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Welcome & Introduction Dr Iain Henderson GP Scotstoun Hospital Practitioner, Western Infirmary Basic Dermatology Day 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 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) Mortality ~ 4600 deaths • 2209 melanomas (2011) • 585 other malignant neoplasms • 1869 other skin disease (2010) 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 Overlap with other conditions • <3000 conditions • Major systemic diseases e.g. infectious vascular connective tissue disease diabetes 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 Primary care training • 4/24 medical schools < 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 Quality & Outcomes Framework 0