Dr. Alan Kling MD. – Kling Dermatology Dr. Alan Kling M.D. - Dermatologist Upper East Side & Brooklyn – Best Dermatologist NYC
1000 Park Avenue New York, NY 10028
Manhattan , 1000 Park Avenue New York, NY 10028 10028 Manhattan
Dr. Alan Kling MD. – Kling Dermatology
Dr. Alan Kling M.D. - Dermatologist Upper East Side & Brooklyn – Best Dermatologist NYC I was referred to Dr. Kling’s office because of a recurrent problem I’ve had for awhile. I had already seen two other dermatologists and I kept having a problem and it seemed like this thing would keep going on forever. I asked my internist for a referral and he said that Dr. Kling was the absolute only guy I should go to for this problem. I was already I little fed up with doctors but I decided to go anyway for a consult. Boy, am I glad that I did! Dr. Kling explained what was going on and gave me reading material so I would understand what was going on. I followed his advice and I finally have this condition under control. I finally feel normal again. He really did a lot for me.. I was referred by my family doctor and think that Dr. Kling is an excellent physician. I initially came in with along list of questions about my condition and he read the list and answered all of my questions. The doctor I went to before couldn?t be bothered and he took one look at my list and essentially walked out of the office. I changed jobs and the location of my new job was not that convenient to Dr. Kling’s office but I would switch around my schedule to go to see him because he is very nice and very smart and very personable and that is not an easy combination to find. Dr. Kling put me on a medication that I have to take on a regular basis, and whenever I come into the office he checks in his laboratory to see if there are any samples. He once had his secretary track down the drug representative so that he could get free samples so that he could give them to me. How good is that? Dr. Kling has been treating me for psoriasis for a long time. Dr. Kling placed me on many different medications over time until he found a regimen that worked best for me. I was most impressed by the fact that whenever there was a new medication or treatment he would research it and explain it to me thoroughly beforehand, so I knew what to expect. He also once stayed late in order to remove a large cyst on my back that had started to drain. He rescheduled something else he had going on in order to get this done because he knew that I would not have been able to go into work the next day if it wasn’t first removed. He really went out of his way to help. I am aware that dermatology seems to appeal to the vanity in all of us. We go to a Doctor and expect miracles even if we’ve had problems for a lifetime. What I feel I have to say and what is probably the most important is that Dr Kling takes the right approach. He sits you down and truly formulates a treatment path that makes sense and actually works! I’d had a host of issues and one by one he explained the relationships between all of them. The myth and mystery were stripped away and even though my problems were of a personal nature I was always made to feel comfortable and in the best of hands. I no longer hesitate going for treatment, as Dr Kling has made me at ease and comfortable . It’s nice when you’ve found the “Right Guy”. Doctor Kling really listened to my concerns and talked to me thoroughly before recommending a course of action. He didn’t pressure me and took his time to make sure that all of my questions were answered once he recommended a treatment. He’s very friendly and seems to have a great deal of experience. I’ve seen a few dermatologists in NYC and Dr. Kling is definitely the best so far. Also, his staff is extremely helpful, knowledgeable, and patient (unlike any other office staff I’ve seen). The entire staff was very accommodating and friendly. Dr. King is professional, courteous, and genuinely cares about your well being. Some of the reviews made me hesitant to make my 1st appointment. As yet, my experience was just great and Dr. King engaged for more than thirty minutes explaining and clarifying my questions. I certainly recommend Dr. King to family and friends. I’ve been seeing Dr. Kling for about ten years. My complexion was bad with the stress I was having from work and the medications other doctors were giving me weren’t really working that well. Dr. Kling go me on a regimen that worked and everything is now (finally!) more or less under control. Those injections he gives me make the acne bumps go down in a day or two. They are great when you know an important business meeting is coming up or something social is going on. I was seeing Dr. Kling on a regular basis for several months before my wedding to make sure that I looked good for my big day and it turned out so well that I continued to see him on a regular basis ever since. He also helped me out with this contact allergy I had to the nickel in my wedding ring (can you believe it?), but that’s another story. . What does this man do to keep himself looking young? I have had every imaginable combination of chemical peels, Botox, filler, sclerotherapy and I’m really happy with the results but he says that he doesn’t do any of that stuff for himself. What does this man do to keep himself looking so young? He says that he uses sunscreen. I’ve gone to him for over twenty years and he looks the same age. Whatever he has, I want it!. I was referred by my family doctor and think that Dr. Kling is an excellent physician. I initially came in with along list of questions about my condition and he read the list and answered all of my questions. The doctor I went to before couldn’t be bothered and he took one look at my list and essentially walked out of the office. I changed jobs and the location of my new job was not that convenient to Dr. Kling’s office but I would switch around my schedule to go to see him because he is very nice and very smart and very personable and that is not an easy combination to find. Dr. Kling put me on a medication that I have to take on a regular basis, and whenever I come into the office he checks in his laboratory to see if there are any samples. He once had his secretary track down the drug representative so that he could get free samples so that he could give them to me. How good is that?. I teach at a private school close to Dr. Kling’s office. There are many other teachers there who go to his office and they all think that he does great work. There are also many students who have been referred to him through the years and they have also been very enthusiastic about him. I have seen Dr. Kling on and off for about ten years and he has helped me a lot with my condition. I was referred to Dr. Kling by my internist. I had previously been seeing another physician but the condition I had was not getting better. Dr. Kling was extremely meticulous and thorough. I saw him on a regular basis and eventually it got better. I am now going to graduate school out of town at a place which is several hours away from NYC, but I make the follow up visits back to NYC to see Dr. Kling. I am not switching doctors. It’s not so easy to find somebody who knows what they are doing.. I was originally referred to Dr. Kling by my best friend, who spoke very highly of him and strongly encouraged me to go. I have been going to see Dr. Kling on and off for about 20 years for lots of different stuff that just comes up. I’m amazed that he always gets the diagnosis right. Sometimes the stuff that I had was pretty straightforward. Other times, he would ask question after question and then zoom in on what it was. The most important thing is that I always got better. I have many friends and co-workers who have gone to him both at my old firm and the firm where I am now, and they all had really positive experiences with him. My wife and my daughters have also gone to him and he has also been very helpful with them. I first saw Dr. Kling years ago when I had a bad infection. He gave me a prescription and samples of the medication that he had in the office to make sure that it had a chance to work as soon as possible.. He spent a lot of time explaining my condition to me. I was really scared and I called him with a lot of questions. He was very patient. I still come to the office now for other things. He was very helpful. Both my wife and I have gone to Dr. Kling. I had a pretty perplexing skin condition and I was told by my family doctor that Dr. Kling was the person to see to figure it out. He spent a lot of time talking and explaining things to me. I had seen two other doctors before, and I realized that educating me about what I had was the most important step so that I was motivated to do what I had to do in order to get it under control. I’ve bumped into Dr. Kling at social things over the years and I am always glad to see him. I like talking to him..
Rating: 4 / 5 stars

