Rash Decisions

In this episode of Rash Decisions, hosts Dr George Moncrieff and Dr Roger Henderson delve into actinic keratoses (AKs), also known as solar keratoses. With expert insights, they discuss the nature of these common sun-induced lesions, their role as markers of both UV exposure and damage, along with practical approaches to diagnosis.  Key Takeaways:  How to differentiate AKs from other keratotic lesions, including Bowen's disease, keratoacanthoma and squamous cell carcinoma (SCC) The significance of clinical grading and the concept of "field cancerization" Practical tips for dermatoscopic evaluation and deciding when to refer patients.  Tune in to enhance your understanding of AKs and how the majority can be managed within primary care settings.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   IG: https://www.instagram.com/aproderm/  Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

Your hosts Dr George Moncrieff and Dr Roger Henderson are joined once again by special guest Dr Marina Morgan, Consultant Clinical Microbiologist at the Royal Devon and Exeter Hospital. Together, they explore the fascinating and sometimes alarming world of viral skin infections, covering conditions from glandular fever to tropical viral infections like dengue, chikungunya and Zika, along with the global spread of mpox.  Key takeaways:  Recognising glandular fever and its differential diagnoses, including CMV and acute HIV seroconversion.  How global travel and climate change are impacting the spread of tropical viral infections.  The new dengue and mpox vaccines.  Practical advice for identifying and managing mpox and its implications for patients and public health.  Tune in to gain valuable insights into the complexities of diagnosing and managing viral skin infections.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   IG: https://www.instagram.com/aproderm/  Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are those of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated in or been involved in the programme, materials or delivery of this educational content. 

Dr Marina Morgan, Consultant Clinical Microbiologist at Royal Devon and Exeter Hospital, is back once again, joining Dr George Moncrieff and Dr Roger Henderson in their deep dive into the world of viral rashes.  From Kawasaki disease to Covid-19-related skin issues, the trio explores the complexities of diagnosing and managing these, often misunderstood, conditions.  Key Takeaways:  Recognising the unique characteristics of Kawasaki disease, MIS-C, and toxic shock syndrome. Understanding how Covid-19 can present a wide spectrum of skin manifestations. Practical tips for primary care professionals to help identify urgent cases that require hospital referral.  Tune in for expert insights and practical advice to enhance your dermatological knowledge.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

We've gone viral!   Join Dr George Moncrieff and Dr Roger Henderson as they discuss paraviral rashes, where the rash is an immune response to the virus.   They'll be covering:  Measles Rubella Fifth disease Pityriasis rosea Hand, foot and mouth disease Herpangina  Tune in to hear tips for diagnosis, the available treatment options and some potentially serious complications.  Plus, the two hosts will be discussing why they think the MMR vaccine uptake is falling, resulting in rising cases of measles.   Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

Dr George Moncrieff and Dr Roger Henderson share their wisdom on viral infections. In the first of three episodes on this topic, they'll cover cytopathogenic rashes, where the virus is present in the skin lesion.   Along with sharing their top six viral facts, they'll talk you through:  Viral warts  Herpes simplex infections  Chickenpox  Shingles  Orf  Molluscum contagiosum  For each of these conditions, they'll discuss what the virus is up to, share their experiences on the available treatments and complications that you should be aware of in primary care.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/ Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

In this episode, your hosts Dr George Moncrieff and Dr Roger Henderson are joined by Consultant Clinical Microbiologist Dr Marina Morgan to discuss some of the potentially very serious bacterial skin infections...  Delving straight in with necrotising fasciitis, the trio cover how patients come to get this bacterial infection and, as it's so easy to miss this diagnosis, the signs and symptoms you should be looking out for in primary care.  They then move onto discussing the secrets to diagnosing Panton-Valentine Leukocidin (PVL). Spread by close skin contact, they will be imparting key tips that you can share with your patients to reduce the risk of them passing on this devastating staphylococcus aureus infection.  Ending with Lyme disease, which is now endemic in many parts of the UK, they discuss the likelihood of catching this tick-bourne infection, along with how you should treat someone who presents to you with the associated erythema migrans rash.  But, if that isn't enough, this episode also explores antibiotic resistance, and why primary care physicians should be reserving antibiotics for the more serious infections.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.  Episode Resources:   The Lee Spark NF Foundation Education Video: https://nfsuk.org.uk/education/severe-group-a-streptococcal-infections-leading-to-necrotising-fasciitis/  The Lee Spark NF Foundation: https://nfsuk.org.uk/  Morgan, M. (2005) 'Hospital management of animal and human bites', The Journal of Hospital Infection, 61(1), pp. 1-10.   Morgan, M. et al. (2024) 'Group A beta-haemolytic streptococcal infection in children', BMJ, 385 (8426), doi:  https://doi.org/10.1136/bmj-2023-077561

