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

Natural History HPV Immunogeneral For Cancers Part II

Natural History HPV Immunogeneral For Cancers Part II

Can a woman get cervical cancer if high risk HPV cannot be detected?

A women who is negative for high risk HPV has a negligible risk of developing cervical cancer.

Do high risk HPV strains persistent longer than others in the absence of development of cervical cancer precursor lesions?

There is conflicting evidence whether high risk HPV strains persistent longer than others in the absence of developing precancerous lesions.

Does HIV infection influence persistence of HPV?

HIV infection increases the risk of HPV persistence in all ages.

Does the incidence of HPV infection ever increase?

There is a slight increase in HPV infections in some women who are 50 + years of age.

How often does the persistence of high risk HPV strains occur without the development of CIN 3+ (cervical cancer precursor) lesions?

The long-term persistence of high risk carcinogenic type HPV without the development of cervical precancers is low.

If a woman has high-risk HPV infection, does this indicate that this is going to develop into cancer of the cervix?

The majority of high-risk HPV positive infections clear. The majority of women who have high-risk HPV infections do not develop cancer.

What are the chances of cervical HPV infection at any age progressing to cervical cancer?

Cervical infections of minor cytologic abnormalities (ASCUS= atypical squamous cells of undetermined significance or LSIL= low-grade squamous intraepithelial lesion) usually clear within a few months or years.

What are the established co-factors for invasive cervical cancer?

The best established etiologic co-factors for invasive cancer among HPV-infected women are smoking, long term hormonal contraceptive use, multiparity, and HIV infection.

What are the most important determinants of the risk of cancer in women who are HPV infected?

The most common determinants of risks in HPV infected are women with persistence of infection and being positive for HPV 16.

What are the role of smoking and the role of contraceptives in viral persistence?

Smoking and oral contraceptives most likely support viral persistence.

What are the steps that lead to cervical cancer?

The HPV infects cervical transformation zone (TZ), followed by a viral persistence rather than clearance, progression of the persistently infected epithelium cervical precancer and ultimately invasion.

What is the peak rate of HPV infection in women?

The peak rate of HPV infection in women is in women under 25 years of age and then it declines and plateaus around 30-35 years.

What is the relative importance of the HPV strain versus behavioral co-factors in determining when a woman will develop cervical cancer?

The known behavioral co-factors such as smoking, ________ to determine whether a women develops cervical precancer and eventually cervical cancer are less important then the strain of HPV. Condom use is partially protective for initial infections but it is level in clearance of persistent infections is not clear. Non-Viral Co-Factors for HPV Persistence in Diagnosis of CIN 3+.

What is the role of C-trachomitis infection as a co-factor for persistence in CIN 3+?

The role of C-trachomitis” infection is a co-factor persistence in CIN3+ is controversial. A recent study did not find an association between C-trachomitis and CIN2+ lesions.

What is the strongest factor that influences the persistence of an HPV infection?

Lack of an adequate immune response is the strongest factor resulting in the persistence of HPV infection.

What is the transformation zone (TZ)?

The transformation zone (TZ) is where there is transition of squamous cell to columnar cells.

What percentages of infections in women clear within 6 months?

50% of infections clear up in six months and in a great majority over 90% clear within several years.

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