Dermatology Services

At the Dermatology and Cutaneous Surgery Institute, we offer medical dermatology, as well as cosmetic and surgical dermatology. We specialize in the diagnosis and treatment of conditions effecting the skin, hair, and nails.

We provide the diagnosis and treatment of the following adult and pediatric dermatological conditions at our Delray Beach and Wellington locations. Please click on a term or skin condition to view its details, symptoms, and treatment options.



Acne is a very common skin condition that afflicts many people during their teen years. However, the disease is not restricted to any age group. Acne may continue into or can even start in adulthood. Acne causes clogged pores (blackheads and whiteheads) and pimples on the face, neck, chest, back, shoulders, and upper arms. Although acne is caused by several factors, medical treatment can drastically improve the appearance of acne. Dirt and frequent or vigorous cleansing techniques may even worsen the condition. Dr. Wassef uses the latest techniques, medicines, and chemical peels to treat acne and its unwanted effects.

Acne Keloidalis Nuchae

This condition occurs when hairs on the back of the head and neck grow into the skin and become inflamed. This causes scar tissue and can be very uncomfortable. Acne Keloidalis Nuchae is more common in people with stiff or curly hair. There are multiple medical dermatology treatment options that Dr. Wassef offers including antibiotics, steroid gels, or intralesional steroid injections.

Acanthosis Nigricans

This disorder causes light brown to black markings that usually occur on the neck, under the arms, or in the groin area. Acanthosis Nigricans can occur at any age; however, it is most often associated with obesity and diabetes. Dr. Wassef offers cosmetic dermatology treatments for this condition including tretinoin, 20% urea, alpha hydroxyacids, and lactic or salicylic acid prescriptions.

Actinic Keratosis

An actinic keratosis is a scaly or crusty skin surface. These rough crusty spots are usually found on the face, scalp, hands and arms. They are caused by excessive sun exposure due to ultraviolet damage to the skin, and can be the first step to the development of skin cancer. They can evolve into squamous cell carcinoma. Dr. Wassef can discuss skin cancer treatments and the other modalities to treat and control actinic damage to the skin.

Actinic Purpura

Actinic Purpura appears as bruising on the back of the hands and arms. These blotches start out red, then turn purple and darken, but eventually fade. Unlike normal bruises, these bruises tend to last longer, often for a few weeks. While they do go away eventually, unfortunately, new ones tend to appear over time. 

Alopecia Areata

Alopecia areata is a circular patchy loss of hair on the scalp or beard. Although this condition can occur at any age, its most commonly found in children. This condition is not life threatening, and only affects about 1% of the population. Due to an autoimmune process, these spots represent the immune system attacking the hair for reasons that are unknown. Dr. Wassef has successfully cases of alopecia areata treatment in both men and women.


An angioma is a benign growth that consists of small blood vessels, and these tumors can be located anywhere on the body. Some different types of angiomas include spider angiomas, cherry angiomas, and angiokeratomas . Angiomas don’t necessarily need to be treated unless they are causing discomfort or begin bleeding; however, they can be treated with a very simple dermatology procedure. Dr. Wassef will recommend the most appropriate method of treatment that best fits your situation.

Angular Chelitis

Angular Chelitis causes the angles of the mouth to become inflamed. It is a common condition that has several risk factors. Diagnosis and treatment is based on physical examination by Dr. Wassef.

Asteatoic Eczema

This is a form of eczema that occurs when the skin becomes abnormally dry, itchy, and cracked. It is often found in elderly people, though it is not uncommon for people in their 20s. Most of the problems associated with dry skin can be helped through simple behavior changes. Dr. Wassef will examine your condition and choose the appropriate skin treatment for you.


Balanitis is an inflammation of the glans penis or prepuce that forms over three to seven days. Men who are uncircumcised tend to be most affected by this condition. Various tests can be obtained to confirm a proper diagnosis. Dr. Wassef will offer the appropriate treatment for balanitis depending on the cause of the condition.

Basal Cell Carcinoma

Basal Cell Carcinoma usually appears as a pink to white shiny smooth bump on the skin that enlarges and doesn’t go away. Basal Cell Carcinoma is the most common cancer in the world, yet it usually causes no itch or pain. Dr. Wassef is proud to be one of the dermatologists in South Florida that offers the highest cure rates for both surgical and non-surgical options when treating Basal Cell Carcinoma. Mohs surgery has long been known to have the highest surgical cure rate, while the SRT-100 offers the highest cure rate without any accompanied surgery or pain. We offer both surgical dermatology options, and Dr. Wassef will discuss them in detail to help decide which option suits you best.

