Skin Health Institute, Author at Skin Health Institute https://skinhealthinstitute.org.au/author/qcnvtlbgg/ Treatment | Education | Research Mon, 14 Aug 2023 23:03:41 +0000 en-AU hourly 1 https://wordpress.org/?v=6.4.1 https://skinhealthinstitute.org.au/wp-content/uploads/2023/02/cropped-shi-favicon-32x32.png Skin Health Institute, Author at Skin Health Institute https://skinhealthinstitute.org.au/author/qcnvtlbgg/ 32 32 Pityriasis rosea and pityriasis versicolor https://skinhealthinstitute.org.au/spot-diagnosis/pityriasis-rosea-and-pityriasis-versicolor/ Mon, 14 Aug 2023 05:17:58 +0000 https://skinhealthinstitute.org.au/?p=21043 In our first episode of season 5, we’re thrilled to present ‘Vignettes of Dermatology’, a fresh series that delves into various aspects of dermatology through concise, focused episodes.   To commence, we’re examining pityriasis rosea and pityriasis versicolor—two conditions with similar names, yet distinct underlying causes.  During this episode, we’ll explore their distinguishing clinical presentations, dissect their differential …

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In our first episode of season 5, we’re thrilled to present ‘Vignettes of Dermatology’, a fresh series that delves into various aspects of dermatology through concise, focused episodes.  

To commence, we’re examining pityriasis rosea and pityriasis versicolor—two conditions with similar names, yet distinct underlying causes. 

During this episode, we’ll explore their distinguishing clinical presentations, dissect their differential diagnoses, and discuss the range of management strategies available for effectively addressing these dermatological conditions.  

Available on Spotify and Apple podcasts

Click the links below to start listening, and don’t forget to rate and review!

Podcasts

SPEAKERS

DR LAXMI IYENGAR

Dr Laxmi Iyengar is a GP and education research fellow at the Skin Health Institute. She is passionate about delivering evidence-based medical education for all medical professionals, promoting health equity and fostering interprofessional collaboration.

A/PROF ALVIN CHONG

Click here for bio. 

Please rate and review this podcast. We would really appreciate your feedback. This will help us to develop Spot Diagnosis for all our listeners.

If you like it, share it too.

Like what you hear? Become a subscriber and get new episodes as they become available. Get access to resources such as transcripts, recommended reading and research papers and earn CPD RACGP points for each episode.

 

 

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Skin Health Institute recognised at ACD ASM  https://skinhealthinstitute.org.au/news/skin-health-institute-recognised-at-acd-asm/ Fri, 02 Jun 2023 07:04:27 +0000 https://skinhealthinstitute.org.au/?p=18507 During the highly anticipated Australasian College of Dermatologists Annual Scientific Meeting (ACD ASM), the outstanding achievements of the dermatology community including several Skin Health Institute (SHI) staff and consultants were recognised.    SHI Consultant Dr Michelle Goh was appointed as the ACD Chief Examination Officer. Registrar Dr Dale Jobson was acknowledged with the Adrian Johnson …

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Skin Health Institute recognised at ACD ASM 

During the highly anticipated Australasian College of Dermatologists Annual Scientific Meeting (ACD ASM), the outstanding achievements of the dermatology community including several Skin Health Institute (SHI) staff and consultants were recognised. 

 

SHI Consultant Dr Michelle Goh was appointed as the ACD Chief Examination Officer. Registrar Dr Dale Jobson was acknowledged with the Adrian Johnson Prize, awarded for the best publication by a trainee in the esteemed Australasian Journal of Dermatology, and Dr Seamus McWhirter and Dr Blake Mumford, who were recognised for their outstanding presentations at the conference.  

 

Congratulations to new ACD President Dr Adriene Lee, who was officially instated at the AGM succeeding Immediate Past President Dr Clare Tait, who has completed her two-year term in the role. 

 

We would also like to extend our congratulations to Dr Adrian Lim, the newly appointed President-Elect of the ACD. 

 

Additionally, we would like to acknowledge the dermatology registrars who have become Fellows of the ACD. 

 

At the concurrent ADNA Conference, our nursing staff also received

well-deserved recognition.


Sue Anderson was honoured with the Excellence in Dermatology Nursing Award, reflecting her exceptional dedication and commitment to providing top-quality care to patients and nurse education.

 

Additionally, Jane Duncan received the Best Poster Award for her poster titled “Overview of Biologic Drugs Prescribed by Dermatologists to Treat Psoriasis in the Adult Australian Population,” showcasing her valuable contributions to dermatology research.

