A nursing home resident aged 73 years was referred to the local dermatology department for management of a severe reaction to 5% 5-fluorouracil cream.

A nursing home resident aged 80 years, when presenting for an influenza vaccination, was noted to have a large fungating lesion with rolled edges on the right side of his chest.

A man aged 52 years with a history of non-melanoma skin cancer presented with a firm, non-tender, skin-coloured papule.

This article describes common changes that may occur in pigmented lesions in pregnancy, features that are of concern and the management of suspected melanoma in pregnant women.

In children and adolescents, there exist a variety of congenital and acquired naevi and other pigmented skin lesions that can be diagnostically problematic.

General practice registrars use a dermatoscope in a modest majority of skin checks and pigmented skin lesion consultations, which influences registrars’ diagnoses and increases their confidence.

Dengue is a common cause of fever and rash in returned travellers from South-East Asia.

Assessing pigmented lesions on patients, including opportunistically, is an important part of patient care and can make a significant difference to patient health.

Black salve is promoted as an effective, safe and natural skin cancer treatment, but such claims are not evidence-based, and serious complications have been reported.

This article discusses an approach to managing patients with significant solar damage from a primary care perspective, focusing on the assessment and treatment of actinic keratoses.

The introduction of mesh procedures for vaginal prolapse and incontinence was not managed well. Introduction of new devices or techniques must be accompanied by rigorous evaluation and ongoing audit.

Diabetic dermopathy is a benign, asymptomatic and likely underdiagnosed skin condition seen in up to 40% of individuals with diabetes.

This month’s issue spotlights a common movement disorder in general practice – Parkinson’s disease – in addition to discussing assessment of gait and the importance of posture.

Parkinson’s disease is now recognised as a whole-body disorder, not a motor disorder with accompanying non-motor features.

Although most eyelid lumps are benign, accurate diagnosis and early recognition of sinister lesions leads to improved patient outcomes.