Clinical News

Psoriasis: an overview

An overview of the presentation, co-morbidities and latest treatment approaches to psoriasis Psoriasis is a chronic immune-mediated inflammatory skin disorder, affecting at least 100 million people worldwide, a 2015 report (Burden of Psoriasis in Ireland: Epidemiology, Quality-of-Life, Co-morbidities and Treatment Goals) suggests that there are 73,000 people with psoriasis in Ireland, estimating a prevalence of…

Read More

Rosacea – an update

A look at the presentation and management approaches to one of the most common skin care problems seen in Irish people Known as the ‘curse of the Celts’, rosacea is one of the most common skin conditions seen in Irish patients. People who develop rosacea commonly tend to flush/blush very easily. Key triggers include a…

Read More

Evidence-based approaches to treating acne vulgaris

An overview of the presentation and latest treatment approaches to acne vulgaris, with a series of practical cases Acne vulgaris is a chronic, inflammatory condition of the pilosebaceous unit characterised by inflammatory and non-inflammatory skin lesions. Treatment is directed at the four factors involved in lesion formation which include increased sebum production, hyperkeratinisation of the…

Read More

Focus on gestational diabetes

Priscilla Lynch reports on two new studies that could have implications for the dietary management of gestational diabetes A simple Mediterranean-style diet in pregnancy does not reduce the overall risk of adverse maternal and offspring complications, but has the potential to reduce weight gain in pregnancy and the risk of gestational diabetes, according to the…

Read More

Managing type 1 diabetes

Professional update on type 1 diabetes diagnosis and management with a focus on avoiding DKA Case report Lucy is four years old and is a normal, active child but lately she has been going to the toilet frequently and has started wetting the bed again after being dry overnight for months. Lucy complained of a…

Read More

Integrated diabetes care in the community setting

Providing care to diabetes patients in the community needs to be done in a structured manner Type 2 diabetes (T2D) is a chronic, multi-system condition that occurs when there is an absolute or relative deficiency of insulin. Due to its slow and gradual progression, T2D may be asymptomatic for years. Care for T2D is integrated…

Read More

Premenstrual dysphoric disorder: What it is and why it matters

An overview of premenstrual dysphoric disorder (PMDD),  a severe, disabling and widely under-recognised form of premenstrual syndrome Premenstrual dysphoric disorder (PMDD) is a severe, disabling and widely under-recognised form of premenstrual syndrome that affects up to 6 per cent of menstruating people. Given its prevalence, severity and symptom profile, it is included in the list…

Read More

Enhanced cognitive behavioural therapy

There is strong evidence that enhanced cognitive behavioural therapy is very effective for the treatment of eating disorders Eating disorders are among the most devastating psychiatric disorders accompanying a large number of health problems (American Psychiatric Association, 2013). Commencement of these mental disorders occurs mostly in adolescence (Mitchison D, Hay, P, Slewa-Younan S and Mond…

Read More

Attention deficit hyperactivity disorder in adults

Core symptoms The key features of attention deficit hyperactivity disorder (ADHD) are inattention, hyperactivity and impulsivity. The diagnosis requires the presence of a number of symptoms and requires that these are of greater severity than a peer population. Other factors such as general IQ and presence of specific learning difficulties are taken into account. The…

Read More

Therapeutic drug monitoring in IBD

Therapeutic drug monitoring is increasingly being used in the medical management of IBD, as it has many benefits but challenges remain Inflammatory bowel disease (IBD) consists of two chronic life-long conditions resulting in inflammation of the gastrointestinal tract – ulcerative colitis (UC) and Crohn’s disease (CD). The severity and extent of the disease influences the…

Read More