Medical Dermatology

Skin Cancer Screening

Skin cancer is very common in South Africa, screening is vital and helps in early diagnosis and treatment. A full body visual inspection will be done, and any suspicious lesions or growths will be identified and evaluated.

Acne

Acne is a common skin condition caused by clogged pores, bacteria, and inflammation. It presents as blackheads, whiteheads, pimples, or cysts, often on the face, chest, or back. While hormonal changes are a major trigger, genetics and lifestyle also play a role. Early treatment can prevent scarring and improve skin health.

Atopic Eczema

Atopic eczema, (also known as atopic dermatitis), is a chronic, itchy skin condition. It often starts in childhood and can flare due to allergens, irritants, or weather changes. Symptoms include dry, red, and itchy patches, especially on the face, hands, and skin folds. Proper moisturisation and triggers avoidance are key to management.

Seborrhoeic Eczema

Seborrhoeic eczema affects areas rich in oil glands, such as the scalp, face, and chest. It causes flaky, greasy, or itchy patches that can worsen during stress or weather changes. While it’s not contagious, treatment with medicated shampoos, creams, or antifungal agents helps keep symptoms under control.

Psoriasis

Psoriasis is an immune-mediated condition where the skin cells build up too quickly, forming thick, scaly patches. These patches often appear on the scalp, elbows, knees, or lower back and can be itchy or painful. Psoriasis may also affect the nails and joints. Treatments include topical therapies, phototherapy, and systemic medications.

Skin of Colour

Skin of colour tends to be an often-overlooked part of dermatology. Conditions like acne, eczema, rosacea and psoriasis often present differently with a higher tendency for hyperpigmentation and scarring. Customised treatments and gentle skincare tailored to melanin – rich skin is essential for optimal outcomes.

Hyperpigmentation

Hyperpigmentation refers to dark patches or spots caused by an overproduction of melanin. Common triggers include sun exposure, inflammation, acne scars, or hormonal changes. Prevention involves sun protection, while treatment options include topical agents, chemical peels, and laser therapies.

Alopecia (Hair Loss)

Alopecia is a general term for hair loss that can be localised or widespread. Common types include alopecia areata, androgenetic alopecia, and telogen effluvium (stress-related shedding). Treatments depend on the cause and may include topical solutions, oral medications, or advanced therapies like PRP (Platelet-Rich Plasma).

Keloids

Keloids are raised, thickened scars that form due to excessive collagen production during the healing process. They extend beyond the boundaries of the original injury and are more common in skin of colour. Keloids can develop after surgery, piercings, burns, acne, or even minor cuts. Keloids may be itchy, painful, or simply a cosmetic concern. Treatment options vary depending on location and size. Early intervention can help manage symptoms and improve appearance.

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