Dermatology: An Overview
Dermatology is the medical specialty focused on the skin - the body's largest organ - as well as hair,
nails and associated diseases. In fact, the American Academy of Dermatology (AAD) defines a
dermatologist as "a medical doctor who specializes in conditions that affect the skin, hair, and nails".
The skin protects the body from heat, cold, germs and injury, and changes in skin appearance often
reflect overall health. As a result, dermatology is a broad field with medical and surgical aspects.
Board-certified dermatologists diagnose and treat disorders ranging from rashes and psoriasis to
skin cancer and acne. Because the skin has so many functions and diseases, dermatologists play a
vital role in patient care.
TYPES OF DERMATOLOGISTS & CONDITIONS TREATED
Dermatology has several subspecialties. In general, general dermatologists treat people of all ages
for common skin issues (such as acne, eczema/atopic dermatitis, psoriasis, hair loss, fungal and
bacterial infections, rashes, and skin cancers). Cosmetic dermatologists focus on aesthetic
treatments (e.g. wrinkles, scars, stretch marks, hair removal, pigment changes) using procedures
like Botox, lasers, and fillers. Surgical dermatologists, including Mohs surgeons, specialize in skin
cancer removal and reconstructive procedures. Pediatric dermatologists treat infants, children and
teens. They have special expertise in childhood skin conditions (birthmarks, hemangiomas, eczema
in infants, genetic disorders, etc.).
Common conditions: Acne, eczema, psoriasis, rosacea, warts, hair loss, nail disorders, and skin
cancers.
Subspecialties: Dermatopathology, Mohs surgery, pediatric dermatology, cosmetic dermatology.
RESOURCES FOR LEARNING
- American Academy of Dermatology (AAD)
- British Association of Dermatologists (BAD)
- Society for Pediatric Dermatology (SPD)
- Dermatology journals: JAAD, JAMA Dermatology, British Journal of Dermatology, Pediatric
Dermatology
- Medical websites: Cleveland Clinic, Mayo Clinic, DermNet NZ
PATIENT ASSESSMENT
Dermatologists begin with a consultation and patient history. They ask about timing, symptom
quality, previous treatments, sun exposure, allergies, lifestyle, and family history.
VISUAL EXAMINATION
A full visual exam is conducted using terms like macule, papule, plaque, nodule, vesicle. Tools
include:
- Dermatoscope: magnifies lesions ~10× with light
- Skin biopsy: small tissue sampling for histopathology
- Patch testing: identifies allergic contact dermatitis
- Wood's lamp: UV light for fungal/pigment disorders
- Lab tests: occasionally ordered
STEP-BY-STEP DERMATOLOGY VISIT
1. Chief Complaint
2. History of Present Illness
3. Past Medical/Skin History
4. Medications and Allergies
5. Review of Systems
6. Physical Exam
7. Counseling and Treatment Plan
EXAMPLE CASES
Acne (teen): Retinoids, antibiotics, skincare routine.
Eczema (child): Itching triggers, topical steroids, moisturizing routine.