Spot Diagnosis

A mildly itchy eyelid. A periocular rash. A drug that transforms lives for patients with eczema – but comes with a catch. In this episode, dermatologist Associated Professor Alvin Chong and new co-host Dr Jacqui Jiang are joined by ophthalmologist Dr Nathan Wong to explore the intersection of the skin and the eyes. From eyelid dermatitis and ocular rosacea to the side effects of drugs commonly used to treat skin conditions, this conversation is packed with practical clinical pearls. Plus – can a tattoo threaten your vision? The answer might surprise you.See omnystudio.com/listener for privacy information.

Over the past decades, oncologists have developed an armament of incredible new anti-cancer medications. Unfortunately, these impressive medications also have an impressive list of side effects, many of which affect the skin. In this episode, we explore these adverse effects alongside dermatologist A/Prof Michelle Goh and oncologist Dr Luke McLean.  See omnystudio.com/listener for privacy information.

Few conditions cause as much uncertainty as pyoderma gangrenosum. When should you suspect an ulcer is pyoderma? How should you investigate it? What treatment options are available? We investigate these questions and more with Associate Professor Robert Kelly, an expert in ulceration and pyoderma gangrenosum.See omnystudio.com/listener for privacy information.

In the five years since our initial episode on eczema, two new game-changing systemic therapies have been added to the PBS. Despite this progress, controversy in eczema remains, and issues such as topical steroid withdrawal are becoming increasingly discussed. In this episode, we address advances in eczema and tackle clinical cases alongside dermatologists Professor John Su and Associate Professor Gayle Ross. We would like to thank our Institute Partner, Melbourne Pathology, for their support of the Spot Diagnosis Podcast.See omnystudio.com/listener for privacy information.

More than half of Australia's population will experience menopause. Yet, it remains a condition that many doctors, particularly male ones, feel underprepared to manage. What skin changes happen in menopause?  What treatments are available? Does topical oestrogen actually help with wrinkles in menopause? In this episode we answer these questions with dermatologists Dr Emma Veysey and Dr Anita Lasocki and endocrinologist Dr Rosie Worsley.See omnystudio.com/listener for privacy information.

Mycosis fungoides - a term that is both misleading and redundant. It represents just one aspect of the often complex world of cutaneous T-cell lymphoma. When should clinicians suspect cutaneous T-cell lymphoma? How is it accurately diagnosed? What treatment options are available? In this episode, dermatologists Dr Friyana Bhabha and A/Prof Aaron Robinson provide expert insights into these questions.See omnystudio.com/listener for privacy information.

Social media is increasing used as a source of health advice, yet misinformation remains a serious concern. What kind of information are young people learning about on TikTok? Are they able to discern fact from fiction? How do we approach misinformation in patients? In this episode, we dissect these issues alongside three special guests: Dr Wonie Uahwatanasakul, Professor Margie Danchin and Dr Laxmi Iyengar.  See omnystudio.com/listener for privacy information.

Psoriasis was the focus of our second Spot Diagnosis episode over five years ago. Since that time, the treatment landscape has expanded considerably, with the development of new oral agents and biologic therapies. In this episode, we are joined once again by Associate Professor Peter Foley who provides a comprehensive update on current treatment strategies and provides a suggested treatment approach to three clinical scenarios.See omnystudio.com/listener for privacy information.

Every interaction we make as doctors depends on communication - yet we rarely pause to reflect on how we’re actually doing it. How can we improve our everyday conversations with patients? How can we break bad news with compassion? And how should we respond to alternative health beliefs that challenge evidence-based medicine? In this episode, we explore these questions with oncologist and author Dr Ranjana Srivastava OAM.See omnystudio.com/listener for privacy information.

Sexually transmitted infections are increasing across Australia, bringing them to the forefront of concern for medical professionals. So, when is it appropriate to test for HIV? How is monkeypox diagnosed? And what’s the most effective way to manage a genital ulcer? In this episode, we discuss these key questions with Clinical Professor Louise Owen, Director of the Tasmanian Sexual Health Services.See omnystudio.com/listener for privacy information.

