Dr. John Despain

Dermatology
Columbia, MO
39 years experience male

Locations

Office

Columbia, MO

Address

2011 Corona Road, Suite 207, Columbia, MO
Directions

About

Bio

Medical, surgical, and cosmetic dermatology; private practice; work with another dermatologist and a team of estheticians, nurses, and skilled assistants; dermatopathlogist

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Dermatology

Doctor Q&A

175 Answers
76 Agrees
The number of answers this doctor has agreed with.
A 18-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Tetracycline: Your question sounds like you'd rather take oral meds than apply topicals like benzoyl peroxide ( which is economical and somewhat effective). Oral te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Irritating: Effective for hpv but harsh, use only as the md advises.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Despain
Dermatology 39 years experience
Likely 'baby acne': If the rash is restricted to the face/neck its likely a variant of acne and will not harm the child. In rare cases it can be severe enough to merit m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Varies: This question is so open ended. Hours, days, weeks, months, years- depends upon the cause. Lets get a diagnosis!
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Too many antibiotics: Aczine is a topical antibiotic, no problem there, but i would not take Bactrim (sulfamethoxazole and trimethoprim) and Clarithromycin at same time.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
More than dryness: This sounds like more than dry skin. Really a good value to go to the dermatologist once and get this cleared up.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
No but it can't hurt: Usually we do annual skin checks on folks with a past medical history, or immediate family history of skin cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Contact: Although not usually transmitted by sex, yeast (candida) can be spread by close/intimate contact, be it sexual or just skin to skin in other ways.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Dermatitis/ringworm?: Either eczema (dermatitis) or a skin infection such as ringworm.Start by applying a topical antifungal; if not improved then try Hydrocortisone prior ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Debate: Clindamycin should be fine. Differin, (adapalene) a retinoid, is not advised. There is some debate but you should avoid retinoids.
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Positive: Lack of estrogen causes thin lax skin and delayed healing', replacement helps prevent these things as much as possible. It's a good thing!
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
One side?: Generally speaking if this does not resolve after using Hydrocortisone cream for a week or two you ought to see your primary care md or gyn for evalua... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Painful: Painful, risky, and complications abound.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Despain
Dermatology 39 years experience
Appt: Without an appt it's only a guess. Get checked in the office.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
Nothing major: Nothing major going on here. You are seeing your salivary glands on the tongue more than likely. Could have thrush/a yeast, based upon the white color... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
Shingles?: Suspect it's shingles or some sort of infection, suggest seeing a derm.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Keratosis pilaris: This is a sign you are irritating or over drying your skin. You may need a prescription but most of my pts with this do better if they use gentler pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Vitamin C: Assuming you don't have a bleeding disorder or issue w/your blood count/platelets, you are dealing with easy brusing on the arms/hands we call solar p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Not curable: Its controllable, not curable. Cause is unknown but is is aggrevated by a yeast that lives in the skin. Treatments are medications that inhhibit the y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Location: Location, location, location. Flea bites will occur close to ground, so for most of us that's legs only. Bed bugs anywhere on the body. Both produce i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
None: No risks others than the water bill.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Drug induced acne: Over the counter BP products may help but likely an rx for an antibiotic such as tetracycline is in order here.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Leave it on: Its helpful as a cleanser but moreso if left on the skin. Watch for dryness or irritation however.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Yes: It's safe. But acne meds like that are bet applied to the areas acne breaks out on a daily basis and not spot treatments.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Carbuncles: Sounds like a deep folliculitis and you need medical attention. You'll be thankful you saw a derm.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Dry lips: You'll have to apply something to hydrate dry chapped lips. Aquafor ointment or petrolatum are cost effective. Also, stop anything that may be contrib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Depends upon cause: Address what's causing the disocoloration first. If its acne, address that. Short term use of hydroquinone (prescription) may help even skin color, bu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Angiofibromas: Common harmless growths of collagen and tiny blood vessels.