Bee and Wasp Stings
Typically with bee and wasp stings, there is minor irritation that occurs. However, the injected venom can trigger a severe allergic reaction that can be life-threatening at times. Bee and wasp stings result in different reaction types depending on the individual’s response.

Many medical conditions may be diagnosed by removing a sample of tissue for further lab examination. This is called a biopsy, which is performed by a variety of techniques. The skin biopsy is sent for examination to another doctor who prepares a written report with information. We perform skin biopsies at our Wellington and Delray dermatologist offices.


Birthmarks are the tan to brown spots on the skin that have been there since you were born. It is important to have these spots checked regularly to ensure that they are not transforming into melanoma, a dangerous form of skin cancer. Should your birthmark be malignant, we offer skin cancer treatments at our South Florida dermatology centers.

Brittle Splitting Nails

Splitting of the fingernails, also known as Onychoschizia, is a common problem seen by Dr. Wassef, including splitting, soft, or thin nails. This condition is more common in women. The usual cause is repeated wetting and drying of the fingernails. The vitamin known as biotin is beneficial in some people who are susceptible to this condition. Dr. Wassef offers several nail treatments.

Blistering Diseases

Rashes that cause blisters on the skin can have many possible causes. Dr. Wassef will perform all appropriate tests to determine what the cause of your blisters are to determine which skin treatment will work best for you.

Blue Nevus

This appears as a solitary blue-colored mole that can present at birth or develop later on in life. Although this can remain unchanged during a person’s life, it can also change. Most of these moles have been found on the head and neck, sacral area, back of the hands, and feet.

Body Lice

This is typically the cause of pediculosis corporis. A body lice parasite appears as a small, wingless insect. They live on clothing and lay their eggs in the seams and then travel to the skin for a blood meal. Some diseases are spread by the parasite feces, which are scratched into the skin by the infected person or by the insect’s saliva. At our South Florida dermatology office, we offer different topical and oral medications that are available for treatment of lice.


Boils are tender, red lumps that may ooze pus. A single boil can occur due to a ruptured cyst or small abscess. Boils are typically treated with a minor surgical dermatology procedure that opens the boil and drain the pus. Multiple boils are usually due to Staph infections. Antibiotics can be taken by mouth for 10 to 14 days to treat recurring boils. 

Brachioradial Pruritus

This is a chronic condition characterized by itching or burning around the outer forearm and occasionally in the shoulder and neck region. The exact cause Brachioradial Pruritus is unknown. Research has shown that exposure to large amounts of sunlight can cause a flare in symptoms.

Bruising Hands And Arms

Bruises on the back of the hands and arms are a common skin condition. These blotches start out red, then turn purple, darken a bit, and eventually fade. 

Canker Sore

Canker sores are superficial lesions of the oral mucosa that are most prevalent during the first few decades of life. They are painful ulcers that are typically recurrent in nature and end to be associated with a positive family history in one third of cases. This is a non-threatening life condition yet very uncomfortable.

Contact Dermatitis

Contact Dermatitis is caused by your body’s reaction to something that directly contacts the skin. This typically appears as an itchy, red, and raised rash that gets worse as time goes on. If left untreated, the skin may darken and become leathery and/or cracked. Dr. Wassef will assess your symptoms and come up with appropriate method of treatment.


Cosmetic Dermatology

Botox: Botox is a highly purified preparation of botulinum toxin. Botox is injected in small amounts to the skin and reverses the affects of facial wrinkles. Botox gives patients a more relaxed look that lasts for several months. It is a simple, painless and nonsurgical treatment. 

Dermal Fillers: Dermal fillers help to diminish facial lines and restore volume and fullness in the face. Dermal fillers can plump thin lips, enhance shallow contours, soften facial wrinkles, and improve the appearance of scars. Some dermal fillers are used in conjunction with other skin rejuvenation treatments as well. 

Chemical Peels: Chemical peels can significantly diminish the signs of aging. Chemical peels can be performed on the face, hands, neck, and chest. Chemical peels can also be used to treat some types of acne and other skin conditions that discolor the skin. Receiving a chemical peel can result in fewer wrinkles, brighter complexion and smoother skin. Chemical peels can be used to treat acne, age spots, discoloration, dull complexion, freckles, melasma, and other skin conditions. 




Cyrosurgery is used frequently by Dr. Wassef to treat many skin conditions. Liquid nitrogen is sprayed on to the area of skin freezing it. The most common uses for cryosurgery is to treat warts and actinic keratosis.

Cutaneous T Cell Lymphoma

This is a slow growing cancer in which some of the body’s white blood cells become malignant. The abnormal cells are drawn to the skin and deposited there. This cancer usually develops slowly over many years.

