide you toward healthier skin today!
Expert Care for Basal Cell Carcinoma on the Nasal Dorsum: A Patient’s Story
Discover expert care for basal cell carcinoma with Mohs surgery at Village Dermatology in Katy and Memorial Houston. Dr. David Wang shares a patient success story.
At Village Dermatology, we are dedicated to providing compassionate, expert care for patients managing skin cancer, including basal cell carcinoma (BCC). Today, we share the story of an 80-year-old male patient who came to our Katy and Memorial Houston offices for Mohs surgery to treat nodular basal cell carcinoma on the nasal dorsum.
Basal Cell Carcinoma: Understanding the Diagnosis
Basal cell carcinoma is the most common type of skin cancer. It typically appears as a small, flesh-colored bump or a pearly nodule and often develops on sun-exposed areas, such as the face and neck. Nodular basal cell carcinoma, a subtype, is characterized by its rounded growth and potential for local tissue invasion. While BCC rarely spreads to other parts of the body, timely treatment is crucial to prevent deeper tissue damage.
For more about basal cell carcinoma, visit our Basal Cell Carcinoma page.
The Patient’s Case: A Personalized Approach to Care
The patient initially presented with a 0.4 cm x 0.4 cm lesion on the nasal dorsum, which was confirmed as nodular basal cell carcinoma through a biopsy. Due to the tumor’s location on the nasal dorsum, an area where tissue conservation is critical, Mohs micrographic surgery was determined to be the most appropriate treatment.
Why Mohs Surgery?
Mohs surgery is a precise, tissue-sparing technique that removes the cancerous tissue layer by layer while preserving as much healthy tissue as possible. This method is especially beneficial for high-risk areas like the nose, where maintaining functionality and appearance is essential.
Mohs Surgery: Procedure Overview
The procedure began with a detailed discussion about the risks, benefits, and alternatives of Mohs surgery. After obtaining the patient’s informed consent, Dr. Wang performed the surgery in one stage, removing the tumor completely.
Preoperative Size: 0.4 cm x 0.4 cm
Final Defect Size: 0.7 cm x 0.7 cm
Depth of Defect: Muscle
Frozen section analysis confirmed that all cancerous cells were removed, and the surgical site was carefully repaired using a complex repair technique to minimize scarring and optimize healing.
Postoperative Care and Patient Education
Following the procedure, the patient received detailed postoperative instructions to promote healing and reduce complications:
Keep the area clean and dry.
Apply petrolatum and pressure dressing as directed.
Avoid sun exposure and use broad-spectrum sunscreen to protect the healing skin.
For tips on protecting your skin from sun damage, visit our Sun Protection page.
Why Early Detection Matters
Basal cell carcinoma is largely preventable with consistent sun protection and regular dermatologic check-ups. Early detection allows for less invasive treatments and better outcomes.
Expert Skin Cancer Care at Village Dermatology
At Village Dermatology, we specialize in advanced skin cancer treatments, including Mohs surgery, and prioritize patient-centered care. Whether you’re concerned about a new lesion or managing a confirmed diagnosis, our team is here to guide you every step of the way.
For more information or to schedule an appointment, visit our Basal Cell Carcinoma page or contact us directly.
Exploring the Role of Patch Testing in Diagnosing Allergic Contact Dermatitis
Learn how Dr. Ashley Baldree utilized patch testing to diagnose allergic contact dermatitis in a 58-year-old patient. Explore personalized dermatology care at Village Dermatology in Katy & Memorial Houston.
At Village Dermatology, we frequently treat patients with complex skin conditions like allergic contact dermatitis (ACD). Today, we share the story of a 58-year-old male patient from our Katy and Memorial Houston offices who sought further evaluation for persistent dermatitis on his back. His journey highlights the importance of patch testing in diagnosing and managing ACD effectively.
The Patient’s Journey
This established patient initially visited our clinic for unspecified dermatitis, which was treated with Fluocinonide 0.05% ointment applied twice daily. Despite initial improvements, his dermatitis persisted, prompting a deeper investigation.
What is Allergic Contact Dermatitis?
ACD is a type of skin inflammation caused by exposure to allergens that trigger an immune response. Common symptoms include:
Well-demarcated, itchy patches or plaques
Redness and swelling
Potential blistering or scaling
ACD is often linked to everyday exposures, including personal care products, metals, and environmental factors.
Diagnostic Approach: Patch Testing
To identify the allergens causing the patient’s dermatitis, patch testing was performed. This comprehensive method involves applying common allergens to the skin and observing reactions over several days.
Testing Procedure:
80 allergens were applied to the patient’s back using the Core ACDS Recommended Series.
