Arkansas Research Trials in partnership with Arkansas Dermatology is proud to announce that clinical trials are now available at our North Little Rock office!

What are the benefits of being in a clinical study?

Participating in a research trial allows volunteers to have access to new and innovative medicines and treatments while contributing to science and medical advancements. Insurance is NOT required. In fact, most clinical trials compensate study volunteers for their time and travel. A medical exam and diagnostic testing are provided to you at no cost. You will receive care from highly trained and knowledgeable Physicians, Physician Assistants, and Nurses without having to wait months for an appointment.

Research patients have reported experiencing more fulfilling appointments, where they are able to take a more active role in their health and learn more about their condition. Volunteers often gain a sense of gratification knowing they are providing new hope for today’s patients who suffer from the same skin disease. Future generations– perhaps even family– may benefit from their choice to further medical research, as well.

We currently have several studies open to enrollment for BOTH adolescents and adults with atopic dermatitis/ eczema. If you or someone you know suffers from eczema, and would like to hear more about these clinical trials, please contact our Clinical Research Nurse at 501-420-4522 or fill out the form linked below.

Clinical Trials Interest Form

Our providers and clinical staff at Arkansas Research Trials have developed a high-quality state of the art facility equipped to fully serve you. We will have many studies opening this year for a variety of skin conditions, so feel free to call for the latest details. You can also follow us on social media to stay up to date on the latest information.

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We aim to provide affordable, high-quality dermatology treatment that fits your budget! 

Please ask a member of our staff, and we will review our payment options to accommodate your financial needs. If special arrangements are needed, please talk to our office manager prior to receiving service.

We will fully attempt to help you receive full insurance benefits; however, you are personally responsible for your account, and we encourage you to contact us if your policy has not paid within 30 days.

Our billing office can be reached at 501-975-7456. Our billing office hours are Monday - Friday 7 a.m. - 4 p.m.

HIPAA Notice of Privacy Practice

As a HIPAA complaint entity, we at Arkansas Dermatology strive to ensure that your health information is protected. The Health Insurance Portability and Accountability Act (HIPAA; "Act") of 1996, revised in 2013, requires us as your health care provider to maintain the privacy of your protected health information, to provide you with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information. We are required to maintain these records of your health care and to maintain confidentiality of these records. If you would like a copy of our HIPAA policy or would like the contact information for our HIPAA Officer, please click here.

 

Disclaimer

The information contained in this website is general in nature and is not intended as a complete source of information about Arkansas Dermatology and Skin Cancer Center staff or procedures. The content of this website is for informational purposes only and should not be considered a source of medical advice, treatment or a substitute for consultation with a board certified dermatologist. If you need advice on a medical condition or procedure, please call us directly at any of our locations to schedule an appointment with one of our physicians or physician assistants.

In no event will Arkansas Dermatology and Skin Cancer Center be liable to anyone for any decision made based upon information provided through this website. As a courtesy for patients, this website contains links to other websites for additional resources and information. These links are not in any way an endorsement by the Arkansas Dermatology and Skin Cancer Center of information found on those sites. All other rights are reserved.

Allergic contact dermatitis is an itchy skin condition (rash) caused by an allergic reaction to material (the allergen) in contact with the skin. It arises some hours after contact with the responsible material, and settles down over some days providing the skin is no longer in contact with it. Sometimes it is easy to recognize what allergen contacted the skin and no specific tests are necessary. The rash usually (but not always) completely clears up if the allergen is no longer in contact with the skin, but recurs even with slight contact with it again. To treat contact dermatitis successfully, you need to identify and avoid the cause of your reaction.

Dermatology providers apply patch tests in patients with allergic contact dermatitis to find out whether their skin condition may be caused or aggravated by a contact allergy. Patch testing helps identify which substances may be causing the allergic reaction in a patient, and may identify allergens not identified by blood testing or skin prick testing. It is intended to produce a local allergic reaction on a small area of the patient's back, where the diluted allergens are placed.

At Arkansas Dermatology, patch testing involves ready-to-use substances placed onto a small disc (a patch) that is then taped onto the outside of your skin, usually on your back. There is no pricking or injecting of substances into the skin. The discs contain different substances or mixes, all of which are well-known causes of contact dermatitis. You will be tested to numerous ingredients that are selected based on your history and skin findings.

