Pilot Teledermatology Service for Assessing Solitary Skin Lesions in a Tertiary London Dermatology Center.

Background: Efficient clinical pathways are needed to meet the growing pressures in dermatology due to the significant rise in the number of suspected skin cancer referrals. Our hospital serves a wide geographical area and receives a large number of 2-week-wait (2WW) suspected skin cancer referrals. In the United Kingdom, approximately 10-12% of 2WW referrals are diagnosed as skin cancers fulfilling the 2WW criteria.

complex and limited cutaneous vasculitis in patients with cystic fibrosis: a case series.

There is a high association of reactive skin presentations, mainly limited cutaneous vasculitis in patients with cystic fibrosis and complex chronic infection. This may be due to raised levels of circulating inflammatory mediators.

An underused opportunity to introduce ACE inhibitors and influence prognosis: observational study of patients undergoing aortic surgery.

Objective: To asses whether Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) are underused in patients with aortic disease due to concerns regarding flow limiting (>70%) renal artery stenosis (RAS).

Design: A prospective analysis of patients admitted for aortic surgery was performed (January-July 2009). Co-morbidity, ACEI/ARB use and renal function were recorded.