Alopecia areata is a distressing condition and a frequent reason for referral to dermatologists. What treatments are appropriate to start in a GP setting? How do you actually perform intralesional steroid injections? And when do you need to refer to a dermatologist? In this episode, we unpack the management of alopecia areata in 3 clinical vignettes of escalating severity.See omnystudio.com/listener for privacy information.

Hair loss can be a distressing concern for patients and a frequent reason for visiting GPs. When is further investigation warranted? What treatments are effective for hair regrowth? In this episode, we explore common cases of telogen effluvium and female pattern hair loss, along with a recommended management approach. Plus, two medical students join us to share their enthusiasm for hair health and dermatology.See omnystudio.com/listener for privacy information.

In this episode of Spot Diagnosis, we explore two frequently coexisting conditions: venous eczema and tinea pedis. How should a patient with both be managed? This episode provides insight into the causes and treatment of these common yet challenging clinical presentations.See omnystudio.com/listener for privacy information.

Introducing the latest episode of the Spot Diagnosis Podcast: Hand Dermatitis. Hand dermatitis, an itchy and often troublesome rash affecting the hands, is a frequent concern in clinical practice. It presents a range of diagnostic and therapeutic challenges. In this episode, we delve into the complexities of hand dermatitis, exploring its various causes, common clinical scenarios, and key triggers. We also provide practical insights into effective management approaches. Our panel of experts for this episode includes dermatologists, Dr Jenny Cahill and A/Prof Alvin Chong. We would like to thank our Institute Partner, Melbourne Pathology, for their support of the Spot Diagnosis Podcast and our episode partner, Abbvie.See omnystudio.com/listener for privacy information.

In recognition of Trans Awareness Week, celebrated from November 13 to November 19, we have released a new episode of the Spot Diagnosis podcast dedicated to transgender dermatology. This episode delves into the field of transgender dermatology, shedding light on the distinctive skincare needs and concerns faced by some transgender individuals. Dermatologists Dr Ahmed Kazmi and A/Prof Aaron Robinson engage in an in-depth discussion about the impacts of gender-affirming therapies on the skin, with a particular focus on hormonal treatments and their dermatological implications. They share valuable insights drawn from their extensive clinical experience, offering guidance on how these therapies influence skin health. Beyond the medical aspects, Dr Kazmi and A/Prof Robinson emphasise the importance of providing care that is not only evidence-based but also inclusive and holistic. They highlight the significance of creating a safe and supportive environment for transgender patients, ensuring that dermatological care is both affirming and tailored to every individual’s unique needs. Through this thoughtful and informed approach, the episode aims to equip healthcare professionals with the tools and knowledge to better support their patients. See omnystudio.com/listener for privacy information.

In this episode, we delve into the various skin changes that can arise during pregnancy. We discuss common concerns such as melasma, changes in skin pigmentation, and stretch marks, which are frequently on the minds of expectant mothers. Furthermore, we address significant pregnancy-specific skin disorders that may signal more serious underlying conditions, potentially impacting the fetus. We'll also provide insights into diagnosing and effectively managing these conditions. Our panel of experts for this episode includes specialist dermatologists, Dr Emma Veysey, Dr Anita Lasocki and A/Prof Alvin Chong, and GP, Dr Laxmi Iyengar.We would like to thank our Institute Partner, Melbourne Pathology, for their support of the Spot Diagnosis Podcast and our episode partner, Pfizer.See omnystudio.com/listener for privacy information.

In this episode, we explore two common pediatric conditions: molluscum contagiosum and impetigo, also known as school sores. We'll cover the causes of these skin infections, which often worry parents, and discuss effective management strategies. Our panel of experts for this episode includes specialist dermatologist and Spot Diagnosis Co-Host A/Prof Alvin Chong and GP and Spot Diagnosis Co-Host Dr Laxmi Iyengar. See omnystudio.com/listener for privacy information.

In this episode, we delve into the world of photosensitivity. We discuss the inherent differences between primary and secondary photodermatoses and how a good clinical history and examination findings can assist with diagnosis. In addition, the role of investigations including the use of phototesting, the gold standard for proving photosensitivity, is also explored. Our panel of experts for this episode includes Director of Dermatology at St. Vincent’s Hospital Melbourne A/Prof Chris Baker, consultant dermatologist A/Prof Alvin Chong and GP and Spot Diagnosis Co-Host Dr Laxmi Iyengar. See omnystudio.com/listener for privacy information.