Can you tell the difference between erysipelas and cellulitis? Or wondered whether you're looking at venous eczema or bilateral cellulitis? Deep bacterial skin infections can be elusive but worry not...  In this jam-packed episode, Dr George Moncrieff and Dr Roger Henderson share their top tips for spotting some common and not so common deep bacterial skin infections along with their differential diagnosis. In just 20 short minutes they will be covering a staggering 17 bacterial infections, including:   Erysipelas  Cellulitis  Venous Eczema  Lymphangitis  Erythrasma  Henoch-Schönlein Purpura  Scarlet Fever  Syphilis  Not only will this episode help you to identify these conditions, but it will also leave you with Dr George Moncrieff and Dr Roger Henderson's tried and tested treatment options.   Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

The human body is outnumbered by bacteria almost 10 to 1, and in general, we live in harmony with them. It's a truly symbiotic relationship, however, what happens when we get an imbalanced microbiome?  In this episode, your hosts Dr George Moncrieff and Dr Roger Henderson will answer just that, as they cover some of the common and rarer bacterial infections seen in primary care. Listen along to hear:   Their top six facts about bacteria How to spot common bacterial infections including, impetigo, folliculitis and furuncles along with the not so common ones like carbuncles, Staphylococcal Scalded Skin Syndrome and ecthyma  Their management and treatment strategies, along with their prescribing choices  General tips and advice for patients  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

In this episode on Topical Steroid Concerns, Dr George Moncrieff and Dr Roger Henderson will educate and upskill you on Topical Steroid Withdrawal, also known as Red Skin Syndrome. They will be sharing their experiences and covering:   What Topical Steroid Withdrawal is? Who it affects Symptoms of Topical Steroid Withdrawal The impact that the healthcare profession has had and is continuing to have by not being alert to this condition What needs to be done urgently to help individuals who are experiencing this devastating condition MHRA updates following the reports to the Yellow Card Scheme  They are also fortunate enough to be joined by Briana Banos, to get a patient-perspective on Topical Steroid Withdrawal. This raw and emotional episode is not to be missed.  Useful resources and links:  MHRA: Topical corticosteroid and withdrawal reactions: https://www.gov.uk/guidance/topical-corticosteroids-and-withdrawal-reactions  MHRA: Topical steroids: introduction of new labelling and a reminder of the possibility of severe side effects, including Topical Steroid Withdrawal Reactions, available at: 

While topical steroids are indispensable in dermatology, understanding their powers and pitfalls is essential for healthcare professionals. Listen along to hear:  The impact of topical steroids on the skin barrier, from the thinning of the stratum corneum to the disruption of the all-important “acid mantle”.  Insights into the accelerated absorption from long-term use and its consequences in the deeper layers of the dermis.  Considerations for children, exploring absorption rates in relation to their body surface area to weight ratio.  How the language we use can increase the risk of poor clinical response and treatment failure.  The statistics around steroid allergies, and how this is often underrecognised.  How the immune suppressing effect of topical steroids can be a real problem in the presence of skin infections. Tune in for valuable insights that balance the power and pitfalls of topical steroids, the dermatological cornerstone for managing so many skin conditions.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.  To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.  Find out more: https://aproderm.com/aproderm-emollient-starter-pack/  LI: https://www.linkedin.com/company/fontus-health-ltd/  Thank you for listening. We hope you find this podcast interesting and helpful, please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions for what you would like to hear about in future podcasts.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

In this third episode of the Rash Decisions melanoma series, Dr George Moncrieff and Dr Roger Henderson guide you through "The Art of Melanoma Spotting" in primary care. They'll upskill you on the essential techniques for early melanoma detection, emphasising the key role of dermatoscopy and mole mapping. Our experts also share their thoughts on UVA and UVB exposure whilst exploring the complexities of sunblock usage, debunking common myths and providing practical advice for you to pass on to your patients.  Tune in to gain the expertise needed to spot early melanomas confidently and improve patient outcomes in your practice.   Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.  Episode Resources:   Reduced Melanoma After Regular Sunscreen Use: Randomized Trial Follow-Up: https://ascopubs.org/doi/10.1200/JCO.2010.28.7078  

