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General Adult & Adolescent Dermatology

General Adult & Adolescent Dermatology

Precision Dermatology provides adult, adolescent, surgical and cosmetic dermatology services in a state-of-the-art medical environment.  Dr. Chiang takes a holistic and comprehensive approach to dermatology. In addition to her emphasis on accurate diagnoses, she also works hard to identify risk factors, explain treatment options and anticipate future problems.

360 Full Body Examination for Moles and Skin Cancer

Acne & Acne Scarring

Actinic Keratoses


Eczema & Dermatitis. Dermatitis refers to a broad collection of skin diseases that causes the skin to be pink, dry and itchy.  These skin diseases can include atopic dermatitis, stasis dermatitis, allergic contact dermatitis, nummular dermatitis and  dyshidrotic eczema. Treatment for these rashes include topical anti-inflammatory creams, oral anti-inflammatory tablets, phototherapy, and newer biologic medication.


Excessive Sweating/ Hyperhidrosis. Hyperhidrosis is a condition that is estimated to affect 5% of the US population. It rarely affects the entire body, but often targets the armpits, hands, feet or the face.  It is typically caused by an overstimulation of the sweat glands, causing patients to sweat even when their body does not need to regulate its temperature.  There are many treatments available for hyperhidrosis.  They include prescription antiperspirant, a prescription towelette, neurotoxins (Botox), Iontophoresis, and oral tablets.  Hyperhidrosis can be very embarrassing, frustrating and physically uncomfortable.  There’s no need to live with the physical and social discomfort. Come see us, and we’ll get you back to wearing your white shirts, stress-free!


Fungal, Yeast, Bacterial, and Viral infections. Skin infections with fungus, bacteria and viruses are very common.  Dr. Chiang strongly believes in establishing a diagnosis prior to treatment. Methods to do so include dermoscopy, culture swab, scrapping and microscopic analysis, biopsy and inspection with 365nm woods lamp. Once a diagnosis is established, an appropriate treatment will be discussed. Treatments include prescription cleansers, topical creams, and oral tablets. 


Hair & Scalp Problems

Hives/Urticaria. Urticaria is a very common rash, affecting up to 20% of the population. It often goes by many names, including hives, welts or wheals. It usually presents suddenly as an itchy pink rash on the face or body. It is typically benign and transient, but can in some patients be a cutaneous manifestation of a more serious condition.  Treatments can vary from observation, to antihistamines, to oral steroids, to monoclonal antibody injections in severe cases.  A board-certified dermatologist is the best provider to evaluate and treat your urticaria.

Melasma

Nail Problems. Dr. Chiang loves her nail diseases!  There are really too many to list here. Common nail diseases that Dr. Chiang sees include paronychia, nail psoriasis, trachyonychia, onychoschizia, Beau’s lines, onycholysis, nail infections, and nail moles. Bring your nails over to the office and let’s take a look!

Psoriasis. Psoriasis is an autoimmune condition that presents with pink raised dry scaly plaques on the skin. There are multiple subtypes of psoriasis including classic plaque psoriasis, guttate psoriasis, pustular psoriasis, and erythrodermic psoriasis. A minority of psoriasis patients will also have a type of joint pain called psoriatic arthritis.  It is very important to treat psoriatic arthritis  to prevent irreversible joint damage.  It is also very important to treat psoriasis to reduce the systemic inflammation that can increase the patient’s risk of cardiovascular disease, diabetes, and metabolic syndrome . Dr. Chiang has treated some of the most complex psoriasis and psoriatic arthritis patients with great success.  Treatment include topical and injectable anti-inflammatory agents, oral systemic medication (tablets), phototherapy, and biologic injections.

Rashes

Rosacea

Shingles. Shingles is a skin condition that results from the reactivation of the chicken pox virus (Herpes Varicella-Zoster Virus). It usually presents as a painful unilateral pink rash with small blisters. It can occur at any age, but usually affects adults above the age of 50. Treatment for Shingles include oral anti-viral medication and pain control with topical and/or oral tablets.

Sunspots & Pigment Problems

Skin Tags. Skin Tags are soft benign growths of skin that are cosmetically unsightly and physically uncomfortable. Dr. Chiang loves snipping them off! The procedure is quick and with minimal pain. We offer both topical and injectable numbing medication. Please visit our “Pricing” section for more information about cost of removal. 

Warts

If you have any doubts, Call our office to see if we can address your skin, hair and nail concern.

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