EMERGENCY Advice Only

Contact the on-call Team by phoning SCI Gateway – Advice Only (0131) 536 1000 and asking for them to be contacted. This service is intended to offer consultant-led advice on clinical • Suspected acute dermatological emergencies in adults and children: problems that may not need to be - acute erythroderma (>90% skin affected) referred if simple advice or tips would - acute generalised pustular reactions suffice. - acute desquamating and blistering reactions - acute severe drug reactions with systemic symptoms The consultant has the option to put - acute small vessel vasculitis the patient on the relevant waiting list - suspected eczema herpeticum if it is felt an appointment is still necessary. • Patients whose chronic skin complaint has deteriorated severely enough to reach crisis point to merit discussion as to whether an emergency Please do not use the Advice service review is appropriate for appointment queries – please contact the Dermatology • Bleeding patients following dermatological when unable to Administration team at [email protected] control using conservative measures * This email is not to be used by patients.

Urgent Suspicion of Cancer (SPL) What not to refer

• Suspected melanomas and suspicious naevi (moles) • Benign lesions: Skin Tags, Seborrhoeic keratoses, Benign Naevi (moles), Dermatofibroma, Lipoma, Urgent Epidermal (sebaceous) , Spider haemangioma, Xanthelasma • fulminans (severe acne with • Severe eczema or severe psoriasis unless there is diagnostic systemic upset) • Suspected Squamous Cell uncertainty or they are not • Acute drug eruptions Carcinoma (SCC) responding to appropriate • High Risk BCC • Worsening inflammatory treatment as per relevant Refhelp page.

• Molluscum contagiosum Routine • Scabies • Acne • Eczema - Atopic • • Warts • Alopecia • Eczema - & Foot • Solar (actinic) keratosis • Urticaria for allergy testing • Basal Cell Carcinoma • not responding to (BCC) • Nail Dystrophy treatment as per • Non-dermatological problems for • Bowens disease • Pruritus guidance allergy testing • Contact dermatitis • Psoriasis • Urticaria • for hair removal

Updated: 26/03/2020