Medical Dermatology Services
Some of the common conditions we treat in our dermatology clinic include:
Acne is common in teenagers and adults and is amongst one of the most common conditions we treat in our clinics. It is important to treat acne early and not to neglect the condition because when treatment is delayed, acne can potentially cause permanent scarring.
Treatment for Acne
- Mild acne can be treated with topical antibiotic and topical anti-acne agents such as topical retinoid (vitamin A derived) preparations.
- More severe acne can be treated with oral medications including oral antibiotics, anti-androgen tablets
andoral isotretinoin (vitamin A derivative) tablets. Oral isotretinoin can only be prescribed by dermatologists in Australia and may lead to long term remission in many patients.
Actinic Keratosis & Bowen's Disease
Treatment Offered Include
- Cryotherapy / Freezing
- Daylight photodynamic therapy
Treatment for Allergies
- Avoidance of allergen
- Oral medications to control symptoms
Scientific Publications on Allergies
- Mak, R.K.H., White, J.M.L., McFadden, J.P. and Goon, A.J.T. Lower incidence of
sequiterpenelactone sensitivity in a population in Asia Vs a population in Europe: an effect of chrysanthemum tea? Contact Dermatitis 2007; 57(3): 163-4.
- White, J.M.L., Goon, A.J.T., Jowsey, I.R., Basketter, D.A., Mak, R.K.H., Kimber, I. and McFadden, J.P. Oral tolerance to contact allergens; a common occurrence? A review. Contact Dermatitis 2007; 56: 1-8.
- Mak, R.K.H., Wakelin, S.H. Shiitake dermatitis: the first case reported from a European country. Br J Dermatol 2006; 154(4): 800-1.
- Mak, R.K.H., O’Gorman-Lalor, O., Croom, A. and Wakelin, S.H. An unusual case of latex allergy: contact urticaria from natural rubber latex in chocolate bar wrappers – Clin Exp Dermatol 2005; 30: 190-1.
Eczema or atopic dermatitis is a very common inflammatory skin condition
Treatment for Eczema
- Emollients and
- Topical steroids and non-steroids anti-inflammatory creams
- Oral antihistamines to relieve itchy symptoms
- In severe cases, oral steroids, wet wraps, phototherapy or oral anti-inflammatory medicines may be required.
Genital Skin Conditions
Different skin conditions can affect the genitalia. If you notice a rash or suffers from itching and discomfort in the genital area, do see your dermatologist. Dr Mak will start with a careful history and examination. Apart from examining the affected area, other areas of the skin may be examined to determine if a more widespread skin disorder is the cause. A diagnostic biopsy from an affected area may sometimes need to be performed the determine the exact nature of the skin condition and she will also organise other relevant investigations when indicated. She will work closely with you and formulate a comprehensive management plan.
It is normal to lose between 50 – 100 hairs a day. However, if you notice significant hair thinning, a receding hairline or bald patches, seeing your dermatologist early is worthwhile as there are effective treatments. The two main types of excessive hair loss, or alopecia, are androgenetic alopecia (also known as male pattern and female pattern hair loss) and alopecia areata. Androgenetic alopecia is
Since many different factors can influence hair loss including other co-existing medical conditions, infections, nutritional problems, hormonal changes, genetic factors, and stress, to name but a few; it is worthwhile to see a dermatologist who will assess you by undertaking a thorough history and examination, appropriate investigations can then be arranged to establish the underlying cause and a
Treatments for Hair Loss
This depends on the underlying cause and may include:
- Topical treatments – steroids and minoxidil lotions
- Steroids injections – to affected hair loss areas
- Oral medications – including steroids tablets, oral anti-hormonal treatments and oral immunosuppressive medications
- Contact sensitization therapy – where a substance is applied onto the scalp to stimulate the immune system thereby increasing hair growth
- Other options such wigs and hair pieces and hair transplantation may also be discussed with your dermatologist
Hyperhidrosis or excessive sweating can be
Treatment for Hyperhidrosis
- Topical treatments
- Oral medications
- Botox injections for axillary hyperhidrosis (underarms excessive sweating). Under Medicare and PBS guidelines, up to 3 treatments are subsidised per year with a minimum of four months between treatments provided patients fulfil eligibility criteria.
