Alan Kling M.D. - Dermatologist Dr. Alan Kling is a nationally renowned, board-certified dermatologist who practices both general and cosmetic dermatology. Dr. Kling is a recognized expert in the field of HPV (human papillomavirus) infections and is active in teaching, research, and the evaluation and treatment of patients with this condition.
1000 Park Avenue New York, NY 10028
NEW YORK, 1000 Park Avenue New York 10028 New York
Alan Kling M.D. - Dermatologist
Dr. Alan Kling is a nationally renowned, board-certified dermatologist who practices both general and cosmetic dermatology. Dr. Kling is a recognized expert in the field of HPV (human papillomavirus) infections and is active in teaching, research, and the evaluation and treatment of patients with this condition. Dr. Kling is an excellent doctor. He always takes the time to answer questions and cares about his patients, which is very unusual these days. His staff are very nice and waiting time is minimal. I've been to Dr. Kling 3-4 times now. Each time, I was seen promptly and Dr. Kling was thorough in his analysis and objective in treatment. Prognosis and treatments were explained in plain, easy-to-understand English. Office is very clean. Recommended. Dr. Kling is great. I have been seeing him for over a year and every visit has been helpful and a pleasent experience. I will continue to see Dr Kling going forward. Dr. Kling was mean at first but i continue to see him. In retropect, he wasnt being mean, he was being a doctor. In todays society we are quick to judge without thought. Thats why we usually feel regret. This doctor put me in my place and he needed too. I usually ignore followups but one thing Dr. Kling does is shows he cares. This man is very busy but very kind and commpassionate as he never makes you feel your alone. Gives you personal stories too relate and in 6 months ive kept all my appointments. Although i dont want to be in this position, Dr. Kling makes the process fun. Thank You. Dr. Kling is a terrific doctor. He treated my condition with expertise and accuracy, and my skin problem was resolved within a few days. I was really nervous when I first came to see him, but he quickly allayed my concerns and put me at ease by explaining the reasons for my rash and how he was going to treat it. He was kind, compassionate and I felt he fully understood why I was so scared. Dr. Kling's staff was very friendly and reminded me of my appointment day and time two days in advance. The office was elogant yet welcoming. I would highly recommend Dr. Kling to my family and friends. Excellent dr explained everything in detail. Highly recommend. The Dr. Arten was very helpful he took care of my situation. I would reommend this place for any one that has a skin problem. His staff was great as well nice and kind people. They took care of me very quick. Dr. Kling is an excellent physician whom I recommend for treating any dermatological ailment. He was very diligent in helping me obtain relief in a moment in which my disease was severely affecting my health and well being. His staff was also superb, very polite and like the Dr. Kling showed a high level of professional when interacting with me and assisting in the medical procedures that I required. They are the best!! Doctor Kling is wonderful. I am extremely happy with my results and would definitely recomend him to family and friends. I have been a patient for over 20 years. The best doctor Excellent physician! I love how my skin looks! Efficient and takes time to explain process amd symptoms. Very thorough and clear. Good experience. Dr. Kling is very knowledgeable and understands my needs. He explains what is doing and why, and a brief history of my condition. I would recommend him highly. Dr Kling is an excellent doctor, very professional and kind. His stuff is great, friendly and efficient. Dr.Kling is the is the best dermatologist i have been to the pimples on my face was aweful.Now i am happy with the result. i would recomemd him to anyone who has a problem with there skin. thank you Dr. Kling to let me feel good about myself again. I have been a patient of Dr. Kling for over two years and can give an unqualified recommendation of his care and services. He is a very focused and professional physician. His office staff is also highly competent and easy to work with. Additionally, I have found dr. Kling's availability to be very good. Dr. Alan Kling is an outstanding Dermatologist. I have been seeing him over 10 years. His office staff is excellent. He is available at all times if you have any emergency call. He is one of the top physician in his area of expertise. I am happy to share my good experience in this rating/review. Dr. Alan kling is one of the finest physicians in manhattan. Courteous, professional and caring. Michael hirsch Dr Kling has been my attending physician for many years now. His professionalism and "bedside manner" has helped me through many challenges. I highly recommend Dr Kling and his wonderful friendly, efficient staff to anyone who may need the services he provides. Dr Kling has been my attending physician for many years now. His professionalism and "bedside manner" has helped me through many challenges. I highly recommend Dr Kling and his wonderful friendly, efficient staff to anyone who may need the services he provides. Dr. Kling is an exceptiionally skilled and knows his field. His stlye is comforting and reassuring. All of this is reflected in his staff which is personable and professional. I will recommend him without hesitation. Dr. kling is very thorough and knowledgeable. I trust him and have high respect for his services. Dr. Kling is the best dermathologist I ever have. I have being his patient for over 15 years and I am always very satisfied for the service I receive from him. I highly recommend Dr. Kling to all my friends. Dr. Kling has been my doctor for a long time. He is very helpful . I am satisfied with his services. Dr. cling was very accomadating and made a uncomfortable visit to the office very relaxed. I felt very welcomed and it was a not nearly as bad as i originally anticpated. I d strongly recomend Dr Cling to anyone with any dermatogogy concerns or issues. Dr. Kling is phenomenal! He is extremely knowledgable and effective. I recommend him to all of my friends & family. Over the last year my skin has made a great improvement and it is all thanks to Dr. Kling.
Rating: 4 / 5 stars

