Inflammatory dermatoses
Red flags
Consider urgent referral possibly to DEM for patients with the following
- Extensive severe skin involvement
- Extensive secondary skin infection
- Flare up of extensive psoriasis
The following features may lead to more urgent categorisation
- Extensive involvement
- Poor control despite optimum management
- Mycosis fungicides (Biopsy essential)
- Guttate psoriasis
Conditions covered in this category are:
- Eczema
- Atopic
- Numular
- Asteatotic
- Icthyotic
- Dermatitis
- Seborrhoeic
- Contact
- Allergic
- Hives
- Chemical
- Lichen planus
- Psoriasis (see separate section) (if severe arthropathy is present refer also to Rheumatology)
- Rosacea
Other important information for referring practitioners
Lifestyle changes
- Encourage healthy lifestyle
- Stop smoking
Medical management
- Ensure compliance with use of topical medications and emollient baths etc.
- If persistent flare up of usually well controlled chronic eczema consider secondary infection and trial antibiotic treatment
- Most moderately severe psoriasis should be under the care of dermatology especially if prone to inflammatory flare ups.
Referral requirements
A referral may be rejected without the following information.
- Presence of any Red Flags
- Reason for referral
- Relevant clinical history
- Description of skin condition
- Sites affected with severity
- Treatments trialled and reasons for failure
- Detailed medication history including any allergy
- If seen previously by Dermatologist include last two letters
- Occupational history if relevant
- Family history if relevant
- Any relevant histology
- Important if chronic
Additional referral information (useful for processing the referral)
- Histology especially in chronic skin conditions
- Skin swabs/ scrapings
Out of catchment
Metro North Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service. If your patient lives outside the Metro North Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.
- Impact on employment
- Impact on education
- Impact on home
- Impact on activities of daily living
- Impact on ability to care for others
- Impact on personal frailty or safety
- Identifies as Aboriginal and/or Torres Strait Islander
- To establish a diagnosis
- For treatment or intervention
- For advice and management
- For specialist to take over management
- Reassurance for GP/second opinion
- For a specified test/investigation the GP can’t order, or the patient can’t afford or access
- Reassurance for the patient/family
- For other reason (e.g. rapidly accelerating disease progression)
- Clinical judgement indicates a referral for specialist review is necessary
- Presenting symptoms (evolution and duration)
- Physical findings
- Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
- Body mass index (BMI)
- Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
- Current medications and dosages
- Drug allergies
- Alcohol, tobacco and other drugs use
- Full name (including aliases)
- Date of birth
- Residential and postal address
- Telephone contact number/s – home, mobile and alternative
- Medicare number (where eligible)
- Name of the parent or caregiver (if appropriate)
- Preferred language and interpreter requirements
- Identifies as Aboriginal and/or Torres Strait Islander
- Full name
- Full address
- Contact details – telephone, fax, email
- Provider number
- Date of referral
- Signature
- Willingness to have surgery (where surgery is a likely intervention)
- Choice to be treated as a public or private patient
- Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)
Send referral
Hotline: 1300 364 938
Fax: 1300 364 952
Electronic: eReferral system
Mail: Metro North Central Patient Intake
Aspley Community Centre
776 Zillmere Road
ASPLEY QLD 4034
Health pathways
Access to Health Pathways is free for clinicians in Metro North Brisbane.
For login details email:
healthpathways
Login to Brisbane North Health Pathways:
brisbanenorth.
Locations
Resources
- Named Referral Information Sheet
- Outpatient clinic information
- General referral criteria
- eReferral template
Clinical resources
- NICE guidelines on the management of psoriasis
- Guidelines for the management of psoriasis from American Academy of Dermatologists
- Guidelines for topical management of atopic dermatitis from American Academy of Dermatologists