Do you use ABCD to diagnose malignant melanomas? You may be contributing to the 84% of obviously benign melanomas that are referred to secondary care. Or even worse, you could be missing over two thirds of melanoma.  Dr George Moncrieff and Dr Roger Henderson scrutinise ABCD in this podcast episode, working through each letter of the acronym to decipher the helpfulness of distinguishing malignant melanomas from benign lesions in primary care and explaining how much more useful E, F and G are.   When you finish this episode you'll feel more confident in your diagnosis with Dr Moncrieff's comprehensive diagnostic criteria. In addition, you'll find out when you need to decide the next steps on a lesion immediately and where you have 3 to 4 months to make a decision. Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  Episode Resources:   Survival with nonmelanoma skin cancer in Germany: https://pubmed.ncbi.nlm.nih.gov/26676514/   The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.   

“Over half of all our referrals to dermatology are for suspected skin cancer.  But this is the alarming thing, only 6% of those referrals turn out to be either a melanoma or a squamous cell carcinoma...” Dr George Moncrieff.  So, as primary care physicians, how can we help to reduce the percentage of benign melanoma referrals?  You can start by listening to this podcast where your hosts Dr George Moncrieff and Dr Roger Henderson discuss:   The current incidence statistics for malignant melanomas and how these have changed over the past 5 decades  Who is actually at risk? Looking at genetic make-up, age, gender, skin colour, hair colour and family history  External risk factors, including ultraviolet light, explaining the difference between UVA and UVB  Our approach to diagnosis, questioning if ABCDE is dangerously flawed.  “Everyone expects us to get this one right”, (Dr Moncrieff), so this podcast episode is not one to be missed!  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.  Episode Resources:   International Prevalence of Indoor Tanning: A Systematic Review and Meta-analysis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117411/  An Exploration of the Use and Impact of Preventive Measures on Skin Cancer: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9025621/   Association of UV Radiation Exposure, Diagnostic Scrutiny, and Melanoma Incidence in US Counties: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9531098/    

In this third instalment of our series on mental health and the skin, we, Dr George Moncrieff and Dr Roger Henderson, are joined once again by special guest Professor Anthony Bewley, a distinguished authority in the field of psychodermatology.  In this episode, we delve into the fascinating world of mental health conditions that manifest through the skin. Drawing from Professor Bewley's wealth of experience, we'll explore conditions such as the obsessive compulsive disorder, trichotillosis and body dysmorphic disorder, shedding light on the complex psychological factors underlying these dermatological manifestations, that are expressed through the skin. As the episode progresses, we'll reflect on the key takeaways from this series on mental health and the skin and how treating both the psychological and the dermatological aspects leads to a more comprehensive and rapid resolution. Tune in and join us for an insightful summary on managing mental health implications linked to skin disease, in primary care.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

This episode contains some eye-opening statistics revealing the staggering toll the likes of atopic dermatitis, rosacea, acne, psoriasis and alopecia areata take on an individual's mental wellbeing.  BUT, the episode doesn't just shed light on the problem. Dr George Moncrieff and Dr Roger Henderson have enlisted the help of Professor Anthony Bewley, a world authority on psychodermatology, to help them break down the barriers to initiating vital conversations around mental health in primary care. They also discuss the golden rule of psychodermatology - to treat the skin, and the psychosocial comorbidities, at the same time and as early as possible along with the impact this has on patient outcomes. Discover how you, a primary care healthcare professional, can become a beacon of hope for these individuals, by integrating mental health support into dermatological care.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

“…the skin is not just the skin. Underneath the skin, there is a person, who is really suffering.” Professor Anthony Bewley. In 2020, the 'Mental Health and Skin Disease' report produced by the All-Party Parliamentary Group on Skin highlighted that 98% of individuals with skin disease reported an impact on their wellbeing, despite this, only 18% received effective professional help.  The report stated that skin disease can adversely impact on all aspects of someone's life, from schooling, self-esteem, career choices, to social, sexual, and leisure activities.   We are honoured to be joined by Professor Anthony Bewley on our latest podcast to discuss this report, in which we'll be covering:  How we, as healthcare professionals, can, within 4 minutes, get our patients to talk to us about whether their condition affects their mental health  The reasons why Professor Bewley believes that only 18% of individuals seek professional help for their mental health  How psychodermatology has improved in the UK   What the Cumulative Life Course Impairment is and its importance in dermatology  In today's modern world where body image expectations can be both significantly and adversely affected by unrealistic social media expectations and where mental health is less of a taboo topic, this episode is definitely one that needs to be heard.   Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

