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Skin Conditions


what is acne?

Acne is a very common disease. In this condition the sebaceous (oil) glands produce excessive sebum (oil) that combined with cells that stick together in the unit called sebaceous follicle produce whiteheads (closed comedones) and blackheads (open comedones). This process may also lead to inflammation especially when a normal skin bacteria P.acnes is present. The inflammation leads to the formation of paplules and nodules (pimples) as well as large cysts.

causes of acne

While there are many biologic causes of acne it is generally accepted that acne is not caused by dirty skin or diet high in fat. Your dermatologist can discuss the proper skin regimen for acne prone skin.

treatment of acne

It is very important to treat acne with a proper medicine or a combination of medicines to prevent scarring which can be permanent. Your dermatologist can formulate an individual treatment plan that may include topical and oral medicines.

In cases of resistant acne Dr. Oberemok and Dr. Emmel may select to use Accutane (isotretinoin). We participate in the I-Pledge program which is required by the FDA to prescribe Accutane(isotretinoin) in the United States.

treatment of acne scars

While it is difficult to treat acne scars there are many surgical and non-surgical options available. The surgical options include subsicion, scar excision, chemical peeling and laser treatments.


Rosacea which is often referred to as adult acne is a common skin condition that causes redness and swelling of the face, usually over the cheeks, forehead, chin and nose. As the disease progresses there are small blood vessels and tiny pimples to the skin. It is most common in adults ages 30 to 50 and especially fair skinned women. There are several triggers known to irritate rosacea such as the sun, spicy foods alcohol and caffeine. Seeking treatment from a dermatologist early in the disease is the best way to prevent the disease from becoming worse.


Psoriasis is a skin disorder in which there are red, thickened areas to the skin with silvery scales to the common areas of the elbows, knees and lower back. There are other types of psoriasis that can affect the nails, scalp and other parts of the body. Psoriasis is not contagious and cannot be spread to another person. The cause is unknown but occurs more commonly in families.

Herpes Zoster

Herpes Zoster is also known as shingles is a viral infection which is caused by the same virus as the chicken pox virus. The virus remains dormant in the body in the nerve cells and becomes active the shingles occurs. It is important to recognize the signs of shingles and seek immediate intervention in order to alleviate its symptoms. A few days prior to the rash appearing a person may notice fever and headache along with pain, itching, burning and tingling to one area of the body. The rash erupts with blisters in small groups along one side of the body and may last two to three weeks. The pain of shingles can be severe.

Allergic Contact Rashes

Allergic Contact Rashes, also known as allergic contact dermatitis is caused when the body is exposed to a substance called allergens that have a reaction in the skin. In a susceptible person the substance causes an allergic reaction with itching, redness and blistering. There are many causes of allergic contact dermatitis, often they are things that a person comes in contact with on a daily basis during the day such as nickel, rubber, dyes, preservatives, medications, fragrances, poison ivy, poison oak or other plants. The best way to diagnose an allergy to a substance is through the dermatologist with allergy testing.

Poison Ivy, Sumac & Oak

Poison Ivy, Sumac & Oak causes the most allergic reactions in the United States. It is caused by contact with the oil called urushiol in the sap. It may occur by direct contact by touching the plant, indirect contact by touching something that has the oil on it, such as animal fur, garden tools or sporting equipment, or by being airborne from burning plants. The rash usually occurs within 12 to 48 hours with redness, swelling, blisters and severe itching. It usually last for 10 days and can affect almost any part of the body.

Hives or Urticaria

Hives or Urticaria is a common allergic reaction in the skin when a person is exposed to something they are allergic to. The reaction that occurs is due to a release of a chemical called histamine in the mast cells if the blood vessels in the skin. The reaction that occurs is pale red swellings of the skin in groups that may vary from as small as a pencil eraser to as large as a dinner plate. Areas may join together to form large swellings with itching, burning and stinging. Hives usually last less than 24 hours but can last for days to weeks. Occasionally a person will have hives that last for years. If hives causes the person any difficulty swallowing or breathing they should go directly to the emergency room.


