Dr. Carolina Lucena Fernandes

Dr. Carolina Lucena Fernandes diagnoses and treats a wide range of skin, hair, and nail conditions, including:

Acne, Rosacea & Follicular Disorders

• Keratosis Pilaris: A common, harmless condition causing small, rough bumps on the skin, usually on the upper arms, thighs, cheeks, or buttocks, due to keratin buildup in hair follicles.
• Hormonal Acne / Adult Female Acne: Acne linked to fluctuations in hormones, often presenting in adult women along the jawline, chin, and neck, and may persist beyond teenage years.

Inflammatory & Immune-Mediated Skin Conditions

• Rosacea (Erythematotelangiectatic, Papulopustular, Phymatous, Ocular): A common skin condition that causes redness, visible blood vessels, flushing, and sometimes small, red, pus-filled bumps on the face. Can also affect the eyes.
• Cutaneous Lupus Erythematosus (Discoid, Subacute, Acute): Skin manifestations of lupus, an autoimmune disease, which can range from scaly, disc-shaped lesions to widespread rashes triggered by sun exposure.

Nail Disorders (Onychopathies)

• Paronychia (Acute & Chronic): Inflammation or infection of the skin fold around the fingernails or toenails, causing redness, swelling, and pain. Can be acute (bacterial) or chronic (often fungal or irritant-related).
• Nail Psoriasis: Psoriasis affecting the fingernails and toenails, causing pitting, discoloration (oil drop sign), thickening, onycholysis (separation from bed), and subungual hyperkeratosis.

This list is not exhaustive. For personalized advice regarding your specific dermatological condition, please consult with Dr. Carolina Lucena Fernandes.

• Skin Cancer Screening & Mole Mapping (Dermoscopy & Digital Monitoring): Thorough examination of the skin for suspicious lesions, including moles and other growths. Utilizes dermoscopy for enhanced visualization and may involve digital mole mapping for high-risk patients to track changes over time.
• Psoriasis & Psoriatic Arthritis Management (Topical, Phototherapy, Systemic, Biologics, JAK inhibitors): Comprehensive management of psoriasis (plaque, guttate, pustular, erythrodermic) and associated psoriatic arthritis, using topical treatments, narrowband UVB or PUVA phototherapy, oral systemic medications (e.g., methotrexate, cyclosporine), and advanced biologic therapies or JAK inhibitors targeting specific immune pathways.
• Cryosurgery (Liquid Nitrogen Treatment for Pre-cancers & Benign Lesions): Application of extreme cold (liquid nitrogen) to destroy benign (e.g., warts, seborrheic keratoses) or precancerous skin lesions (e.g., actinic keratoses).
• Phototherapy (Narrowband UVB, Broadband UVB, PUVA, Excimer Laser): Controlled administration of specific wavelengths of ultraviolet light to treat various skin conditions such as psoriasis, eczema, vitiligo, and cutaneous T-cell lymphoma.
• Nail Surgery (e.g., Ingrown Toenail Removal/Matrixectomy, Nail Biopsy, Tumor Excision): Surgical procedures to treat painful or diseased nails, including permanent correction of ingrown toenails or removal of nail unit tumors.
• Sclerotherapy for Spider & Small Varicose Veins: Injectable treatment (e.g., with polidocanol or hypertonic saline) to eliminate small, unsightly veins (telangiectasias and reticular veins) primarily on the legs.
• Electrodessication & Curettage (ED&C) for Superficial Skin Cancers & Benign Lesions: Surgical procedure to scrape away superficial skin lesions (e.g., some BCCs, SCCs in situ, warts) and cauterize the base.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Lucena Fernandes for care relevant to your specific condition. Coverage for services varies; medically necessary treatments are typically covered by provincial health plans, while cosmetic procedures are usually self-pay.

All medical and surgical services (if applicable) are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant dermatological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

The practice is situated within the Centre hospitalier universitaire de Sherbrooke, Service de dermatologie, in Sherbrooke's Fleurimont East neighborhood. The facility is a vital part of the Centre hospitalier universitaire de Sherbrooke (CHUS) - Fleurimont, serving as a specialized dermatology unit within this major medical center. Accessible via public transit, including the Société de transport de Sherbrooke (STS), the location is designed to accommodate patients with mobility challenges, as the facility is wheelchair accessible. Parking is available at or near the facility, ensuring convenient access for all patients seeking dermatological care in Sherbrooke.

Are consultations and dermatological treatments with Dr. Lucena Fernandes, a Dermatologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Dermatologist like Dr. Lucena Fernandes, diagnostic procedures (e.g., skin biopsies), and treatments for provincially insured skin conditions (e.g., psoriasis, severe eczema, skin cancer, infections) are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor is in place. Purely cosmetic procedures (e.g., Botox for wrinkles, most laser hair removal, fillers for aesthetic enhancement) are typically not covered and are self-pay. It's crucial to discuss coverage specifics for any proposed treatment with Dr. Lucena Fernandes's office or Régie de l'assurance maladie du Québec (RAMQ) beforehand, especially if there's a potential cosmetic component.