“...when you then see the patient who comes in [with] rosacea and they [have] then got the broken capillaries, the blood vessels starting to appear. It's not that my heart sinks when I see those, compared to a patient with simple background flushing, but I start thinking, we're in for a slightly trickier time here to start pulling them back.” Dr Roger Henderson.  In this episode, your hosts, Dr George Moncrieff and Dr Roger Henderson discuss the treatment options available across the rosacea spectrum. From how to treat simple flushing and background redness through to ocular involvement and Rhinophyma.   With over 70 years' combined experience in primary care, listen in to learn from these two expert GPs as they share their knowledge and practical tips on rosacea treatments.   This episode includes:  Discussing lifestyle changes and trigger avoidance with your patients  The importance of emollients as part of a daily routine  The variety of treatment options available, both on the NHS and privately, when to use them appropriately, including anti-inflammatory and camouflage products, as well as laser therapy   The association between Demodex mites and rosacea  The various ocular manifestations and their treatment options  The advances of rhinophyma debulking  But, be warned, by the end of this podcast, you might just be walking around with the same thoughts as George... “...I see a lot of people walking around the streets who've still got very nasty inflammatory papulopustular rosacea. I'm just desperate to talk to them because, I know we've got such effective treatments.”  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/   LI: https://www.linkedin.com/company/fontus-health-ltd/      Thank you for listening. We hope you find this podcast interesting and helpful. Please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions on dermatology topics that you would like to hear about in future podcasts.   The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

"What do Rembrandt, the Hollywood actor W. C. Fields and the former president Bill Clinton all have in common?" The answer is rosacea, and in this first episode on this common skin condition, your hosts Dr George Moncrieff and Dr Roger Henderson explore how to identify rosacea in your patients, giving you clarity on the clinical presentations to avoid potential misdiagnosis. They will also cover: How to differentiate rosacea from acne Rosacea in skin of colour The different subtypes in the rosacea spectrum and their severities The link between rosacea and eye symptoms, including how to work with opticians to help identify the condition quicker The impact rosacea has on a patient's quality of life The importance of understanding different triggers to help patients effectively manage their condition Rosacea affects around 1 in 10 people in the UK and can have a huge impact on their self-confidence and mental health. So, tune into this 20-minute episode, which is jam-packed with nuggets of wisdom from our hosts, allowing you to confidently help your patients manage their rosacea. Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis. To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence. Find out more: https://aproderm.com/aproderm-emollient-starter-pack/ LI: https://www.linkedin.com/company/fontus-health-ltd/ We hope you find this podcast interesting and helpful. Please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions on dermatology topics that you would like to hear about in future podcasts. The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.

As Dr Roger Henderson aptly puts it, “...The one thing guaranteed to make my heart sink, if I'm walking down the high street, is to see someone with acne scarring... Because you know that, that was preventable.”   In this insightful episode, your hosts Dr George Moncrieff and Dr Roger Henderson discuss acne treatments, emphasising the crucial importance of preventing acne scarring.  From topical retinoids to isotretinoin, this episode equips healthcare professionals with essential knowledge and patient-centric approaches to addressing acne. You'll learn:   The essential information-gathering process at the onset of a consultation, laying the groundwork for selecting the most suitable treatment option(s).  Insights into what treatment choices are available, how they work, who they are suitable for and what the benefits are.   Proactive measures for the prevention of acne scarring, alongside an overview of scar types and management strategies.  When to refer for isotretinoin and what you, as a primary care clinician can do to help the process of referral go smoothly.  Acne management in patients with skin of colour and how it differs.  Whether you're a seasoned healthcare professional or a budding practitioner, this episode offers invaluable perspectives and practical insights into acne treatment.   Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us keep creating educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson. Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