More and more frequently we hear the term ‘skin of colour’ being used colloquially and in medicine. What exactly do we mean by the term ‘skin of colour’? Why are patients with ‘skin of colour’ considered different, unique or distant from societal norms? In this episode, dermatologist Dr Ahmed Kazi passionately educates the listener about how and why common skin conditions present differently in patients with skin of colour, and variations in the natural history of these conditions.See omnystudio.com/listener for privacy information.

The latest episode, Skincare Gone Crazy, delves into the growing obsession with skincare among today’s youth and its potential physical and psychological repercussions, providing parents and practitioners with valuable insights and the latest information from top clinicians.  We have a distinguished panel of experts including consultant dermatologists, Dr Mei Tam and Dr Katherine Armour, consultant psychiatrist Dr Siu-Ying Kwok and GP Dr Laxmi Iyengar.See omnystudio.com/listener for privacy information.

In honour of HS Awareness Week, we had consultant dermatologist and lead consultant of the Skin Health Institute HS Clinic, Dr Diana Norris join us on the Spot Diagnosis Podcast to delve into the complex condition that is hidradenitis suppurativa (HS). HS can be challenging to diagnose and manage, and it is pivotal to address both the physical and psychological aspects of the condition to optimise patient care. In this episode, we clarify misconceptions and discuss clinical cases to provide valuable insights into the various HS presentations and treatment approaches, helping to improve understanding and outcomes for individuals affected by HS. https://skinhealthinstitute.org.au/spot-diagnosis/clinical-cases-in-hidradenitis-suppurativa/See omnystudio.com/listener for privacy information.

In this episode, we delve into the crucial role clinical trials play in advancing dermatological treatments and enhancing skin health. Clinical trials are essential for demonstrating the effectiveness and safety of new treatments and interventions to prevent, detect, treat, or manage various medical conditions. They are key to improving our current disease management methods and shaping future medical practices. We examine the unique aspects of dermatological clinical trials, the challenges they encounter, and the breakthroughs they achieve. Our panel of experts for this episode includes, Director of Research at the Skin Health Institute, A/Prof Peter Foley, Director of Clinical Research & Advanced Targeted Therapies at the Skin Health Institute, Ms Sarah Chivers and Deputy Director of Research at St Vincent’s Hospital Melbourne, A/Prof Tam Nguyen.  For more information on this episode or to access resources, visit the link below. https://skinhealthinstitute.org.au/spot-diagnosis/clinical-trials/ See omnystudio.com/listener for privacy information.

In this episode, we delve into a comparison between two prevalent skin issues: periorificial dermatitis and seborrheic dermatitis. We explore the factors associated with periorificial dermatitis, such as frequent use of layered cosmetics, prolonged application of potent topical steroids, and wearing masks. In contrast, seborrheic dermatitis manifests in areas abundant in sebaceous glands, where skin's natural inhabitants like Malassezia Furfur break down fatty acids in sebum, leading to skin inflammation.See omnystudio.com/listener for privacy information.

In this episode, we explore the interrelationship between diseases affecting the gut and the skin, in other words, cutaneous manifestations of gastrointestinal disease. We discuss the pathophysiology of coeliac disease, inflammatory bowel disease and common skin conditions such as acne and explore how and why these conditions clinically manifest in the skin. For more information on this episode and to access the resources, click the link below: https://skinhealthinstitute.org.au/spot-diagnosis/the-skin-and-the-gut/    See omnystudio.com/listener for privacy information.

Artificial intelligence is a hot topic in dermatology but do we truly understand the breadth of its applications? In this episode of Spot Diagnosis, A/Prof Aaron Robinson and A/Prof Victoria Mar unwrap artificial intelligence for the end user and detail how it can be used as an adjunct in clinical practice. For more information on this episode visit https://skinhealthinstitute.org.au/spot-diagnosis/artificial-intelligence-in-dermatology/See omnystudio.com/listener for privacy information.

