Dermatology in practice - 2015

Comment: It’s the stories that make it interesting
Neill Hepburn
pp 23-23
Last week I attended a course offered by The King’s Fund; yes, you have guessed correctly, it was about medical management in today’s NHS. Medical management is often referred to as the ‘dark side’. We learned a little about finance, a bit more about the difficulties of governance, and an awful lot about the difficulties all clinicians involved in medical management face. It was the stories and experiences shared that made the course worthwhile.
The updated BAD guidelines on squamous cell carcinoma in situ
Ashish Sharma and Frances Humphreys
pp 24-26
Squamous cell carcinoma in situ, also know as Bowen’s disease, is an intraepidermal form of skin cancer. Around 3–5% of lesions progress to invasive carcinoma. Lesions typically present as well-demarcated, erythematous hyperkeratotic plaques with an irregular border. Dermoscopy shows the overlying scale and glomeruloid vessels, while histology from a biopsy specimen demonstrates full-thickness epidermal dysplasia.
Dermoscopy: an introduction
Neill Hepburn
pp 28-31
Dermoscopy is the surface microscopic examination of the skin using a simple hand-held device. Over the past 20 years, it has become established as a useful diagnostic tool and, in skilled hands, it has been shown to improve diagnostic accuracy. Originally intended for the assessment of pigmented lesions, it is now used in a wide variety of conditions.
Essential Medical Dermatology Course
Agnes I Otto
pp 34-35
This was a three-day course organised by the British Society for Medical Dermatology for dermatologists and GPs with a special interest in dermatology wishing to refresh their knowledge of severe inflammatory skin diseases and the cutaneous manifestations of systemic disease. The course covered atopic eczema, difficult psoriasis, immunobullous diseases, hidradenitis suppurativa, dermatomyositis and lupus, skin infections, drug eruptions, sarcoids and pyoderma gangrenosum, and there were sessions relating to specific medical areas such as renal disease and gastroenterology. In all, a broad and fascinating programme.
What is new in contact dermatitis?
Nicholas J Collier and Ian H Coulson
pp 36-39
Contact dermatitis (CD) often has a significant adverse impact on patients’ quality of life. Many substances can give rise to CD, and their identification and avoidance is key to its resolution. New exposure risks continually arise due to changes in living and working conditions, new products and product reformulations. Allergic CD in children is common and appears to be increasing.
What I tell my patients about Mohs micrographic surgery
Arif Aslam, Anand Patel and Sandeep Varma
pp 40-42
Mohs micrographic surgery is a highly specialised, state-of-the-art technique used for the treatment of complex skin cancers. It is named after Dr Frederick Mohs, who developed the procedure in the 1930s, when he was a medical student at the University of Wisconsin, USA.