Warts are a non-cancerous type of skin growth that is caused by a virus called the human papilloma virus (HPV). Warts usually occur in the top layers of the skin, are flesh colored, feel rough but also may be smooth, flat and dark depending on the location it is growing on. There are several types of warts, common warts which grow on the fingers, nails and hands. Foot warts or otherwise known as plantar warts grow in clusters to the bottom of the feet. Flat warts are small and smooth and usually grow in large numbers most commonly on the face. Warts can be passed from person to person and indirectly from objects. It is important treat warts because they have a tendency to spread and become painful if allowed to remain untreated.

Eczema or Atopic Dermatitis

Eczema or Atopic Dermatitis is a common skin condition affecting 10 to 20 percent of the population which makes it the most common type of eczema worldwide. It is often called the itch that rashes because it is often an area that itches and the person scratches it which leads to redness, swelling, cracking, dry crusting of the skin. Eczema may occur on all parts of the body including the hands. It may be caused by irritants to the skin such as soaps, lotions chemicals or gloves.

Precancerous Lesions

Are known as Actinic Keratosis. They are the beginning stage of skin cancers usually caused by long term exposure to the sun. They usually appear on those areas exposed to the sun on fair skinned people. They usually appear to be a rough skin colored, dry, scaling patch of skin or bump. They often feel like sandpaper to the touch. If they are picked off, they will grow back and at times they may seem to disappear and then return to the same place. They are most often treated with cryosurgery, using liquid nitrogen to freeze the surface of the skin and replaces with new skin.

Basal Cell Carcinoma

Basal Cell Carcinoma is the most common type of skin cancer in the world. It is believed to be caused by the ultraviolet rays of excessive sun exposure. Therefore it is most common on areas of the body that are exposed to the sun. Basal cell cancer destroys the tissue of the skin that surrounds it but does not metastasize into the bloodstream. A basal cell tumor may appear in different forms, but most often is a dome shape bump with a pearly white color and blood vessels at the surface. Others may appear to be a pimple type growth that heals but keeps coming back, a waxy smooth scar or a sore that bleeds and won't heal.

Squamous Cell Carcinoma

Squamous Cell Carcinoma is the second most common type of skin cancer. It is also caused from ultraviolet light of the sun or tanning devices but also has more contributing factors such as smoking, being fair skinned or having exposures to toxins and organ donation. Squamous cell carcinoma can metastasize into the bloodstream if left untreated but usually destroys the tissue that surrounds the tumor. It affects the skin exposed to the sun most often and usually appears as a crusted, scaling patch of skin, a tumor with a red base or a non-healing ulcer.

Malignant Melanoma

Malignant Melanoma is the most serious of all skin cancers. It begins in the skin, invades the surrounding tissues and then spreads into the bloodstream, lymphatic system and metastasized into the body. It can be completely curable if detected and treated early, but fatal if allowed to progress. Anyone can get a melanoma, but it is most common in fair skinned people with increased ultraviolet light exposure. It is also most common in people who have multiple moles on their body and in families with a history of melanoma. Melanoma is usually a brown or black colored, but may also be red, flesh colored or white. It may appear at the site of a pre-existing mole or on previously normal skin. It may be an area that changes color, shape or size. When looking for areas that are suspicious it is helpful to remember the ABCD rules. A- Asymmetry; one side is different from the other. B- Border; the edge is ragged or irregular. C- Color; has multiple colors in it or a color change. D- Diameter; it is growing in size.

Age Spots or Liver Spots

Age Spots or Liver Spots are flat, brown spots called lentigines. They have nothing to do with the liver, but are caused by sun exposure to areas of the hands, face and arms. They are usually harmless, but if they become large, dark and irregular they should be checked by a dermatologist to rule out malignancy.

Seborrheic Keratosis

Seborrheic Keratosis are brown or black raised spots on the skin that often have a wart like appearance. They are not cancerous and are very common as we age. Some have a very irregular appearance and need to be examined by a dermatologist to determine that they are normal.

Cherry Angiomas

Cherry Angiomas are harmless small, bright red dome shaped growths most common on the trunk of the body caused by dilated blood vessels.

Hemet Dermatology Inc.

720 E. Latham Ave.,
Suite 1, Hemet, CA 92543.
Tel.: 951-658-9461,
Fax: 951-652-7103

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