Welcome

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Welcome Introduction Dr Iain HendersonGP
ScotstounHospital Practitioner, Western
Infirmary Basic Dermatology Day
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Importance of skin

• Function barrier preventing fluid loss
  infection
• Organ of sensation, sexuality social
  interaction
• Affects body image self esteem
• Influences others perception
• If disfigured impact can be profound

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How much is there?

• 23-33 of population have skin problem that can
  benefit from medical care at any one time
• 54 experience a skin condition in a 12 month
  period
• 69 self-care
• 14 seek professional advice (82 GP)

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Mortality

• 4600 deaths
• 2209 melanomas (2011)
• 585 other malignant neoplasms
• 1869 other skin disease (2010)

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Cost

• 18 of OTC sales - 413.9m UK 2007
• (23 pain relief, 19 respiratory)
• Year ending March 2009
• 4,516,142 prescriptions (5.23)
• Average cost per item 7.10 (3.28)
• Dovobet 10
• Overall cost 2005/06 England Wales
  1,819million

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Overlap with other conditions

• lt3000 conditions
• Major systemic diseases
• e.g. infectious
• vascular
• connective tissue disease
• diabetes

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Prevalence per 100,000

• Skin infections exc. viral exanthemata, scabies
  785
• Eczema 413
• Symptoms involving skin 256
• Lesions 172
• Sebaceous gland mainly acne 164
• Psoriasis 69
• Hair 64
• Nails 63
• Urticaria 53 Chronic ulcers 27

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Primary care training

• 4/24 medical schools lt 5 days
• 56 of GP registrars felt had sufficient
  education
• 65 felt they had adequate skills to assess but
  only 52 to manage
• Still one of a number of optional curriculum
  areas by RCGP

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Quality Outcomes Framework

• 0

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