Dermatology Guidelines

Referral Advice for GPsThe Dermatology Patient Pathways provide an accessible resource intended to support Primary Care practitioners in Scotland in the diagnosis and management of patients presenting with common skin conditions. A brief illustrated description of each skin condition is followed by treatment recommendations and links to sources of additional information for both doctor and patient. Criteria for referral to Dermatology are included, highlighting red-flag presentations that merit expedited referral, or identifying certain treatments can only be initiated in Secondary Care.dermatology-pathways

  1. acne
  2. actinic-keratoses-and-bowen-s-disease
  3. alopecia
  4. benign-lesion-skin-tags-warts-moles-dermatofibroma
  5. benign-lesion-lipoma-cyst-haemangiona-xanthelasma-comedones-granuloma
  6. eczema-atopic-adult
  7. eczema-atopic-paediatric
  8. eczema-hand-and-foot
  9. fungal-nail-infections
  10. molluscum-contagiosum
  11. non-melanoma-skin-cancers
  12. pruritus
  13. psoriasis
  14. rosacea
  15. scabies
  16. seborrhoeic-dermatitis
  17. suspicious-pigmented-lesions-and-changing-melanocytic-naevi
  18. urticaria
  19. viral-warts

​Guidelines for referrals in England and Wales, produced by the National Institute for Clinical Excellence (NICE), include guidance on Acne, Atopic Eczema in Childhood and Psoriasis. These and other guidelines are in the NICE Referral Advice Booklet (pdf)

Exeter Dermatology Guidelines for Practitioners and Patients (produced by Dr Andrew Warin & colleagues) may also be useful to Scottish practitioners.

Scottish Intercollegiate Guidelines Network publications relevant to dermatology:

SIGN 120: Management of Chronic Venous Leg Ulcers – Quick Ref Guide = QRG120.pdf

SIGN 72: Cutaneous Melanoma (this is currently being updated)

SIGN 121: Diagnosis and Management of Psoriasis and Psoriatic Arthritis in Adults – Quick Ref Guide = QRG121.pdf

SIGN 125: Management of Atopic Eczema in Primary Care – Quick Ref Guide = QRG125.pdf

SIGN 140: Management of Cutaneous SCC – Quick Refe Guide = QRG140.pdf


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