Podiatric Dermatology

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Podiatric Dermatology

• Dr Mark Goodfield,
• General Infirmary at Leeds
• Skin Research Centre

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Today

• The common skin diseases on the feet (/- some
  less common)
• What are the alternatives in terms of diagnosis?
• What do dermatologists do?

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Major Skin Diseases

• Seven Major skin diseases make up 80 of all
  dermatology
• Psoriasis
• Eczema
• Infections
• Urticaria
• Rosacea
• Acne
• Actual or potential skin cancer

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Major Skin Diseases

• Remaining 20 is 2500 diseases so the major
  issue is diagnosis.

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The Role of the Dermatologist

• Diagnosis
• Specialist management
• Coordination
• Research and innovation

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Diagnosis?

• Hyperkeratotic psoriasis
• Differential diagnosis
• Eczema? Fungus? T cell lymphoma, Keratoderma
• Why psoriasis?
• Very clearly demarcated, symmetry,Very
  hyperkeratotic, characteristic colour

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Other Patterns of Psoriasis

• Nails
• Pustular disease
• Acrodermatitis continua

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Treatment

• Topical
• Vitamin D/steroid
• Tar/dithranol
• Phototherapy
• Systemic therapy
• Acitretin
• Ciclosporin/methotrexate
• Biologicals

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Complications of Diagnosis

• Sometimes more than 1 disease

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• What is the diagnosis?