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Clinical Services

Duke Dermatology is a leader in advanced, state of the art treatment of skin diseases and disorders. A comprehensive description of all of our clinical services is available on  the patients' web site for Duke University Health System.

Duke Health

 

Autoimmune and Blistering Disorders

Duke’s Autoimmune and Blistering Diseases Clinic specializes in the treatment of patients with:

  • Blistering diseases of the skin, including dermatitis herpetiformis, bullous pemphigoid, pemphigus, cicatricial pemphigoid, and linear IgA dermatosis
  • Immune mediated diseases of the skin, including skin diseases associated with lupus, dermatomyositis, scleroderma, and vasculitis
  • Skin diseases associated with other immune diseases, including pyoderma gangrenosum, erythema nodosum, and neutrophilic dermatosis

Treatments with new biologics, immunosuppressive medications, and other anti-inflammatory agents are available. Patients have access to active clinical investigation and clinical trials investigating new treatments and causes of these diseases.

Russell P. Hall, MD A Rambi Cardones, MD Matilda Nicholas, MD, PhD Anne Marano, MD

Locations:

3K Clinic, Duke South
40 Duke Medicine Circle, Durham, NC 27710

Dermatology @ South Durham
234 Crooked Creek Pkwy, Ste 300, Durham, NC 27713

Contact Dermatitis

Allergic contact dermatitis is an inflammation of the skin that occurs when a person is allergic to a substance that is touching his or her skin.  Duke dermatologists use patch tests to determine which allergen is causing a patient's skin to be inflamed.  In this test, small amounts of potential allergens are applied to patches that are then placed on a patient's skin. The dermatologist examines the patient's reaction to the substances to see if an allergy is present.  Once the doctor has determined the allergy, patients are able to avoid that substance and receive medication for any current rash.  A consultation may be necessary prior to the placement of patch tests.

Amber Atwater, MD Rabina Walsh, MD

Location:

Patterson Place
5324 McFarland Drive, Durham, NC 27707

Cutaneous Lymphomas

Patients with suspected or proven cutaneous lymphoma or lymphoproliferative disorders, such as lymphomatoid papulosis, are seen in this dermatologic oncology clinic. New patients should expect to have skin biopsies performed and to have their referring physician send results of any pathology, radiology or blood work prior to their clinic visit. Ideally, patients should, with the approval of their referring physician, stop any topical therapy 2 weeks prior to their initial visit to the clinic.

Elise Olsen, MD Meenal Kheterpal, MD

Location:

3K Clinic, Duke South
40 Duke Medicine Circle, Durham, NC 27710

General Dermatology

Our general and medical dermatology clinics focus on a wide range of diseases that affect the skin, hair and nails. 

General dermatology clinics are available at our three locations.

HIV and STDs

Evaluation and management of patients infected with HIV with cutaneous problems and/or patients with cutaneous manifestations of sexually transmitted disease.

Sarah Myers, MD Sarah Wolfe, MD

Locations:

Patterson Place
5324 McFarland Drive, Suite 210 , Durham, NC 27707
3K Clinic, Duke South
40 Duke Medicine Circle. Durham, NC 27710

Hair Disorders

The Duke Hair Disorders Clinic is under the direction of Dr. Elise Olsen, former President of the North American Hair Research Society and author of the textbook Hair Disorders: Diagnosis and Treatment.
 
Patients with hair loss or hair overgrowth disorders that are physician-referred will be evaluated and a diagnosis and treatment plan developed. All patients are evaluated with a complete history, physical examination, and, if necessary, laboratory studies. Evaluation often involves scalp biopsy and microscopic examination of the involved hairs.

Elise Olsen, MD

Locations:

3K Clinic, Duke South
40 Duke Medicine Circle. Durham, NC 27710

Hidradenitis Suppurativa

Our specialty clinic believes in a multidisciplinary approach to treatment and management of hidradenitis suppurativa.  We are committed to improving our patients' quality of life by delivering tailored care to those affected by this chronic, and sometimes incapacitating, painful skin disease.  We are dedicated to delivering a personalized plan that will incorporate targeted medical and procedural management after careful assessment of individual lesions and extent of skin involvement.  We also focus on a more holistic approach to identify and address modifiable factors not comfined to the skin that tend to be co-associated with hidradenitis and contribute to the overall disease morbidity.  These include pain, depression, heart disease, obesity, joint disease, infections, bowel disease and smoking.  We work as a team at Duke to coordinate care among different specialties to achieve the best possible outcome for our patients.