Cutaneous Larva Migrans

This is a condition that describes the twisting linear skin lesions caused by the burrowing of larvae. This most commonly effects people who are exposed to soil and sand that has dog’s feces. The feet, hands and buttocks are generally the most affected areas.


Cysts are closed sacs found within the body. The location and composition of the membrane lining differentiates cysts from one another. There are three main types of cysts found in the skin that are considered common. These include the epidermal (sebaceous) cyst, trichilemmal (pilar) cyst, and milium. There are also less common cysts that Dr. Wassef can examine, diagnose and treat.



Dandruff is the shedding of excessive amounts of dead skin flakes from the scalp. Dandruff differs from a dry scalp in that it is improved when one shampoos more often. This condition can often be controlled by prescription shampoos and medications prescribed by Dr. Wassef.

Darier Disease

This is a rare genetically inherited skin disorder that is characterized by dark scaly patches of itchy skin. It most commonly affects the chest, back, ears, forehead, scalp, neck and groin areas.


A dermatofibroma is a round brownish to red-purple growth commonly found on the legs. It is also referred to as a histiocytoma. Dermatofibromas feel like hard lumps under the skin. They usually are a reaction to a minor injury, such a bug bite or a splinter.


This is a very localized hive reaction that affects approximately 2-5% of the general population. Dermatographism is characterized by the abrupt onset of welts and hives where the skin is exposed to pressure, scratching, or itching. Treatment can be achieved through different dermatologic therapies at Dr. Wassef’s office.

Dermatosis Papulosa Nigra

Dermatosis papulosa nigra appears as small dark bumps on the face. These typically first appear during the teen years and slowly become more pronounced as one ages. Cosmetic removal of these lesions should be done with care since the darker the skin type, the higher the change of pigmented scars.

Drug Eruptions

Drug eruptions are adverse skin reactions to drugs. Many medications can cause reactions. The onset of drug eruptions is usually within 2 weeks of beginning a new drug or within days if it is due to re-exposure to a certain drug. The most common symptom of a drug eruption is a rash and itching.

Dyschidrotic Dermatitis

This condition forms severe blisters under the skin, especially on the sides of the fingers and on the palms. It is internally produced and worsens with stress. These rashes are internally caused and often affect the hands and feet.

Diaper Dermatitis

Diaper dermatitis is a diaper rash that causes an irritation of the skin covering the groin, lower stomach, upper thighs and buttocks. This condition commonly occurs in infants and children prior to 2 years of age. It can become difficult to treat if the area becomes infected.

Dermatofibrosarcoma Protuberans

This is a locally aggressive soft tissue tumor which typically presents on the proximal extremities and trunk. It’s the most common type of skin sarcoma. Typically, the lesion appears as a smooth, firm, mobile raised area of skin that can measure up to a few centimeters. It can vary from red, purple to brown in color. A biopsy must be conducted to properly diagnose this tumor.

Dry Skin

Dry skin is a common problem many people experience. Skin needs moisture to stay smooth. The wrong type of moisturizer can actually remove moisture from the skin. Dr. Wassef will examine your condition and recommend the best types of moisturizers, creams and other treatments.


Dysplastic Moles

Atypical moles are called dysplastic moles. These are very common and 1 out of every 10 americans has at least one atypical mole at some point in their life. Atypical moles might be larger than common moles and have irregular borders that are poorly defined. These moles can increase your risk of developing melanoma, so it is important to have Dr. Wassef examine them.



Eczema is a chronic skin condition that causes areas of red, itchy and inflamed skin. Eczema usually starts in early childhood and is commonly treated by the dermatologist. Although its cause is unknown, the condition appears to be an abnormal response of the body’s immune system. Eczema is not contagious and kids usually grow out of it. There is another variant called adult eczema which affects the adult persons.


Erythema Nodosum

Erythema nodosum is a form of panniculitis or inflammation of subcutaneous fat tissue of the chins. This can be quite painful if pressed upon. Often individuals will report feeling ill. This often occurs between age fifteen and thirty. Women are affected three times as often as men are.


This is a bacterial infection of the skin and subcutaneous tissue. It typically involves the face, ears and lower legs. It appears as redness and causes pain, swelling and even fevers, chills and headaches from case to case. The onset is usually abrupt with high fever, chills and weakness. Antibiotic treatment is typically the method of choice for this infection, but Dr. Wassef will assess your condition and recommend the appropriate treatment for you.

