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The role of expert witnesses in miscarriages of justice

‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...

How I Do It - Sebum, science, and the 1726nm laser: Rethinking acne management in a post-antibiotic era

Acne vulgaris remains one of the most prevalent skin conditions worldwide, affecting up to 85% of adolescents and persisting into adulthood for a significant proportion of individuals. Conventional therapies – topical retinoids, oral antibiotics, hormonal agents, and isotretinoin – remain...

FNA in the diagnosis of malignant salivary gland tumours

Salivary gland tumours are relatively rare and occur with an incidence of 2.5-3% per 100,000 people. Histologically they are extremely diverse with several patterns; some of which overlap and exact diagnosis can be difficult. Indeed it can be difficult to...

How I Do It - Approaches to acne treatment: Nd:YAG laser

Acne is common among individuals who experience a condition of hyperactive pilosebaceous units (precipitation and mobility of keratinocytes). A specific T-cell mediated inflammatory response is the initiating event in acne pathogenesis, followed by comedone formation. The mechanism of inflammation is...

Combined Vismodegib and Mohs surgery

This is a report of eight patients with locally advanced periocular basal cell carcinoma who were treated with Vismodegib prior to Mohs micrographic surgery. The rationale for the combined treatment plan was that long-term Vismodegib is poorly tolerated due to...

Is the UK justice system colour blind?

The colour of justice is not blind in the UK. What I am going to say in this blog may not be popular but I am very troubled by certain facts that are being conveniently ignored. Before I knew the...

Medical treatment of orbital lymphatic malformations

This is a literature review of the use of Sirolimus, to treat orbital lymphatic malformations. Sirolimus is an immunosuppressant used in renal transplants, and acts by inhibiting mammalian target of rapamycin (mTOR), which in turn inhibits activation of T and...

Facial veins – diagnosis and treatment options

Facial veins can be treated with a wide range of aesthetic and surgical procedures. Victoria Smith and Professor Mark Whiteley, both experts in the area, provide a comprehensive overview of diagnosis and the different treatment options available. Patients with unwanted...

In conversation with Klaus Fritz

We spoke with Dr Klaus Fritz, a board member with 5CC, about his career in dermatology and 5CC’s upcoming congress in Barcelona. Can you tell us a little bit about what led you into the field of dermatology, and what...

IMAAC ZIYALAN 2024

The International Medicine of Anti-aging & Aesthetics Congress (IMAAC ZIYALAN) is a leading platform for displaying achievements and exchanging ideas in the global anti-ageing medical aesthetics industry. Since 2017, it has held six consecutive sessions. Over 50,000 experts, scholars, and...

Using erythema-directed digital photography in patients with rosacea

The authors, from the University of Catania in Italy, discuss the promise that erythema-directed digital photography is showing in the clinical evaluation and targeted treatment of rosacea. Rosacea is a common chronic inflammatory facial condition that can lead to significant...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.