A skin patch test is designed to help your provider determine whether or not you are allergic to any of the substances included on the discs. We may also be able to test you to your individual skin care products if necessary.

Skin cancer is the most common type of cancer with over 1 million new cases being diagnosed each year alone in the United States. The physicians at Arkansas Dermatology treat many types of precancerous and cancerous skin conditions on a daily basis. When it comes to skin cancer, we have the experience you expect and the training you trust.


ACTINIC KERATOSIS

What is Actinic Keratosis?

An actinic keratosis, also known as a solar keratosis, is a scaly or crusty growth (lesion). It most often appears on the bald scalp, face, ears, lips, back of the hands and forearms, shoulders, neck or any other areas of the body frequently exposed to the sun. You'll most often see the plural, "keratoses," because there is seldom just one. Actinic keratosis is also known as a "pre-cancer."

What do Actinic Keratoses look like?

In the beginning, actinic keratoses are frequently so small that they are recognized by touch rather than sight. It feels as if you were running a finger over sandpaper. Often times, actinic keratoses develop slowly and reach a size from an eighth to a quarter of an inch. They may disappear only to reappear later. Most become red, but some will be light or dark tan, pink, a combination of these, or the same color as your skin. Occasionally they itch or produce a pricking or tender sensation. They can also become inflamed and surrounded by redness. In rare instances, actinic keratoses can even bleed.

What does it mean if I have Actinic Keratoses?

Actinic keratoses indicate that you have sustained sun damage to your skin and could develop skin cancer. These lesions are usually easily treatable.


BASAL CELL CARCINOMA

General Information about Basal Cell Carcinoma

Basal cell carcinoma is the most common form of skin cancer, affecting over 1 million Americans each year. More than one out of every three new diagnosed cancers are skin cancers, and the vast majority of these are basal cell carcinoma.

Where do Basal Cell Carcinomas Appear?

Almost all basal cell carcinomas occur on parts of the body excessively exposed to the sun – especially the face, ears, neck, scalp, shoulders and back. On rare occasions, however, tumors develop on unexposed areas. In a few cases, contact with arsenic, exposure to radiation, open sores that resist healing, chronic inflammatory skin conditions and complications of burns, scars, infections, vaccinations or even tattoos are contributing factors.

Who gets Basal Cell Carcinomas?

Anyone with a history of sun exposure can develop basal cell carcinoma. People who are at highest risk have fair skin, blond or red hair and blue, green or grey eyes. Those most often affected are older, but, as the number of new cases has increased sharply each year over the last few decades, the average age of patients at onset has steadily decreased.

The disease is rarely seen in children, though occasionally a teenager is affected. Dermatologists report that more and more people in their twenties and thirties are being treated for this skin cancer. Workers in occupations that require long hours outdoors and people who spend their leisure time in the sun are particularly susceptible.

How is Basal Cell Carcinoma treated?

Basal cell carcinomas are usually easily treated in their early stages. The larger and longer the tumor grows, however, the more extensive the treatment needed. Although this skin cancer seldom spreads, or metastasizes, to vital organs, it can damage surrounding tissue and sometimes cause considerable destruction and disfigurement – and some basal cell carcinomas are more aggressive than others.

When small skin cancers are removed, the scars are usually cosmetically acceptable. If the tumors are very large, a skin graft or flap may be used to repair the wound in order to achieve the best cosmetic result and facilitate healing.


SQUAMOUS CELL CARCINOMA

General Information about Squamous Cell Carcinoma

More than 250,000 new cases of squamous cell carcinoma are diagnosed every year making this the second most common skin cancer. This form of skin cancer arises in the squamous cells that make up most of the skin's upper layers (epidermis). Squamous cell carcinomas may occur on all areas of the body including the mucous membranes and genitals, but are most common in areas frequently exposed to the sun, such as the rim of the ear, lower lip, face, bald scalp, neck, hands, arms and legs. Often the skin in these areas reveals telltale signs of sun damage such as wrinkling, changes in pigmentation and loss of elasticity.

Who gets Squamous Cell Carcinoma?