Electrodesiccation and Curettage (ED&C)

This is the method known as scraping or burning-off skin growths. This is typically used for less serious skin cancers and diseases. A local anesthetic will be injected and then the abnormal tissue will be scraped off with a special tool. Dr. Wassef will diagnose and treat this condition accordingly.

Erythema Multiforme

Erythema multiforme is an acute, self-limiting, inflammatory skin eruption. This appears as a severe rash with red welts and blisters in some areas. This is a relatively common problem for a dermatologist. Many of the cases are in young people under the age of 20. Treatment varies depending on the severity of your condition.

Female Pattern Hair Loss

This is seen as hair thinning predominantly over the top and front of the head. It affects approximately one-third of all susceptible women, but is commonly seen after menopause.

Flea Bites

Flea bites are usually itchy, small papules arranged in a non-follicular pattern in groups of three. They usually occur around the feet and lower legs. They can induce papular urticarial reaction which is diagnostically made by clinical examination.

Fire Ant Bites

Fire ants are insects that have pinching mandibles on the head and a sharp stinger on the rear. Individuals responses to fire ant bites will vary. There are many reactions that have been associated with fire ant stings.

Favre-Racouchot Syndrome

This consists of open comedones, closed comedones, and epidermal cysts located on the temples, lateral cheeks, periorbital areas, and nose of facial skin that has been sun-damaged. It usually presents on the face of patients with prolonged sun exposure and is also associated with heavy cigarette smoking.

Fungus Infections

Tinea is the name given to a fungal skin infection. The most common type of fungal infection is Athlete’s foot. It is often spread through direct contact in public bathrooms and health clubs. There are numerous other types of fungal skin infections that require treatment. To prevent fungal skin infections, people should keep their feet as dry as possible and use an anti fungal foot powder. There are more serious skin rashes that might resemble common fungal skin infections, Dr. Wassef is very well trained and experienced in differentiating these conditions.



These are tender, red lumps that ooze pus. Most boils can be treated by incision and drainage—a minor surgical procedure to open and drain the pus. Antibiotics are typically not needed.

Granuloma Annulare

This is a common condition of an unknown cause. It is most commonly found on the knuckles and other joints. It is most often seen in older children and young adults. In most cases no treatment is required.

Grover’s Disease

Grover’s disease is a condition that appears suddenly as itchy red spots on the trunk and is most commonly found in older men. Most cases last anywhere from six to twelve months. Minor outbreaks can be controlled with prescription strength topical creams through Dr. Wassef.

Green Nail Syndrome

This is an infection of the nails that lead to a greenish discoloration. The infection is not typically painful, however the skin around the nail can get swollen and tender. Fortunately, green nail syndrome responds very well to treatment.

Geographic Tongue

Geographic tongue occurs when parts of the tongue are missing the papillae for unknown reasons. It affects nearly 1-3% of the population and is seen in both males and females. Patients don’t usually have symptoms.

Hair Loss

There are many causes to hair loss. Hair loss is often a devastating process that Dr. Wassef can help guide you through. Dr. Wassef and his providers are experts in the diagnosis and treatment of hair loss.



These are common tiny blebs to large multiple tumor-like-growths. They start at infancy and then begin to grow. These can be treated with a laser as soon as they are properly diagnosed by Dr. Wassef. Early treatment is key as laser becomes less effective if you wait.


These are welts that come up on any part of the skin. They itch and each individual lesion lasts a few hours before fading away. Hives are common with 10-20 percent of the population having at least one episode of hives in their lifetime.


This is the medical term for excessive sweating. The condition may be limited to a few problem areas or may be all over. The armpits and the palms are the areas most often troublesome. This condition typically starts at puberty, but may present to some degree all the time throughout life.

Hair Loss

Hair loss is a major problem in our society due to the fact that it has a great deal of social and cultural importance. The most common type of hair loss is called androgenic alopecia. This is a hereditary form of hair loss that can be found in both males and females.

Henonch-Schonlein Purpura

This is a disorder in which inflammation occurs inside the small vessels of the body. It occurs predominately in children under ten years of age. Many symptoms can include gastrointestinal complains such as nausea, vomiting and bleeding. Treatment is based on each individual’s symptoms.


The herpes simplex virus can cause sores anywhere on a person’s skin. It usually occurs around the mouth and nose or the genitals. The infection can be very painful and embarrassing. It often reappears.

Hot Tub Folliculitis

This is a skin condition of the hair follicles that appears after coming into contact with bacteria contaminated water. It can begin a few hours to days after being exposed to contaminated water. Hot tub folliculitis typically resolves without any treatment within 5-10 days. Topical treatments can be helpful and other oral antibiotics depending on the severity of your condition.


