Autoimmune Disorders


Vitiligo is a condition in which your skin loses melanin, the pigment that determines the color of your skin, hair and eyes. Vitiligo occurs when the cells that produce melanin die or no longer form melanin, causing slowly enlarging white patches of irregular shapes to appear on your skin. Vitiligo affects all races, but may be more noticeable in people with darker skin. Vitiligo usually starts as small areas of pigment loss that spread with time. There is no cure for vitiligo. The goal of treatment is to stop or slow the progression of pigment loss and, if you desire, attempt to return some color to your skin.

The goal of therapy is re-pigmentation or creating skin color in the affected areas. Topical steroids, topical immunomodulatory medications, and the excimer XTRAC® laser can all be used to treat vitiligo. Dr. Gold and his providers are experts in the use of the excimer laser and will work with you to determine if this treatment is right for you.

Newer topical medicines, known as Janus Kinase Inhibitors, are under study for the treatment of vitiligo, and this exciting technology may become a breakthrough for many patients in the future.


Hives, also known as urticaria, are batches of raised, red or white itchy welts (wheals) of various sizes that appear and disappear, usually over a 24 hour period of time. While most cases of hives go away within a few weeks or less, for some people they are a long-term problem. Chronic hives are defined as hives that last more than six weeks or hives that go away, but recur frequently. In most cases of chronic hives, a cause is never clearly identified. In some cases, chronic hives may be related to an underlying autoimmune disorder, such as thyroid disease or lupus. While the underlying cause of chronic hives is usually not identified, treatment can help with symptoms. For many people, antihistamine medications provide relief; in many patients, topical or systemic corticosteroids may be needed. And in some, an at-home or in-office injectable medication may be used to control the urticarial outbreaks. Dr. Gold and his staff will work to identify the cause, if possible, and then determine the best treatment to treat this condition.


Morphea is a skin condition that causes reddish or purplish patches on your skin. Morphea is a localized form of scleroderma, a condition that can cause a wide variety of problems, from skin discoloration to difficulty with the normal function of joints and muscles and other connective tissues. The condition typically appears on your abdomen, chest or back. Morphea tends to affect only the outermost layers of your skin. Sometimes, morphea can restrict movement in your joints. Treatment depends on the severity of your condition. With morphea, you may naturally be concerned about your appearance. Dr. Gold and his staff may recommend medications and other treatments to help with your appearance and other symptoms of morphea.

Contact a Dermatologist Today

If you are or a loved one is suffering from an autoimmune disorder, you can find the help you need from the experienced dermatologists at Gold Skin Care in Nashville. To learn more, get in contact with us today by calling 615-383-2400 or filling out our online contact form.