People who have fair skin, light hair, and blue, green or gray eyes are at highest risk of developing the disease. But anyone with a history of substantial sun exposure is at increased risk. Those whose occupations require long hours outdoors or who spend extensive leisure time in the sun are in particular jeopardy. The majority of skin cancers in African Americans are squamous cell carcinomas, usually arising on the sites of preexisting inflammatory skin conditions or burn injuries. Though naturally dark-skinned people are less likely than fair-skinned people to get skin cancer, it is still essential for them to practice sun protection.

What causes Squamous Cell Carcinoma?

Chronic exposure to sunlight causes most cases of squamous cell carcinoma. Frequent use of tanning beds also multiplies the risk of squamous cell carcinoma; people who use tanning beds are 2.5 times more likely to develop squamous cell carcinoma than those who don't. But skin injuries are another important source. The cancer can arise in burns, scars, ulcers, long-standing sores and sites previously exposed to X-rays or certain chemicals.

Chronic infections and skin inflammation can also give rise to squamous cell carcinoma. Furthermore, HIV and other immune deficiency diseases, chemotherapy, anti-rejection drugs used in organ transplantation, and even excessive sun exposure itself all weaken the immune system, making it harder to fight off disease and thus increasing the risk of squamous cell carcinoma and other skin cancers.

How is Squamous Cell Carcinoma treated?

It is very important to have squamous cell carcinomas treated in a timely manner. The larger the tumor has grown, the more extensive the treatment needed. When small skin cancers are removed, the scars are usually cosmetically acceptable. If the tumors are very large, a skin graft or flap may be used to repair the wound in order to achieve the best cosmetic result and facilitate healing.


MALIGNANT MELANOMA

General Information about Malignant Melanoma

Melanoma is a type of skin cancer. It comes from the cells in the skin that produce pigment called melanocytes. Melanoma is potentially a deadly skin cancer. Fortunately, it can be usually treated effectively if it is identified and treated in its early stages.

What is the prognosis for Melanoma?

The prognosis (or how well you will do) for melanoma depends on the stage of the cancer at the time of diagnosis. The stage of cancer is based on features of the melanoma, such as its thickness and whether or not there is any evidence of melanoma elsewhere in the body.

The most important factor associated with survival in patients with melanoma is the thickness of the melanoma. Thickness is most commonly reported as a measurement of depth given in millimeters (mm). This measurement of thickness is called the Breslow's depth. Sometimes the thickness is reported in a different way called the Clark's level. Clark's levels are designated with the roman numerals I through V, with I being the thinnest and V being the thickest.

In general, the thicker the melanoma is the worse the prognosis. Some melanomas are designated as melanoma in situ. In situ means that the melanoma is limited to the uppermost portion of the skin called the epidermis. Melanoma in situ has a Breslow's depth of zero and a Clark's level of I. These melanomas have a long term survival rate of nearly 100 percent with appropriate surgery.

Melanomas with a Breslow's depth of less than 1mm are considered thin melanomas and have a favorable long term prognosis. The long term survival rate is about 90 to 95 percent with appropriate surgical treatment. For melanomas with a Breslow's depth greater than 1 mm, the long term survival rate gradually decreases with increasing depth of melanoma.

What treatments are available for Melanoma?

While surgery is the main treatment for melanoma and the treatment with the greatest chance of a cure, some patients with melanoma have chemotherapy in addition to surgery. Chemotherapy is usually reserved for patients whose melanoma has already spread to other parts of the body at the time of surgery. Several different chemotherapy regimens are available. No single regimen has been shown to dramatically prolong survival, but clinical trials are underway to discover better medical treatments for melanoma.


DERMATOFIBROSARCOMA PROTUBERANS

General Information about Dermatofibrosarcoma Protuberans

Dermatofibrosarcoma protuberans (DFSP) is a relatively uncommon skin cancer. Although it is rare for this cancer to spread throughout the body via the bloodstream, the tumor can be locally aggressive with a high recurrence rate.

Who gets Dermatofibrosarcoma Protuberans?

Dermatofibrosarcoma protuberans has been reported in persons of all races, and no racial predilection seems to exist in previous reports. However, a more recent study conducted found the incidence among African Americans was almost double the incidence among American whites. Several studies of DFSP reveal an almost equal sexual distribution or a slight male predominance.

Dermatofibrosarcoma protuberans usually occurs in adults aged 20-50 years. Rarely, DFSP has been reported in newborns and elderly individuals. Sunlight is not thought to play a role in developing DFSP.