Tara Jaleel, MD

Location:

3K Clinic, Duke South
40 Duke Medicine Circle, Durham, NC 27710

Laser Surgery

The Duke Dermatology Laser Center is committed to providing the highest quality and most technologically advanced care to people suffering from a variety of skin conditions.

Conditions treated include:

  • Portwine stains and other congenital vascular malformations
  • Hemangiomas
  • Poikiloderma
  • Rosacea
  • Telangiectasia
  • Broken blood vessels
  • Cafe au lait birthmarks
  • Resistant warts
  • Fraxel Treatments​ 

Claude S. Burton III, MD

 

Location:

3J Clinic, Duke South
40 Duke Medicine Circle. Durham, NC 27710

For answers to frequently asked questions about the laser procedure, type of laser, cost of procedure, etc., please read the Dermatology Laser FAQ's.

Leg Ulcers

Our wound care institute includes specialists in vascular medicine, orthopedic surgery, and plastic surgery. Of course, the entire resources of Duke Medical Center are available, including one of the world's largest hyperbaric facilities.

Claude S. Burton III, M.D.

Location:

Duke Wound Management Clinic
Duke Clinic 3J, 40 Duke Medicine Circle, Durham, NC 27710

Mohs Surgery

Mohs surgery, also known as microscopically controlled surgery, was developed by Frederic Mohs, MD, for the treatment of certain skin cancers.  Performed under local anesthesia, the technique combines surgical removal of the skin cancer with immediate microscopic examination of the removed tissue in order to identify any residual cancerous tissue.  The surgeon continues the process of removing tissue and studying it under the microscope until all cancer has been removed. Following skin cancer removal, wounds are also reconstructed using a number of sophisticated techniques to preserve function and appearance.

High Cure Rate

The Mohs technique has the highest cure rate of all skin cancer treatment methods and involves the surgical removal of the least amount of tissue possible in order to adequately treat the cancer.  Patients are normally referred to the Mohs unit by a dermatologist or other health care provider after a skin biopsy procedure has revealed the presence of a skin cancer.

Jonathan Cook, MD Christopher Stamey, MD

Locations:

Duke Mohs Micrographic Surgery
5324 McFarland Dr. Ste 400, Durham, NC 27707

Duke Lightner Dermatology
11081 Forest Pines Dr, Ste 110, Raleigh, NC 27614

For answers to frequently asked questions about preparing for microscopically controlled (Mohs') surgery for the removal of skin tumors, please read the Guide to Skin Cancer and Mohs' Surgery.

Mole Mapping

Duke dermatologists use several state-of-the-art methods to detect early melanomas and identify pre-cancerous moles to remove. Mole-mapping CD-ROM technology, pioneered by Duke researchers and now used around the world, allows physicians to detect the earliest signs of melanoma by maintaining and monitoring photographic records of the skin.

 
Patients at high risk for melanoma -- those with numerous moles on their body, atypical (dysplastic) moles, or a family or personal history of melanoma -- may be photographed from 33 different angles to cover as much of the skin’s surface as possible. On subsequent visits, the patient’s moles can be compared with the digital baseline images on the computer screen to discern any changes since the last exam.
 
Duke dermatologists also use dermoscopy and work with dermatopathologists who can study tissue biopsied from skin cancers.

Michelle Pavlis, MD Meenal Kheterpal, MD

Locations:

Patterson Place
5324 McFarland Drive, Suite 210 , Durham, NC 27707

3K Clinic, Duke South
40 Duke Medicine Circle, Durham, NC 27710

Pediatric Dermatology

Pediatric Dermatology,  at Duke Clinics, Duke Children's Hospital and Patterson Place, specializes in the care of children with common and rare skin disorders, whether acquired or genetic. Children are typically referred to our program by their pediatrician or primary care physician for consultation, treatment, and long-term management. Our Pediatric Dermatology specialists are dedicated to helping children and their parents better understand skin ailments and how to treat and cope with them.
 