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Is it really yeast: Well, could be yeast (candida) or something else. Where is it? And what is canastan?
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
See an MD: Get urine tested for blood, if present will need some attention. Topical nitroglycerine paste (rx also) may reduce necrosis. Get some help w/wound car... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
Very unusual: Moveable subcutaneous bumps that can be moved over the entire back would be very unusual but possibly related to the injury. There are movable types o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Ointments: For the money, although messy, an ointment such as petrolatum is best. Then i'd suggest a good cream; don't use a lotion as they contain alcohols that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
Cyst: If its been there for a while and asymptomatic it may be simply a benign common cyst. However if it grows or multiplies it may be a sexually transmitt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Koebner: Some skin diseases, psoriasis being a good example, follow trauma- hence the distribution to elbows, knees, hands, feet. This is called the koebner ph... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
No: I see way this would happen. Think of an injury.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Unrelated : Geographic tongue is a jagged loss of taste buds and not viral nor contagious. Maybe oral psoriasis. Heroes is a common contagious viral infection.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Great question: Unless you are malnourished, what you eat has little to do with nail health. I have seen nails get harder with oral biotin (2.5 gm daily). Don't fal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
Options: There are now many new and effective options to treat psoriasis, so much better than the old options of chasing spots with creams! i suggest seeing a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Not related: I don't see how this could be related to the sex. You may have urticaria now, many causes. Sort through it with a dermatologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. John Despain
Dermatology 39 years experience
Antifungals: Despite the name, its not due to a worm, but due to a fungus that grows in the outer layer of the epidermis that creates an expanding ring of scale an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Mrsa: Getting rid of MRSA requires long course of the correct antibiotic, muni ricin ointment to tip of nose for weeks, dilute bleach baths, and incision/dr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
No risk: This is one of the most common misconceptions about psoriasis. No more risk of infection than of ' normal ' skin.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
Scabies: You are probably right. Get a skin scrape by a derm and a prescription and you'll recover quickly.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
Basic care: Good question. Use a gentle liquid cleanser twice daily. If acne an issue at least once a day use one with salicylic acid ( clarifying). Consider a cl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Skin is thick: Two issues: the disorder is caused by skin thickening, not pigment, so prescription creams that thin the thickened stratum corneum are generally help... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Beaus lines: Interruptions in the nail growth plates cause these horizontal ridges. Usually due to severe illness a few months ago.
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old female asked:
Dr. John Despain
Dermatology 39 years experience
Cyst: Could be a milia, hydrocystoma, or other benign growths vs basal cell. See a derm who may be able to tell without removing it.
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
No: No, i don't know of any way hq could address the acne itself; of course it might help the pigmentation resulting from inflammatory acne outbreaks.
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old male asked:
Dr. John Despain
Dermatology 39 years experience
Lichen planus: Is usually diagnosed visually by derm or a dentist, but in some cases a biopsy is taken, as the skin exam may show confirmatory findings as well, a de... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
389
Thank you notes
HealthTap member
Nov 22, 2012
Answered quickly and it was in his field of expertise and I feel he gave great advice to try instead of just referring me to my own doc.
HealthTap member
Mar 30, 2015
Dr. Despain is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Despain is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This made me feel good. Thanks! I have one line on each of my finger nails. It looks as if a new thicker nail started growing there (its about midway through now) I hate to look at doctor Google but I...Read More
HealthTap member
Thanks for your quick reply! Thank you I'm Joan lee from hongkong , I have a topical psoriasis,, it spread every where , little by little
HealthTap member
Thank you, your answer was very helpful and the quick reply was fantastic. Going to my Dr today and will ask about these.

Education & Training

Medical/Graduate school

University of Missouri - Columbia, MO
Graduated 1984MD

Awards

Top Doctor, Second Place, Columbia Region - Summer
2014
Top Dermatologist , First Place, Missouri - Summer
2014
Most Influential Doctor, First Place, Columbia Region - Summer
2014

Affiliations

DeSpain Cayce Dermatology
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