Female patient who has Vitiligo, a skin condition where  melanocytes stop working correctly.

Medical Dermatology

Your skin tells a story. It reflects your lifestyle, your genetics and your age. Offering the latest in medical dermatology treatments, Fromm Clinic has the solutions you need to put your best face forward.

Dr. Linda Fromm, one of the leading dermatologists in Rapid City, SD, understands how important your skin is to your body’s overall health. She offers personalized care to ensure you receive the help you need to feel confident in your skin.

Ready to see how Dr. Linda Fromm and her team can help you best tell your skin’s story? Head over to our new patient portal for forms and information that will help you set up your first appointment, and then give us a call!

Call From Clinic Today at (605) 721-5550

New Patient Portal

Fromm Clinic provides effective solutions for the following skin conditions:

Acne is the most common skin condition in the United States. While acne can occur at any age, acne occurs most often in teenagers and young adults. Approximately 85% of teenagers in the U.S. will develop acne. While common, reliable information about acne can be difficult to find. Misinformation can make it difficult to achieve clearer skin. At Fromm Dermatology, we provide both information for prevention and acne treatment in Rapid City for our patients. The following information will explain why acne develops and how it can be successfully treated.

Causes: Research has revealed that acne is caused by four key players: excess oil from hormone production, clogged pores, inflammation and bacteria.

The excess oil is called sebum, an oil that our bodies make to prevent skin from drying out. Sebum increases dramatically during adolescence, when hormones known as androgens increase sebum production.

Caring for your skin: Excessive washing and scrubbing will not prevent or cure acne, and doing so can actually irritate the skin and worsen acne. Dr. Fromm recommends gently washing the skin with a mild cleanser twice daily with lukewarm water.

Treatment: Waiting for acne to clear on its own can be frustrating. Acne can cause scarring and is also known to cause poor self-image, depression and anxiety. Proper treatment with a dermatologist is recommended to avoid these physical and emotional scars.

Today, there are many effective treatments for acne, but no single treatment is right for everyone. Fromm Dermatology can help to tailor an acne treatment that is best suited for the specific type of acne and your skin type.

Commonly used acne treatments are:

Topical treatments: These are the standard of care for all types of acne and include retinoids, benzoyl peroxide formulations, and other prescription topicals. Retinoids (vitamin A derivatives) have becomes the mainstay of treatment for acne and are recommended to be first-line treatment for most types of acne. Retinoids, like other topical acne medications, can be quite irritating to the skin at first, so your dermatologist will have several tips and techniques to minimize irritation until your skin adjusts to the medications.

Oral treatments:  Oral antibiotics are often used short-term for more severe acne, or for patients that are more distressed about their breakouts and desire more rapid improvement. Oral antibiotics should not be used long-term for management due to concerns about antibiotic resistance and other known side effects.

Birth control pills and other hormone therapy (spironolactone) can help to decrease the levels of male hormones (anti-androgen effects). These types of medications are helpful for women with larger cystic type of acne that is related to their menstrual cycle.

Isotretinoin (generic Accutane) is the gold-standard treatment for severe acne that can cause scarring.  It is also sometimes used for moderate acne that is resistant to other therapies. This medication requires monthly office visits and lab tests. Women must take precautions not to become pregnant while on isotretinoin because of the risk of severe birth defects.

Treatment of Acne Scars:

Microneedling and fractionated laser treatments are currently felt to be the gold standard treatment for acne scarring. Other lasers may be used, as well, in addition to chemical peels, surgery, and fillers. Because there are several different types of acne scarring, the best approach involves an individualized treatment plan.

While improvements to scarring can be made, treatment will never yield 100% normal skin. Acne treatment can also be very costly and is not covered by insurance. EARLY treatment to prevent acne scarring is always the best treatment.

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There are several different forms of rosacea. Some types only cause redness in the skin, broken blood vessels, flushing, and acne-like breakouts. Other types actually cause changes in the contour of the nose and chin. Rosacea also can spread beyond the face to the ears, chest and back.

There are four subtypes to rosacea:

  1. Erythematotelangiectatic rosacea - Redness, flushing, visible blood vessels.
  2. Papulopustular rosacea - Redness, swelling, and acne-like breakouts.
  3. Phymatous rosacea - Skin thickens and has a bumpy texture.
  4. Ocular rosacea - Eyes red and irritated, eyelids can be swollen, and person may have what looks like a sty.

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Eczema is a chronic sensitive skin condition. It occurs as a result of the immune system working too hard, resulting in itchy skin and rashes. Those with eczema may not experience itchy skin at all times; usually, there are triggers that cause eczema flare-ups. Some common triggers are animal dander, soaps, dust and household cleaning products.

Eczema can occur for a number of reasons:

  • Family: If someone in your immediate family deals with eczema, then it is possible you will as well.
  • Asthma and allergies: Those that suffer from asthma or allergies are more likely to get eczema.
  • Where you live: Cities and polluted areas see more occurrences of eczema.

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Skin cancer is the most common cancer both in the United States and around the world. One in five Americans will develop skin cancer in their lifetime. While there are many different types of skin cancer, the most common types are basal cell, squamous cell and melanoma.

Skin cancer is highly curable when detected early. Most skin cancer can be treated with outpatient surgery in the dermatologist’s office with standard excision or with a special procedure called Moh’s micrographic surgery.