“Now many patients of mine do believe that acne, is acne, is acne. But one of the things I have learnt, over too many years of treating them, is that there's a massive range of presentations, including the 'no need to treat, so mild', to the... specialist referral level with horrendous scarring, which I think we've failed, if we get to the scarring point...   So, there's this massive sort of A to Z range, isn't there?... We've got to treat each patient as they sit in front of us rather than just lumping everyone with acne into the same boat.” Dr Roger Henderson  From barely-there blemishes to the severe and scarring, learn why acne is not just 'acne'. Drawing from years of clinical experience, Dr Henderson along with his co-host Dr George Moncrieff emphasise the importance of a bespoke management approach to acne and recognising each patient's unique needs.  In today's discussion, our experts explore everything from genetic predispositions to lifestyle influences.   Listen along to learn:   How increased sebum production and bacterial colonisation lead to acne development.  The roles of diet, combined oral contraceptives and stress in acne.  Insights into identifying potential triggers for acne, including the use of anabolic steroids.   The significance of considering conditions such as polycystic ovarian syndrome (PCOS) and adrenal hyperplasia in the diagnostic process, urging vigilance in clinical assessment.  Tune in to transform your understanding of the causes of acne and enhance your patient care.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    LI: https://www.linkedin.com/company/fontus-health-ltd/   Got some feedback for us? Please rate and review Rash Decisions to help us to keep creating informative educational podcasts for you.   Is there a dermatology topic you'd like us to explore? Email us at info@aproderm.com, and we'll do our best to cover it.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

“Somebody with moderate atopic eczema has nine flares a year, each of those flares, perhaps needing topical steroids for two to five weeks at least. So, they're barely stopping the topical steroids.” Dr George Moncrieff  Already you can see how patients can very easily, and unintentionally, be prescribed topical steroids long-term, which they are neither intended for, nor licensed for. The impact of this is discussed in this episode, by your hosts Dr George Moncrieff and Dr Roger Henderson. They will also guide you through incidences where topical steroids can be a cause for concern and how to overcome these. Our learned colleagues will cover:  How topical steroids affect the skin, including the impact of their pH on our all-important acid mantle. They then dive deeper below the surface to look at how topical steroids compromise the granular activity in the stratum granulosa and the impact of this on our skin barrier. In addition, they look at how topical steroids can thin the skin along with their potential systemic effects, including suppression of the hypothalamic-pituitary-adrenal axis and the immune system  Where you absolutely would not want to be using a topical steroid  The impact of long-term topical steroid use and tips on how to prevent this, from a simple patient audit to looking at alternatives  How in the short-term, topical steroids might seem to be the most cost-effective option, but in the longer term, how alternative solutions reduce real costs.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.  To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.  Find out more: https://aproderm.com/aproderm-emollient-starter-pack/  LI: https://www.linkedin.com/company/fontus-health-ltd/  Thank you for listening. We hope you find this podcast interesting and helpful, please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions for what you would like to hear about in future podcasts.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

“…we've been using topical steroids now for over 70 years, which means they've been around longer than paracetamol.  So, we know how to get the best results from them, and we know what to expect from them.” Dr George Moncrieff  Or do we?  Join our hosts as they unravel the essentials of prescribing topical steroids. Dr George Moncrieff and Dr Roger Henderson explore key topics, including:  The anti-inflammatory action of topical steroids and how they work  The topical steroids that are available to us, their various forms and their potencies  Advice on how to effectively communicate with your patients to dispel misconceptions including careful use of ambiguous terms like "sparingly" and "cautiously."  Working out how much topical steroid to prescribe by utilising the universal 5mm nozzle, combined with the fingertip unit measure  Advising patients on frequency of application, the all-important question, what comes first, emollient or steroid?  and the importance of tapering down topical steroids   Tune in to enhance your knowledge of topical steroids; achieving better outcomes for your patients and efficiencies for our healthcare system.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.  To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.  Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    TW: https://twitter.com/AproDerm  LI: https://www.linkedin.com/company/fontus-health-ltd/  Thank you for listening. We hope you find this podcast interesting and helpful, please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions for what you would like to hear about in future podcasts.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.   

