14/03/2026
On my way home from the Primary Care Dermatology Society Annual Conference in Birmingham.
So lovely to see the friends I made at last year and share our geeky love of dermatology.
Brilliant educational programme and super fun Bangra dancing at the formal dinner.
Thank you so much to all the event organisers and speakers. 💚
🎓 My learning points: 🎓
✏️ The rapid intervention “elevator approach” to psoriasis as opposed to the current laborious staircase approach may lead to a cure for psoriasis
✏️ Feet - look for the dorsal crease sign of mechanical damage
✏️ Armadillo nail - check it out!
✏️ Persistent dry skin on feet: Look for powdery fungus; treat the shoes as well as the feet
✏️ Persistent “warts” around nails - think SCC
✏️ “Juste un doigte” (melanonychia) - think tumour
✏️ Onychopapilloma - benign tumour of the nail bed: very painful, non-pigmented, longitudinal erythronychia
✏️ Trifarotene - highly selective topical retinoid licensed for facial and trunkal acne with good data for scar reduction
✏️ Delgocitinib (Pan JAK inhibitor) Novel treatment for hand eczema.
✏️ Syphillis - 200% increase in last decade: primary chancre may be painful. Consider in HSV negative ulcers/vesicles
✏️ Nicotinamide (Vit B3) 500 mg bd may reduce non-melanoma skin cancer: Recommend to patients with previous BCC, those on longterm immunosuppression and perhaps those with lots of AKs
✏️ Opzelura (topical ruxolitinib) licensed for non-segmental vitiligo
✏️ Sunscreen in skin of colour: needs to protect against UVA and visible light to reduce dyspigmentation. Iron oxide is effective against visible light and improves melasma.. Tinted sunscreens are preferable in SOC as they are less likely to leave a white film
✏️ Scurvy still exists: if you eat battered fish and a bread roll every night and don’t have any fruit or vegetables for 30 years
