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Clothes can get in the way

Sometimes overlooked

The name is in the colour

A dermatoscope is not a QR code reader

Stress relief

Previous history

At first glance .....

No doubting the diagnosis

An interesting pattern

6 days of dermatology training at medical school is apparently all that is needed?!

An enlarging lesion on the upper forehead

Hands up for observation?

A solitary shiny facial papule

There is a C of clods

Start with the basics

3 lesions

What do you call this network?

Don't look at the clinical image first

Would you leave this?

Heavily sun-damaged skin

Scale, crust or makeup?

An incidental finding

An ulcerated ear

Reducing morbidity

4 melanomas in one patient

Biopsy first?

Multi-component

Clinically a little worrying

A new lesion on the face

Dermoscopy trains the naked eye

Go easy on the pressure

Multiple risk factors

Do arborising vessels always = BCC?

An evolving picture

Are all white networks bad?

Why we love dermoscopy

Very UV-damaged skin

A fascinating lesion on the chest

A first, and then second for me

Not as easy without the history

When is a network atypical?

Not all black changing nails are bad

A long-term naevus

Technology doesn't always win

A slightly fruity appearance

Look up to the sky

2 lesions 1 site 2 diagnoses

Just imagine this with a little colour

A new black lesion

How reliable is a history?

A 12 year old boy

Follow the algorithm

Nothing is 100% reliable

This needs excising but what did the histology show?

An unexpected finding

Are these lines a starburst pattern?

Check a back campaign

A tad tricky

Peripheral lines should ring bells

What are our management options?

The history comes first

What's going on here?

Twins

Are these arborising vessels?

A two-halves naevus

Symmetry within asymmetry?

Many lesions

Is this black or blue, and is there some brown?

Clinically and dermoscopically suspicious

A rolled edge .... but what's the diagnosis?

Is this really a BCC?

A changing melanocytic lesion

Pigment bands and artistic patterns

A darkening lesion

Team working

Skin-colored clods

Unknown history

White lines and a rounded network

A long-standing lesion on the chest

A dark irregular lesion

A famous swimmer

Multicoloured

Extra information needed

Multifocal networks

A full house

Immunosuppression

A little fruity

A circular excision

A blue papule

The thinking's in the grey matter

An eccentric structureless area

An easy lesson

Where there's one ... there may be more

Excise or monitor?

It's in the follicles

It's all in the history

Highlight of the week

Sleepless nights

Pink makes you think

A new rosette

A 30 second consultation

A small black macule - apparently unchanged

Thick brown lines

Thin parallel lines

A patient's husband

An enlarging pigmented lesion on a shin

Scattered grainy clods

A worrying black lesion

Pattern comparison

An enlarging brown patch on the cheek

A firm pigmented lesion

A pigmented nodule

A WORLD ON THE BRINK © 2022

I would like to thank my amazing children Madeleine and Jacob; Kristian and Matthew, my beautiful wife Deborah, my mum and dad, and my wider family for their support and for making my travel adventures so memorable. I would also like to thank Neil Evans at www.modeten.com who helped design this website.

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