Hyper-pigmentation is a common and harmless condition in which patches of skin become darker in color than the surrounding skin. Age or “liver” spots are a common form of hyper-pigmentation. They typically occur due to sun damage. There are now multiple highly effective laser treatments for hyper-pigmentation.

This condition is usually a harmless condition in which patches of skin become darker in color than the surrounding skin. The changes in skin color can result from outside causes. Freckles, age spots and other skin patches can become darker when the skin is exposed to excessive sun. There are now several highly effective laser treatments that treat hyper-pigmentation. Hyper-pigmentation can also be a result of acne, successful control of your acne and specialized treatment for the color changes are necessary to overcome this condition.

Itching, Anal Area

Itching around the anus is uncomfortable and often interferes with daily activities. Itching around the anal area can make it difficult to get a good night’s sleep. The aim of treatment is to keep the anal area clean, dry, and to avoid injury to the inflamed area. Recurrences are common and to be expected.

Idiopathic Guttate Hypomelanosis

This is a benign and asymptomatic skin manifestation characterized as diffuse hyoppigmented macules or white spots. The size of the lesions varies in length and are most commonly seen in fair-skinned individuals. Primary treatment typically consists of educating patients on the importance of sun protection.


Impetigo is a common and contagious skin infection that is produced by bacteria. The infection is more commonly found in children than in adults. These blisters usually have a yellow or cloudy liquid and easily rupture. Treatment varies and Dr. Wassef will properly examine and treat your condition.

Juvenile Xanthogranuloma

This benign skin disorder causes lesions that usually present themselves as reddened, slightly raised bumps. They generally appear on the head, neck and trunk. The cause of this condition is not known, but it is believed to result from an overproduction of a type of cell used in the body’s immune system in response to nonspecific tissue injury. The diagnosis is typically made based on its appearance and sometimes a biopsy performed by Dr. Wassef.


Keloids are raised, reddish nodules that develop at the site of an injury. They appear as hard enlarged scars that can be painful to touch. It is estimated that keloids occur in 10% of people. Dr. Wassef offers a complete range of therapies to treat and reduce the risk of recurrence of keloids. 


Kyrle’s Disease

This is often seen in uncontrolled diabetic or chronic renal failure patients. The lesions appear as large umbilicated papules and nodules with a central keratotic core. It is found in both men and women equally and typically occurs at the age of 30.


This is a growth that is common, benign, and primarily found in elderly light-skinned individuals. It is typically found in individuals that have had an increased amount of sun exposure. Treatment is indicated because they cannot always be distinguished from squamous cell carcinomas.

Keratosis Pilaris

This skin condition is primarily found on the upper arms, buttocks and thighs. The skin cells that normally flake off as dust from the skin form plugs in the hair follicles. They don’t usually cause any pain or discomfort—nor do they itch. It is commonly found in teenagers on the upper arms. Treatment options vary from creams to antibiotics, depending on the severity of your condition.

Keratosis Follicularis Spinulosa Decalvans

KFSD is an uncommon inherited skin condition that is usually found in men. KFSD is characterized by dry, rough and thickened skin. It is commonly seen on the upper arms, buttocks and thighs. KFSD can be difficult to treat, but Dr. Wassef can assist you with your condition appropriately. 



Lentigines are also known as liver spots that occur on sun-exposed areas of the body. The back of hands and face are some common areas to spot these. They can vary in size from 0.2 to 2 cm. Typically, lentigines are usually benign, therefore treatment might not be necessary—but it is important to get them examined and if you require treatment, Dr. Wassef will offer you a wide variety of options that best suits your condition. 


Lentigo Maligna

Lentigo maligna is the precursor to a subtype of melanoma called lentigo maligna melanoma, which is a cancerous (malignant) growth of the cells that give our skin cells color. Lentigo maligna is more common in the elderly population who has seen a high level of sun exposure in their lifetime. Dr. Wassef uses cutting-edge technology to diagnose and treat lentigo maligna.


Lichen Planus

Lichen Planus appears to be a reaction in response to more than one provoking factor. It is a skin disease that comes in episodes and can last anywhere from months to years. They appear as bumps that often have an angular shape and reddish-purplish color. This disease can occur anywhere on the skin. It is most commonly found in men and women between the ages of 30 and 70 years.

Lichen Simplex Chronicus

Lichen Simplex Chronicus is the result of ongoing, chronic rubbing and scratching of the skin in localized areas. This is generally found in patients over age 30 and is more frequent in women than men. Treatment is usually initiated with topical corticosteroids for larger areas.