Common allergens tested included nickel sulfate, fragrance mixes, and paraben mix, among others.
Post-Care Instructions:
The patient was advised to:
Avoid getting the back wet or sweating for 48 hours.
Refrain from scratching the area.
Remove the patches after 48 hours.
Follow-up was scheduled in four days to evaluate the test results.
Why Patch Testing Matters
Patch testing is a cornerstone for diagnosing ACD, especially for:
Persistent or unexplained dermatitis.
Dermatitis affecting high-risk areas like the hands, face, or feet.
Conditions resistant to conventional treatments.
The insights gained from patch testing allow for targeted management, minimizing exposure to specific allergens and alleviating symptoms effectively.
Treatment and Management
At Village Dermatology, we develop personalized treatment plans based on patch testing results. These often include:
Avoidance of identified allergens.
Topical or systemic therapies to manage inflammation.
Education on proper skincare routines to prevent future flares.
Conclusion
Allergic contact dermatitis can be challenging to diagnose and manage, but patch testing offers a reliable solution. This patient’s case underscores the value of thorough evaluation and personalized care in achieving optimal outcomes.
Understanding and Treating Warts in Children: A Success Story
Learn how Dr. Caroline Vaughn treated a 10-year-old patient for warts at Village Dermatology in Katy and Memorial Houston. Explore expert care and treatments like cryotherapy to boost your child’s confidence in their skin.
At Village Dermatology, we pride ourselves on offering comprehensive, compassionate care for skin conditions of all ages. Warts, though common, can significantly impact a child’s comfort and confidence. Today, we’re sharing a success story about a 10-year-old patient treated for warts at our Katy and Memorial Houston offices.
Case Overview
The young boy, an established patient at our practice, presented with pink, cauliflower-like papules on his right elbow and upper arm. These lesions, medically referred to as Verruca Vulgaris, were enlarging and had not been treated before this visit.
During the consultation, the child was cheerful and accompanied by his mother and our medical assistant. Upon examination, he appeared well-nourished, well-developed, and in no acute distress.
What Are Verruca Vulgaris?
Verruca Vulgaris, or common warts, are benign skin growths caused by the human papillomavirus (HPV). These rough, raised lesions often develop in children due to minor trauma to areas like the hands, knees, or elbows, which increases their vulnerability to HPV.
Treatment Approach: Cryotherapy
After evaluating the patient, we recommended cryotherapy, a trusted and effective method for wart removal. This treatment involves using liquid nitrogen to freeze and destroy the wart tissue, allowing the skin to heal naturally.
Procedure Details:
Six warts on the right elbow and upper arm were treated.
Liquid nitrogen was carefully applied, causing controlled tissue damage to remove the warts.
The patient’s mother provided informed consent after discussing potential side effects, including scabbing, blistering, pigmentation changes, and the possibility of recurrence.
Post-Treatment Care and Follow-Up
Following cryotherapy, it’s essential to ensure proper care to optimize healing and minimize complications. The family was advised to:
Keep the treated area clean and dry.
Avoid picking or scratching the scabs to prevent scarring or infection.
Contact the office if signs of infection, like swelling or increased redness, occur.
A follow-up appointment was scheduled to evaluate the patient’s progress and determine if further treatments would be necessary.
Preventing and Managing Warts
Warts are highly contagious and can recur if preventive steps are not taken. We recommend the following:
Teach children to avoid picking at warts.
Practice good hygiene, including regular handwashing.
Cover warts with bandages in public settings, such as school or sports activities, to prevent spreading the virus.
Why Choose Village Dermatology?
At Village Dermatology, we provide expert care for warts and other skin conditions. Our treatments, such as cryotherapy, are safe and effective for children. We understand the emotional and physical challenges that come with skin conditions and strive to create a supportive, family-friendly environment.
Ready to Address Your Skin Concerns?
If your child has warts or other skin concerns, explore our dedicated page on warts to learn more about treatment options. Schedule an appointment with us today and let’s work together to ensure your child’s skin health and confidence.
Managing Pseudofolliculitis Barbae: A Patient's Journey
Learn how Dr. Ashley Baldree helps patients manage pseudofolliculitis barbae in Katy and Memorial, Houston. Explore treatments like benzoyl peroxide, doxycycline, and laser hair removal for long-term relief from razor bumps and skin irritation. Find personalized dermatological care today!
Pseudofolliculitis barbae, commonly known as razor bumps, is a chronic skin condition that can cause discomfort, inflammation, and frustration for those affected. It often occurs in areas where curly hair grows inward, leading to irritation and inflammation. This condition is particularly common in individuals with tightly coiled or curly hair.