Abnormal nails may arise due to infections (bacterial or fungal), trauma, co-existing underlying skin conditions (such as psoriasis, eczema or lichen planus), benign nail bed
Treatment for Nail Disorders
These may include:
- Advice on nail care
- Topical or oral antibiotics for bacterial infections
- Topical or oral anti-fungal medicines for fungal infections
- Treatments for associated underlying skin conditions
- Surgical treatment
Psoriasis is a common chronic inflammatory skin condition affecting approximately 2% of the population worldwide. It is most commonly
Treatment for Psoriasis
- Topical treatment – which may be adequate to control mild to moderate psoriasis
- Oral immunosuppressive medicines – can be considered for moderate to severe psoriasis
- Biologics injections – reserved for moderate to severe psoriasis and only dermatologists can prescribe PBS (Pharmaceutical Benefits Scheme)-funded biologics for psoriasis.
Experience in Psoriasis Management
- Di Meglio, P., Villanova, F., Napolitano, L., Tosi, I., Barberio, M., Mak, R., Nutland, S., Smith C.S., Barker, J.N.W.N., Todd, J.A. and Nestle, F.O. The IL-23R A/Gln381 allele promotes IL-23 unresponsiveness in human memory T helper 17 cells and impairs Th17 response in psoriasis patients. J Invest Dermatol 2013; 133(10): 2381-2389.
- Hundhausen, C., Bertoni, A., Mak R.K.H., Botti, E., Di Meglio, P., Clop, A., Laggner, U., Chimenti, S., Hayday, A.C., Barker, J.N., Trembath, R.C., Capon, F. and Nestle, F.O. Allele-specific cytokine responses at the HLA-C locus: implications for psoriasis. J Invest Dermatol 2012; 132(3): 635-41.
- Mak, R.K.H., Hundhausen, C. and Nestle, F.O. Invited review: Journey to understanding the immunopathogenesis of psoriasis. Actas dermo-
sifiliograficas2009; 100Suppl: 1-12.
- Mak, R. Ustekinumab in psoriasis. In Handbook of Systemic Drug Treatment in Dermatology. Wakelin S.H. and Maibach H.I., editor Manson Publishing, London. 2015.
Rosacea is a common chronic skin condition with a ‘red face’ being the most common symptom. Other symptoms associated with rosacea include painful papules and these can be mistaken by some for acne.
Treatment for Rosacea
- In mild cases, rosacea can be treated with topical creams.
- More severe or persistent cases may require
additionof oral medications such as oral antibiotics or oral vitamin A derivative tablets.
- Vascular lasers to reduce redness and treat broken capillaries can also be discussed.
Skin Cancer Screening & Mole Check
Skin cancer accounts for around 80% of all newly diagnosed cancers every year in Australia. Basal cell carcinomas (BCCs) are the most common skin cancer followed by squamous cell carcinomas (
Importance of Skin Cancer Screening & Mole Check
Most of these skin cancers are curable with early detection and treatment. However, to the untrained eye, they can be easily missed as their appearance may vary and sometimes rather
Experience in Skin Cancer Management
Treatment for Skin Cancers
- Excision remains the gold standard of treatment for most skin cancers.
- Certain forms of early skin cancers can be treated by
non surgicalmethods (such as creams, cryotherapy, gentle curettage/scraping) thereby avoiding the need for surgery when possible.
With her experience in skin cancer management,
Warts may take on many forms. Treatment include medicated cream, freezing with liquid nitrogen and topical treatments that encourage the immune system to recognise and destroy the skin cells infected with wart virus.