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Paediatric dermatology

Staff members

There are two consultant dermatologists, Dr Cameron Kennedy and Dr Lindsay Shaw; a paediatric dermatology specialist nurse, Helen Hewitt; and a departmental secretary, Laura Carter. One of the dermatology specialist registrars (trainees) is attached to the department on a rotational basis.

There may sometimes be medical students and nurses "sitting in" on the clinics.

Contact details:

Secretary:  telephone 0117 3428808  email laura.carter@uhbristol.nhs.uk.

Specialist nurse:  telephone 0117 3428161 email Helen.hewitt@uhbristol.nhs.uk.

Outpatients appointments: telephone 0117 3428401 fax 0117 3428177. 

Clinics

There are four consultant outpatient clinics per week at Bristol Royal Hospital for Children. Patients are seen with a wide variety of skin problems including eczema and psoriasis, skin infections, hair and nail problems and all types of inherited skin conditions and birth marks.

Specialist clinics

Combined clinics between dermatology and other specialists are available for children with specialist needs including:

Combined plastic surgery clinic for children with skin lesions requiring more complex surgery.

Combined rheumatology clinic for patients with problems affecting the skin, joints and soft tissues.

Combined clinic with vascular surgery and orthopaedics.for patients with vascular malformations. 

Other services/procedures

Investigations such as skin swabs, blood tests and skin prick tests for allergy are done in the outpatients department or Clinical Investigation Unit. A play therapist and specialist phlebotomist are available to assist with procedures.

Specialist skin treatments such as cryotherapy (freezing treatment) and cautery are available in outpatients.

There are close links with the dermatology department at the Bristol Royal Infirmary for access to more complex skin tests such as patch testing for contact allergy and treatments such as phototherapy and iontophoresis for hyperhidrosis of the palms and soles.

Surgery

Surgical procedures on the skin are carried out under local anaesthetic in a treatment room in the outpatients department. If a general anaesthetic is required children are admitted onto thesurgical day care ward and the procedure takes place in the hospital's operating theatre.

Inpatients

Patients requiring admission to hospital for severe skin problems are under the care of the acute paediatric team and will also be under the care of one of the two consultant paediatric  dermatologists.  A dermatology specialist registrar is on call via switchboard between 8am and 10pm for advice about inpatients with skin problems and the paediatric dermatology consultants can also be contacted via switchboard.

Emergency

On call dermatology service for GPs/A&E via switchboard. This will usually be a specialist registrar between 8am and 10pm.

Specialist nurse

A full time dermatology specialist nurse works in the department. She is an expert in the practical aspects of skin treatments and runs her own clinics. She provides detailed education/demonstration sessions for families of children with eczema. She uses specialist skin treatment such as cryotherapy and immunotherapy. She works closely with the community dermatology nurses and also visits schools, nurseries and does home visits where necessary.