In this episode we're examining two skin conditions that are frequently presented in general practice, infective folliculitis and pseudofolliculitis barbae. During this episode, we'll explore their distinguishing clinical presentations, dissect their differential diagnoses, and discuss the range of management strategies available for effectively addressing these dermatological conditions. https://skinhealthinstitute.org.au/for-health-professionals/spot-diagnosis/spot-diagnosis-podcast-season-5/See omnystudio.com/listener for privacy information.

Australia has one of the highest rates of skin cancer in the world, and as we head into the summer months it is important we understand how to effectively protect ourselves from the harmful effects of ultraviolet (UV) radiation. For our latest episode of Spot Diagnosis Podcast we are revisiting our original Sun Protection episode from 2020 with guest experts, dermatologist, A/Prof Peter Foley and Programs and Priority Populations Manager at SunSmart, Shannon Jones. In this episode, we’ll discuss the finer points of sunscreen use, how to protect yourself from harmful UV rays whilst also debunking common sun protection myths Sun Protection: Revisited - Skin Health InstituteSee omnystudio.com/listener for privacy information.

In this episode of Spot Diagnosis, Stories about Skin, clinicians reflect upon their encounters of some of the challenges faced by patients with eczema and how this impacts the lives of their patients.  A/Prof Alvin Chong and Dr Susan Robertson, dermatologists, provide valuable medical perspectives, treatment insights, and the latest advancements in eczema research, and clinical psychologist A/Prof Ross King, discusses the mental health toll of eczema on the patient.  See omnystudio.com/listener for privacy information.

In this episode of Spot Diagnosis, Stories about Skin, we hear two heartfelt reflections from Annie, a 25-year-old lifelong sufferer of eczema and Jenny, the mother of seven-year-old Atticus, a young child who has battled with severe eczema since the age of one. Both enlighten and educate us about the patient perspective of what it means to suffer from eczema, one that is often overlooked and sometimes dismissed from the biomedical rhetoric.See omnystudio.com/listener for privacy information.

In this episode we’ll discuss dermatopathology and how it helps us diagnose a patient’s clinical presentation. We will also dive into the reasons behind the rationale for a skin biopsy, selecting the most appropriate biopsy type and where to perform biopsies in cases of widespread disease. Our panel of experts for this episode includes dermatopathologist, Dr Saurabh Prakash and dermatologist, A/Prof Alvin Chong. See omnystudio.com/listener for privacy information.

This episode of Spot Diagnosis was recorded live at the World Congress of Dermatology in July 2023. Our hosts, A/Prof Alvin Chong and Dr Laxmi Iyengar interviewed a number of global experts in their field and discussed current trends in dermatology. Social media experts, Dr Sandra Lee aka ‘Dr Pimple Popper’ and Dr Muneeb Shah otherwise known as ‘Dermdoctor’, discuss the use of social media in dermatology. Dr Sarah Arron describes how artificial intelligence can enhance clinical practice and Prof Esther Freeman sheds light on COVID19 and global health dermatology.See omnystudio.com/listener for privacy information.

In our first episode of season 5, we’re thrilled to present ‘Vignettes of Dermatology’, a fresh series that delves into various aspects of dermatology through concise, focused episodes.   To commence, we’re examining pityriasis rosea and pityriasis versicolor—two conditions with similar names, yet distinct underlying causes.  During this episode, we’ll explore their distinguishing clinical presentations, dissect their differential diagnoses, and discuss the range of management strategies available for effectively addressing these dermatological conditions.  See omnystudio.com/listener for privacy information.

In this episode we’ll discuss common skin conditions in those who are immunosuppressed. In particular, we’ll explore skin malignancies in the immunosuppressed, common immunosuppressant medications and their relative immunosuppressant activity, in addition to other fungal, bacterial and benign skin conditions that may be encountered.  Our panel of experts for this episode includes consultant dermatologists A/Prof Alvin Chong and Dr Sarah Brennand.See omnystudio.com/listener for privacy information.

