expert type icon EXPERT

James Contestable

Dermatologist

Dr. James Contestable is a dermatologist practicing in Jacksonville, NC. Dr. Contestable specializes in skin care. Dermatologists evaluate and manage both common and uncommon skin conditions. These conditions include acne, psoriasis, warts, skin infections, atopic dermatitis, herpes simplex and more. Dermatologists are also experts in more complex skin diseases like impetigo, hidradenitis and milaria. Dr. Contestable diagnoses skin problems and develops unique treatments plans for each individual patient.
16 years Experience
James Contestable
  • Camp Lejeune, NC
  • University of Florida
  • Accepting new patients

Is it a cyst?

It is possible you have pilonidal cyst disease, hidradenitis suppurativa, and PCOS - they are common to have concurrently. Please see a board certified dermatologist as they can READ MORE
It is possible you have pilonidal cyst disease, hidradenitis suppurativa, and PCOS - they are common to have concurrently. Please see a board certified dermatologist as they can help you greatly and help you improve your health and quality of life. Best, Dr. Contestable

Possible eczema?

Get a biopsy - need to rule out pagets disease. See a Dermatologist.

Bump on forehead?

You should get it examined by a dermatologist. Better to know if its a skin cancer or not. Best, JJC

My daughter has a rash

It’s probably erythema ab igne if she has had a heating pad there or some other heat source present at the site. If not you should see a board-certified dermatologist soon. That READ MORE
It’s probably erythema ab igne if she has had a heating pad there or some other heat source present at the site. If not you should see a board-certified dermatologist soon. That type of appearance can be vasculitis or vasculopathy which is important to have evaluated.

Sudden Hair Loss

Unfortunately, in your case, no one can give you a correct treatment plan without examining the scalp and sometimes other tests hair pull, hair mount, trichoscopy, and/or biopsy. READ MORE
Unfortunately, in your case, no one can give you a correct treatment plan without examining the scalp and sometimes other tests hair pull, hair mount, trichoscopy, and/or biopsy. You should look for a good board certified dermatologist comfortable with scalp disease.

Itchy red bumps on fingers?

Dyshidrotic eczema can be caused by a number of issues/causes.

See a board certified dermatologist for treatment and help with identifying
the cause.

Best
JJC

Scaly legs

Hard to say without a photo but I would Imagine it is dry skin - ichthyosis vulgaris. Use NO soap over the arms and legs. After the shower use a nice thick moisturizer. If this READ MORE
Hard to say without a photo but I would Imagine it is dry skin - ichthyosis vulgaris. Use NO soap over the arms and legs. After the shower use a nice thick moisturizer. If this isn’t helping try “wet wraps” where you put on the moisturizer and then a damp cloth such as long sleeve shirt or pants - pajamas. If that’s doesn’t help - see a board certified dermatologist. Wishing you the best.

Rash on my arm?

Please try to see a board-certified dermatologist for help. Looks like you are suffering quite a bit. An MD/DO Dermatologist would be able to help.

Best,
JJC

I have these spots showing up all over my body

It's not PR or tinea. Its low likelihood to be anything bad but seeing a board certified dermatologist in person would likely lead to a specific diagnosis. A visit with a dermatologist READ MORE
It's not PR or tinea. Its low likelihood to be anything bad but seeing a board certified dermatologist in person would likely lead to a specific diagnosis. A visit with a dermatologist would likely only cost 100 dollars or so (without insurance) - just call ahead and ask. I think a lot of folks think that doctors somehow cost an arm and a leg - we charge less than a dentist, and less than most who are artisans or tradesmen(women). Less than a visit to your local mechanic, plumber, or electrician.

Possible hair loss?

You should try to see a board certified dermatologist to evaluate your hair. There are many reasons for hair loss and only an expert can truly help with deciphering why you are READ MORE
You should try to see a board certified dermatologist to evaluate your hair. There are many reasons for hair loss and only an expert can truly help with deciphering why you are experiencing loss.

I have been suffering from all over itchiness on my body and scalp. I don’t see any bugs or nits. I have a crawling sensation with a stinging and b...

Make sure you are seeing a board certified dermatologist. They can get to the bottom of your issue - if not switch to a different dermatologist and find one that can. You will READ MORE
Make sure you are seeing a board certified dermatologist. They can get to the bottom of your issue - if not switch to a different dermatologist and find one that can. You will find a solution to your problem.

Cracked lips

Vaseline light coat overnight.

Best,
JJC

Does scratching cause hyperpigmentation?

That can certainly happen. Start with sun protection which is the most important then consider medications that have hydroquinone. Over the counter consider vitamin C. Best JJC READ MORE
That can certainly happen.

Start with sun protection which is the most important then consider
medications that have hydroquinone.

Over the counter consider vitamin C.

Best
JJC

What is this?

More than likely a milia.

Typically requires needle or scalpel to open and evacuate

Best
JJC

Dermatologist question?

You will be seen soon. It can be tough but try not to worry. Lots of moles have different colors. Good decision to go see an expert to ensure you get evaluated.

Cyst removal?

There are lots of different “injections” / medications that we can use for anesthesia (numbing). I would ask which ones you have had before - consider a different one. Also just READ MORE
There are lots of different “injections” / medications that we can use for anesthesia (numbing). I would ask which ones you have had before - consider a different one. Also just let them know to give it time to wait. Usually takes about 15 minutes to fully set. Also, don’t get a removal when it’s red and inflamed. It is an acidic environment and therefore the anesthesia does not work well. In my experience, many patients demand to have a cyst removed while it is red and inflamed - not a good time.

Are these stretch marks?

Those are not stretch marks. They could be a sign of vasculitis. You need to see a dermatologist ASAP. Blood work and biopsy need to be done.

Hope all goes well,
JJC

Concerning the repetitive use of anti-fungal?

You are fine to continue using it. Your derm should have told you that it was a chronic problem and would require continued use to prevent it. And this is totally safe to do - READ MORE
You are fine to continue using it. Your derm should have told you that it was a chronic problem and would require continued use to prevent it. And this is totally safe to do - based.

I have skin irritation?

See a Board-certified dermatologist. If those have been there for two years without going away they may need a biopsy.