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General Dermatology

General Dermatology

Having healthy glowing skin is often a sign of your general good health and wellbeing. At Twenty-five Harley Street, our expert dermatologists can diagnose and offer treatments to look after your skin, hair, nails and areas around your mouth and genitals. They can help with a multitude of conditions including acne, eczema and fungal and yeast infections.

Dermatologists have a vast knowledge of skin diseases as well as a broad understanding of other health conditions, which may show up as symptoms in the skin.

Below is information on some of the most common skin complaints. However, it is important to have a consultation with an expert to ensure you get the correct diagnosis, and so the treatment that is best for your individual needs and condition.

There is a multitude of factors that can help you to have healthy glowing skin, from nutritional advice, to medication and the latest skin therapies.

Acne treatment

Acne is a skin condition that causes spots, typically on the face, back and chest.

There are several types of acne, but the general aim is to treat the symptoms such as spots, inflammation and scarring.

Treatments include: topical creams, antibiotics, vitamin A derivatives, and/or anti-androgen/oestrogen therapy, together with cosmetic treatments and nutritional advice

Rosacea treatment

Those who suffer from rosacea tend to have a flushed complexion caused by a red facial rash. It mainly affects those aged 30 to 60, who have fair skin and blue eyes.

Characteristics of rosacea include:

  • Red pimples on the nose, forehead, cheeks and chin.
  • Frequent blushing or flushing.
  • A red face due to persistent redness or broken blood vessels.
  • Dry and flaky facial skin
  • A skin sensitivity to sun exposure and/or eating spicy food
  • Skin that burns and stings with certain make-up, sunscreens and other creams.
  • Red, sore or gritty eyelids and facial swelling
  • Enlarged nose with prominent pores
  • Firm swelling of other facial areas including the eyelids

Treatments include: antibiotics, topical remedies, and/or a change of diet.

Psoriasis Treatment

Psoriasis is a common, scaly rash that affects people of all ages, and about 2% of the population. It’s characterised by red, scaly patches of skin, which usually have very well defined edges, and the scale is typically silvery white. It is often symmetrical, affecting both sides of the body. It may or may not be itchy, it isn’t contagious and is not due to an allergy.

You are more prone to getting it if someone in your family has it.

About 5% of those with psoriasis will also develop joint pains (psoriatic arthritis), which may involve one or more joints.

Treatments include: Vitamin D creams, Salicylic Acid and Corticosteroid creams, as well as systemic (oral) therapies.


Eczema treatment

Eczema, or dermatitis, affects about one in every five people at some time in their lives. It’s a red rash that can appear quickly, and which may be blistered, swollen and extremely itchy.

Chronic eczema refers areas of skin that don’t seem to heal up for long periods. They are often darker than the surrounding skin, thickened and scabby.

Causes of eczema can include a family history of:

  • Asthma
  • Hay Fever
  • Urticaria (hives)
  • Food allergies and air-born allergies such as pollen

Stress can trigger an outbreak.

Treatments include: Keeping your skin hydrated, avoiding allergy triggers, topical anti-inflammatory medications, antihistamines, antibiotics and/or nutritional advice for food allergies.


Treatment for Alopecia (Hair loss) hair and scalp

Alopecia is as term for any sort of hair loss, from a small bald patch on the head to the loss of hair over the whole body. There are many different types of hair-loss disorders and causes.

For instance, small amounts of hair loss can be caused by head lice that cause an itchy scalp, or an infection called folliculitis – where hair follicles in the skin become inflamed.

Androgenetic alopecia (male- and female-pattern baldness) and alopecia areata (bald patches) are the two most common types of hair loss.

Androgenetic alopecia (male- and female-pattern baldness), is the most common form of alopecia.

In women, hair typically thins around the top of the head at the crown, without affecting the front hairline. The cause of female-pattern baldness is not well understood. It is not clear whether the condition is hereditary. There is some suggestion that female-pattern baldness is more noticeable in women who have gone through menopause.

Alopecia areata, tends to occur in teenagers and young adults, and causes patches of baldness. It is caused by a problem with the immune system.

Treatments: There are a number of treatments that can help to slow down, stop or reverse hair loss, and the earlier the treatment the better, from topical creams to steroid injections and PRP treatment.


Treatment for warts

Warts are small lumps that often grow on the skin of the hands and feet. They are caused by a viral infection.

Most often warts will be round or oval shaped and have a hard, scaly surface with a small black dot (called a seed) in the centre of each spot. There are several different types of wart and they can develop as a single wart or in clusters.

For as long as the wart is present on your body it is thought to be contagious to other people and to other parts of your own body.

Viral particles are more likely to spread to skin that is soft, wet, scratched or cut. Even shaving your face or legs or biting your nails can spread the wart virus.

The wart virus can also be spread through swimming pools, exercise equipment, towels, floors of communal changing rooms and shoes.

You may also be more vulnerable to persistent warts if you take certain medications or have a low immune system.

Treatments: Many people choose to treat their warts especially if the wart is painful, causing discomfort, or is in an awkward or embarrassing place. There are many different treatment options ranging from topical applications of salicylic acid to cryotherapy.

Fungal infections treatment

Fungal skin infections are caused by different types of fungi and can be a common cause of itchy skin.

Fungi invade and grow in dead keratin, a protein that makes up your skin, hair and nails. Common fungal infections include:

  • Athlete’s foot (Tinea pedis) is caused by a fungus that grows in warm, damp areas of skin, such as between your toes, and affects one in six people.
  • Nail infections (Tinea unguium), usually start at the edge of your nail and spread slowly down to the base. They cause your nail to discolour and become crumbly. The surrounding tissue may also get thicker. Toenails are usually affected more than fingernails.

Some fungal infections are caused by yeast infections.

  • Intertrigo appears on folds of skin, such as on the tummy.
  • Thrush, can appear in two forms, in the vagina or in the mouth.

Thrush is a naturally occurring fungi, but when levels become too high, such as when there’s a yeast infection, it can cause irritation. An infection often looks like small white patches, or areas of red skin. In women, vaginal thrush can cause itchiness and a white discharge. Oral thrush can be painful and make eating and drinking difficult.

Treatments: Once your condition has been identified, you will probably be prescribed an antifungal treatment. This is usually applied to the skin, and can come in the form of a cream, lotion, paints, shampoos, pessaries and medicated powders. On occasion, you may be given tablets.

Bacterial Infections treatment

There are many different types of bacterial infection of the skin, but generally it’s where infection already exists in the form of a boil or abscess.

Common infections include:

  • Folliculitis, an infection of the hair follicle, and can result in little red spots. A bacteria known as Propionibacterium acnes is a normally present in the skin, but if too much of the oily substance sebum is produced, it can cause higher levels of this bacteria and make you more prone to outbreaks of spots and pimples on the neck, face, armpits, and buttocks.
  • Impetigo is an infection of the top later of the skin, often around the mouth, nose, face and neck.
  • And sometimes the sweat glands can become infected.

Treatments: A proper diagnosis is vital as you may need antibiotics or another treatment to clear the infection.