In this episode, we will explore a range of oral mucosal presentations including oral lichen planus, Sjogren’s syndrome and presentations suggestive of malignancy. To guide us through this challenging topic, we are again joined by special guest experts, oral medicine specialist Dr. Simone Belobrov and dermatologist A/Prof Laura Scardamaglia. See omnystudio.com/listener for privacy information.

In this episode we will focus on a particularly common oral mucosal presentation, ulcers. We'll explore common causes of mouth ulcers, how are these diagnosed, how to investigate for underlying conditions, and how to manage them. To guide us through this challenging topic, we are joined by special guest experts, oral medicine specialist Dr Simone Belobrov and dermatologist A/Prof Laura Scardamaglia.  See omnystudio.com/listener for privacy information.

In this episode we’ll discuss male genital skin and mucosal conditions. We’ll particularly focus on inflammatory conditions such as balanitis & lichen sclerosus, signs suggestive of malignancy and presentations of sexually transmitted infections.  Our panel of experts for this episode includes dermatologists A/Prof Anthony Hall and Dr Mark Darling. https://skinhealthinstitute.org.au/for-health-professionals/spot-diagnosis/See omnystudio.com/listener for privacy information.

In this episode we’ll explore the cutaneous manifestations of common endocrine disorders, including polycystic ovarian syndrome, diabetes mellitus, and thyroid disorders. We'll be covering the cutaneous manifestations of these disorders, why they develop and how they are treated.  Our panel of experts for this episode includes endocrinologist, Dr Rosie Worsley and dermatologist, A/Prof Alvin Chong.   https://skinhealthinstitute.org.au/spot-diagnosis/endocrinologyandtheskin/  See omnystudio.com/listener for privacy information.

In this episode we’ll discuss vulval skin disorders. We’ll particularly focus on vulval lichen sclerosus, lichen planus, recurrent vulval candidiasis and vulval neoplasias. Our guest experts will discuss how these conditions present, what causes them, how to investigate and how to treat them.  Our panel of experts for this episode includes consultant dermatologist, Dr Emma Veysey and obstetrician and gynaecologist, Dr Hong Tran. https://skinhealthinstitute.org.au/spot-diagnosis/female-genital-dermatoses/See omnystudio.com/listener for privacy information.

In this episode we’ll discuss mycobacterium ulcerans, also known as the Buruli Ulcer or Bairnsdale Ulcer, alongside our special guest, Prof Paul Johnson. We’ll explore its clinical presentation, diagnosis, prevention and treatment.See omnystudio.com/listener for privacy information.

In this episode we’ll discuss biologic medications and how they can be used in diseases of the skin, alongside our special guests, A/Prof Peter Foley and Dr Karen Luetsch. We’ll explore what these drugs are, their potential side effects and how they’re prescribed, with a particular focus on psoriasis and eczema. See omnystudio.com/listener for privacy information.

In this special episode, we’ll answer a fresh mix of questions submitted by our listeners with the help of our returning guest panel: Specialist Dermatologists A/Prof Alvin Chong and Dr Belinda Welsh, GP Dr Naveen ‘Sunny’ Singh and GP Trainee Dr Karen Freilich.  Ever wondered whether cosmetic laser is really safe? Or how to get rid of dark circles under the eyes? We also discuss how to manage facial redness, prevent scar formation and manage itch in children. We’ll also explore the endless mineral versus chemical sunscreen debate, whether there is a difference and what we should choose. See omnystudio.com/listener for privacy information.

In this 2-part episode, we explore autoimmune disorders of connective tissue with guest experts A/Prof Mandana Nikpour and A/Prof Alvin Chong. In part 2, we focus on dermatomyositis and systemic sclerosus including clinical presentation, investigations, and management.See omnystudio.com/listener for privacy information.

In this 2-part episode, we explore autoimmune disorders of connective tissue with guest experts A/Prof Mandana Nikpour and A/Prof Alvin Chong. In part 1, we focus on lupus erythematosis including its subtypes, clinical presentation, investigations, and management.See omnystudio.com/listener for privacy information.

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In this episode, we explore autoimmune blistering conditions with guest expert Assoc. Prof Johannes Kern. We cover pemphigus and pemphigoid diseases: what causes them, clinical presentations, how they are diagnosed and treatment options.See omnystudio.com/listener for privacy information.

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