 

 

These achievements not only highlight the excellence of our team but also reinforce our commitment to providing exceptional care and advancing dermatological practices. Congratulations once again to all the deserving award recipients and new Fellows of the ACD. 

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Hidradenitis Suppurativa Clinic https://skinhealthinstitute.org.au/clinics-and-specialist-services/hidradenitis-suppurativa-clinic/ Fri, 02 Jun 2023 05:30:44 +0000 https://skinhealthinstitute.org.au/?p=18480 Clinic Overview The Hidradenitis Suppurativa (HS) Clinic provides specialised management for patients with this condition. This includes the provision of simple procedures in clinic with direct access to plastic surgeons for consultation and completion of more complex deroofing and plastic surgery procedures where appropriate. Patients can also access biologic therapies, other medications as prescribed and …

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Clinic Overview

The Hidradenitis Suppurativa (HS) Clinic provides specialised management for patients with this condition.

This includes the provision of simple procedures in clinic with direct access to plastic surgeons for consultation and completion of more complex deroofing and plastic surgery procedures where appropriate. Patients can also access biologic therapies, other medications as prescribed and clinical trials.

Clinic Schedule

This clinic runs monthly on a Thursday.

Additional resources

Consultants

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John Rogers’ Story https://skinhealthinstitute.org.au/patient-stories/john-rogers-story/ Wed, 05 Apr 2023 04:46:34 +0000 https://skinhealthinstitute.org.au/?p=15280 SHI’s Skin Checks by Dermatologists program – John Rogers’ potentially lifesaving experience   Conscious of several moles on his legs, John was originally referred to the Skin Health Institute in 2020. Fortunately, those suspicious spots did not return any cause for concern at that time, however he was advised to undergo regular checks and make …

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John Rogers’ Story

SHI’s Skin Checks by Dermatologists program – John Rogers’ potentially lifesaving experience

 

Conscious of several moles on his legs, John was originally referred to the Skin Health Institute in 2020. Fortunately, those suspicious spots did not return any cause for concern at that time, however he was advised to undergo regular checks and make note of any changes in his skin.

Late last year, the Skin Health Institute launched the pilot program, ‘Skin Checks by Dermatologists’, that allowed anyone to book in for a skin check without the need for a referral.

Luckily, John was on our patient email list and our announcement did not go unnoticed. He had observed some change in colour to the spots on the back of his hands and made an appointment.

During John’s appointment, our consultant identified a mole on his right flank that he was unaware of. It was recommended for removal, which was subsequently done at the Institute. The biopsy proved positive to a melanoma.

According to the Melanoma Institute Australia patients whose melanoma was detected by their doctor during a routine skin check were 32% less likely to die from melanoma compared to patients who identified their own melanoma.

John describes his skin as having “a lot of moles, which in most cases have been there for a long time.” After the removal of the melanoma, he went to the Alfred Hospital and had a wide incision performed around the initial scar and is now on a program of having checks every 6 months.

Talking about the sun protection John used prior to his melanoma, he reckons he could “write a book.” From the age of 8, he spent all leisure time surfing, swimming, or fishing. “Coconut oil became fashionable in my teens and later we also discovered zinc cream which we used on our nose primarily motivated by the hope that it would stop the peeling.”

In recent years, John’s hobbies have been swimming and golf. “I regularly use sunscreen and the type has been consistent with the evolution of sunscreens from the initial 10 and 15 SPF factors to now I just use 50.”

John is monitoring his skin more closely these days, and as previously stated, he now always uses sunscreen but given his two leisure time activities. “I wear a shirt (SPF approved) more often at the beach. I always apply sunscreen before a golf game and carry sunscreen with me on the golf course.”

John notes that due to his experience, he would come back to SHI for any future skin concerns.

He also thanked us profusely for letting him know about ‘Skin Checks by Dermatologists’. “I had no knowledge that I had an issue but made an appointment which ultimately led to early detection of a melanoma and the removal thereof. Potentially lifesaving.”

We are continuing to take Expressions of Interest for our skin check program. If you are interested, you can fill out our form here. Due to demand, we are looking to increase the number of clinics; however, this is subject to consultant availability.