Lichen Planus

This skin disease is relatively common and comes in episodes that can last months or even years. The cause of Lichen Planus is still unknown, but it appears to be a reaction in response to more than one provoking factor. Dr. Wassef can assist you in diagnosing and treating Lichen Planus.


Lichen Nitidus

Lichen nitidus is a condition in which small shiny, skin colored bumps cover the skin surface. They often appear in groups and clusters. Currently, the cause of this condition is unknown and it is usually seen in children and young adults. Generally, no treatment is necessary.



Lupus is a systemic disease with a rash that often occurs in sun-exposed areas and represents the body’s immune system attacking the skin and sometimes other organs as well. Dr. Wassef will perform all the necessary tests and offer an accurate diagnosis and treatment plan regarding potential lupus.


Merkel Cell Carcinoma

This is a highly aggressive and severe, rare skin cancer. This form of skin cancer commonly occurs in elderly Caucasians and is more prevalent in men than women. The risk factors for this form of cancer are similar to that of other skin cancers (ultraviolet light exposure, male gender, fair skin, etc). Unfortunately, despite aggressive treatment, high risk of recurrence, metastasis, and death are common.


Melasma is a brown coloring on the face due to hormonal influences and sun-exposure. It is more common in women then men, and typically occurs during the second or third trimester of pregnancy. Although it isn’t a harmful disease, it can greatly affect a person’s cosmetic appearance. Treatment of melasma is a process that Dr. Wassef can help you with.



Milia are usually found on the face—especially around the eyes. They appear as small firm white lesions. They are very common on the faces of newborns and infants.


Moles can appear almost anywhere on the skin and most are normal. However, some are bothersome and may transform into melanoma. Most moles are usually less than 1/4 inch in size. Moles may darken, which can happen after exposure to the sun. If you see any irregularities or changes to your moles, please consult Dr. Wassef and his team.



This comes in two main forms: systemic and localized. This localized variant of scleroderma is a poorly understood condition that needs expert diagnosis and specific treatment. The appearance of morphed is a well-defined ivory-colored plaque with varying degrees of inflammation surrounding its borders. There are many options that Dr. Wassef can offer you to treat this condition.


Molluscum Contagiosum

This is a common viral infection that affects the skin. They are similar to warts, but are caused by a different virus. It is mostly spread through direct contact. Treatment is determined on an individual basis by Dr. Wassef and it will depend on the age of the patient and the location of the molluscum on the body. 


Mycosis Fungoides

Mycosis Fungoides is a form of lymphoma cancer that appears like a rash. To determine whether you have this form of cancer, a skin biopsy is typically performed by Dr. Wassef in one of our offices. 


Nail Fungus

Tinea is the name given to fungal skin infections. Athlete’s foot is the most common type of fungal infection and only affects humans. It is spread by direct contact, most often through bare feet in bathroom and fitness centers. Most people will develop resistance to skin fungus after being infected the first time.



This is an autosomal dominant inherited disorder that affects approximately 1 out of 3,000 people. If you have six or more brown freckling lesions rather than 5mm in diameter or six or more lesions greater than 15mm in diameter, there is typically a diagnosis of neurofibromatosis. Patients with neurofibromatosis might have signs and symptoms of constipation, headache, seizures and tumors of the brain. Please visit Dr. Wassef for more information on neurofibromatosis.


Necrobiosis Lipoidica Diabeticorum

This condition causes a rash on the lower legs. It is more common in women and there are usually several spots affected. Generally, this condition occurs in people with diabetes . Treatment of NLD is often difficult. Sometimes it responds to topical creams and sometimes  further treatment is required.

Notalgia Paresthetica

This is a common condition that generally affects adults. Main symptoms include burning, itching, or tingly feelings along the inner part of the shoulder blade and spine. Treatment can sometimes be challenging, but many different medications have been successfully used to decrease and manage symptoms.


Onychloysis is the painless separation of the nail from the nail bed. This is a very common problem and can be a sign of skin disease, an infection, or the result of an injury. However, most cases of onychloysis are found in women with long fingernails. For treatment, all of the unattached nail must be clipped off. Other medications by mouth may be taken if needed—depending on the individual’s case.



This is a rare autoimmune blistering disorder of the skin. The antibodies mistakenly consider normal tissues as foreign and attack them. Pemphigus has several types and each type looks and acts differently. This condition usually starts in middle-aged and older adults. Dr. Wassef is very well trained and experienced in differentiating these conditions.


Pityriasis Rosea

This is a very common skin disease. It appears as a rash that can last from weeks to several months. This typically appears as a single scaly patch and within a few weeks more pink patches usually occur on the body and on the arms and legs. The rash begins to heal after 2-4 weeks and is usually completely gone within 14 weeks. The cause is unknown, but Dr. Wassef and his team have a solution for you. 


