Dermatology in practice - 2015


Comment: A burning platform
Neill Hepburn
pp 75-75
The literature on change management often refers to the concept of a ‘burning platform’ to create an awareness of the need for change. The idea is to describe, often in dramatic terms, an urgent or compelling situation to get people’s attention and create a general recognition, and acceptance, of the need for change. This concept has its uses, but it needs to be used judiciously; otherwise, people simply ignore the message.
Update in rosacea management
Anna Chapman
pp 76-80
Rosacea is a common chronic inflammatory skin condition of facial redness (erythema), skin irritation and psychological distress. It affects approximately 10% of the population and, hence, familiarity with the condition and keeping up to date on its therapeutic advances is of general interest to any physician.
Patch testing – a powerful dermatological tool
Penelope Pratsou and Tracey M Finch
pp 81-85
The concept of contact dermatitis, an inflammatory cutaneous reaction to external agents, has evolved through the ages. Concurrently, patch testing, a means of establishing cutaneous allergy to specific agents, has been developed, with constant updates to the allergens tested, based on a continuously developing knowledge base and emerging trends seen in the population. In this article, we review the history of patch testing, detailing how it is performed and which patients would benefit from such investigation.
Interview: Lynne Skrine, president elect of the BDNG

pp 86-88
The team leader of the Bristol Community Health’s dermatology service, Lynne Skrine, has recently been awarded the prestigious role of president elect for the British Dermatological Nursing Group. The group has over 1,500 members, and Lynne will work to raise the profile of the group. ‘I’m over the moon – I don’t think it has sunk in yet!’ said Lynne regarding her new role. Here, she tells us more about the community dermatology service she runs with her passionate specialist clinicians for patients across Bristol, about her career and about her new role.
The 24th EADV Congress
Joost M Meijer and Marcel F Jonkman
pp 89-90
Europe’s biggest meeting on dermatology and venereology, the 24th European Academy of Dermatology and Venereology congress, was held between 7–11 October 2015 at the Bella Center in Copenhagen, Denmark. This year’s conference hosted more than 9,000 participants, and introduced a new format to ensure that all delegates met their professional needs.
Important topics in male genital dermatology
Philip R Doiron and Christopher B Bunker
pp 92-95
Male genital skin disease often causes significant emotional, psychological and physical distress for affected patients. Their self-esteem, self-worth, as well as their personal and intimate relationships can also be affected. The primary goals of assessment and management include diagnosing and treating infections and precancerous dermatoses, along with minimising impact on sexual and urinary function.
Understanding colours and symmetry
Nora Woltsche, Teresa Deinlein, Leila Arfain and Iris Zalaudek
pp 96-98
Dermoscopy is a non-invasive technique that improves the diagnostic accuracy of skin tumours compared to the unaided eye, by allowing the visualisation of structures in the skin, which are not visible to the naked eye. Most dermoscopic structures are well-correlated to specific underlying histopathologic features. This article aims to provide a short overview of the main dermoscopic criteria used for the differential diagnosis of benign and potentially malignant skin tumours.
Monk's moments: Clock-watching
Barry Monk
pp 99-99
In the House of Commons, there is a procedure available to back-bench members of parliament (MPs) with a bee in their bonnet called the ‘Ten Minutes Rule’. This allows them no more than ten minutes to raise any matter of their choice, but the speech is usually made to a near empty chamber, is rarely reported in the press, and is not debated nor responded to by the government. The subject is thus allowed to vanish into thin air, but the MPs have been able to let off steam, and to report back to their constituents that they have ‘raised the matter in parliament’.