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Dr Art OHagan, Consultant Dermatologist. Skin disease is most prevalent disease in under 16s (1 in 5 babies have eczema) and the second most common disease.

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Presentation on theme: "Dr Art OHagan, Consultant Dermatologist. Skin disease is most prevalent disease in under 16s (1 in 5 babies have eczema) and the second most common disease."— Presentation transcript:

1 Dr Art OHagan, Consultant Dermatologist

2 Skin disease is most prevalent disease in under 16s (1 in 5 babies have eczema) and the second most common disease in adults Each year 24% of the population present to their GP with a skin problem. Skin cancer is the most common form of cancer in the UK and malignant melanoma incidence rates in Britain have more than quadrupled since the 1970s.

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5 Locally agreed clinical care pathways are essential to support equity of access to care, best clinical practice and optimum care outcomes. Agreed care pathways facilitate seamless care for people accessing services.

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7 Severe acne / acne fulminans triaged to Urgent consultant clinic Other cases generally triaged to Nurse led acne clinic (seen by experienced dermatology nurses) and other treatments recommended or counselled and worked up for Isotretinoin Seen at consultant clinic and isotretinoin initiated Nurse specialist clinic should be established soon

8 45% patients discharged from acne clinic 25% required Roaccutane immediately and referred to dermatology consultant 30% given treatment advice and review at nurse led clinic

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18 Benzoyl Peroxide Azelaic AcidAntibacterialsTopical Retinoids CombinationsOther agents Acnecide® gel £5.44 / 30g Finacea®Dalacin T® £ 5.08 / 30mls Differin® Gel £11.40 / 45g Epiduo® gel (adapalene 0.1%, benzoyl peroxide 2.5%) £ 17.91/ 45g Brasivol® ( aluminium oxide 38.09% in fine particles) brevoxyl® cream £3.30 / 40g Skinoren®Zindaclin® £8.66 / 30g Isotrex® gel £5.94 / 30g Isotrexin® gel (isotretinoin 0.05%, erythromycin 2%) £7.49 / 30g Actinac® paste Panoxyl® gel/ cream £1.89/ 40g / lotion/ aquagel Zineryt® £7.71 / 30mls Retin A® cream£5.94 / 30g Aknemycin® gel (tretinoin 0.025%, erythromycin 4%) £7.05 / 30g Nicam® gel Stiemycin® £7.69 / 50mls Duac® gel (benzoyl peroxide 5%, clindamycin 1%) £9.95 / 25g Acnisal® lotion Quinoderm® (BPO 5%-10% potassium hydroxyquinoline sulphate 0.5% ) £1.30 / 25g

19 TetracyclinesAlternative cyclines MacrolidesOther Antibiotics TetracyclinedoxycyclineErythromycinTrimethoprim OxytetracyclineLymecycline Minocycline

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