Dermatology

Viral warts

This BMJ Review looks at management options (BMJ 2014;348:g3339). Here we are considering skin warts not oral/genital lesions. Key points Common condition, with 7-12% prevalence in general population, higher in children. Majority resolve spontaneously, but can take years! No treatments are guaranteed to work, therefore side effects and cost should be minimised. Which warts need…
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Molluscum contagiosum

Until now, the best treatment was to do nothing, but could a new drug, MolluDab, offer a cure? This DTB article reviews the evidence (DTB 2014;52(10):110). MolluDab is 5% potassium hydroxide solution applied twice daily with a dabber. An inflammatory response should occur after 4-6d with lesions disappearing over the next 1-5w. It is available…
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Nice | Omalizumab for chronic urticaria

This is a new guideline from Nice recommending that omalizumab can be considered in chronic urticaria. Apparently it is already being used on occasion, though due to cost, it is more common for immunosuppressants like ciclosporin to be used. Omalizumab is preferred because of less need for monitoring. It is not disease modifying and repeat…
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Hyperhidrosis

Aimee Lettis from the GP Update team gives us short, sharp nuggets of clinical information for sessional GPs. I imagine we’ve all been sweating a bit more than usual these past few weeks during this hot humid weather we’ve been having, but imagine being like that, only worse, all the time. Primary hyperhidrosis is probably…
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BASHH | Molluscum contagiosum

This is a new guideline from BASHH. It really looks mainly at genital molluscum contagiosum, but some of the evidence is useful for all forms. Basically most patients should be encouraged to just leave them alone as they go naturally within a few months without normally scarring, which is probably what most of us are doing already.…
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Nice | Pressure ulcers

  This a new guideline from NICE about assessing a patient's risk of pressure ulcers and then for their management. I always feel a bit out of my depth when it comes to this kind of thing and in reality most of this is done by the district nurses, but I think it is important for us…
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Skin cancer prevention

This new guidance really covers common sense stuff about sun-protection whilst also encouraging patients to balance that with the need for sun-exposure to get adequate Vit D     Louise HudmanI’m a salaried GP in Hampshire. NEW! – Use the NASGP CPD templates to record your reflections.
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