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ENDOCRINOLOGY AND THE SKIN https://skinhealthinstitute.org.au/spot-diagnosis/endocrinologyandtheskin/ Wed, 05 Apr 2023 01:25:13 +0000 https://skinhealthinstitute.org.au/?p=15201 In this episode we’ll explore the cutaneous manifestations of common endocrine disorders, including polycystic ovarian syndrome, diabetes mellitus, and thyroid disorders. We’ll be covering the cutaneous manifestations of these disorders, why they develop and how they are treated.  Our panel of experts for this episode includes endocrinologist Dr Rosie Worsley and dermatologist A/Prof Alvin Chong. …

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In this episode we’ll explore the cutaneous manifestations of common endocrine disorders, including polycystic ovarian syndrome, diabetes mellitus, and thyroid disorders. We’ll be covering the cutaneous manifestations of these disorders, why they develop and how they are treated. 

Our panel of experts for this episode includes endocrinologist Dr Rosie Worsley and dermatologist A/Prof Alvin Chong.  

Available on Spotify and Apple podcasts

Click the links below to start listening, and don’t forget to rate and review!

Podcasts

SPEAKERS

DR ROSIE WORSLEY

Dr Rosie Worsley is an experienced endocrinologist specialising in women’s hormones and health. Her particular expertise include premenstrual syndrome and PMDD, menopause, polycystic ovary syndrome, and other endocrine conditions affecting women such as osteoporosis, thyroid disorders and diabetes.

 

A/PROF ALVIN CHONG 

A/Prof Chong’s public clinical appointments are Specialist Dermatologist and Director of Dermatology Education at St Vincent’s Hospital Melbourne. He is also the Head of the Transplant Dermatology Clinic at the Skin Health Institute. He has an academic appointment as an Adjunct Associate Professor at the Faculty of Medicine, where he has a profile as an international authority on skin cancers in immunosuppressed patients.

SHI Clinics: Skin Cancer Assessment & Transplant

Please rate and review this podcast. We would really appreciate your feedback. This will help us to develop Spot Diagnosis for all our listeners.

If you like it, share it too.

Like what you hear? Become a subscriber and get new episodes as they become available. Get access to resources such as transcripts, recommended reading and research papers and earn CPD RACGP points for each episode.

 

 

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SHI Occupational Dermatology Clinic turns 30 https://skinhealthinstitute.org.au/news/odrec-turns-30/ Fri, 17 Mar 2023 05:40:37 +0000 https://skinhealthinstitute.org.au/?p=14322 February 2023 saw a significant milestone for the Skin Health Institute’s Occupational Dermatology Clinic as it turned 30! Originally founded by current president A/Prof Rosemary Nixon AM and nurse Kath Frowen, it was initially held at Monash Medical Centre. It then transferred to the then Skin and Cancer Foundation (now SHI) in 2001 when the …

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February 2023 saw a significant milestone for the Skin Health Institute’s Occupational Dermatology Clinic as it turned 30!

Originally founded by current president A/Prof Rosemary Nixon AM and nurse Kath Frowen, it was initially held at Monash Medical Centre. It then transferred to the then Skin and Cancer Foundation (now SHI) in 2001 when the Occupational Dermatology Research and Education Centre (ODREC) was established. Since that time, over 4,300 patients have been patch tested in the clinic, by Rosemary and Drs Jen Cahill and Adriene Lee.

ODREC is Australia’s only occupational dermatology clinic and has created an amazing resource, with few similar occupational dermatology databases elsewhere in the world.

Pictured is an early photo of the ODREC team in 2001, with Rosemary, Thai dermatologist Dr Praneet Sajjachareonpong, Kath Frowen and then Research Fellow, Dr Jacinta Opie.

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Female Genital Dermatoses https://skinhealthinstitute.org.au/spot-diagnosis/female-genital-dermatoses/ Wed, 15 Mar 2023 02:16:58 +0000 https://skinhealthinstitute.org.au/?p=14011 In this episode we’ll discuss vulval skin disorders. We’ll particularly focus on vulval lichen sclerosus, lichen planus, recurrent vulval candidiasis and vulval neoplasias. Our guest experts will discuss how these conditions present, what causes them, how to investigate and how to treat them. Available on Spotify and Apple podcasts Click the links below to start …

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In this episode we’ll discuss vulval skin disorders. We’ll particularly focus on vulval lichen sclerosus, lichen planus, recurrent vulval candidiasis and vulval neoplasias. Our guest experts will discuss how these conditions present, what causes them, how to investigate and how to treat them.

Available on Spotify and Apple podcasts

Click the links below to start listening, and don’t forget to rate and review!

