Why the perianal area is its own specialty.
Perianal skin shares the same biology as skin anywhere else, but with three differences that change how conditions present and treat: it's almost always moist, it's subject to mechanical stress with every bowel movement, and it's a place patients are reluctant to examine closely on their own. As a result, the same condition that would be obvious on a forearm can persist for years in this area before getting properly diagnosed.
Common conditions treated.
Eczema and contact dermatitis
Psoriasis
Seborrheic dermatitis
Fungal and bacterial infections
Hidradenitis suppurativa
Lichen sclerosus and other chronic conditions
How treatment works.
The first visit focuses on getting the diagnosis right. That usually involves a careful exam, a clear conversation about onset and triggers, and (when needed) a quick biopsy or culture — all done in office.
Treatment is then targeted to the specific condition. Many patients benefit from compounded topicals — prescriptions formulated specifically for the perianal area, often combining an anti-inflammatory, and a barrier component in a single application.
For conditions that need systemic treatment (oral medication, biologics, etc.), Dr. Maz co-manages with the patient other specialist when one isn't already involved.