GENITAL WARTS

hpv-kling2ALAN KLING, M.D

Dr. Alan Kling is recognized as one of the foremost specialists in the field of HPV infections. Throughout his years as an HPV specialist, Dr. Kling has contributed to research and lectured at various medical schools, including Columbia, Cornell, Mount Sinai, NYU, and Yale as well as having been a part of a number of national panels on HPV and HPV prevention. His extensive research has allowed him to keep up with the latest HPV treatment protocols and to educate others in the field as well. While HPV is an important field of dermatological study for many physicians, Dr. Kling has clearly separated himself from the pack, making him the top HPV treatment specialist in NYC today.

Dr. Kling's private practice offices are located at his Park Avenue practice on the Upper East Side and in Park Slope, Brooklyn.

Q: What do genital warts look like?
A: Genital warts (condyloma or condyloma acuminata) are flesh-colored or brown growths that may appear on the penis, anus, rectum, vulva, vagina, in the perianal area, pubic area, on the groin or on the thighs. They can present in many ways and look remarkably different although they are caused by the same virus. Genital warts may present as large or small growths that are distributed either singly or in clusters. They can have a rough uneven surface and look like pieces of cauliflower or can present as small growths with a smooth surface. Genital warts can range from being flesh-colored to light, medium or dark brown. They are all very contagious. They can be large and noticeable or small, inconspicuous and hardly noticeable at all.