Podcasts

SPEAKERS

DR EMMA VEYSEY

Emma is a general dermatologist with a specialist interest in vulval skin disorders. She works in the multidisciplinary vulval clinic at the Royal Women’s Hospital as well as seeing women with vulval conditions in private practice.

DR HONG TRAN

Dr Hong Tran is a female obstetrician and gynaecologist at Epworth Freemasons.

Hong completed her medical degree at Melbourne University, and trained in Obstetrics and Gynaecology at the Women’s Hospital. She was the Principal Registrar of the Women’s Hospital for two years, and has a broad range of experience in all areas of Obstetrics and Gynaecology. Hong is passionate in women’s health research, and has previously been awarded a prestigious Young Investigator Award, and also a Victorian Travelling Fellowship in heavy menstrual bleeding.

Please rate and review this podcast. We would really appreciate your feedback. This will help us to develop Spot Diagnosis for all our listeners.

If you like it, share it too.

Like what you hear? Become a subscriber and get new episodes as they become available. Get access to resources such as transcripts, recommended reading and research papers and earn CPD RACGP points for each episode.

 

 

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Mycobacterium Ulcerans https://skinhealthinstitute.org.au/spot-diagnosis/mycobacterium-ulcerans/ Tue, 14 Mar 2023 02:27:02 +0000 https://skinhealthinstitute.org.au/?p=13917 In this episode we’ll discuss mycobacterium ulcerans, also known as the Buruli Ulcer or Bairnsdale Ulcer, alongside our special guest, Prof Paul Johnson. We’ll explore its clinical presentation, diagnosis, prevention and treatment.   Available on Spotify and Apple podcasts Click the links below to start listening, and don’t forget to rate and review! Spotify Apple …

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In this episode we’ll discuss mycobacterium ulcerans, also known as the Buruli Ulcer or Bairnsdale Ulcer, alongside our special guest, Prof Paul Johnson. We’ll explore its clinical presentation, diagnosis, prevention and treatment.

 

Available on Spotify and Apple podcasts

Click the links below to start listening, and don’t forget to rate and review!

Podcasts

SPEAKERS

PROF PAUL JOHNSON

      

Paul Johnson is an Infectious Diseases Physician trained at Austin Health, Fairfield Infectious Diseases Hospital and the Royal Children’s Hospital. In July 2020 Paul was seconded from Austin Health to DHHS (now Department of Health) to assist with the control of COVID 19 during the infamous Second Wave. During July and August 2020 Paul was instrumental in creating 6 new regional public health units in Victoria and in December was appointed inaugural Director of NEPHU (North Eastern Public Health Unit) – one of three new COVID focused metropolitan units.

 

Please rate and review this podcast. We would really appreciate your feedback. This will help us to develop Spot Diagnosis for all our listeners.

If you like it, share it too.

Like what you hear? Become a subscriber and get new episodes as they become available. Get access to resources such as transcripts, recommended reading and research papers and earn CPD RACGP points for each episode.

 

 

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Atopic Dermatitis Clinic https://skinhealthinstitute.org.au/clinics-and-specialist-services/atopic-dermatitis-clinic/ Tue, 14 Mar 2023 01:24:10 +0000 https://skinhealthinstitute.org.au/?p=13868 Clinic Overview Our Atopic Dermatitis Clinic looks after adult patients suffering from atopic dermatitis with support from an onsite specialised nursing care team. The clinic provides optimised tailored treatment plans for patients with atopic dermatitis who are candidates for management with currently available therapeutics.It also provides patients with access to the most up to date …

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Clinic Overview

Our Atopic Dermatitis Clinic looks after adult patients suffering from atopic dermatitis with support from an onsite specialised nursing care team.
The clinic provides optimised tailored treatment plans for patients with atopic dermatitis who are candidates for management with currently available therapeutics.
It also provides patients with access to the most up to date clinical trials in atopic disease management if deemed appropriate.

Clinic Schedule

This clinic is held monthly on a Thursday.

Additional resources

Consultants

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Vitiligo https://skinhealthinstitute.org.au/skin-conditions/vitiligo/ Sat, 11 Mar 2023 00:56:56 +0000 https://skinhealthinstitute.org.au/?p=13316 Vitiligo is a human skin condition that turns patches of skin and hair white and affects approximately 1% of the population.  Vitiligo is not painful and does not have significant health consequences; however, it can have emotional and psychological effects. Symptoms Vitiligo signs include: Patchy loss of skin colour, which usually first appears on the …

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Skin Health Institute

vitiligo

Vitiligo is a human skin condition that turns patches of skin and hair white and affects approximately 1% of the population. 

