Skin Conditions

What is it– This is an inflammatory disorder of the pilosebaceous follicles.  It varies from person to person from mild to moderate to more severe forms of acne. 

Who is affected– This condition mainly affects younger adults during puberty. 

Usually it clears up as your age progresses, however, sometimes you can experience it earlier or later in life which results in adult acne.  This is more common in women than men.

Site- Usually affects the face , chest, back and shoulders.

Symptoms- Acne can present in many ways include the following:

  1. Blackhead formation (open comedones) – small spots black or yellow in colour
  2. Whitehead formation (closed comedones) – small spots with whiter appearance
  3. Nodules- larger more painful lumps
  4. Cysts- large fluid filled lumps
  5. Pustules- inflamed bumps that feel sore, with a white or yellow head, caused by pus
  6. Papules- small red or pink inflamed bumps.

Treatment- Treatments depends on the severity of your acne.  You can buy acne treatments over the counter,  but if your acne is more severe then it can be treated with a variety of medications ranging from topical preparations through to antibiotics and retinoids.  Sometimes it may be necessary to refer you to a skin specialist called a dermatologist to discuss further treatments. 

If you would like to discuss acne, book online now for only £28 for same day consultation and referral.  Or if you feel you do not need to speak to one of our GP’s go to the MyConsult and MyDoc will provide you with a same day referral letter for only £15.    

For further information on acne see the following links below

Acne – NHS (www.nhs.uk)

Acne | Patient

What is it – This is a chronic relapsing skin disorder which can cause flushing and redness and can be worsened with alcohol, sun exposure, spicy foods, smoking, increasing age, emotional stress and exercise as well as certain medications.

Who is affected- Mainly affects fair skinned people

Site- Chin, nose, cheeks and forehead it can also be associated with eye conditions such as blepharitis and conjunctivitis.

Symptoms- Facial erythema, telangiectasia, papules, pustules or nodules, skin thickening and oedema.  Sometimes the eyes can become infected which can cause blepharitis, conjunctivitis or keratitis.

If you think you are suffering with this condition, MyDoc will be able to help in the diagnosis and provide the best treatment solution. 

Treatment- This usually depends on the severity of the condition.  Our team will discuss lifestyle advice  and topical treatments with some cases requiring antibiotics. 

To find out more information you can visit the following links below 

Rosacea – British Skin Foundation

Rosacea – NHS (www.nhs.uk)

Rosacea | Symptoms and Treatment | Patient

 

What is it- This is a condition that results in either reversible or irreversible hair loss.   

Hair goes through a cycle and loss of hair can be a normal process.  As well as increasing age and the usual male and female pattern baldness, environmental factors such as emotional stress, anxiety, trauma (telogen effluvium) as well as anaemia, hypothyroidism, poor diet, polycystic ovaries and autoimmune conditions (alopecia areata) all result in hair loss.   

Other conditions such as burns, radiation, inflammatory conditions such as lupus, lichen planus and even shingles can cause hair loss which is more permanent known as scarring.

Site– Scalp and facial hair- it can be localised or spread over a large area (diffuse)

Who is affected- Both men and women can suffer hair loss. 

Symptoms– Scarring, redness, sudden loss of hair, thinning of hair, patches of hair loss, loss of eye brows, facial hair, eyelashes.

Treatment- This condition usually will depend upon the cause of the hair loss.  But generally, can range from topical creams, shampoos, as well as hair pieces, and surgery. 

If you are worried about hair loss then book an appointment online and one of our GP’s can help you and in some cases further tests may be required and onward specialist opinion may be needed.

For more information online here are a few websites 

Hair loss – NHS (www.nhs.uk)

Alopecia Areata | Hair Loss | Causes & Treatment | Patient | Patient

Alopecia UK

 

What is it- The most common insect bites and stings in the UK include wasps, bees, mosquitoes, hornets, bedbugs, flees and horse or black flies.  The way your body responds can depend on the insect involved.

Site- Any part of the body is affected 

Symptoms- Itchy lump or rash around the bite or sting and can range from blisters to large urticarial wheals.  In addition there also may be some bruising around the site from the itch, and redness around the site. 

