Dermatology

Subspecialties

Pediatric Dermatology

Two residents are assigned to Pediatric Dermatology each month. The Pediatric Dermatology Clinic meets eight half-days each week. Children referred to this clinic have common pediatric dermatology problems as well as complicated and unusual skin diseases. The Pediatric Dermatology rotation includes experience in the Epidermolysis Bullosa Clinic, Vascular Anomalies Clinic, and Genetic Skin Disease clinic. Each of these specialty clinics utilizes a multidisciplinary teamwork approach where the dermatology group facilitates care with a team of representatives from other subspecialties. The pediatric dermatology consult resident and the pediatric dermatologist on-call also evaluate and treat pediatric inpatients at the Lucile Packard Children's Hospital at Stanford.

Cutaneous Surgery

Residents spend a total of six months of their training in cutaneous surgery. During this period residents refine their techniques in basic excisional surgery and develop skills in complex surgical closures such as flaps and grafts. Residents also work in the cutaneous laser surgery clinic where they gain experience in laser resurfacing and the use of lasers for treating vascular and pigmented lesions..

Opportunities for extensive exposure to Mohs micrographic surgery are also provided as part of the surgical program.

Laser and Cosmetic Surgery

The Department of Dermatology directs the laser surgery center at Stanford University. The program is active in the treatment of vascular and pigmented lesions, and skin resurfacing. The Department has ongoing research collaborations with laser manufacturers located in Silicon Valley. Residents have ample opportunity to establish skills in laser surgery with pediatric and adult populations.

Cosmetic procedures performed while on the dermatologic surgery rotation include injection of filler materials, chemical peels, liposuction, Botox, and sclerotherapy.

Dermatopathology

Each resident spends six weeks in each of the last two years rotating full-time on the dermatopathology service. During this rotation, residents preview all cases, participate in daily signouts, and carry out dermatopathology research projects. Time is allocated for review of glass slide study sets.

Cutaneous Lymphoma

The Cutaneous Lymphoma Clinic at Stanford is a major referral center for patients with mycosis fungoides, other cutaneous T-cell lymphomas, and cutaneous B-cell lymphomas. Stanford's 35-year experience in mycosis fungoides is internationally recognized, and the patient database of over 600 patients is the largest single-center resource for vertical data analysis. The multidisciplinary Cutaneous Lymphoma Clinic meets weekly and is jointly directed by the Departments of Dermatology and Radiation Oncology.

Pigmented Lesion and Melanoma

Stanford Dermatology has 2 clinics devoted to the care of patients with melanoma and melanoma precursor lesions (atypical moles).  The clinics are housed in the new Advanced Medicine/Cancer Center adjacent to the Stanford Hospital. 

The Pigmented Lesion and Cutaneous Melanoma Clinic employs photographic imaging techniques to assist in the early detection of severely atypical moles and cutaneous melanoma, and to monitor individuals at increased risk of developing melanoma based on mole pattern.  Available imaging includes total body/regional photography (performed at Stanford Visual Arts) and digital dermoscopy, which provides magnified views of nevi with computer storage and analysis capabilities.  Patients with thin primary cutaneous melanoma are also followed in the Pigmented Lesion and Cutaneous Melanoma Clinic.  Individuals with thicker cutaneous melanoma and advanced disease (nodal and systemic involvement) are managed in the Stanford Multidisciplinary Melanoma Clinic, a collaborative tumor board involving dermatologists, medical and surgical oncologists, dermatopathologists, and radiation oncologists.

Stanford is an active participant in the Eastern Cooperative Oncology Group melanoma trials and in the melanoma prevention/chemoprevention efforts of the national Melanoma Prevention Working Group. The melanoma clinics meet weekly and collaborate with other California-based melanoma centers in patient management and clinical trials.

Blistering Disease Clinic

The Stanford University blistering disease clinic is dedicated to the diagnosis and treatment of adult patients with inherited blistering disorders such as epidermolysis bullosa and Hailey-Hailey disease, as well as acquired blistering disorders such as, pemphigus subtypes, bullous and cicatritial pemphigoid, epidermolysis bullosa acquisita, porphyria cutanea tarda, linear IgA disease, chronic bullous dermatosis of childhood, dermatitis herpetiformis among others. The multidisciplinary clinic interfaces as needed with ophthalmology, gastroenterology, endocrinology, ENT, hematology and oral medicine to provide comprehensive care to its patients.

The clinic has special expertise in difficult to diagnose and/or treat patients. Advanced diagnostic techniques include direct and indirect immunoflourescent microscopy of normal and salt split skin substrates. Additional tests such as immunoblotting, and ELISA assays are also performed. Advanced therapeutic techniques include photopheresis, plasmapheresis, IV cytoxan and IV immunoglobulin.

The clinic interfaces with the clinical research studies going on at Stanford, currently there is a clinical trial on the use of Enbrel for treatment of pemphigus vulgaris patients.

To refer patients, please call (650) 736-5132.

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