Vitiligo is not painful and does not have significant health consequences; however, it can have emotional and psychological effects.

Symptoms

Vitiligo signs include:

  • Patchy loss of skin colour, which usually first appears on the hands, face, and areas around body openings and the genitals
  • Premature whitening or greying of the hair on your scalp, eyelashes, eyebrows or beard
  • Loss of colour in the tissues that line the inside of the mouth and nose (mucous membranes).

Vitiligo can start at any age, but usually appears before age 30.

Depending on the type of vitiligo you have, it may affect:

  • Nearly all skin surfaces. With this type, called universal vitiligo, the discoloration affects nearly all skin surfaces.
  • Many parts of the body. With this most common type, called generalised vitiligo, the discoloured patches often progress similarly on corresponding body parts (symmetrically).
  • Only one side or part of the body. This type, called segmental vitiligo, tends to occur at a younger age, progress for a year or two, then stop.
  • One or only a few areas of the body. This type is called localised (focal) vitiligo.
  • The face and hands. With this type, called acrofacial vitiligo, the affected skin is on the face and hands, and around body openings, such as the eyes, nose and ears.

It’s difficult to predict how this disease will progress. Sometimes the patches stop forming without treatment. In other cases, pigment loss spreads and eventually involves most of the skin. Occasionally, the skin gets its colour back.

Causes

Vitiligo is thought to be an autoimmune condition that affects males and females of all ages and races. The immune system fights infection, but in vitiligo, it attacks the skin’s pigment cells (melanocytes).

The destruction of the pigment cells results in white spots on the skin and sometimes also the mucosa (lips and genitals) and hair, eyelashes and eyebrows.

It is not an infection, contagious, cancerous or caused by food. It is generally not passed down to children; affected individuals are usually otherwise fit and healthy. 

Unfortunately, there is no way to determine if a person’s vitiligo will progress over time. The condition undoubtedly carries a significant psychological burden for many, which may impact work, life and relationships. Education and increasing public awareness of vitiligo is the sure way to remedy this problem.

Vitiligo is best diagnosed by a dermatologist. The skin assessment in the consulting rooms is all that is required, but occasionally, a skin biopsy is needed to confirm the diagnosis.

While there is no blood test to diagnose vitiligo, blood tests may be ordered to assess for other autoimmune conditions.

Treatments

Although not all patients with vitiligo may opt for or require treatment, various options are available.

The treatment objectives are twofold: to prevent further progression of vitiligo and to stimulate re pigmentation of the white skin patches. However, even if the treatment is successful in restoring skin colour, it may only result in partial, rather than complete, recovery.

Non-cultured Epidermal Cellular Grafting which is a technique that involves taking a thin piece of skin from a hidden area such as the thigh, placing the skin into a test tube or dish and adding a chemical (trypsin) to separate all of the skin cells. A laser is used to remove the top layer of skin from the white area of vitiligo and the liquid suspension of cells is placed onto this site. The patient’s own skin cells then grow into the area and start to re-pigment the skin. As only the top layer of skin has been removed, it heals without scarring. Since the technique involves the patient’s cells, the colour matches the patient’s skin colour and should tan normally.

Steroids creams (cortisone) and non-steroid (e.g., tacrolimus) creams work by dampening down the immune system; i.e., they reduce inflammation. Remember it is an ‘overactive’ part of the immune system that is causing vitiligo.

Ultraviolet therapy is an essential component of vitiligo treatment, even though the depigmented skin patches are more vulnerable to sunburn compared to healthy skin. Most dermatologists provide an artificial form of UV, in ‘light boxes’ which are specially designed to treat skin conditions, including psoriasis and eczema. In the past a form of light therapy called PUVA was used, which also involved taking a capsule before standing in the light box. These days most medical light boxes use so-called ‘narrowband UVB’, which is both safer and more effective than older machines (and different from the UVA light emitted from solarium machines).

UV therapy (including natural sunlight) has the effect of dampening down the immune system in the skin. It may also have the effect of ‘stimulating’ melanocytes to re-pigment the skin.

Other treatment may include:

  • Immune-suppressive therapy
  • Excimer lamp therapy
  • De-pigmentation (skin bleaching)

Resources

For further information, you can visit the following resources:

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