HIGH AND LOW RISK STRAINS. SITE SPECIFICITY

Q: I heard that there are lots of different kinds of HPV. What does this mean?
A:
There are over 200 different strains of HPV and they are site (or location) specific. There are certain strains that grow on the hands (hand warts), others that grow on the feet (plantar wart) or on the face (face warts). The strains that grow in the genital area are called genital warts.

Q: What does the term site-specific mean?
A:
The term site specific means that each of the different many strains of HPV grows better in certain areas of the body compared to others.

Q: Can you give an example of different HPV viruses being site specific?
A:
There are over 40 different types of HPV which occur in the genital area. These genital strains will generally not grow well in other parts of the body. The risk of the strains that cause genital warts growing on the hands, which touch the genital area every day, is low. The strains of HPV that cause hand warts, which are very common and are caused by completely different strains than those that cause genital warts, thrive in the environment on the hands but are unlikely to grow in the genital area despite the frequent contact that occurs between the hands and the genital area.

Q: What are the chances that the strains most frequently associated with hand warts may infect the genital area and cause cancer?
A:
Although there is a very small chance that a hand wart can grow in the genital area, the chances of that wart going into a cancer are zero. The strains that most frequently cause hand warts cannot evolve into a cancer.

Q: Can the strains that cause hand warts grow in the genital area?
A:
Yes they can, but this is not common and it is unlikely. The different strains of the virus are site (location) specific, so it would be unusual for an infection from hand or foot warts, for example, to spread to the genital area. The strains of HPV that cause hand warts do not grow well in the genital area.

Q: What are the more serious problems that HPV infections can cause?
A:
HPV infections have been associated with cancers of the cervix, vulva, vagina, penis, anus, rectum, and the oropharyngeal area (tonsils, tongue, roof of the mouth, back of the throat).

Q: How can I tell whether genital warts contain high risk strains?
A:
The only way that you can know for certain what strains are in the genital wart is if a sample is forwarded to the lab for a DNA test.

Q: How can I tell whether my infection contains high or low risk strains?
A:
A biopsy first needs to be obtained and forwarded to a laboratory in order to confirm whether an HPV infection is present. The physician can then request that the laboratory do typing to tell which strains of the infection are present.

Q: Are there any other ways to tell what strains of the virus that I have?
A:
A biopsy is the definitive test in both a man and a woman. Women can get a Pap smear as a screening test and can then get typing done on swabs from the cervix in order to tell whether high or low risk strains are present. Men at risk can get swabs from the rectal area. Blood and urine tests for HPV are not effective.

Q: Can you tell from how the genital warts look whether they are high or low risk?
A:
Genital warts associated with the low risk strains are more likely to be large, more numerous, rapidly spreading and are highly contagious. High risk strains are more likely to present in few numbers and as small, sometimes inconspicuous-appearing growths.. The only accurate way to tell whether they are high or low risk is to do an HPV DNA test.

Q: So the good news is that genital warts are more extensive in size and number, are more contagious, and look more funky but are not dangerous because they contain the low risk strains, and that the bad news is that the smaller warts may be less contagious
A:
Yes.

Q: What are the most common high risk strains?
A:
The most common high-risk strains are 16 and 18 (16/18), which together represent approximately 70% of the high-risk strains which occur in the general population.

Q: What is meant by the terms high risk and low risk strains of HPV ?
A:
Genital HPV infections are referred to as being either high risk or low risk strains. The presence of high risk strains places a person at a higher risk of developing a cancer or precancerous condition. The presence of low risk strains is associated with annoying and highly contagious conditions like genital warts but is not associated with an increased chance of getting cancer.

Q: What kind of conditions are associated with the high risk strains?
A:
The high risk strains of HPV have been associated with cancers or precancers of the cervix, vulva, vagina, anus, rectum, penis and the oropharygeal area.

Q: What kind of conditions are associated with the low risk strains?
A:
The low risk stains are associated with genital warts and do not have any potential to progress into a cancer.

Q: What are “mixed infections”?
A:
Mixed infections are areas or growths that contain both high and low risk strains. Approximately 10% -20% of genital warts are so-called “mixed infections.” The high risk strains in these mixed infections can progress into more aggressive cancerous and precancerous conditions. An HPV infection that is made up of predominantly low risk strains can still contain the potentially more aggressive high risk strains.

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