Do I need a referral to see Dr. Lucena Fernandes, a Dermatologist?

Yes, for medically necessary dermatological care covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an ER doctor for an acute issue) is almost always required to see a Dermatologist such as Dr. Lucena Fernandes. This ensures coordinated care and that your visit is appropriate for specialist assessment. Some dermatologists may offer consultations for uninsured cosmetic services without a referral, but these would be a direct cost to you. Always check with the clinic regarding their specific referral policy.

Dr. Lucena Fernandes mentioned biologics. What are they for skin conditions?

Biologic medications are a newer class of treatments for moderate to severe inflammatory skin conditions like psoriasis, eczema (atopic dermatitis), and hidradenitis suppurativa, when other treatments haven't been effective enough. Unlike traditional systemic drugs that suppress the broader immune system, biologics are proteins engineered to target very specific parts of the immune system that cause inflammation in these diseases. They are usually given by injection (either by Dr. Lucena Fernandes's office or self-administered at home) or intravenous (IV) infusion. Dr. Lucena Fernandes would discuss the specific biologic, its benefits, potential side effects, and monitoring requirements if it's a suitable option for you.

When should someone consider seeing a Dermatologist like Dr. Fernandes?

A referral to a Dermatologist like Dr. Lucena Fernandes is often recommended by a family physician for: any new or changing moles or skin growths; persistent or severe skin rashes (e.g., eczema, psoriasis) not responding to initial treatments; severe or cystic acne; chronic hives; significant hair loss or scalp disorders; problematic nail conditions (e.g., persistent fungal infections, unusual changes); suspected skin infections; or for expert skin cancer screening, especially if you have risk factors like a personal or family history of skin cancer, numerous moles, or significant sun exposure. Early consultation can be key for effective management and diagnosis.

What are some common medical procedures a Dermatologist like Dr. Fernandes performs?

Dermatologists like Dr. Lucena Fernandes perform a variety of diagnostic and therapeutic procedures. Common medical procedures include skin biopsies (punch, shave, or excisional) to diagnose conditions, cryosurgery (freezing with liquid nitrogen) for warts or precancerous spots (actinic keratoses), surgical excision of skin cancers or benign lesions like cysts and atypical moles, intralesional injections (e.g., for keloids or alopecia areata), and prescribing specialized topical or oral medications (including biologics or immunosuppressants for complex conditions). Many dermatologists also offer phototherapy. Dr. Lucena Fernandes can discuss specific procedures relevant to your condition and may have subspecialty interests influencing the range of procedures offered.

If Dr. Lucena Fernandes recommends phototherapy, what does that involve?

Phototherapy, also known as light therapy, is a medical treatment where your skin is exposed to specific wavelengths of ultraviolet (UV) light under strict medical supervision. Dr. Lucena Fernandes might recommend it for conditions like psoriasis, eczema, vitiligo, or cutaneous T-cell lymphoma. Treatments are typically given 2-3 times a week in a specialized light cabinet or with a handheld device for smaller areas. The type of UV light (e.g., Narrowband UVB, PUVA) and treatment duration are carefully controlled. It works by reducing inflammation and slowing down the rapid growth of skin cells. You'll be given specific instructions, including eye protection.

What are the general risks and benefits of cosmetic procedures Dr. Lucena Fernandes might offer?

The benefits of cosmetic procedures offered by a qualified Dermatologist like Dr. Lucena Fernandes can include improvement in skin appearance, texture, tone, reduction of wrinkles or scars, and enhanced self-confidence. However, all procedures carry some risks. Common risks for minimally invasive cosmetic treatments (like injectables or lasers) can include temporary redness, swelling, bruising, pain, or itching at the treatment site. Less common risks might include infection, allergic reaction, changes in skin pigmentation, or unsatisfactory results. More invasive procedures have different risk profiles. Dr. Lucena Fernandes will discuss the specific risks, benefits, and expected outcomes of any proposed cosmetic procedure in detail during your consultation to help you make an informed decision.

Centre hospitalier universitaire de Sherbrooke, Service de dermatologie
580 rue Bowen S
Sherbrooke, QC J1G 2E8

Phone: (819) 346-1110 | Fax: (819) 822-6732

The facility is wheelchair accessible.

Dr. Lucena Fernandes is a licensed Dermatologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician is typically required for consultations with Dr. Lucena Fernandes for medically necessary services covered by the provincial health plan. Cosmetic consultations may have different requirements.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=14013