Skin allergy

 

The department offers patch testing for patients with suspected allergy to substances coming into contact with their skin (contact allergic dermatitis).

The department links with the paediatric allergy service and provides a joint paediatric / dermatology clinic for children with complex allergies (atopic eczema, asthma, rhinitis, urticaria), including skin prick testing, dietitian advice and adrenaline auto-injector training.

More on what we do

Patch testing involves placing suspected allergens (substances that people are frequently allergic to) in special discs onto an area of your back with sticky tape. The substances are removed after two days. After a further two days, a dermatologist will examine the area of skin to look for allergic reactions.

Further information about this is found here.

Treatments

The allergy service offers a variety of treatments, including topical steroids, topical immunomodulatory therapy (tacrolimus), antihistamines, montelukast, phototherapy, systemic tablet therapy (methotrexate, ciclosporin) and subcutaneous injection therapy (Omalizumab, Dupilimab).

Our team

Clinical Lead

  • Dr Chris Bower

Dermatology Consultants

  • Dr Yusur Al-Nuami
  • Dr Rebecca Batchelor
  • Dr Chris Bower
  • Dr Carolyn Charman
  • Dr Naomi Goldstraw
  • Dr Tom Lucke
  • Dr Emily McGrath
  • Dr Yong Oon
  • Dr Rachel Wachsmuth
  • Dr Penelope Williams

Associate Specialists

  • Dr Peter Acheson
  • Dr Helen Frow
  • Dr William Willcock

Specialty Doctors

  • Dr Charlotte Carmichael
  • Dr Josephine Wheeler
  • Dr Helen Creighton
  • Dr James Wood
  • Dr Andrew Rosewarne

Specialist Trainees

  • Dr Alistair Brown
  • Dr Alice Walker

Clinical Nurse Specialist (CNS) Team

  • Claire Facey – Lead CNS
  • Jo Short
  • Kate Allington
  • Sarah Sandford
  • Kevin Mitchell

Nursing Staff and Health Care Assistants (HCA)

  • Clare Parkinson - Senior Surgical Nurse Practitioner
  • Marian Thorn - Matron
  • Hayley Thorn - Sister
  • Chaya Sriranganatha - Sister
  • Claire McKenna - Surgical Nurse Practitioner
  • Hooi Inn Neoh-Solman - Surgical Nurse Practitioner
  • Victoria Roderick - Surgical Nurse Practitioner
  • Laura Warne - Sister
  • Romina Abuzatoaiei - Staff Nurse
  • Wasuru Dyke - Staff Nurse
  • Patricia Garcia Arroyo - Staff Nurse
  • Kim Hill - Staff Nurse
  • Gillian Lacey - Staff Nurse
  • Reynaldo Almazora - Senior HCA
  • Myrna Base - Senior HCA
  • Jayden Butler - Senior HCA
  • Mandy Spinks - Senior HCA
  • Jo Thompson - Senior HCA
  • Amy Hunt - Senior HCA
  • Michelle Murdoch - Senior HCA
  • Bev Alford - HCA
  • Wendy Davies - HCA
  • Emily Hatch - HCA
  • Fiona Lewis - HCA
  • Gillian Tancock - HCA

Management and Admin team

Where to find us

RD&E Heavitree, Gladstone Rd, Exeter EX1 2ED

Department of Dermatology

Contact us

If you want to get in touch with the department, please contact us on 01392 405510.

Supporting you

Skin conditions can have a huge impact on your social and psychological wellbeing. It is important to tell your GP or dermatology doctor about this during your consultation if it is relevant for you so that we can signpost you for further help in this regard.

Locally, we work with Talkworks: www.dpt.nhs.uk/locations/talkworks-depression-and-anxiety-service-exeter

There are also links to support groups and resources for many skin conditions at the following website: www.skinhealthinfo.org.uk

Eczema outreach support: www.eos.org.uk

Information for healthcare professionals

Routine and urgent referrals

Please refer via NHS e-Referral through the dermatology Referral Assessment Service.

Urgent advice

Please call the on-call dermatologist for urgent advice relating to patients with severe skin disease. On-call dermatology patient referrals include severe widespread drug reactions, suspected toxic epidermal necrolysis, widespread blistering skin conditions, severe or unstable eczema or psoriasis and erythroderma.

2-week wait skin cancer referrals

Only patients with suspected melanoma and squamous cell carcinoma (SCC) should be referred via the two week wait. Patients with basal cell carcinomas should be managed as routine referrals, unless there is diagnostic doubt or rapidly growing lesions where delay may cause harm (eg close to important facial structures).

Please include digital photographs with referrals if possible to streamline triage (localising image, close up image, +/- dermoscopic image). The Consultant Connect® smartphone app can be used on personal devices to take images securely and transfer to clinical systems and e-RS referrals (see under teledermatology).

Skin surgery

Please ensure patients referred for skin surgery or to the see and treat skin cancer clinic have had an INR checked within 24 hours of their appointment. Patients requiring skin surgery will normally need to have an INR of 2.5 or under.

Teledermatology

The department provides a Consultant-led teledermatology Advice and Guidance (A&G) Service through the NHS e-Referral Service. A&G requests are usually responded to within 1-2 working days. The Consultant Connect app® can be used for patient photography.

Joint Formulary

The electronic edition of the Joint Formulary includes information on prescribing, referral guidelines, shared care guidelines and commissioning policies.

Guidelines for GPs

Guidelines on the management of a number of skin conditions can be found on the British Association of Dermatologists' website: British Association of Dermatologists guidelines.

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