In this blog, we’ll explore the case of a 30-year-old female patient managing pseudofolliculitis barbae, the treatments that have worked for her, and long-term strategies for success.
Understanding the Patient's Journey
Our patient, a 30-year-old female, initially sought care for persistent pseudofolliculitis barbae affecting the vulva area. She had experienced constant discomfort but found some relief through targeted therapies. Her initial treatment plan included:
Benzoyl Peroxide Wash (10%): Used every three days to cleanse affected areas and prevent inflammation.
Clindamycin Gel: Applied as needed for flare-ups, though she found limited success with this topical antibiotic.
Waxing Avoidance: Counseling emphasized that waxing likely contributed to skin irritation.
Progress With Treatment
After following this regimen, the patient experienced notable improvement using doxycycline, an oral antibiotic prescribed for short-term use. She reported significant progress but was informed that doxycycline cannot be used as a long-term solution due to risks such as photosensitivity and potential adverse effects.
The patient also reduced her use of benzoyl peroxide to every three days to manage sensitivity, and she has been considering laser hair removal (LHR) for a more permanent solution to her condition.
Long-Term Management Recommendations
Benzoyl Peroxide (BPO):
The patient was counseled to continue using benzoyl peroxide for antibacterial and anti-inflammatory effects. She was advised to be mindful of potential irritation and to adjust usage frequency as needed.
Doxycycline for Flares:
The patient was provided with additional refills of doxycycline for flare-ups, with detailed counseling on avoiding prolonged use and understanding side effects like photosensitivity.
Laser Hair Removal (LHR):
As a long-term solution, LHR was recommended for reducing hair growth and minimizing the chances of future inflammation.
Skin Care Best Practices:
Patients with pseudofolliculitis barbae should avoid shaving against the grain or cutting hair too short. Antibacterial soap or benzoyl peroxide wash can help maintain healthy skin.
Counseling and Education
Our counseling focused on ensuring the patient fully understands her treatment options and the potential side effects. Here are some key points:
Benzoyl Peroxide Counseling: It may cause skin irritation and clothing discoloration. Reduce application frequency if irritation occurs.
Doxycycline Counseling: Discussed risks such as photosensitivity, sunburn, and the importance of protective measures like sunscreen and clothing. The patient was also counseled on avoiding pregnancy during therapy due to potential birth defects.
Topical Clindamycin Counseling: Explained the possibility of irritation and the need to adjust usage if necessary.
Outlook and Follow-Up
Pseudofolliculitis barbae is a manageable condition with proper care and a personalized treatment plan. While this patient has seen significant improvement, she has been advised to follow up in one month to evaluate the effectiveness of her regimen and make adjustments as needed. Patients experiencing similar issues are encouraged to consult a dermatologist to develop a tailored plan for their skin needs.
For more information about treating pseudofolliculitis barbae and other skin conditions, visit our dermatology page. If you’re in Katy or Memorial, Houston, and need personalized care, take the first step by becoming a patient with us today! Click here to get started.
Understanding and Treating Warts: A Case of a 10-Year-Old Patient
Dr. Ashley Baldree shares the story of a 10-year-old patient treated for warts at Village Dermatology in Katy and Memorial Houston. Discover expert care and effective treatments like cryotherapy to help children regain confidence in their skin.
At Village Dermatology, we frequently see children for common skin concerns like warts, which can cause discomfort and emotional distress for both the child and their family. Today, we’re sharing the story of a 10-year-old boy, an established patient at our Katy and Memorial Houston offices, who came in for treatment of warts located on his right elbow and upper arm.
Case Overview
The young patient presented with enlarging, pink, cauliflower-like papules on his right elbow, distal lateral posterior upper arm, and lateral elbow. These lesions, medically referred to as Verruca Vulgaris, had not been previously treated. The patient appeared well-nourished, well-developed, and in no acute distress, with a cheerful demeanor during the visit. His mother and our skilled medical assistant were present throughout the examination.
What Are Verruca Vulgaris?
Verruca Vulgaris, or common warts, are benign skin growths caused by the human papillomavirus (HPV). They often appear as rough, raised bumps that can have a cauliflower-like texture. In children, warts frequently occur on the hands, elbows, or knees, areas prone to minor trauma, making the skin susceptible to HPV.
Treatment Approach: Cryotherapy
After evaluating the patient, we determined that cryotherapy with liquid nitrogen would be the best treatment option. Cryotherapy is a safe and effective way to freeze and destroy the wart tissue, allowing the skin to heal and regenerate.
Procedure Details:
A total of six lesions were treated during the session.
The liquid nitrogen was applied to the warts, causing controlled tissue damage to remove the lesions.
