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Dermatology Clinic

Dermatological services have been established within the GHA for a number of years. This is a Consultant led department which since 2004 has been centralised in Primary Care.

Cryotherapy, also called cryosurgery, cryoablation or targeted cryoablation therapy, refers to the application of extreme cold to destroy diseased tissue, including cancer cells. This treatment is frequently used to treat many skinproblems. Liquid nitrogen is sprayed on to the area. Light freezing causes a peeling, moderate freezing a blistering and hard freezing a scabbing.

It is used for acne, scars, growths and some skin cancers. This service is nurse led at Primary Care. Procedures are carried out by S/N Castro. One – two sessions are held weekly and approximately 150 patients are treated monthly.

PUVA is a combination of psoralen and long-wave ultraviolet radiation (UVA) that is used to treat several severe skin conditions. Psoralen is a drug that makes the skin disease more sensitive to ultraviolet light. This allows the deeply penetrating UVA band of light to work on the skin.

A typical PUVA session consists of coming into the clinic, removing clothes from the affected body areas and standing in a light box. The lights are then turned on for 1-10 minutes. The length of each session is increased by a small amount over the previous session.

This service is currently operated from the Primary Care Centre.

The Hyfrecator® has been the product of choice by physicians in office based electrosurgery for over 60 years.

The Hyfrecator 2000 allows precise destruction of all types of cutaneous lesions (both superficial and deep) and controls surgical bleeding simply, quickly and effectively… is widely used for outpatient procedures commonly used by Dermatologist & GPs in conjunction with curettage for the destruction of small well-defined skin cancers such as basal cell carcinoma.

This service has also been established at the Primary Care Centre . Procedures are currently carried out by the visiting consultants and Dr Thoppil.

These services are accessible via referral from the Visiting Consultants.

Natwest Bank and Marrache & Co kindly donated the funds for the purchase of this piece of equipment.

This is an allergy detection method for substances, which have been in contact with your skin. It does not detect allergies that may be related to your diet or inhalation and may cause hives, sneezing and asthma.

This method enables your Doctor to establish if your skin problem is caused by sensitivity to a substance that has come into contact with your skin.

This service is once again accessible via a referral from the Dermatologist. You will be tested for 24 common substances that people are allergic to, i.e.:

Metals commonly found in jewellery, zips, and money for example nickels.
Preservatives found in cosmetic and medicament creams.
Dyes, found in hair and dyed clothing.
Glue found in shoes, watches and industrial chemicals.
Chromate found in wet cement and used in the toning process.
Antibiotics found in neomycin.
Topical steroid creams and ointments.
Local anaesthetics.
Rubber found in gloves, parts of shoes and tyres.
Perfumes
Plants, such as primula and chrysanthemum.

The skin biopsy is more than just the removing of a piece of skin tissue, it is a diagnostic process.

The punch biopsy gives a representative cross-section through the entire cutis, as it reaches sufficiently deep and includes a sufficiently wide excision of the cutis. These services are also provided within the Dermatology Department.

The Dermatology Department is also in possession of a dermascope “DermLite”, which is used during clinics. This piece of equipment allows for a clear and deep view into pigmented lesions for detection of melanoma (skin cancer) and dysplastic nevi in a matter of seconds.

This piece of equipment has been donated by The Ladies Lodge, Gibraltar No.47