Poison Ivy Dermatitis

Poison ivy clings to tree trunks and other vertical surfaces with hair-like aerial rootlets that grow out of the stem. The leaves of poison ivy turn red and purple in the fall. Poison ivy is caused by an allergic reaction to the coating that covers these plants. The rashes are self-limited and sooner or later they clear up without treatment.


Psoriasis is a common skin condition with systemic considerations. The most common type of this consists of raised lesions covered with silvery scales most commonly seen on the elbows, knees, scalp and trunk. This is controllable, but not curable. Many things can trigger the onset and continuation of psoriasis. Dr. Wassef can assist you in managing and treating your Psoriasis.


Pyoderma Gangrenosum

This is a common condition that affects the beard area of men and other people with curly hair. Highly curved hairs grow back into the skin which causes inflammation and a foreign body reaction. There are multiple treatment options that Dr. Wassef can offer you.

Paget’s Disease, Extramammary

Extramammary Paget’s disease is a malignant condition that affects skin other than the breast/nipple area. It does not spread to other areas of the skin. This disease is typically an invasive malignancy so surgical excision is the treatment of choice.


Pityriasis Alba

This is a common skin condition that first appears as red, scaly patches. The cause of pityriasis alba is unknown. The lesions can be round, oval or irregular in shape. Diagnosis is usually made solely on clinical signs and symptoms. A biopsy may also be performed.

Pityrosporum Folliculitis

This appears as an acne-like eruption. Pityrosporum folliculitis sometimes turns out to be the reason a case of acne isn’t getting better after being on antibiotics for months. It is not an infection, but rather an overgrowth of what is normally there. Oral treatments tend to be the most effective.

Pyogenic Granuloma

This is a relatively common skin growth that is usually a red, oozing bump that looks raw. It can occur at any age, but is the least common in the very young and very old. They are always benign growths and are typically scraped off with an instrument called a curette.

Perioral Dermatitis

This causes a facial rash around the mouth that is often red or bumpy. Itching and burning tends to be mild. It may come and go for months or years. Dr. Wassef will diagnose this condition by examination. There are multiple treatment options that Dr. Wassef can offer you.


Pyogenic Granuloma

This is a relatively common skin growth that is usually a red, oozing bump that looks raw. It can occur at any age, but is the least common in the very young and very old. They are always benign growths and are typically scraped off with an instrument called a curette.


Dr. Wassef can diagnose and treat any rash patients might have. Once our team has identified your rash, we’ll offer the treatment options we feel will work best for you.


Rocky Mountain Spotted Fever

This is typically a curable tick-borne disease that can be life threatening. It’s caused by the Rickettsia bacteria. Usually signs and symptoms begin within 5-7 days after being bitten by an infected tick. A biopsy of the skin lesion can be obtained and will aid in diagnosis of RMSF.


Rosacea is a skin disorder leading to redness and pimples on the nose, forehead, cheekbones and chin. It almost always provides a disfiguring redness to the skin. This condition usually becomes progressively worse in many of those affected. Treatment will control rosacea in most cases. There are many effective treatment options for rosacea. Dr. Wassef will discuss and employ the best treatment options with you.



This appears as red, irritated tissue that affects any organ system in the body. Skin lesions are round to oval and are reddish to purple in color. The exact cause of sarcoidosis is unknown, but environmental factors are suspected to play a part in the disease. A biopsy of the affected area of skin is typically required for proper diagnosis.



Scars can occur from acne, surgery, or even trauma and injuries. Scars can be painful, itchy and disfiguring. Please visit Dr. Wassef for further assessment and treatment options.


Skin Tags

These are common benign skin growths. Nearly half of adults have at least one of these harmless growths. We offer safe removal services of these growths at our offices. 


Seborrheic Dermatitis

This is a common skin condition affecting millions of Americans. It shows up as red, flaky patches of skin. Some common areas that are affected by this condition are the scalp, eyebrows, eyelids, lips, ears, armpits and groin. It can be itchy, but is not contagious. There are many options that Dr. Wassef can offer you to treat this condition.


Seborrheic Keratoses

These are raised growths on the skin. Seborrheic means greasy and keratosis means thickening of the skin. There may be clusters or just one on the skin. They are mostly hereditary and not caused by sun exposure. There are many options that Dr. Wassef can offer you to treat this condition.


Sebaceous Hyperplasia

This is a common benign growth that occurs on the face in adults. It’s due to an enlargement of the sebaceous glands. Sometimes people will want these off for cosmetic reasons and there are a number of ways this can be accomplished.



