Medical Dermatology

Skin Conditions We Diagnose and Treat

We are trained to diagnose and treat any disorders dealing with skin, hair and nails including atypical moles and skin cancers. Here, you can learn more about the various skin conditions we treat. Our dermatology trained nurse practitioners provide you and your family with expert dermatology and skin care services.

Below is a list of some of the most common conditions we diagnose and treat at Broome Nurse Practitioners SKINCARE.

Close up of doctor and patient

Acne can occur at any age. It occurs when pores become clogged causing pimples, cysts or nodules, whiteheads and blackheads. Acne typically is on the face, chest, back, shoulders and upper arms. Early treatment of acne is important to prevent long term scarring.

For more information you can check out these links:

Acne might be a common problem but that doesn’t mean you have to suffer with it! All of our providers are highly trained and experienced in treating all types of Acne. Call and make an appointment today with Yvonne Chesna FNP-C, Beth Stewart FNP-C or Michelle Winsor FNP-C, DCNP and they will work with you to come up with a personalized treatment plan that is effective!

Acne & Cystic Skin Disorders

Ameluz with BF-RhodoLED is the first and only combination product for photodynamic therapy (PDT) approved for field-directed treatment of pre-cancerous lesions (actinic keratosis), which allows subclinical lesions to also be addressed. Visit the Ameluz website for more information. Contact the office to schedule an appointment to see if Ameluz with BF-RhodoLED is the right treatment for you. These treatments are covered by most insurance companies.

Ameluz with BF-RhodoLED

There are many different types of hair loss as well as many causes including hormonal changes and abnormalities, skin infections, medication side effects, genetics, autoimmune disorders, stress and trauma. Proper diagnosis may require a biopsy and blood work.

For more information you can check out these links:

At Broome Nurse Practitioners SKINCARE our providers are trained to diagnose and treat all types of hair loss. Make an appointment today to see Beth Stewart FNP-C, Yvonne Chesna FNP-C, or Michelle Winsor FNP-C, DCNP.

Alopecia (Hair Loss)

Eczema or Atopic Dermatitis is a condition that causes dry, red, itchy skin. It is commonly seen in children but can occur in any age group. It is often recurrent and chronic (long lasting) and may be found in association with asthma and allergies. Although there is no cure for this condition it can help to avoid irritating skin products, avoid fragrance and dyes and moisturize skin frequently. Sometimes you need the help of trained professionals to help manage Atopic Dermatitis/Eczema when your skin does not respond to Over the Counter treatments.

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Eczema and Atopic Dermatitis can be frustrating and affect all areas of your life. Our Providers Michelle Winsor FNP-C, DCNP, Beth Stewart FNP-C, and Yvonne Chesna FNP-C are trained and experienced in the diagnosis, treatment and management of Eczema and Atopic Dermatitis. Call and make an appointment and let us help you get some relief and clearer skin!

Eczema & Atopic Dermatitis

Fungus and yeast are small organisms that you pick up on the surface of your skin and nails. They can cause a red, flaky/scaly and sometimes itchy rash on the skin of your feet and sometimes hands, groin, under the breasts and in abdominal folds. They can cause your nails to get yellow or white and thick and crumbly. These infections can often be treated with topical medications and sometimes oral medications are needed.

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Fungal and Yeast infections are common and often persistent. Our Providers Beth Stewart FNP-C, Michelle Winsor FNP-C, DCNP, and Yvonne Chesna FNP-C are trained and experienced in the diagnosis and treatment of fungal and yeast infections. Call and make an appointment and let us help you say goodbye to itchy flakey skin and have beautiful healthy nails!

Athletes Foot (Fungal Yeast)

Herpes Simplex is caused by a viral infection. Type 1 typically causes cold sores and fever blisters on the mouth and Type 2 is sexually transmitted and usually causes blisters in the genital area and on the buttocks. We diagnose both types and prescribe treatment to control and minimize symptoms.

Herpes Zoster is also caused by a virus, the same virus that causes chickenpox. Often a person will have a tingling or burning sensation prior to breaking out in a painful and itchy blistering rash. Typically you will see this in people who are 50 years and older but it can occur in younger people. There is a vaccine for Herpes Zoster.

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Rapid diagnosis and treatment of Herpes Zoster is key to prevent scarring and long-term nerve damage and pain. If you suspect you have any type of a Herpes rash call our office right away and make an appointment to see on of our providers! Yvonne Chesna FNP-C, Michelle Winsor FNP-C, DCNP, and Yvonne Chesna FNP-C are trained and experienced in the diagnosis and treatment of herpetic rashes.

Herpes

Hives are itchy welts and bumps that are typically caused by an allergic reaction to a food or a drug, but can also be caused by a viral illness. Most hives resolve within 24 hours and new hives may show up but most will respond to over the counter antihistamines. Other times hives can recur for up to 6 weeks or be chronic lasting more than 6 weeks needing further investigation and treatment. We do a thorough exam and history and work with you to come up with an appropriate treatment plan.

Sometimes hives are more serious causing swelling of the lips or tongue and need rapid medical attention and a shot to help prevent breathing or swallowing difficulties.