Q: What does the term “papilloma”, as in human papilloma virus (HPV) mean?
A: The term “papilloma” refers to a projecting finger-like growth. This is one of the more common ways that genital warts can present.

Q: What are genital warts?
A: Genital warts are a dense collection of the HPV virus which grows in the external genital area.

Q: Will genital warts give me symptoms?
A: HPV infections and genital warts are usually not associated with symptoms. A person may occasionally have localized itching or irritation, but this is not common. Even when a person does see a small growth in the genital area, it usually is asymptomatic. Large genital warts can get irritated and itch, but this is more the exception.

Q: Are genital warts easy to see?
A: Many people who have genital warts are not aware that a growth is present or if they did see a growth they may have thought that it was a normal and nothing to worry about. The presentation of warts that have enlarged and rub up against clothing or folds of the skin and cause symptoms of irritation or itch is relatively infrequent.

Q: Does this mean that the person that I might have gotten it from did not know that they had an HPV infection?
A: Most people who have an HPV infection are not aware of the fact that they have an infection at all and are unintentionally infecting their partners.

Q: What is an acetic acid soak?
A: Acetic acid (5%) in a vinegar-type of solution that is applied on moistened gauze to the genital areas. Genital warts my absorb the vinegar and turn white, making them easier to see and identify. The application of acetic acid is a screening test and is not firmly diagnostic. Factors that can make an area turn more white include any type of rubbing, irritation, allergies, and benign skin rashes The only way to know for certain what a certain growth or skin change is would be to do a diagnostic biopsy.

Q: How concerned should a person be if they have many warts in their genital area that are growing quickly in both size and number?
A: Genital warts that present as an extensive number of growths are more likely to be associated with the low risk strains. The low risk strains are extremely contagious but have an extremely low chance of progressing into cancerous or precancerous conditions.

Q: What risk are these genital wart growths to my partner?
A: Genital warts presenting in this manner tend to be extremely contagious. You must use condoms to protect your partner or refrain from sexual contact until you get them treated and removed.

Q: Can genital warts ever go on into cancer, or cause cancer in my partner?
A: Genital warts are usually caused by the low risk strains of HPV. 10% -20% of genital infections are “mixed infections” that include both the low risk and high risk strains. If high risk strains are present in the genital warts they could pose a risk to your partner.

Q: How common are genital warts?
A: Genital warts (also referred to as venereal warts or condylomata) are the most commonly recognized form of genital HPV infection. Approximately 1% of sexually active people in the United States have genital warts at any one time.

Q: How many cases occur each year in the United States?
A: Nearly 1 million new cases of genital warts occur each year in the United States. 90% of all genital warts are caused by the low-risk HPV6 and 11 strains.

Q: How would I know if I have genital warts?
A: Many people with genital warts frequently do not have symptoms and are unaware that they have any growths at all. A person may realize in retrospect after the genital warts have been identified that these growths had been present for a long time although they thought that they were normal and nothing to worry about.

Q: When do genital warts cause symptoms?
A: Genital warts can cause symptoms if they enlarge, rub against clothing and get irritated or infected. They rarely bleed.

Q: Are genital warts dangerous?
A: Genital warts are generally not dangerous. The vast majority of genital warts are caused by low risk strains of HPV. 90% of these strains are specifically associated with the low risk HPV 6/11 strains. Genital warts can on occasion be caused by the high risk HPV 16/18 strains, which do have the potential to progress into precancerous or cancerous growths.

Q: Can any genital warts be caused by high risk strains?
A: A very small percentage of growths presenting as genital warts are caused by high risk strains. In addition, 10% -20% of genital warts are caused by mixed infections which are caused by high and low risk strains.

Q: Are genital warts contagious?
A: Genital warts are usually highly contagious.

