At MDCS: MDCS Dermatology: Medical Dermatology and Cosmetic Surgery, located in Upper East Side, Hampton Bays, Commack, Smithtown, Plainview and Midtown East of Manhattan, NY, our physicians help remedy chronic skin conditions, including psoriasis and vitiligo. Psoriasis, with its red, itchy skin patches, and vitiligo which causes the appearance of splotchy pigmentation are managed with the most advanced treatment options by MDCS doctors, for patients throughout the greater New York area.
Psoriasis is is a chronic disease that develops when the immune system sends faulty signals that instruct skin cells to grow too quickly. These out-of-control skin cells can appear quite rapidly — forming in days rather than weeks. When a patient with psoriasis does not shed these excess cells, and they pile up on the top surface of the skin, patches of the disease appear. It is a genetic condition and cannot be caught through physical contact.
This condition falls into five categories:
• Systemic therapies — Oral medications are often prescribed. These require regular monitoring through blood work and sometimes, a liver biopsy. Since the drugs used cause severe birth defects, they aren’t prescribed to pregnant women.
• Cyclosporine — Slows the growth of skin cells by directly suppressing the immune system, but it’s limited to nine to 12 months of treatment. Regular monitoring when using cyclosporine is required.
• Biological injectable — Some biologicals can be self-administered, while others must be given by a physician or medical staff.
Vitiligo is a condition that causes light patches on the skin. It affects about 1% to 2% of the American population and may appear anywhere on the body. Vitiligo may start small and then grow larger. The cells that create pigment, the melanocytes, are destroyed when vitiligo occurs. Essentially, the immune system begins attacking the melanocytes, and this results in the loss of pigmentation. Sometimes this may occur due to heredity. The condition usually develops between the ages of 10 to 40.
It is unusual for vitiligo to resolve on its own, although in some cases it may. In most situations, patients must seek treatment to improve the look of their skin if they suffer from vitiligo. Treatment for vitiligo is customized according to the patient. Although there is no known cure for vitiligo, there are ways to improve the overall skin appearance. Treatments may include topical steroid creams and ultraviolet light therapy. While it may not be completely eradicated, the appearance of vitiligo can be greatly reduced with the use of the right customized therapy.
*Individual Results May Vary
Psoriasis is classified as a chronic and persistent, inflammatory skin disease. While psoriasis may look contagious, this skin condition is hereditary. It cannot be passed from one person to another. Some cases of psoriasis can be very mild that an individual may not notice they even have it. Alternatively, severe psoriasis tends to cover large areas of the body, showing on the skin as thick, red, flaky and at times itchy patches known as plaques.
Psoriasis develops when a individual’s immune system sends defective signals to skin cells promoting them to grow more rapidly than needed. This means new skin cells form in days rather than weeks. The skin cells then begin to pile up on the surface of the skin. As a result, the body does not shed these excess skin cells quick enough to balance out the development of new skin cells.
Psoriasis can be triggered by stress, strep infections, the cold and dry winter weather or lack of sunlight also can trigger psoriasis. Injured skin can also cause psoriasis to flare up. Skin injuries that affect psoriasis can include a cut, scratch, or severe sunburn. This is known as Koebner’s phenomenon or an isomorphic response.
There are 7 types of psoriasis, each with unique signs and symptoms. While there is no known cure for psoriasis, there are number of treatment options available that can help control psoriasis outbreaks. Our professional staff will develop a custom tailored treatment plan for your specific circumstance.
A wide variety of insurances are accepted to cover the cost of consultations and treatments. If you have any questions regarding whether your insurance plan is accepted and coverage, please feel free to contact our office.
"Very nice and professional doctors, they are very easy to talk to and their staff is always professional and really polite. I highly recommend them!!"
"I've only been coming here for a month, but I love how contemporary the offices are--the electronic check-in and co-pay pre-payment system is awesome."
"Dr. Amin is a superb dermatologist at a superb practice. He once got me in on very short notice for a complicated procedure, and I left feeling like he really cared."
"I have been to see most of the doctors here, and I really like this group! They are knowledgeable and truly care about my issues."
"This is a welcome change with today's healthcare environment in which Physicians have to see more patients and spend less time with their patients."
"I have a lot of moles, and have seen a lot of dermatologists. Dr. Gratch stands out as being very thorough, pleasant, and efficient. Office staff is also cool. "
"Dr. Amin did a great job reassuring me and made me feel very comfortable. He is very knowledgeable, skilled, and patient. He spent a lot of time with me."
"Anticipate patient's needs. I am surprised that there are such few great doctors like Dr. Gratch out there. I recommend Dr. Gratch for anyone with a skin issue."
"I really enjoyed my time with Dr. Engelman. She is bright, kind, and capable. She knew my diagnosis right away, but didn't rush me out of her office."
"Dr. Schadlow is bright, caring, efficient and knowledgeable. She's got great bedside manner and helped clear up my concerns. Her staff was excellent too."
"He and his associates are top notch; young, knowledgeable and caring. They respond clearly to all questions and do not rush the visit. Great all around service."
"He is also the best cosmetic surgeon I have had for repairing the skin cancer sites...He said his work is "guaranteed for life."...he saved my face if not my life."
"I have been treated by most of the doctors for my most basic skin care needs to the more elective procedures. I am confident that I am receiving the very best skin care"
"I've been a patient of both Dr. Schadlow for a few several dermatological procedures, and then Dr. Amin for mohs surgery. I found them both extremely professional."
"I've been to quite a few specialists and Dr. Gratch REALLY knows what he's talking about. Moreover, the office itself is a model of efficiency."
"The service was quick and effective. I already booked an appointment for my husband and will make sure to share with all my friends."
"I love this place. I have acne problem skin and Tamila Deveny has been helping me with my treatment. I have seen a lot of progress in my skin thanks to her."
"Dr. Amin was efficient, explained what he was doing and why, and gave me clear instructions on how to care for my skin over the long term to prevent breakouts."
"I also really like this office, the staff are really nice and professional, I did not have to wait long, and their prices are comparable to others in the city."
"The doctors assistant was very friendly as well. Dr. Schadlow was great! Very knowledgeable and caring. Overall, great experience. I was in and out in about 25 minutes."