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Dermatology

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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 - Strep/Staph, cellulitis, impetigo; chronic - TB, leprosy, syphilis.
Fungal - dermatophyte (tinea), candidiasis, pityriasis versicolor.
Infestation - scabies, pediculoses.
Immunologically mediated - pemphigus, bullous pemphigoid, dermatitis herpetiformis, 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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