Usually symptoms resolve after a few days but if yo have breathing difficulties, feeling wheezey, dizziness, fever, vomiting, headache or joint aches and pains you should call a doctor immediately by calling 111 or dialling 999.

Treatment- Usually the symptoms resolve after a few days with simple measures such as ice packs, avoid scratching, cold compress and antihistamines, or topical creams from over the counter. 

Sometimes prescribed medication is needed, and our GPs are able to diagnose and manage the condition by an online video consultation.

Book now for only £28. 

For further information see the links below

Insect bites and stings – NHS (www.nhs.uk)

Insect Bites and Stings | What to do | Treatment & Advice | Patient

What it is- This is a skin condition that affects the deeper layers of the skin which can spread rapidly.

Site- Mainly the lower legs but also can affect the face and the eyes.  It affects all ages and both genders and needs to be treated quickly.

Symptoms – Sudden onset of red painful hot tender skin that develops rapidly with swelling.  It can be associated with fever, feeling generally unwell, hot and cold shakes, sometimes there can be blisters of varying sizes.   If this condition is not dealt with rapidly it can lead to serious complications including sepsis. 

If you experience fever, vomiting, hot and cold chills, headaches, dizzy spells and palpitations you must immediate call 111 or attend your nearest AE department as this will indicate the infection is starting to spread.

Treatment- General management such as a cold compress, elevate the affected limb and appropriate pain killers. 

Usually the condition requires a short course of antibiotics and topical treatments. This is something Mydoc can help with so please contact one our doctors and arrange an online appointment for only £28 and we are able to issue you antibiotics the same day and send to your preferred pharmacy.

For further information see the link below – 

Cellulitis Infection and Erysipelas | Causes and Treatment | Patient

Cellulitis – NHS (www.nhs.uk)

What is it- This is a chronic skin condition also know as dermatitis. 

Site- Affects any parts of the body with the site and knowledge of occupation, hobbies help to ellucidtae the cause. 

Who is affected– Children and infants usually develop the commonest type of eczema called atopic eczema whereas adults are more susceptible to contact dermatitis.

It can be associated with asthma or hayfever. 

Symptoms– Scratching and rubbing of itchy skin especially in skin creases such as folds of the elbows knees as well as the neck and ankles.  General dry skin, itchy, redness, small blisters that can sometimes ooze.  Sometimes with chronic eczema it can result in cracked skin.

Treatment- There is no cure for eczema.  The main stay of treatment is to avoid any trigger factors such as irritants or detergents like shampoo, cleaning products.  Bathing could require substitute soap with an emollient.  Keeping nails shorter, using products to hydrate the skin.

The use of regular emollients are the mainstay of treatment however, sometimes stronger creams are needed to treat this condition and our GP’s can advise you on which topical steroid preparations would be most appropriate. 

In severe case, eczema can result in secondary bacterial infection which will require antibiotics oral or topical due to the scratching and breaking the skin causing bleeding and infection risk.

However, in resistant forms of the condition a referral to a specialist will be needed.

For more information see the link below which also gives further information on the causes of itchy skin.

Atopic eczema – NHS (www.nhs.uk)

Pompholyx – NHS (www.nhs.uk)

Discoid eczema – NHS (www.nhs.uk)

Eczema | Causes and Treatment | Patient

Itchy skin – NHS (www.nhs.uk)

What is it- This is a skin condition that results from an infected hair follicle that develops into small inflammatory papule or pustule which is caused by Staphylcoccus Aureus.

Who is affected- Anyone can become affected

Site- Can affect any part of the body including the scalp, arm, legs, armpits and buttocks.

Symptoms- The condition can present with small red yellow papules/ pustules which can be itchy and painful (pimples)

Treatments- You can treat this condition at home without the intervention from a doctor.  For example reduce shaving and warm water compresses to sooth the area keeping it clean, avoid harsh products on your skin after shaving, use medicated hair shampoos or emollients with an antibacterial agent in them.  If all this fails then consult MyDoc and one of our GP’s can discuss further treatment options as a variety of topical agents and oral antibiotics may be required.  

