R. Kurt Lofgren MD
Traditional Healing, 21st Century Technology
 
       
 

What is Dermatology?

Dermatology is the branch of medicine that specializes in the diagnosis, treatment, and prevention of diseases of the skin, hair, nails, oral cavities and genitals. Cosmetic enhancement is also part of the science of dermatology.

 
What is Dermatology?
What is Dermatology?
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The Science of Dermatology

The Skin—An Amazing Organ
This largest organ of the body covers an area of two square meters and functions as a protective and supportive barrier for more vulnerable parts of the body. It regulates body temperature and is a sensory organ giving us information about our surroundings that is vital to survival.

The skin is a unique organ of the human body because it's accessible for direct visual examination. The dermatologist has the unusual advantage of being able to visually examine the skin and correlate it with the pathology present below the surface.

Dermatologic Problems—From Cosmetic to Life-threatening
The dermatologist treats a variety of conditions. Skin cancer is one of the most common. Suspicious lesions may be diagnosed as benign after examination, eliminating the need for biopsies. However, prevention is the most important step in conquering skin cancer. The American Academy of Dermatology has made education a primary focus in its efforts to eradicate the disease. Regular self-examination and appropriate sun protection used judiciously can go a long way in preventing skin cancer. For more information, see our page on skin cancer.

Other than skin cancer, dermatologic practice includes skin diseases, cosmetic problems, education and public health. Skin diseases include rashes such as psoriasis and lichen planus that are of unknown cause and seem to appear out of nowhere. Rashes caused by infections include impetigo (caused by a bacteria called Staphylococcus aureus), herpes zoster (caused by the varicella-zoster virus), syphilis (caused by the spirochete Treponema pallidum), and fungal diseases such as athlete's foot.

Many infections, particularly the viral ones, are really systemic diseases with visible skin manifestations. Allergic rashes and rashes due to skin injury are also common problems. Cosmetic problems can be caused be sun damage, scars from surgery or injury and congenital deformities.

Public Health—Bringing Science to the Public
Education and public health have always been a major part of dermatology. In the past, infections were a big problem, and may be again in the future due to bioterrorism. The last ten years education has focused on cancer and aging prevention by promoting sun protection and early diagnosis of skin cancer.

One of the little known functions of physicians in general—and particularly dermatologists—is the evaluation of new scientific knowledge, treatments and technology. Unfortunately researchers have been known to falsify scientific data to further their own careers, drug companies have exaggerated safety and eficacy claims to sell their medications, and equipment companies have overstated the benefits of their technology. Due to loopholes in federal law some prescription drugs have never been approved but are in common use. Nutritional supplements sometimes are powerful enough to qualify as drugs but nevertheless are never tested for safety or efficacy, but are just sold to the unsuspecting public.

 

The Dermatologist

Education and Training
A dermatologist is trained as a general physician first, completing medical school and at least one year of internship followed by three years of residency. Today's dermatologists are trained in the basic science of the skin, skin diseases, dermatopathology, treatment of skin diseases and skin surgery. Phototherapy, laser treatment, cosmetic surgery, immunopathology and patch testing are also part of the training. Lab or clinical research is an integral part of the dermatologist's experience and most publish in scientific and medical journals during this period of residency.

Because of his or her training in the scientific method, knowledge of cutaneous physiology, pathophysiology and experience treating skin diseases, a dermatologist is able to independently evaluate new ideas and products and choose whether or not to recommend or use them in practice. To do this right, the dermatologist reads medical journals, goes to medical meetings and tracks his or her own clinical results to see what works and what doesn't. These activities are done when the office is closed (and when the dermatologist could be doing something else!) and are integral part of the successful practice of medicine.

Traditional Approaches—Effective Treatments
Dermatologists can offer a wide array of treatments for non-life threatening skin conditions such as acne and rashes like psoriasis and eczema. Advances in the study of anti-aging treatments have made it possible for dermatologists to effectively treat aging skin. The latest laser treatments work deeply to reverse the effects of sun damage and aging with little discomfort and less lengthy periods of healing. The result is a more youthful appearance.

While nutritional and cosmetic products can be of value in treating dermatological conditions, these products do not have to meet the same stringent government standards for safety and effectiveness as prescription drugs. The dermatologist has extensive resources that facilitate finding the most effective treatment. The dermatologist can also effectively evaluate the testing done on a variety of products in order to determine their safety.

A skilled dermatologist can be a valuable partner in helping you achieve and maintain optimum dermatological health for your physical and emotional well-being.

   
 
   
 
 

 

 
Skin Cancer The Dermatologist The Science