Conditions treated by West Hampshire CCG Community Dermatology Service (Mid-Hampshire)

Conditions Treated

Low risk Basal Cell Carcinoma (BCC); Rashes of diagnostic uncertainty (malignancy not expected); disorders not responding to GP treatment including Acne and Inflammatory disorders (e.g. lichen planus); Mild to moderate Psoriasis; Mild to moderate eczema, Nail dystrophy (non-scarring); Localised Alopecia (non-scarring); Keloid scars; Solar Lentigo; Hidradenitis suppurativa; Pyogenic granulomata; Patients referred from secondary care for follow-up.


Procedures Performed

Shave excisions; snip cautery; cautery & crettage; incisional biopsies;
excisional biopsies; punch biopsies; cold cautery; excision of low risk BCC's; liquid nitrogen cautery of macro comedones.


Exclusions

SUSPICION OF MELANOMA or SCC REFER AS 2 WEEK WAIT RULE
Patients under 18 years of age at time of referral; BCC of head and neck; High Risk BCC; Rash with systemic disturbance in any age group; Extensive rashes of diagnostic uncertainty in any age group; Suspected connective tissue disorders; Cutaneous vasculitis; Acne requiring Isotretinoin; Moderate or severe psoriasis that may need phototherapy or 2nd line drug therapy; Moderate to severe eczema that may need immunosuppressant drugs or phototherapy; Allergic contact dermatitis; Alopecia (with significant scarring, unresolving alopecia areata, significant psychological upset); Keloid scars not responding to treatment; Photodermatoses; Changing lesions for diagnosis; Nail disease; Acute, inflammatory: Hyperhidrosis not responding to topical treatment; Resistant cases of hidradenitis suppurativa; Congenital lesions vascular or pigmented; Second opinion for any rash or lesion from Tier 2 for diagnosis or management; Potential malignancy or scarring genital dermatoses.

W3C AAA