For more information you can check out these links:

At Broome Nurse Practitioners SKINCARE our Providers Beth Stewart FNP-C, Yvonne Chesna FNP-C, and Michelle Winsor FNP-C, DCNP are trained and experienced in the diagnosis and treatment of Hives. Call and make an appointment and let us help you get some relief and clear skin!

Hives

This is a medical condition that causes excessive sweating. Our bodies normally sweat as a means to cool down. With hyperhidrosis you “hyper” or “over” sweat even when you don’t need to cool down. Typically, this occurs in the areas of the palms, feet, underarms, or head while the rest of the body stays dry. People who suffer with this will often have damp hands or feet or large sweat rings under their arms noticeable on their shirts. To properly diagnose hyperhidrosis you need to make sure there is not another underlying medical condition causing the symptoms. Hyperhidrosis can be treated topically or with oral medication.

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Hyperhidrosis can be a difficult and embarrassing medical condition! Our Providers Michelle Winsor FNP-C, DCNP, Beth Stewart FNP-C, and Yvonne Chesna FNP-C are trained and experienced in the management of Hyperhidrosis. Call and make an appointment and let us help you feel confident again!

Hyperhydrosis

Moles can be raised or flat and come in light tan to dark brown in color. Most every adult will have a few moles and may have 20-40 moles and that is normal. Moles often appear during childhood or adolescence and may grow as the child grows.

Full body skin exams are a quick and painless procedure where a trained provider fully inspects the skin for suspicious growths and cancerous lesions that you may not have recognized on your own.

The American Academy of Dermatology developed the “ABCDE” guide to help increase your chance of spotting skin cancer early when it is most treatable.

A = Asymmetry — One half is unlike the other half.
B = Border — An irregular, scalloped or poorly defined border.
C = Color — Is varied from one area to another; has shades of tan, brown or black, or is sometimes white, red, or blue.
D = Diameter — Melanomas are usually greater than 6mm (the size of a pencil eraser) when diagnosed, but they can be smaller.

If you notice a mole that is changing, irregular, itching, bleeding or matches any of the “ABCDE” criteria you should call to see a trained medical professional immediately.

Our Providers Beth Stewart FNP-C, Yvonne Chesna FNP-C, and Michelle Winsor FNP-C, DCNP are all highly trained and experienced in the examination of moles and skin lesions. Make an appointment today for your annual Full Body Exam or if you have any mole or lesion that is new or concerning.

For more information you can check out this link:

Moles

This is a common viral skin disease that causes little pink to yellow bumps on the skin. This is most often contracted by children and is easily spread by skin to skin contact or sharing of clothing or towels. Sometimes Molluscum will resolve on it’s own, however many times it can be taken care of easily before it spreads

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At Broome Nurse Practitioners SKINCARE we treat Molluscum so it stops the spread of new lesions and the spread of the infection to others! If you suspect that your child has Molluscum call us for an appointment and let Michelle Winsor FNP-C, DCNP, Beth Stewart FNP-C, or Yvonne Chesna FNP-C examine your child and treat them if necessary!

Molluscum Contagiosum

Changes in growth, texture, thickness and color of the nails can be a symptom of many different disorders. The nails can be affected by bacterial, yeast and fungal infections or by systemic disease processes such as psoriasis. They can be injured by trauma as well as the application of cosmetics. They can also be affected by tumors both benign and malignant as well (melanoma can grow under your nail).

Proper diagnosis and treatment requires professional expertise and can be both challenging and difficult. Our providers are experienced and trained in the diagnosis and treatment of nail disorders. Call and make an appointment with Yvonne Chesna FNP-C, Michelle Winsor FNP-C, DCNP, or Beth Stewart FNP-C today.

Fungal Yeast (Nail Disorders)

Our Providers Beth Stewart FNP-C, Yvonne Chesna FNP-C, and Michelle Winsor FNP-C, DCNP are trained to examine, diagnose and treat skin, hair and nail disorders in infants, toddlers, children and adolescents as well as perform skin screening exams and mole checks! This includes acne, rashes, eczema, fungal infections and many other problems!

Because we often have questions about moles and growing children, we have included some information from the American Academy of Dermatology on what to watch for!

Pediatric Skin Disorders

Moles

Moles are common in children and adolescents, they will grow as the body grows in size and they will acquire new moles. Moles can get darker or lighter and even fade; often moles on children are nothing to worry about. The American Academy of Dermatology discusses 5 signs to watch for that help you determine if your child’s mole needs to be checked:

