Transcript Document

Welcome & Introduction
Dr Iain Henderson
GP Scotstoun
Hospital Practitioner,
Western Infirmary
Basic Dermatology Day
Importance of skin
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Function – barrier preventing fluid loss &
infection
Organ of sensation, sexuality & social
interaction
Affects body image & self esteem
Influences others’ perception
If disfigured impact can be profound
How much is there?
• 23-33% of population have skin problem
that can benefit from medical care at any
one time
• 54% experience a skin condition in a 12
month period
• 69% self-care
• 14% seek professional advice (82% GP)
Mortality
~ 4600
deaths
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2209 melanomas (2011)
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585 other malignant neoplasms
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1869 other skin disease (2010)
Cost
• 18% of OTC sales - £413.9m UK 2007
(23% pain relief, 19% respiratory)
Year ending March 2009
• 4,516,142 prescriptions (5.23%)
• Average cost per item £7.10 (3.28%)
• Dovobet 10%
Overall cost 2005/06 England & Wales
£1,819million
Overlap with other conditions
• <3000 conditions
• Major systemic diseases
e.g. infectious
vascular
connective tissue disease
diabetes
Prevalence per 100,000
• Skin infections exc. viral exanthemata, scabies
785
• Eczema 413
• Symptoms involving skin 256
• Lesions 172
• Sebaceous gland mainly acne 164
• Psoriasis 69
• Hair 64
• Nails 63
• Urticaria 53
Chronic ulcers 27
Primary care training
• 4/24 medical schools < 5 days
• 56% of GP registrars felt had sufficient
education
• 65% felt they had adequate skills to
assess but only 52% to manage
• Still one of a number of “optional”
curriculum areas by RCGP
Quality & Outcomes Framework
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