Dermatological history and examination

Skin problems are common, affecting up to one-third of the population during their lifetime. The skin has an important social function, and relatively minor skin complaints may cause more anguish than other, more serious medical disorders. Most skin diseases are not life-threatening, but many are associated with a high morbidity, in the form of discomfort, disfigurement, embarrassment, social stigmatism and loss of work and earnings. The impact of skin disease must not be underestimated, and the Dermatology Quality of Life Index (DLQI) assessment tool has been developed to assess this formally. This article will focus on how to take a comprehensive dermatological history and examination. It will also discuss commonly used diagnostic methods and tools used by dermatologists, and will discuss the DLQI system.