We discussed the potential side effects, including crusting, scabbing, blistering, scarring, pigmentary changes, recurrence, incomplete removal, and infection. The patient’s mother provided informed consent for the procedure.
Post-Treatment Care and Follow-Up
After cryotherapy, it’s normal to see temporary redness, blistering, or scabbing in the treated area. We advised the family to:
Keep the area clean and dry.
Avoid picking or scratching the treated lesions to minimize the risk of infection or scarring.
Notify our office if signs of infection, such as increased redness, swelling, or pain, occur.
The patient’s next follow-up appointment will help us assess the progress of healing and determine if additional treatments are needed.
Managing and Preventing Warts
To prevent the recurrence or spread of warts, we recommend:
Encouraging your child to avoid picking at warts.
Practicing good hygiene, including washing hands regularly.
Covering warts with bandages, especially in school or sports settings, to prevent spreading the virus.
Conclusion
Warts are a common and treatable skin condition in children. At Village Dermatology, we provide compassionate care and effective treatment options, such as cryotherapy, to help patients regain confidence and comfort in their skin.
If your child has warts or other skin concerns, visit our dedicated page on warts to learn more about treatment options, or contact us to schedule an appointment. Let’s work together to ensure healthy, happy skin for your child.
Blog Article: Managing Psoriasis with Advanced Treatments
Discover effective solutions for psoriasis at Village Dermatology in Katy and Memorial Houston. This blog, written by Dr. Caroline Vaughn, highlights a patient’s journey from struggling with flares to starting advanced Skyrizi treatment. Learn how personalized care, skin-friendly routines, and expert guidance can help you manage your condition. Schedule a consultation today!
Psoriasis is a chronic autoimmune condition that affects millions of people worldwide. At Village Dermatology in Katy and Memorial Houston, we frequently see patients dealing with persistent symptoms like flaking, itching, and discomfort. One such patient presented with moderate psoriasis on the trunk that had been present for years, primarily managed with Otezla. Despite efforts, the treatment was not controlling her flares effectively, prompting a new approach.
Understanding Psoriasis
Psoriasis, specifically psoriasis vulgaris, is characterized by red, scaly patches that can appear on different parts of the body, including the trunk, scalp, and nails. It’s a lifelong condition with periods of remission and flares, often triggered by factors such as stress, infections, certain medications, or lifestyle factors like alcohol consumption. You can read more about psoriasis and its treatment options on our Psoriasis Overview page.
A Tailored Treatment Plan for our patient
This patient’s journey reflects the complexity of managing psoriasis. While Otezla, a systemic therapy, had been her primary treatment, its limitations in controlling her symptoms led us to explore other options. Following a consultation and clearance from an infectious disease specialist, we initiated treatment with Skyrizi. Skyrizi is a biologic therapy that provides targeted relief for patients with moderate to severe psoriasis who haven’t responded well to other systemic treatments.
Skyrizi Counseling and Administration
We carefully discussed the potential benefits and risks of Skyrizi with the patient, including:
Risks: Increased susceptibility to infections and potential injection site reactions.
Monitoring: Annual tuberculosis testing and vigilance for any symptoms of infection.
The first dose of Skyrizi was administered during the visit, with follow-ups scheduled to monitor progress and address any concerns.
Comprehensive Care for Psoriasis
In addition to systemic therapy, we emphasized the importance of supportive skin care to enhance treatment outcomes:
Skin Care Recommendations:
Use emollients and moisturizers to prevent dryness.
Incorporate shampoos with tar, selenium, or zinc pyrithione for scalp psoriasis.
Consider coal tar and topical keratolytics for persistent plaques.
Topical Steroids: We prescribed clobetasol 0.05% scalp solution to help reduce inflammation, with thorough counseling on proper use and potential side effects like skin thinning or discoloration.
For patients struggling with nail psoriasis, we discussed the use of topical steroids, vitamin D analogs, or even intralesional injections if needed. Learn more about available therapies on our Psoriasis Treatment page.
What to Expect
We counsel all our patients to have realistic expectations about psoriasis management. While we aim to reduce symptoms and flares, psoriasis is a chronic condition with no definitive cure. With proper treatment and monitoring, many patients experience significant improvement and longer periods of remission.
Call to Action
If you’re dealing with persistent psoriasis that hasn’t responded to treatment, there’s hope. At Village Dermatology, we offer advanced therapies tailored to your specific needs. Visit our Become a Patient page to schedule your consultation today and take the next step toward clearer, healthier skin.
Follow-Up
For this patient, a follow-up is scheduled in six months to assess her progress and make any necessary adjustments to her treatment plan. With consistent care and monitoring, we’re confident she’ll see meaningful improvements in her quality of life.
References
For more information about psoriasis and its treatments, visit: