Dermatological history and examination

Skin disease is very prevalent, and according to the British Skin Foundation there are currently 8 million people in the UK affected by skin disease. The skin has a major protective and important social function, and relatively minor skin complaints can cause much anguish. 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 Life Quality 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 diagnostic methods and tools commonly used by dermatologists, and will discuss the DLQI system.