Treatments

The Pediatric Dermatology division provides comprehensive, state-of-the-art evaluation and treatment for children with various types of acute and chronic skin disorders. Our services include:

Consultations and second opinions
Coordinated long-term management of chronic conditions
Surgical and laser treatment of certain skin conditions

Some of the conditions most frequently treated by our division include:

  • Nevi (moles)
  • Hemangiomas
  • Port wine stains
  • Atopic dermatitis
  • Psoriasis
  • Genodermatoses
  • Hyperhidrosis
Jane Bellet, MD Neil Prose, MD Rabina Walsh, MD

Location:

Patterson Place
5324 McFarland Drive, Suite 410 Durham, NC 27707

Photodynamic Therapy

Photodynamic therapy (PDT) is a medical treatment that uses a photosensitizing drug (a drug that becomes activated by light exposure) and a light source to activate the applied drug. The result is an activated oxygen molecule that can destroy nearby cells. Precancerous cells and certain types of cancer cells as well as acne and other skin conditions can be treated this way. The procedure is performed in a physician's office or outpatient setting.

Amber Atwater, MD Erin Lesesky, MD Sarah Myers, MD Clare Pipkin, MD

Location:

Patterson Place

5324 McFarland Drive, Suite 210 , Durham, NC 27707

Phototherapy

Phototherapy is the clinical approach to treating various skin condition ailments with the use of ultraviolet light.
 
Phototherapy is used for the treatment of skin diseases such as psoriasis, chronic dermatitis, and other skin disorders.
Our services include:

  • Ultraviolet-B (UVB)
  • Narrowband UVB
  • Total body PUVA, a combination of the drug psoralen (P) and long-wave ultraviolet radiation (UVA) to treat several severe skin conditions. Psoralen makes the skin more sensitive to ultraviolet light.
  • Hand/foot PUVA
Amber Atwater, MD John Murray, MD Clare Pipkin, MD Sarah Wolfe, MD

Locations:

3K Clinic, Duke South
40 Duke Medicine Circle. Durham, NC 27710

Pigmented Lesions

Patients at high risk for melanoma of the skin (dysplastic or atypical nevi (moles), numerous nevi, personal and/or family history of melanoma) are eligible for the Pigmented Lesion Clinic. The Pigmented Lesion Clinic offers particular expertise to maximize early melanoma detection while minimizing the number of unnecessary biopsies.

We approach patients with melanoma in a multi-disciplinary fashion, working closely with our surgical, medical, and radiation oncology colleagues, as well as our dermatopathology team, to develop a carefully considered plan of care for each patient.  
 
Our services include:

Dermoscopy: a process where a doctor uses a special magnifier to learn more about areas of concern.
Mole mapping (MoleMapCD®): a photographic image evaluation system for early detection of melanoma and skin cancer. High resolution total body digital images are obtained and these images are used to track changes in the appearance of moles over time and detect new lesions.  Each patient receives a copy of their images for home use, and a copy is securely stored for use during clinical visits.
Diagnostic and therapeutic removal of moles and early stage melanomas.

New patients should request pathology reports for all skin lesions previously removed and bring these reports with them to their first appointment. 

Amber Atwater, MD Meenal Kheterpal, MD John Murray, MD Sarah Myers, MD Michelle Pavlis, MD

Locations:

3K Clinic, Duke South
40 Duke Medicine Circle. Durham, NC 27710
 
Patterson Place
5324 McFarland Drive, Suite 210 , Durham, NC 27707

Wound Management

The director of the Duke Wound Management Clinic is Dr. Claude Burton.   If there is adequate arterial blood flow, our treatment protocols are very successful. Patients can expect to spend several hours with us undergoing a thorough evaluation, including vascular testing. A treatment strategy will be developed and tailored to the needs of the patient.

Locations:

Clinic 3J, Duke South

40 Duke Medicine Circle, Durham, NC 27710

For an appointment please call (919) 684-3432.