See below some references for further reading 

Folliculitis & Pseudo-Folliculitis | Prevention, Treatment | Patient

Ingrown hairs – NHS (www.nhs.uk)

What are they- The word Tinea means fungal.  There are many fungal type of infections. 

Site- They commonly affect the skin, hair and nails.  

Symptoms– They can be single or multiple red or pink, flat or raised ring shaped patches of varying sizes which usually enlarge outwards.  They have a typically active red scaly edge with a clear central area and can be anywhere on the body.   Common forms include corporis (body), Cruris ( groin), Pedis (footlike athelets foot), Capitis (scalp) and Ungium (known also nail infections).

Treatment- General management can help avoid or stop reoccurring fungal infections.  These include avoid excessive sweating and keeping the body folds e.g. groin, between the breast, or toes all dry or avoid walking bare foot in changing rooms. 

Usually fungal infections are easily treated with topical creams, but sometimes also require tablets also and in the worst cases then a skin scrapping or sample will be needed.

Our doctors can tell you which antifungal medicine needed and  how much antifungal medicine to use, and how often. If you need a prescription, they can write one for you straight after your appointment and send it to you by email or first-class post. You’ll then be able to collect your medicine from a pharmacy of your choice.

Below is useful link to further medical information regarding fungal infections.

Intertrigo (Rash in body folds): Causes, Images, and More — DermNet (dermnetnz.org)

Athlete’s Foot | Symptoms, Treatment and Medication | How to avoid | Patient

Ringworm (Tinea Corporis) | Symptoms and Treatment | Patient

Fungal Nail Infections and Toenail Fungus | Treatment and Causes | Patient

Athlete’s foot – NHS (www.nhs.uk)

Ringworm – NHS (www.nhs.uk)

What is it- This is a condition caused by the Herpes Simplex Virus.  There are two types HSV1 and HSV 2.  They can result from being stressed, tired, and can be related to close contact transmission.

Site- Herpes can affect any part of the body.  However most commonly affects the mouth, eye and genitals. 

Symptoms– Feverish, Tired, Itchy blister rash which can also be painful and sore and red.

Treatment– This includes general measures such as avoid sharing facial towels, close contact and avoid scratching.

You can buy topical creams from your local pharmacy but for more severe infections you will require prescribed medication. 

Sometimes the herpes virus can affect your eyes and lead to severe complications. Please book online if you have any concerns or need further medication attention.

Below are some useful resources for more information

Herpes Viruses | Doctor | Patient

Herpes simplex eye infections – NHS (www.nhs.uk)

Cold sores – NHS (www.nhs.uk)

What is it- This is a chronic skin condition mainly affecting the face and nose of redness and can become irritable and difficult to hide.

Site- Mainly the face nose and cheeks

Symptoms – Facial redness such as flushing and can be intermittent lasting a few minutes or can become persistent redness, spots (pustules or papules) dry hard rough skin, burning sensation, noticeable small blood vessels near skins surface surface, hard rough skin, and can result in compliactions called rhinophyma which is a bulbous appearance of the nose. 

Complications- Hardening swelling and lumpy appearance of the nose and eye involvement causing irritation, blurry vision, itching, light sensitivity or small blood vessels on the eye lid.

Treatment- usually avoiding factors that can trigger the condition such as sunlight, stress, alcohol or caffeine.  Repeat treatment is usually needed over many years with prolonged courses of topical creams or oral antibiotics. 

Rosacea can be mistaken for many different types of skin conditions so it is vitally important to speak to a doctor to confirm the diagnosis with some cases requiring referral onward to a specialist dermatologist.

See below links for more information

Rosacea – NHS (www.nhs.uk)

What it is – Caused by the scabies mites (Sarcoptes scabiei).  It as a fairly common skin condition that anyone can catch.  The mites bed and burrow into your skin, usually through your hands, and then spread through your body.   As scabies mites do not jump nor fly, infection can only be passed on by direct skin contact. That is why it is fairly common for several family members to have scabies at the same time. It is also commonly passed on when having sex.

