Dermatology

The dermatology department at Allergy Asthma Foundation cares for the skin, hair and nails. We look after common problems such as eczema, acne and psoriasis, check moles and other lesions for skin cancer, and treat conditions that overlap with allergy, such as hives and contact dermatitis. Dermatologists, specialist nurses and, for procedures, a minor-operations team work together.

Every AAF centre offers same-week outpatient review, on-site dermoscopy and skin-surgery lists, and a fast pathway for lesions that need to be seen quickly.

Conditions we care for

The department manages a wide range of skin problems, including:

• Eczema and dermatitis, including contact and hand dermatitis
• Psoriasis, from limited patches to widespread disease
• Acne, rosacea and scarring
• Moles, and lesions that are new, changing or worrying
• Skin cancers and pre-cancerous spots
• Hives (urticaria) and angioedema
• Skin infections, including fungal, bacterial and viral
• Hair loss and scalp conditions
• Nail problems and pigmentation disorders

Tests and treatments

Assessment

• Full skin examination with dermoscopy of moles and lesions
• Skin biopsy under local anaesthetic when a diagnosis needs confirming
• Patch testing for suspected contact allergy
• Swabs and scrapings for infection
• Blood tests where a skin condition points to an internal cause

Treatment

• Prescription creams, ointments and medicated shampoos, with clear instructions on how much and how often
• Tablet treatments for moderate to severe acne, eczema and psoriasis
• Phototherapy (light treatment) for psoriasis, eczema and some other conditions
• Biologic therapy for severe psoriasis and chronic hives
• Minor skin surgery to remove lesions, with the sample sent for examination
• Cryotherapy for warts and sun-damage spots

What happens at your first visit

1. The dermatologist asks how the problem started, how it has changed and what treatments you have already tried.
2. Your skin is examined, often more widely than the area you came about, using a dermatoscope for moles.
3. A biopsy, patch test or swab is arranged if it will help the diagnosis.
4. You are given a clear explanation and a written treatment plan, including how to use each cream.
5. A follow-up or discharge back to your family doctor is arranged.

How to prepare for your appointment

• Come with the affected skin free of make-up, nail varnish or heavy moisturiser so it can be seen clearly.
• Bring the creams and tablets you are using now, and note what has and has not helped in the past.
• Take photographs of any rash that comes and goes, so the team can see it at its worst.
• For a suspected work-related rash, note the materials you handle and whether it improves on days off.
• If patch testing is planned, avoid sunbathing and steroid creams on the back for the week before.

Care alongside other departments

Skin problems often connect with the rest of the body. We work with the allergy and immunology team on eczema, contact allergy and hives, with rheumatology and general medicine when a rash reflects an internal condition, with paediatrics for childhood eczema, and with the laboratory and histopathology teams who examine every skin sample we take.

When to seek help sooner

Ask to be seen promptly if you notice:

• A mole or spot that is growing, changing colour or shape, itching or bleeding
• A sore that has not healed after a few weeks
• A rapidly spreading, painful red area of skin with fever
• Widespread blistering, or skin peeling in sheets
• A severe flare of eczema or psoriasis that is not settling with your usual treatment

Questions patients ask

Do I need a referral?

No. You can book a dermatology consultation directly. Clear photographs and a list of treatments already tried help the dermatologist a great deal.

Are steroid creams safe to use?

Used correctly, for the right length of time and on the right area, they are safe and effective. Your dermatologist will show you how much to apply and when to step treatment up or down.

Will a biopsy leave a scar?

A small biopsy leaves a fine mark that usually fades. The team will tell you where the sample will be taken and how to care for it afterwards.

To arrange a review with the dermatology team at your nearest AAF centre, book online or request a callback and our coordinators will help.