“...Appropriate use of an emollient reduces overall health costs because the patient's eczema gets better, they have less appointments with doctors, they have less eczema, they're using less steroids, and in the paper that I showed not only were they using less topical steroids, they were using less antibiotics. So, it really is a win. You're using a very safe agent.” Dr George Moncrieff.  In this third, and final, episode on the topic of ‘Emollients', your hosts Dr George Moncrieff and Dr Roger Henderson highlight the importance of communication and collaboration between patients and their healthcare professional in order to use emollients to their full potential in the management of dry skin conditions. They will also cover:  The importance of Complete Emollient Therapy and aiding patient compliance  Ways to communicate with your patient to help them understand the pivotal role of their emollients  Guidance on the appropriate emollient quantities that you should be prescribing to your patients  How often you, as a healthcare professional, should be reviewing your patients progress after initiating therapy  The difference between simple and sophisticated emollients and when to use them  The importance of choosing the right container to avoid emollient contamination and product wastage  Cost-effective emollients including the AproDerm Emollient Range  The importance of prepayment certificates and discussing these with patients  Effective emollient use is the key to managing dry skin and this episode equips you with the knowledge to confidently prescribe and educate patients on effective emollient use. Listen in to finely tune your emollient selection.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.  To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.  Find out more: https://aproderm.com/aproderm-emollient-starter-pack/  TW: https://twitter.com/AproDerm   LI: https://www.linkedin.com/company/fontus-health-ltd/  Thank you for listening. We hope you find this podcast interesting and helpful, please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions for what you would like to hear about in future podcasts.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content. 

“Patients sometimes think that an emollient is an emollient. But when we're prescribing, we mustn't forget about splitting them into simple and sophisticated types and actually think about what we're putting on our patient's skin, which sounds an obvious thing to say, but it really is horses for courses” - Dr Roger Henderson.  Following on from the first episode in the “Emollients” topic, which covered the critical role of our skin, Dr George Moncrieff and Dr Roger Henderson now discuss how emollients work in keeping our skin barrier healthy. This episode highlights the crucial distinctions between simple and sophisticated emollients, as well as unveiling the key ingredients to seek out and those to avoid when selecting an emollient for your patients.  In addition, this episode covers:  The different modes of action emollients can have, including their role as a vehicle for getting humectants, anti-inflammatory, and anti-itch ingredients onto the skin The importance of patient education including advice on emollient application, soap substitutes and emollient safety  The amount of emollient that you should be prescribing to your patients  Emollients play a pivotal role in managing dry skin conditions, and this episode equips you with the knowledge to confidently prescribe and educate patients on effective emollient use. Listen in to finely tune your emollient selection.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/   TW: https://twitter.com/AproDerm    LI: https://www.linkedin.com/company/fontus-health-ltd/    Thank you for listening. We hope you find this podcast interesting and helpful, please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions for what you would like to hear about in future podcasts.    The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.

Before we attempt to understand the critical role that emollients play in the management of dry skin conditions, we first need to understand our largest organ, the skin. Dr Moncrieff and Dr Henderson delve deep into the remarkable structure that is our skin, looking at how this organ punches way beyond its weight simply because it's the part of the body that everyone sees and notices. They explore this fascinating structure and cover:   The skin's many roles from being our first line of defence, through to thermoregulation, immune regulation and its critical role in sensation  The sophisticated function of the skin barrier and why it is so important to protect it  The role of filaggrin  Barrier dysfunction and its consequences  Why dry skin conditions are increasing in the modern world  So, if you've noticed an increase in the number of patients presenting with dry skin conditions in your practice, then join Dr Moncrieff and Dr Henderson as they explain why this is happening, who our most vulnerable patients are, and why it's important to help our patients look after this crucial organ.  Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed for the management of dry skin conditions, including eczema, psoriasis and ichthyosis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more: https://aproderm.com/aproderm-emollient-starter-pack/    TW: https://twitter.com/AproDerm    LI: https://www.linkedin.com/company/fontus-health-ltd/    Thank you for listening. We hope you find this podcast interesting and helpful, please leave us a review or email info@aproderm.com  with any feedback on this episode or suggestions for what you would like to hear about in future podcasts.   The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.