What causes DFSP?

Currently, the cause of dermatofibrosarcoma protuberans is unknown. Laboratory studies have shown that chromosomal aberrations may be contributing causes of DFSP; however, no evidence of hereditary or familial predisposition exists. In 10-20% of patients with this tumor, trauma at the site seems to be incriminated. Surgical and old burn scars and sites of vaccinations have all been reported as sites of DFSP.


ATYPICAL FIBROXANTHOMA

General Information about Atypical Fibroxanthoma

Atypical fibroxanthoma (AFX) is a tumor that occurs primarily in older individuals after the skin of the head and neck has been damaged significantly by sun exposure and/or therapeutic radiation. Clinically, lesions usually are suggestive of malignancy because they arise rapidly (over just a few weeks or months) in skin in which other skin cancers have been found and treated.

What Causes AFX?

Sun exposure and/or therapeutic radiation that have caused significant skin damage are associated with the development of AFX. The most effective treatment for the removal of an AFX is Mohs Micrographic surgery.

Mohs Micrographic Surgery is the most advanced and effective treatment for many types of skin cancer. The procedure is performed by uniquely trained surgeons who have completed at least one additional year of fellowship training (in addition to the physician's three-year dermatology residency) under the tutelage of a Mohs College member.

Initially developed by Dr. Frederic E. Mohs, the Mohs procedure is a state-of-the-art treatment that has been continually refined over 70 years. With the Mohs technique, physicians are able to see beyond the visible disease, to precisely identify and remove the entire tumor layer by layer while leaving the surrounding healthy tissue intact and unharmed. As the most exact and precise method of tumor removal, it minimizes the chance of re-growth and lessens the potential for scarring or disfigurement.

Because the physician is specially trained in surgery and pathology, Mohs surgery has the highest success rate of all treatments for skin cancer – up to 99%. The Mohs technique is also the treatment of choice for cancers of the face and other sensitive areas as it relies on the accuracy of the microscopic surgical procedure to trace the edges of the cancer and ensure complete removal of all of the tumor.

About Mohs Micrographic Surgery: Effectiveness

Mohs Micrographic Surgery is an effective and precise method for treating basal cell and squamous cell skin cancers. Because the Mohs Micrographic Surgery process features a systematic microscopic search that traces skin cancer down to its roots, it offers the highest chance for complete removal of the tumor while sparing the normal tissue surrounding it.

Clinical studies conducted at various national and international medical institutions – including the Mayo Clinic, the University of Miami School of Medicine and Royal Perth Hospital in Australia – demonstrate that Mohs surgery provides five-year cure rates that exceed 99% for new cancers, and 95% for recurrent cancers. Why choose a Mohs trained Surgeon? Click the following link here to learn more about this prestigious training.  

The Mohs Micrographic Surgery Process

Mohs surgery is usually an outpatient procedure performed in a physician's office. Typically, it starts early in the morning and can be completed the same day, depending on the extent of the tumor and the amount of reconstruction necessary. Local anesthesia is administered around the area of the tumor so the patient is awake during the entire procedure.

For more information on the Mohs process and what to expect on your surgery day, please click here.

Acne is the term used to describe blackheads, whiteheads, pimples or any clogged pores that occur on the face or body. Most acne problems occur during adolescence, but can sometimes occur before or even after the teenage years.

Acne can often have a detrimental effect on one's self-esteem because it disturbs the natural beauty of a person's facial features. Normally, minor acne will come and go on its own, recurring more frequently between the ages of adolescence and becoming less common thereafter. Occasionally, acne can cause problems for a person later in life. More severe cases of acne can lead to more serious permanent scarring.

There are a number of techniques available today to treat acne. Providers can recommend habitual changes in a person's lifestyle to help reduce the reoccurrence of breakouts. Medications are  often used to lessen the severity of outbreaks. Advanced laser therapies and chemical peels are also available to treat acne.

Oral and Topical Medications

There are a number of oral and topical medications available to treat mild to moderate acne. While the ingredients and directions vary from product to product, most of these medications involve either decreasing your skin's natural oil production, or removing dirt and oil from the targeted area. This will lessen the severity and frequency of acne outbreaks.

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