Dermatology
Dermatology private practice
Dermatology is the branch of science that deals with human skin, which is nevertheless very diverse and complex, since our outer protective layer works at least as complexly as most of our internal organs.
Dermatological diseases often indicate not only local, i.e. changes related to the skin, but in many cases, mental or other internal organ diseases and even hormonal problems can also appear on the skin surface, which require investigation.
In addition to the fact that minor and major changes can often be found in the background of dermatological diseases, the biggest problem is usually that the symptoms are immediately visible, striking and unpleasant, which is often an advantage because the patient can see a specialist early.
It is important to emphasize that dermatology has undergone significant development in recent decades, so that many skin diseases can now be cured that were not possible for decades, such as psoriasis, acne or rosacea.
Dermatology plays a very important role in prevention - especially in connection with birthmark screenings - but even in the case of diseases or changes that have already developed, doctors have a lot of tools in their hands in order to quickly diagnose and provide professional treatment.
When you should consult with a dermatologist?
In all cases, the changes appearing on the skin are striking and can be noticed quickly, so patients typically go to dermatology in time, however, in the case of mild symptoms, many people delay seeking specialist help as soon as possible.
Most dermatological diseases can be treated easily if the patient sees a doctor in time, but it is important to point out here that if the skin lesions are caused by a disease from another field, then this is not true in all cases.
If an internal medicine lesion already produces symptoms on the skin, then it is typically in an advanced state, so it is very important to see a doctor as soon as possible if you encounter any strange, persistent lesion.
The most typical dermatological symptoms:
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changes related to birthmarks (changes in color, shape or size, appearance of a red spot around the birthmark, discharge, etc.);
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the appearance of rashes, blisters and hives on the surface of the skin (including on the genitals);
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rashes, blisters or sores left after viral, bacterial or fungal infections;
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pigmentation diseases (liver spots, freckles, age spots, pigment deficiency, etc.);
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all changes affecting the hair and scalp ( dandruff , hair loss, baldness, etc.);
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all nail problems (ingrown nails, weak and brittle nails, nail fungus);
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pimples, acne skin lesions;
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rashes, blisters or cases where the area around the bite becomes inflamed after an insect bite;
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fibroma appearing on the neck and in the bends );
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cold sores;
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problematic wound surfaces.
What happens during a dermatological examination?
The first step of every dermatological examination is for the specialist to get to know the patient's complaints, map the symptoms in detail, and then ask questions that can be related to both lifestyle and diseases of close relatives - taking into account the issue of heredity.
This is followed by a physical examination, which is always first related to the affected region, but for most skin diseases it may be important to map the entire body surface. This is especially true in the case of a birthmark examination, when the specialist uses a dermatoscope to take a closer look at all birthmarks that seem problematic at first glance.
If the visual inspection is sufficient, the diagnosis can be made immediately, but sometimes much more is needed. Therefore, a histological examination is often necessary in order to reveal the benign or malignant nature of the lesion, while at other times the involvement of additional specialties is essential.
As we have already mentioned above, the patient often needs a laboratory test - mainly a blood test - or a thorough internal medicine examination in order to find out what kind of disease the skin-related changes appeared as an accompanying symptom.
If benign tumors or viral warts are diagnosed, they are typically removed with electrocautery or liquid nitrogen as part of outpatient treatment.
In dermatology, in addition to the aforementioned , a tichogram test can also be considered - it gives a comprehensive picture of the condition of the hair in case of hair loss - in addition to the computerized recording of birthmarks, i.e. in addition to the video dermatoscopic examination, the Epicutan test is also common, which is intended to verify contact allergy or sensitivity.
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