Q: Is there any way to visually tell whether the genital warts are made up of high risk or low risk strains?
A: The genital growths associated with the high risk strains are called bowenoid papulosis. Bowenoid papulosis lesions are usually smaller and fewer in number compared to genital warts caused by the low risk strains. The genital growths associated with the low risk strains tend to be greater in number, larger in size, and are highly contagious. The only way to document with certainty whether the growth contains high or low risk strains is to do a biopsy and to get HPV DNA typing.

Q: What percentage of cases of genital warts are associated with high risk strains that look like they may be more aggressive?
A: A study was performed where several thousand cases of genital warts in men whose female partners had an HPV infection were biopsied. 6% of the biopsies showed microscopic signs consistent with squamous cell carcinoma (bowenoid papulosis). The vast majority of these biopsies contained the high risk strains.

Q: What should I do if I see new growths in my genital area?
A: You need to be evaluated by your doctor, have them treated and use protection at all times. You need to be mindful of the fact that condoms do not protect against those areas not covered by the condom. In addition, condoms can break, can ride up against the shaft of the penis and leave the base of the penis exposed. Nonetheless, condoms represent the best barrier method of protection currently available.

Q: Can I do nothing if I have genital warts and just wait to see if they go away?
A: Most genital warts go away on their own without treatment. Although you can always wait and see what happens, you need to be mindful that there are potential downsides associated with doing nothing.

Q: What is the downside of not treating the genital warts and waiting to see if they go away on their own?
A: Genital warts are highly contagious. There is a chance that they will spread to new previously uninfected areas on the patient, resulting in an even more extensive infection covering a larger surface area. The infected patient will now have a greater chance of infecting their partner, require more treatment sessions and may experience more recurrences of the infection.

Q: How will not treating the genital warts affect my partner(s)?
A: You may infect your current and/or future partner(s) during the time that you are waiting to see if the warts will go away on their own. The greater the number of growths and the larger the area involved will result in a greater risk of infecting a partner. The new locations where the infection spread will become additional future sources of asymptomatic infection even if the visible growths go away or the infection may progress into larger genital warts.

Q: How would I know if I had a mixed infection consisting of both high and low risk strains?
A: The only way to know whether you have high or low risk strains is to have the growth(s) biopsied and to have your doctor request that HPV DNA typing be done on the specimen.

Q: Where can genital warts occur?
A: The more common locations where genital warts can occur include the penis, vulva, vagina, anus, rectum, buttocks, groin, pubic area, thighs and on the lower abdomen.

Q: What are the most common low risk strains?
A: The strains of HPV are referred to by number rather than by a name. The two most common strains of low risk HPV are 6 and 11 (6/11). These two strains represent 90% of the all the low risk genital strains which exist.

Q: What is the medical term for genital warts?
A: Condyloma acuminata.

Q: Can low risk strain ever turn into a cancer?
A: Low risk strains cannot change their chemical structure and turn into high risk strains. The chances of a low risk strain turning into cancer are very low. 10% -20% of genital warts are mixed infections which include both high and low risk strains. The high risk strains in the mixed infection can cause cancerous or precancerous growths.

Q: How frequently will an HPV infection result in genital warts?
A: 1% of HPV infections result in genital warts.

Q: How often does cancer of the penis occur in men?
A: Cancer of the penis is rare in the United States. When cancer of the penis does occur, it almost invariably occurs on an uncircumcised man.

Q: Can genital warts lead to cervical cancer?
A: Genital warts generally do not lead to cervical cancer. 90% of genital warts are caused by the low risk HPV strains 6 and 11, which have a very low risk of progressing into a cancer of the cervix.

Q: What are “mixed” infections?
A: Up to 20% of infections are “mixed infections” which may contain both high and low risk strains of HPV. Although some of the growths detected may look like classical genital warts, they may also be harboring the high risk 16 and 18 strains.

Q: Can genital warts lead to other types of cancers?
A: High risk strains in genital warts can grow into cancers of the anus,, rectum, oropharynx , penis, cervix, vulva and vagina.

Q: Are there any circumstances under which a genital wart can become a cancer?
A: A classic genital wart that is a mixed infections containing both high and low risk strains of HPV can progress into a cancer or pre-cancer. Women and men with mixed infections need to continue to be monitored.

HPV TOPICS