In this final episode on eczema, Dr George Moncrieff and Dr Roger Henderson share their thoughts on eczema treatments, including topical steroids and immunomodulators. Alongside many other practical tips, the key takeaways from this episode include: Advice on which, when, and how much topical steroid to prescribe to patients with eczema and how they can be used as useful little markers to show whether a patient's eczema is being controlled adequately If and when to prescribe antibiotics for eczema patients and how to manage recurrent eczema flares driven by infection Why topical immunomodulators should no longer be secondary care's best-kept secret! “Topical steroids… have stood the test of time… and they really do work. There's nothing more frustrating for a healthcare professional to see somebody with a condition… not getting better because they haven't used the treatment we recommended. But I do think we need to acknowledge that our patients have concerns about topical steroids, and they often are reluctant to use them and often nod and accept that we suggest them to them, and then they go away and they don't use them. I could not manage my skin patients without the use of topical steroids, but I like to use them for short, sharp bursts, get things under control…” - Dr George Moncrieff If this sounds familiar then, listen in to find out Dr Moncrieff's top tips on addressing patient concerns regarding topical steroids. Episode resources: PCDS: https://www.pcds.org.uk/clinical-guidance/atopic-eczema Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients that are designed for the management of dry skin conditions, including eczema. To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence. Find out more: https://aproderm.com/aproderm-emollient-starter-pack/ TW: https://twitter.com/AproDerm LI: https://www.linkedin.com/company/fontus-health-ltd/ Thank you for listening. We hope you find this podcast interesting and helpful, please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions for what you would like to hear about in future podcasts. The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.  

Join Dr Moncrieff and Dr Henderson as they discuss their assessment process for patients with eczema. Not only does this involve looking at the skin but also taking into account patient quality of life, their psychosocial wellbeing, as well as the importance of developing a bond with your patients through touch in this very tactile condition before moving on to the treatment process.  “The first thing I say to my patients is, tell me how do you wash? … And they often look aghast” Dr Moncrieff  During this episode, you will find out why Dr Moncrieff starts his eczema assessments this way, as well as:   The value of using tools like POEM and EASI to track and measure eczema  The importance of a QRISK, especially in patients with moderate to severe eczema  The three Es of eczema management – Emollients, emollients and emollients and why patient choice is fundamental in this  Episode resources:   POEM: https://www.nottingham.ac.uk/research/groups/cebd/resources/poem.aspx  PCDS Photography Information Sheet: https://www.pcds.org.uk/clinical-guidance/photography-for-the-patient-how-to-take-a-good-photograph-of-a-skin-conditi   Pulse Emollient Table: https://www.pulsetoday.co.uk/clinical-feature/clinical-areas/dermatology/emollients-reference-chart/   mySkinHealth App: https://www.myskinhealth.org/hcp/   Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients designed to manage dry skin conditions, including eczema.  To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.  Find out more: https://aproderm.com/aproderm-emollient-starter-pack/  TW: https://twitter.com/AproDerm  LI: https://www.linkedin.com/company/fontus-health-ltd/  Thank you for listening. We hope you found this podcast interesting and helpful, please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions for what you would like to hear about in future podcasts.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.

In the first episode of this three-part series on eczema Dr Henderson and Dr Moncrieff examine the various factors that have contributed to the rapid increase in eczema since World War II as well as the relationship between atopic eczema, asthma, and hay fever, known as the atopic march. They will examine the causes and diagnosis of eczema in children and adults, including how its appearance differs in skin of colour, whilst sharing with you the tell-tale signs of scratching. “The average patient with moderate eczema is having about nine flares a year. Severe eczema is 11, that's almost one a month. And each of these flares is taking two to three weeks to settle. So you can see that a lot of our patients with eczema are just rebounding, ricocheting from one flare to another” Dr Moncrieff. With this in mind, they discuss the complexities of flare-ups, from the impact of the environment through to infection, adherence and compliance, and the importance of not just treating the flare. From this episode, you will take away… The causes of atopic eczema and tips on diagnosing eczema in children and adults taking into account skin of colour Understanding the impact of eczema symptoms on the patient and why a holistic treatment approach is always best The complexities of a flare and effective management strategies Episode resources: mySkinHealth App: https://www.myskinhealth.org/ Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients that are designed for the management of dry skin conditions, including eczema. To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence. Find out more: https://aproderm.com/aproderm-emollient-starter-pack/ TW: https://twitter.com/AproDerm LI: https://www.linkedin.com/company/fontus-health-ltd/ Thank you for listening. We hope you found this podcast interesting and helpful, please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions for what you would like to hear about in future podcasts. The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.  

