شعار تجمع حفر الباطن الصحي
بوابة أطباء الرعاية الصحية الأولية
تجمع حفر الباطن الصحي — Hafr AlBatin Health Cluster

تجمع حفر الباطن الصحي

Dermatology

Routine — روتيني
  • Persistent rashes or dermatitis not responding to ≥6 weeks of appropriate treatment (eczema, seborrheic, contact, rosacea).
  • Psoriasis or lichen planus requiring systemic treatment or phototherapy.
  • Suspected autoimmune/bullous diseases (cutaneous lupus, vitiligo with rapid spread).
  • Scarring alopecia or hair disorders (not clearly telogen effluvium).
  • Moderate-severe acne unresponsive to topical + oral agents in PHC.
  • Chronic urticaria >6 weeks not responding to 2nd-gen antihistamines.
  • Calluses or warts unresponsive to salicylic acid / cryotherapy.
  • Unexplained nail changes suggestive of fungal infection, psoriasis, melanoma.
  • Need for diagnostic confirmation or skin biopsy (urgent if malignancy suspected).
  • Cosmetic dermatology evaluation (keloid scar, hyper/hypopigmentation).
  • Skin conditions impacting mental health/QoL despite PHC management.
  • Recurrent skin infections (boils, abscesses) despite good hygiene + antibiotics.
  • Suspicious benign lesions (atypical seborrheic keratoses).
Urgent (<5 days) — عاجل (< 5 أيام)
  • Severe uncontrolled symptoms (intense pruritus/pain, sleep disturbance) not responding to PHC treatment.
  • Suspected skin cancer (melanoma, SCC, BCC) — non-healing lesions, ABCDE features.
  • Rapidly enlarging, ulcerating, or bleeding masses/lesions with unclear diagnosis.
  • New-onset or worsening blistering disorders (early pemphigus, bullous pemphigoid).
  • Severe/worsening psoriasis impacting QoL.
  • Unexplained purpuric/vasculitic rash without systemic instability.
  • Persistent or widespread skin infections requiring systemic treatment.
  • Painful/persistent genital ulcers or vesicular eruptions (first episode HSV, suspected syphilitic chancre).
  • Persistent urticaria with facial swelling (but no airway compromise).
  • Neonatal or infant skin rash with systemic symptoms or blistering.
  • Suspicion of cutaneous lymphoma or rare dermatoses.
  • Always attempt a comprehensive 6-week conservative trial for common conditions (eczema, acne, psoriasis) with appropriate drug class, potency, frequency, and patient education. Many referrals can be avoided when superficial attempts are replaced with proper evidence-based management.
  • Document prior treatments and durations (topical steroid class, antifungal course).
  • ER referral for any acute, severe, or extensive dermatologic and soft-tissue disorder with significant morbidity risk — Stevens–Johnson syndrome, TEN, herpes-zoster ophthalmicus, necrotizing fasciitis, or any rapidly deteriorating skin condition.