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

HIM (HPV In Men) Study

HIM (HPV In Men) Study

Among females, what is the age of peak seropositivity for HPV vaccine types?

The peak seropositivity for HPV vaccine types is in women 30-39 years of age and is approximately 40% according to data compiled by both the United States and Australia. The antibody levels decrease after that age.

Do the antibody levels of HPV vary by race and ethnicity?

Non-Hispanic blacks have the highest seroprevalence amongst both females and males. There was, however, no significant difference by race/ethnicity for HPV 16 seroprevalence amongst females.

How does seroprevalence of any HPV vaccine type among males compare in the United States versus Australia?

Seroprevalence types for HPV vaccine types were higher in Australia reaching 32% (at 40-49 years) compared to 18% (at 50 – 59 years) in the United States.

How does the incidence rate of HPV compare in women versus men?

There is a higher incidence of HPV in men when compared to women.

How does the median time for clearance of HPV 16 compare with that of other high risk HPV types?

The median time to clearance of HPV 16 is nearly 2 x longer (approximately 12 months) compared to that of HPV 18 (approximately 6 months). The longer median clearance time of HPV 16 compared to 18 has been observed to occur in women as well as men.

How does the number of exposures that men have to HPV affect their antibody level?

Higher exposures (e.g., a large number of sexual partners) may require in men to produce an immune response that gives them more protection against subsequent infections. Observation has been made that the clearance of HPV infections is increased in men who have a greater number of lifetime partners.

Is decreased exposure to HPV an explanation for why men have a lower prevalence of antibodies to HPV then women?

Men have a lower prevalence to antibodies to HPV than do women despite the fact that men have higher genital HPV prevalence. Those men who do have a certain amount of HPV antibodies have titers (levels) that are much lower than women.

What are the importance seroprevalence findings in men?

Seroprevalence is highest for HPV 16, a person who has antibodies for all four types, and seroprevalence is higher amongst females than amongst males.

What are the limitations of interpreting antibody level data?

HPV antibody level data has limitations of interpretation of cumulative exposure. Only approximately 60% of people exposed to HPV actually generate antibodies, and the antibody levels can tend to wane and go down over time.

What behavioral factors are associated with increased antibodies against HPV?

Lifetime number of sexual partners is a strong predictor for positive antibody levels in men.

What factors are associated with increased chance of HPV antibodies in men?

Age and lifetime number of sexual partners is associated with positive antibody levels in men.

What factors are associated with positive antibody levels in women?

Age, lifetime number of sexual partners and positive level are significant risk factors for positive HPV antibody levels in women.

What happens to the clearance of HPV infections in men as they get older?

There is a faster clearance of high risk HPV infections in men with increase in age.

What is one of the practical uses of data showing that few females or males are exposed to all HPV vaccine types?

The fact that most people are not exposed to all four HPV vaccine types indicates that traditional people may be ultimately protected HPV infections.

What is the explanation for the faster clearance of high risk HPV DNA strains in men as they get older?

The more rapid clearance noted in older men might be related to a higher prevalence of HPV antibodies in older men.

What is the HPV risk in women as they get older?

The risk of HPV decreases with increased in age in women.

What is the practical use for the statistical data on the prevalence of antibodies against HPV in men?

Data about the incidence of clearance of HPV infection in men is essential for the development of realistic cost/-effective ________ of male HPV infections all over the world.

What is the relative of the usefulness of antibody level data (serologic data) in male versus female?

Serologic data for males may be less useful than those in female whose lower seroconversion rates because fewer men generate antibodies after infection and men demonstrate the presence of antibodies for a shorter period of time (antibody persistence) which makes the interpretation of men cumulative exposure over a lifetime more challenging.

What is the risk for acquiring HPV in men as they get older?

Men have a stable risk for acquiring a new HPV infection throughout their lifetime.
In a study of men in the United States, the incidence of HPV infection was constant with the age range of 18-44 years of age. The incidence of HPV infection is also found to be constant in men age 18-70 years old living in Brazil, Mexico and the United States.

What is the role of the HPV vaccine in men if they are not naturally producing persistent antibodies on their own to natural infection?

Men continue to be at high risk for acquiring new HPV infections throughout their lifetime. Then the vaccination of men at ages over the current guidelines (up to 26 years of age) might be warranted.

What percentage of women age 16-25 years old have antibodies to more than one of the four vaccine types before they got the vaccine ?

Only 17% of women were seropositive to over one HPV strain.

Why are there lower seroprevalence (level of antibodies) in men against HPV than there are in women?

HPV infections of the keratinized epithelium of the skin on the penis generates a lower and weaker immune response that infection of mucosal epithelium such as in the cervix or in the anal canal.

Why do men not generate as much of an antibody response to HPV even though they may be exposed to HPV more frequently?

HPV infection of keratinized epithelium in men may be less likely then an infection in the mucosal surfaces (such as in the anal canal) to introduce an immune response. In addition, the lower antibody levels in men may be because the duration of infection in men is shorter and the antibodies are less likely to develop after exchanging an HPV infection. The differences in the persistence of antibodies are a contributory factor. In men and women who had approximately equal rates of acquisition of high risk HPV 16, a lower percentage of males than females were seropositive six months after they acquired in the infection (39% versus 62%).

Why is there a lower level of HPV antibodies in men versus women?

The lower seroprevalence among men is probably due to differences in immune response induced by HPV infection rather than to lower infection rate. There is actually a higher prevalence of HPV among men than women.

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