In this final instalment of our three-part series on psoriasis, Dr George Moncrieff and Dr Roger Henderson discuss the management of challenging psoriasis patterns such as guttate psoriasis, flexural psoriasis, nail psoriasis, psoriatic arthritis and palmoplantar pustulosis. In addition, the experts explore the impact of psoriasis on patients' self-esteem and relationships, especially when the affected areas involve the face and genital regions.  During this engaging episode, the two experienced GPs will share their extensive knowledge and insights on the various treatment approaches that they have successfully used on their patients throughout their careers. They discuss the effectiveness of different interventions, ranging from emollients and tars to steroids whilst also touching on soap avoidance, the effects of smoking and natural sunlight therapy.  In addition to being upskilled on the various treatment options, Dr Moncrieff and Dr Henderson will leave you with the following five key takeaways:   The role of emollients  The significance of doing and reviewing a DLQI  The importance of doing a QRISK   Always keeping psoriatic arthritis on your radar  The impact of smoking   So, tune in to this podcast and gain practical tips on managing tricky psoriasis sites on your patients.   Episode Resources:   PEST: https://www.jrheum.org/content/38/3/551  DLQI: https://pubmed.ncbi.nlm.nih.gov/8033378/  QRISK: https://www.nice.org.uk/guidance/qs40/chapter/quality-statement-4-assessing-cardiovascular-risk  The Skin I'm In: https://youtu.be/UW9K1m4bZ04   Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients that are designed for the management of dry skin conditions, including psoriasis.  To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.  Find out more:  TW: https://twitter.com/AproDerm  LI: https://www.linkedin.com/company/fontus-health-ltd/  Thank you for listening. We hope you found this podcast interesting and helpful, please leave us a review or email info@aproderm.com with any feedback on this episode or suggestions for what you would like to hear about in future podcasts.  The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.

This second episode is bursting with the possible treatment options available in primary care for the management of psoriasis. Join Dr George Moncrieff and Dr Roger Henderson as they discuss how they get their patients psoriasis under control using coal tars, topical steroids, vitamin D analogues, and their favourite combination product, whilst touching on how biologics have changed the psoriasis landscape.   Listen along to hear their perspective on the NICE guidelines and to find out how they prioritise a clinical and health excellence approach for treating psoriasis with their patients, valuing patient wellbeing and immediate results.   Thank you to our kind sponsor AproDerm, who provide a comprehensive range of quality emollients that are designed for the management of dry skin conditions, including psoriasis.   To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more:   TW: https://twitter.com/AproDerm LI: https://www.linkedin.com/company/fontus-health-ltd/   Thank you for listening.   The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.

Tune in as Dr George Moncrieff and Dr Roger Henderson discuss psoriasis in this first of three episodes where they explore the causes, prevalence, triggers, and psychological impacts this inflammatory disease has on patients' lives.   Thank you to our kind sponsor AproDerm, providing a comprehensive range of quality emollients that are designed for the management of dry skin conditions, including psoriasis. To simplify the process of finding the most suitable emollient for each patient, they have developed a remarkable solution: the AproDerm Emollient Starter Pack. This pack conveniently combines all four of their emollients in a single prescription, enabling patients to identify their ideal emollient more efficiently, aiding both compliance and adherence.   Find out more:   AproDerm Emollient Starter Pack   TW: https://twitter.com/AproDerm LI: https://www.linkedin.com/company/fontus-health-ltd/   Thank you for listening.    The views expressed in this podcast are of Dr George Moncrieff and Dr Roger Henderson and Fontus Health has not influenced, participated, or been involved in the programme, materials, or delivery of educational content.

Aimed at healthcare professionals and co-hosted by Dr George Moncrieff and Dr Roger Henderson, these Rash Decisions podcasts will delve deep into the world of dermatology. This immersive series will help to strengthen your understanding and broaden your skill set in this vitally important clinical area by bridging the gap in recognising, diagnosing and treating a wide range of skin conditions. From acne, eczema, psoriasis and rosacea through to melanomas to name a few, they've got you covered. With over 70 years of combined experience in general practice, the two hosts will share their first-hand experiences of the symptoms, triggers and real-life impacts they have witnessed while treating these and many other skin conditions...and all in concise 20-30 minute episodes! With a new episode dropping every three weeks, Rash Decisions is your gateway to regular exceptional expertise, equipping you with invaluable knowledge and practical tips, to enhance your patient care. It's time to take your dermatology understanding to new heights! Follow the Rash Decisions podcasts today! Thank you to our kind sponsor AproDerm, an emollient range that is suitable from birth and free from common irritants and sensitisers, making them ideal for eczema, psoriasis, ichthyosis and other dry skin conditions.   For more information, visit: https://aproderm.com/healthcare-professionals/ Stay updated on Twitter: https://twitter.com/AproDerm  Connect with us on LinkedIn: https://www.linkedin.com/company/fontus-health-ltd/