Core Adult Internal Medicine Disciplines

Dermatology

Topics

• Diseases predominantly cutaneous with possible systemic associations:
  • Inflammatory skin disease:
    • Eczema (dermatitis)- atopic, discoid, asteatotic, stasis, seborrhoeic dermatitis, psoriasis, acne/rosacea, urticaria, photosensitivity.
    • Infection/infestation:
    • Viral - warts, herpes zoster/simplex, molluscum contagiosum, HIV, exanthems.
    • Bacterial - acute - streptococus/staphilococus; cellulitis, impetigo; chronic - TB, leprosy, syphilis.
    • Fungal - dermatophyte (tinea), candidiasis, pityriasis versicolor.
    • Infestation - scabies, pediculoses.
  • Immunologically mediated - pemphigus, bullous
    pemphigoid,dermatitisherpetiformis, alopecia areata, vitiligo, acute and chronic cutaneous vasculitis, cutaneous lupus erythematosus.
  • Drug reactions - urticaria, maculopapular eruptions, erythema multiforme.
  • Generalised pruritus.
  • Skin tumours:
    • Benign - seborrhoeic keratoses, melanocytic naevi, dermatofibroma,
      haemangioma and other vascular abnormalities, epidermoid cysts.
    • Malignant/pre-malignant - solar keratoses, Bowen's disease, BCC, SCC,
      melanoma, Kaposi's sarcoma.
• Diseases predominantly systemic with possible cutaneous associations:
  • Systemic malignancy - acanthosis nigricans, dermatomyositis, erythema nodosum, epidermolysis bullosa acquisita, pruritus.
  • Metabolic diseases - diabetes, hyper or hypothyroidism, porphyria, liver/renal failure, androgenization.
  • Immunologically mediated/collagen vascular disease - lupus erythematosus, dermatomyositis, rheumatoid arthritis, polyarteritis nodosum, vasculitis.
  • Inflammatory bowel disease - pyoderma gangrenosum, oral mucosal disease, erythematous nodosum.
  • Dermatological emergencies - disseminated herpes simplex, acute angio-oedema, anaphylaxis, acute allergic contact dermatitis, erythroderma, toxic epidermal necrolysis, pustular psoriasis.

Practical Skills for all Trainees

Skin biopsy.

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