  1. Changing mole — It’s normal for a mole to grow at the same rate as a child. It’s also natural for a child’s moles to get darker or lighter.
    If a mole is growing (or changing) quickly, this can be worrisome. A mole can also be worrisome if a change causes the mole to look different from your child’s other moles. Dermatologists call these moles “ugly ducklings.” Such changes can be a sign of melanoma.
  2. Mole that is dome-shaped, has a jagged border, or contains different colors — If you see a raised, round growth on your child’s skin that is pink, red, tan, or brown, it’s likely a Spitz nevus. This is a harmless mole that usually appears between 10 and 20 years of age. A child can also be born with this type of mole. However it can be very difficult to differentiate between a melanoma and a Spitz nevus and often your skin care provider may determine it is best to remove the mole instead of monitoring the mole.
  3. Bleeding mole — A raised mole can catch on something and become irritated. If a mole bleeds without reason, however, it should be checked. A mole that looks like an open sore is also worrisome.
  4. Many moles — It’s normal for a child or teenager to get new moles. By the time a child becomes an adult, it’s common to have 12 to 20 moles.
    However if you child has 50 or more moles they may be at higher risk for developing melanoma and because of that they should have regular skin exams by a trained medical professional.
  5. Large mole — Most moles are round (or oval) spots that are smaller than the eraser on a pencil.
    Some children get larger moles. A large mole can measure 7 inches in diameter or more. A giant mole can blanket part of a child’s body. Children with these types of moles are usually born with them. These moles can also appear shortly after birth. Having a large or giant mole increases the child’s risk of developing melanoma and other health problems. This risk is greater when the child is young. More than half of the melanomas that develop in giant moles are diagnosed by 10 years of age.

This is a disease where your body over produces skin cells causing them to pile up on the skin resulting in thick red and white scaly plaques on the body. This is almost always a chronic disease and can cause intense itching and or cracking and painful skin. A percentage of people who have psoriasis will also have an arthritis that causes permanent damage to the joints. Psoriasis also puts you at higher risk for heart disease and diabetes. We can help you monitor and manage psoriasis to ensure the best symptom management and early intervention for joint and other disease problems.

For more information you can check out these links:

Our Providers Beth Stewart FNP-C, Yvonne Chesna FNP-C, or Michelle Winsor FNP-C, DCNP are trained and experienced in the management of Psoriasis. Call and make an appointment and let us help you get clearer skin and stay healthy!

Psoriasis

Rashes have many different causes and often need a trained skin specialist to help determine the cause and come up with the appropriate treatment plan. Rashes can be caused by abnormal skin cell metabolism or autoimmune diseases such as eczema, psoriasis, lupus erythema or by infections in the case of bacterial, viral and fungal – these all need proper diagnosis for effective therapy. There are allergic rashes that are caused by your immune response such as contact dermatitis, insect bites, drug eruptions and plant dermatitis. These rashes are often intensely itchy and must be differentiated and treated as well as the cause determined.

For more information you can check out this link:

Our Providers Yvonne Chesna FNP-C, Michelle Winsor FNP-C, DCNP, and Beth Stewart FNP-C are trained to examine, diagnose and treat rashes. If you have a rash, call and make an appointment and let us help you!

Shingles

This disorder typically causes flushing/blushing on the cheeks and nose but can affect the whole face and even the chest. Rosacea can even cause acne like symptoms on the face and nose and can cause redness and tearing in the eyes.

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Rosacea has different forms and can be effectively treated to control the symptoms and minimize long-term skin changes. Our Providers Beth Stewart FNP-C, Yvonne Chesna FNP-C, or Michelle Winsor FNP-C, DCNP are trained diagnose and effectively treat all forms of Rosacea. If you suspect you have Rosacea, call and make an appointment and let us help you.

Rosacea

Skin cancer is the most common form of cancer in the U.S. The most common skin cancers are basal cell, squamous cell and melanoma. Basal cell and squamous cell make up more than 90% of all diagnosed skin cancers and they typically respond well to treatment. Melanoma is a much more serious type of skin cancer; it can travel to other areas of the body and it can be fatal.

We are trained to examine skin to detect suspicious lesions and moles, remove them and work with you to put the most effective treatment plan in place.

squamous cell
merkel cell carcinoma
melanoma
basal cell carcinoma
atyptical moles
actinic keratosis
squamous cell

Prevention and Early Detection are key to maintaining healthy skin and we recommend annual skin exams and sun protection with sunscreen, hats, UV protection clothing and sunglasses!

For more information you can check out this link:

Our Providers Yvonne Chesna FNP-C, Beth Stewart FNP-C, and Michelle Winsor FNP-C, DCNP are all highly trained and experienced in the examination of skin to detect abnormal/atypical moles and cancerous skin lesions. Make an appointment today for your annual Full Body Exam or if you have any mole or lesion that is new or concerning.

Warts are a non-cancerous growth caused by a virus that gets in through a break or cut in the skin. They are contagious and can be picked up by contact with a wart or by something that touched a wart. Some warts are flat and some are raised, often they can have a rough surface and are usually skin colored to gray. Warts can spread from feet to hands and nails if you pick at them. They can stay as a solitary lesion or easily multiply. There are many different approaches to treating warts.

For more information you can check out this link:

Our Providers Beth Stewart FNP-C, Yvonne Chesna FNP-C, and Michelle Winsor FNP-C, DCNP are all highly trained and experienced in the diagnosis and treatment of Warts.

Warts

Contact Us

If you have questions about any potential skin conditions you may have, please reach out right away to discuss your options. Our dermatology team will be happy to address any concerns you may have.