Dear BeckyHyland, Thank you. Generally speaking, I am afraid, hair analysis is not helpful to highlight food sensitivities. with best wishes, Dr Anton Alexandroff MRCP (UK), CCT (Dermat), PhD, FRSM, FAAD Consultant Dermatologist University, Nuffield and Spire Hospitals of Leicester for more informat...

Dear Sarajane, I completely agree with Dr Kownacki.and Wendy. By the time patient with acne come to see me in hospital I usually recommend Epiduo gel (adapalene and Benzoyl peroxide) in combination with an oral antibiotic and if appropriate in combination with an oral contraceptive pill (it can work...

Dear charrockz, I completely agree with Dr Kownacki. By the time patient with acne come to see me in hospital I usually recommend Epiduo gel (adapalene and Benzoyl peroxide) in combination with an oral antibiotic and in female patients in combination with an oral contraceptive pill. If this fails it...

Dear Jackie, I completely agree with Sheila. One can have mild skin psoriasis and severe psoriatic arthritis and sometimes the other way round (or any combinations of these). You need to see your GP and he/she may refer you to a rheumatologist, depending on how bad your joints, are for assessment an...

Dear Jackie, I completely agree with Sheila. In general in face and skin fold areas mild topical steroids are appropriate (e.g. Daktacort) while on limbs and trunk Dovonex ?Silkis (topical vitamin D) and Dovobet (topical vitamin D and steroid) can be used under supervision of a doctor. I hope this i...

Dear Sumaira, you may want to ask to be checked by a dermatologist. Sometimes UVB can exacerbate psoriasis. Psoriasis can also flare up on stopping oral steroids. If creams and phototherapy are not helpful you can discuss further treatment options with your dermatologist eg methotrexate, ciclosporin...

Dear Alex, here are a couple of links which might be helpful: http://www.ichthyosis.org.uk/bullous-ichthyosis-also-called-bullous-ichthyosiform-erythroderma-bie-or-epidermolytic-hyperkeratosis/ http://www.dermnetnz.org/scaly/ichthyosis.html with best wishes, Dr Anton Alexandroff MRCP(UK) PhD FAAD FR...

Dear sparrowhawk, your eczema/dermatitis sounds dreadful! I have a number of patients in my clinics with very difficult hands and/or feet dermatitis (which can be so disabling!). Have you discussed with your dermatologist phototherapy (PUVA) treatment? I also found that alitretinoin (Toctino) tablet...

Dear Paula, your eczema/dermatitis sounds dreadful! I completely agree with Dr Bowling and Wendy advice. I have a number of patients in my clinics with very difficult hands and/or feet dermatitis (which can be so disabling!). I found that alitretinoin (Toctino) tablets usually get it under control. ...

Dear dazza999, you are describing typical symptoms of flushing rosacea. There is no licensed good treatment for flushing rosacea in the UK yet but we expect the first (and very effective and fast acting, topical) treatment to be licensed in the UK in early 2014! It is already licensed and can be imp...