The good news? Most skin cancer is preventable! It is now known that 90% of basal cell and squamous cell and 65% of melanoma arises from excessive ultraviolet radiation exposure from the sun or indoor tanning. Tanning – either from natural sunlight or tanning beds – is never recommended. Studies have shown that even a single session in a tanning bed can increase your risk for developing skin cancer. Research has also shown that indoor tanning increases a person’s risk of melanoma, the most serious type of skin cancer, by 75%. Given the incidence of skin cancer and the importance of early detection, regular skin examinations with a dermatologist are essential. Self-examinations at home are also critical for early detection of skin cancer. Any new or changing lesions should be examined by your dermatologist.

The American Academy of Dermatology recommends daily use of SPF 30 sunscreen, as well as the use of sun protective hats and clothing. It’s important to remember that sunscreen must be reapplied very frequently; typically every two hours is sufficient. However, if you are swimming or perspiring, hourly reapplication is recommended.

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Moles are tan to brown or black growths, usually round or oval in shape, that can appear anywhere on the skin. Almost every individual has a few; however, some people may develop hundreds.

The most important thing to be aware of when it comes to moles is that melanoma, the deadliest form of skin cancer, can develop in or near a mole. Some moles increase the risk of developing skin cancer.

Types of Moles:
Research has shown that certain moles have a higher-than-average risk of becoming cancerous.

  • Congenital Mole: These are moles that are present at birth. Approximately 1 in 100 people is born with one or more moles. The larger their size, the greater the risk of developing melanoma.
  • Atypical (dysplastic) moles: These moles are irregular in shape and may be larger than average.  They often have uneven color. Atypical moles often run in families; however, anyone may develop these moles. Individuals with atypical moles are at an increased risk of developing melanoma.
  • Acquired mole: These are moles that appear after birth. Individuals with 50 or more moles are at an increased risk for developing melanoma than those with fewer moles.

The American Academy of Dermatology recommends regular examinations with a board-certified dermatologist in addition to a monthly head to toe self examination to look for any new or changing moles or other markings on the body.

When examining your moles, the AAD recommends the “ABCDE” method of melanoma detection:

  • A = Asymmetry. One half of a lesion is unlike the other half.
  • B = Border. Border is irregular, scalloped, or poorly defined.
  • C = Color. Color is varied from one area to another.
  • D = Diameter. While melanomas are often greater than 6 mm, or the size of a pencil eraser, but oftentimes at the time of diagnosis, they can be smaller.
  • E = Evolution.  A mole or other skin lesion is changing in size, shape or color. Other changes include bleeding, scaling or itching.

If you have a mole that you are concerned about, contact us today to set up an appointment. The Fromm Clinic staff is experienced in performing biopsies to determine if the mole is atypical or cancerous, as well as providing safe mole removal.

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Losing 50-100 each day is normal, but if you notice bald spots or thinning, you may be experiencing hair loss. There are many diseases and medical treatments that can cause hair loss, including stress, although the most common reason for hair loss is a medical condition called hereditary hair loss. This condition affects around 80 million men and women in the United States.

Fortunately, most causes of hair loss can be treated, and the dermatology experts at Fromm Clinic are experienced in providing solutions for this common condition.

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Nail fungus, or onychomycosis, is a condition that occurs when a fungus infects a toenail. Nail fungus can also be caused by a mold and yeast, rather than a true fungus. Anyone can get nail fungus, however, infection is exceptionally more common in people over the age of 60, in diabetics and in those with compromised immune systems.  Nail fungus has been reported to be as high as 30% in the senior population. The affected nail can discolor, thicken and can split. Gradually over the years, more and more nails become affected as well. While topical antifungal medications are readily available to treat nail fungus, they do not work very well because these products are only applied to the surface of the nail and do not penetrate deep within the nail bed, under the nail plate, which is where the fungus lives. To date, oral medications are the only available treatment that reliably cures toenail fungus. Some laser therapies can improve the appearance of the toenails, but at this time they have not been shown to be particularly effective at actually curing the fungus.

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Warts are very common benign skin growths caused by a virus called HPV, or human papilloma virus. Warts can occur in people of all ages. However, they are particularly common in children. If you cut or damage your skin, you are also more likely to get warts.

If you notice that you have a wart, be careful not to let it touch other people or surfaces, as warts spread by contact.

The dermatology experts at Fromm Clinic are also qualified to perform the following procedures:

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Regular skin exams are critical in the early detection of skin cancer and other serious medical conditions. Checking your own skin regularly is important, and is recommended once a month. During this self examinations, make sure you:

  • Check your face, ears, neck, chest, and belly.
  • Check your underarm areas, both sides of your arms, the tops and palms of your hands, in between your fingers, and your fingernails.
  • Check the front of your thighs, shins, tops of your feet, in between your toes, and your toenails.
  • Check the bottoms of your feet, your calves, and the backs of your thighs, first checking one leg and then the other. A hand mirror helps in looking over these areas. A mirror is also handy for checking your buttocks, genital area, lower and upper back, and the back of the neck and ears.
  • Check your scalp by using a comb or hair dryer to part your hair.

In addition to regularly checking your own skin, make sure to schedule regular skin examinations with a dermatologist, especially if you’re at high risk for skin cancer.

Call to schedule a skin examination.

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Sclerotherapy is a treatment used to eliminate varicose and spider veins. It is often done for cosmetic purposes, although the procedure can also improve symptoms such as aching, burning and night cramps.

Sclerotherapy procedures usually take about an hour to complete, and patients are able to get up and walk shortly after they are complete. After the procedure is performed, the treated veins fade within a few weeks. In some cases, more than one sclerotherapy treatment may be needed.

Call to learn more and find out if sclerotherapy is the right choice for you.

Call From Clinic Today at (605) 721-5550

To learn more about the medical dermatology services available at Fromm Clinic.

Call From Clinic Today at (605) 721-5550