Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
A port-wine stain is a certain type of hemangioma. This capillary hemangioma
has a recognizable appearance. It is usually a deep violet ("port-wine") colored
lesion with fairly linear borders. These are most often found on the affected
hypertrophied limb. They are generally flat or only slightly raised compared to
the surrounding unaffected skin surface. The actual depth of the lesion is
unpredictable and less commonly may even affect muscle and bone.
In addition to the port-wine stain, individuals with Klippel-Trènaunay-Weber also develop
varicose veins. These often can be seen at birth as a large superficial vein
extending from the lower leg all the way up to the buttocks. This vein has been
referred to as the "Klippel-Trènaunay" vein and may not be obvious until later
in childhood.
Occasionally affected individuals develop an arteriovenous fistula (abnormal
connection between an artery and a vein). This is known as the Parkes-Weber
variant of KTW. These patients usually have numerous fistulae that can result in
heart failure if untreated.
Glaucoma is a common eye condition in which the fluid pressure inside the eye rises because of slowed fluid drainage from the eye. If untreated, glaucoma may damage the optic nerve and other parts of the eye, causing the loss of vision or even blindness.
Epilepsy is a brain disorder in which the person has seizures. There are two kinds of seizures, focal and generalized. There are many causes of epilepsy. Treatment of epilepsy (seizures) depends upon the cause and type of seizures experienced.
Varicose vein: A dilated (widened) tortuous (twisting) vein, usually involving a superficial vein in the leg, often associated with incompetency of the valves in the vein. These visible and bulging veins are often associated with symptoms such as tired, heavy, or aching limbs. Spider veins are a group of widened veins that can be seen through the surface of the skin.
Birth defects have many causes and currently, are the leading cause of death for infants in the first year of life. Some of the causes of birth defects include genetic or chromosome problems. Exposure of the mother to rubella or German measles during pregnancy, or using drugs or alcohol during pregnancy. The treatment for birth defects depends upon the condition of the effected child.
Birthmarks and other abnormal skin pigmentation is caused by the body's inability to produce enough melanin. Abnormal skin pigmentation can cause conditions such as vitiligo, pigmentation loss, melasma, albinism, port wine stains, macular stains and hemangioma.
Heart failure is caused by many conditions including coronary artery disease, heart attack, cardiomyopathy, and conditions that overwork the heart. Symptoms of heart failure include congested lungs, fluid and water retention, dizziness, fatigue and weakness, and rapid or irregular heartbeats.
Birthmarks and Other Skin Pigmentation Problems Introduction
Skin is just like the humans who wear it: It's not perfect. If everything
went as planned, the body would produce just enough
skin pigment
and blood vessels would behave.
But that's not the case. There are birthmarks and other pigmentation
disorders that affect many people. We've included some of the most common
abnormalities here.
Remember: never self-diagnose! If you think you have one of these skin
pigmentation abnormalities, make sure you visit a doctor to receive an
official diagnosis.
Birthmarks
As might be expected, this type of abnormal skin coloration will
appear at birth or in just a few weeks following birth. It's important
to remember that most birthmarks are non-cancerous, though a doctor
should examine your child if he or she is born with abnormally colored
skin or develops birthmarks shortly after birth. Certain birth...
