Dermatology in practice - 2006


Comment: Travelling male seeks Virgin with GSOH
Neil H Cox
pp 4-4
There was a time, not that long ago, when this editorial column used to contain an occasional little dig regarding the quality and timekeeping of trains on my regular journeys to the metropolis. I, of course, was not the only person having a little dig – somewhere out there on the West Coast line there was a fluorescent-jacketed person also having a little dig of the literal spade and hole variety, and causing chaos in the process. And guess what, he’s still out there somewhere.
An introduction to the Skin Disorders Specialist Library
Douglas Grindlay and Hywel Williams
pp 6-9
If you are looking for a single, high-quality source of evidence-based information on skin disorders and their treatment, then visit the National Library for Health (NLH) Skin Disorders Specialist Library (www.library.nhs.uk/skin). Here, online 24 hours a day and free of charge, you will find up-to-date and quality-approved resources, including guidelines, systematic reviews, reference materials, patient information, and a wide range of other clinical and non-clinical web resources to help you in your work as a dermatology healthcare professional.
A patient’s experience of biologicals for psoriasis
Anne Thorrat and A David Burden
pp 10-12
Jane was 52 years old and had suffered from psoriasis since the age of three. She had seen many doctors and had received many treatments for her severe skin disease. No treatments had been effective without producing significant side-effects. She fulfilled the severity criteria to start biological therapy – her baseline Psoriasis Area and Severity Index (PASI) was 21 and her Dermatology Life Quality Index (DLQI) was 26.
Common dermatological problems in childhood
Christina Williams and Shernaz Walton
pp 14-16
This article reviews the most common skin disorders seen in children and outlines an approach to their management. School years bring exposure to a wide variety of infections, such as measles, chickenpox, impetigo, warts, molluscum contagiosum and scabies. Impetigo is the most common cutaneous bacterial infection in children and is due either to streptococci or staphylococci, or both. It characteristically presents as easily ruptured blisters, which leave areas of yellow crusted exudate, usually affecting the face and limbs.
A guide to using dithranol
Neil H Cox
pp 18-22
In a discipline that some view as a Cinderella specialty, dithranol is probably the Cinderella treatment. Competition with newer, cleaner treatments creates a danger that dithranol could fall by the wayside even though, when used properly, it can be highly effective. Dithranol (‘anthralin’ in the USA, ‘cignolin’ in parts of Europe) is one of the oldest treatments for psoriasis, with numerous poorly understood effects on DNA production and mitotic rate, cyclic nucleosides, arachidonic acid and glycolytic enzymes in the skin.
Practising dermatology in a military context
Neill C Hepburn
pp 24-26
Dermatology in the military has some distinct features. It combines clinical practice with occupational medicine. It can vary from hospital- based clinical practice to operational deployments around the world, where working and living conditions are basic and uncomfortable. Skin disease is common in the military population, particularly during operations, where one in five personnel may have some form of skin disease.
Monk's moments: Enough is enough
Barry Monk
pp 27-27
I have been a consultant at Bedford Hospital for 19 years, and in that time I’ve grown rather attached to the place. The hospital serves the surrounding towns and villages over a fairly scattered rural area, with a total catchment population of nearly 300,000 people. I may be biased, but I think that our hospital is a pretty good one. Two years ago, we were awarded a three-star rating, so officially we were one of the best hospitals in the country; not only that, the books balanced. Now we face catastrophe with a projected financial deficit of nearly £16 million.