Symptoms – Usually symptoms appear 4 to 6 weeks after infection with intense itching as the classic symptom.  You will usually get small burrows in-between fingers along the wrists and ankle.  There will be usually a red blotchy lumpy rash with silvery like lines on the affected area and the scratching can lead to a secondary skin infection. 

Treatment – Usually a topical cream is required with everyone in the family also requiring treatment. If confident that you have scabies then the creams are available to buy from the pharmacy however if unsure please book to speak to one of our GPs. 

Useful links see below

Scabies | Symptoms, Diagnosis and Treatment | Patient

Scabies – NHS (www.nhs.uk)

Scabies if left untreated will never resolve. 

What is it- A common skin condition with well defined red patches and flaking or the  skin.

Symptoms- Usually affects the face such as eyelids, around the nose, ear canals as well as the scalp.  It can also affect the creases such as armpits and groin areas.  The rash is red in nature with itching and flaking of the skin. 

Images of this skin condition can be found at www.dermnetnz.org.

Treatment- This usually involves topical creams, ointments and antifungal shampoos as well as antihistamines.  Management such as avoid irritants and soaps can also help alleviate flare up and symptoms of the condition. 

Book online now to speak to a doctor to get the best advice for further management of the condition. 

For further information see below the link attached 

get-file.ashx (bad.org.uk)

Dandruff | Seborrhoeic Dermatitis | Patient

 

 

What is it– An infection caused by the Herpes Zoster Virus.  It is the reactivation of the lying quiet (latent) chickpox virus that can be dormant in the nerves.  Once reactivated results in a rash within the localised skin area supplied by that nerve. 

Site- Skin and Eye

Symptoms – Before the onset of the rash, you usually experience something called the prodromal phase whereby the affected area develops abnormal skin sensations and pain. 

It can be either stabbing, burning or throbbing. Sometimes it is associated also with a headache, generally feeling unwell and less commonly a fever.  Within 2-3 days a blistery like rash appears which can be painful, itchy or tingling in nature . The blisters can then burst and crust over within 7 to 10 days.

Treatment– This usually includes pain relief, calamine lotion and topical treatments and antiviral medication.  Although shingles itself is not serious it can result in complications such as pain, secondary skin infections and also the virus can infect the eye. If you have concerns regarding the complications from the virus please get in touch with our GP by booking online. 

For further information see the following link 

Shingles – NHS (www.nhs.uk)

Shingles (Herpes Zoster) | Symptoms, Causes and Treatments | Patient

 

 

What is it- An abscess is a large collection of fluid filled pus that can develop anywhere on the body. They are caused by bacterial infections and can resolve on their own.

Site- Anywhere on the body

Symptoms-Large red tender sore swelling which results from a collection of pus beneath the skin.  Can sometimes be associated with fever and feeling generally unwell with associated chills and sweats.  Sometimes, an abscess can also form within the body itself.  

Treatment- Some abscesses can resolve on their own with a warm compress however a course of antibiotics may also be required.

Our highly trained doctors can decide if this is needed, and prescribe the antibiotics during an online consultation. 

However, in some cases you may need to be referred for abscess drainage.  

Book online now if you would like to speak to one of the MyDoc team.  

Further information can be found below

Abscess – NHS (www.nhs.uk)

What is it- This is a collection of rashes and blisters that can result after the exposure to an allergen.

Site– Affects any part of the body caused by exposure to allergens like nickle, latex, sunlight, and clothing. 

Symptoms- Usually skin allergies result in rashes that can be examined and identified by looking at it. For example, a red raised itchy rash known as hives and often causes itching, or red blistery like rash found in contact dermatitis.  Sometimes in the more extreme cases of skin allergy lips, face and tongue can swell a condition known as angioedema which if occurs YOU MUST DIAL 999 and attend your nearest Accident and Emergency Department,

Treatment- The mainstay of treatment is usually to avoid the factors that trigger the reactionOur GPs can offer further advice and if appropriate will be able to prescribe anti histamines for the itch, and consider the need or topical or oral steroids depending on the clinical picture of your allergy.  Our GPs at MyDoc will be able to examine the rash and advise you on the best treatment available. 

 

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