This parasite is so tiny that it is almost impossible to see without a microscope. It’s an eight-legged creature with a round body that burrows between the skin layers. Human scabies is almost always caught from another person—anyone who has come into close contact. Itching is typically the first symptom of scabies. There are numerous different treatment options for scabies and Dr. Wassef will provide guidance regarding your condition.

Schamberg’s Disease

This disease results in a rusty brown skin discoloration. The patches are unevenly scattered on both sides. It typically starts in adult life and there are no severe internal symptoms or effects with this skin disease. No one knows what causes it, but once a biopsy is done, proper treatment can be recommended.

Spider Bites

Current treatment for spider bites include cleansing the bite site and applying cold compresses. Other methods of treatment include mild analgesics to control pain and possible antibiotics after the bite for treatment of secondary infection. The severity of the bite depends on the type of spider an individual was infected by.

Spider Veins

Spider veins are formed by the dilation of the small veins under the surface. They typically occur on the legs and are more prominent in women. The exact cause of spider veins is not proven, but they become more noticeable with age.

Stasis Dermatitis

This is a disease of the veins in the extremities that may present after the valves inside the vessels become incompetent. This causes the pressure in the veins to increase due to gravity such that blood leaks out of small capillaries and into surrounding tissue. Treatment efforts are focused on increasing the return of blood back to the heart.



Anyone who has had the chicken pox can develop this eruption. The same virus that causes chicken pox causes zoster. About 20 percent of the population is affected by shingles at some point in their life. Treatment is very helpful in treating shingles and there are several highly effective medications for the condition.

Swimmer’s Itch

Swimmer’s itch is a red patchy skin rash associated with itching on parts of the body that have recently been in water. It’s usually not severe and the itching will typically disappear without treatment. Rarely, it can be severe if a large proportion of the body is affected.


A syringoma is a benign growth of the sweat gland. They appear as small brown, yellow bumps that tend to occur in clusters. They typically appear around the eyes or neck. They are not dangerous and in most cases, they are left alone. However, most syringomas tend to recur.


Squamous Cell Carcinoma

A squamous cell carcinoma is a skin cancer that may appear as a bump or as a red, scaly patch. Typically, this is found on sun-damaged and fair skin. Although it isn’t as dangerous as melanoma, it still leads to an estimated 2,300 deaths every year. This is the second most common form of skin cancer and is mostly caused by sun exposure and indoor tanning. Mohs surgery has long been known to have the highest surgical cure rate, while the SRT-100 offers the highest cure rate without any accompanied surgery or pain. Both options are available at DCSI and Dr. Wassef will discuss them in detail and decide with you which option best fit your need.


Tinea Incognito

This is a localized skin infection caused by fungus that has been mistakenly treated with topical steroids. The rash may not exhibit the classic tinea appearance. Dr. Wassef is very well trained and experienced in differentiating these conditions.


Tina Versicolor

This infection is caused by a yeast type of skin fungus, which is present on normal skin. The infection typically produces few symptoms, but some symptoms include itching– especially when sweating. The infection is treated with either topical or oral medications. Dr. Wassef will examine your infection and recommend the proper treatment.


This is genetic condition of malformed blood vessels. These irregular collections of blood vessels are known as arteriovenous malformations and can lead to recurrent and excessive bleeding. A strong family history of bleeding disorder can cause this.


Urticaria is the medical name for hives. These are welts—pink swellings that come up on any part of your body. They itch and provide discomfort. Hives are very common and over 20% of the population has at least one episode in their lifetime. There are many options that Dr. Wassef can offer you to treat this condition.


Venous Lake

These are small, dark blue slightly elevated papules. These papules are soft and compressible. The cause of venous lakes is still not known. The most likely cause is chronic sun damage to the walls of the superficial veins.


Vitiligo is a poorly understood autoimmune disease occurs when one’s immune system begins to attack pigment producing cells. People with Vitiligo are also somewhat more prone to other autoimmune diseases as well. There are many options that Dr. Wassef can offer you to treat this condition. 




Warts are areas of skin that grows faster than normal due to a virus. They are actually an HPV infection of the skin. The body will eventually build up a resistance over time and the cause of warts will disappear. Dr. Wassef offers multiple different treatments and removals for warts.




This is characterized as slightly elevated yellowish growth that typically occurs on or around the eyeballs. These lesions are not harmful and generally are not painful or itchy. Xanthelasma refers to the deposition of cholesterol in various areas of the body.



This is a chronic dry skin condition. Your skin needs moisture to stay smooth. Central heating of homes and other buildings are very drying to the skin. This is not a life-threatening condition.