Have you had this problem diagnosed by a healthcare professional before?

    YesNoOther

    Why do you need treatment today?

    I’ve had this problem before and need a REPEAT prescriptionI’ve had this problem before but want to try a NEW medicationI’ve NOT had this problem before and want to try a medication to helpOther

    Which type(s) of Psoriasis do you think you have? You can click on the answers to view a brief description of each type. If you are not sure please select ‘I don’t know’

    ScalpChest, Back, Stomach, Arms and/or LegsSkin foldsFaceHands and/or FeetNailsRaindrops (Guttate)Patches (Plaques)PustularPsoriatic ArthritisOtherI don’t know

    Scalp Psoriasis-red, scaly patches that may be itchy, flaky, and look like dandruff. It can affect the skin on your hairline, forehead, back of the neck, and the skin around your ears.

    Chest, back, stomach, arms or legs Psoriasis- red, raised patches with silvery-white scales- can be itchy, dry, and sometimes painful.

    Skin Fold Psoriasis- smooth, shiny red patches that form in the skin folds such as under breasts, in the armpits or around the groin.

    Facial Psoriasis- red, scaly, and sometimes itchy patches that may be sensitive. It can affect the skin on your face, including the forehead, eyebrows, and around the nose or mouth.

    Hands and/or Feet Psoriasis- affects the palms of your hands and the soles of your feet. The skin can be red and thickened with scaly patches. It can be painful, cracked, or even form blisters, making it difficult to use your hands or walk comfortably.

    Nail Psoriasis- nails can become discoloured, thickened, pitted (small dents), or crumbly. It can sometimes make the nails separate from the nail bed.

    Raindrop (Guttate) Psoriasis- small spots like raindrops- often appear on the chest, back, stomach, arms and legs.

    Patch Psoriasis- slightly raised patches of skin that are thick, red and covered with silvery-white scales- can be dry, itchy and sore- often appear on the scalp, elbows, knees and lower back.

    Pustular Psoriasis- tiny yellow-white pus-filled spots surrounded by red skin- often appear on hands and feet but can get anywhere on body- can come on quickly and be painful or itchy.

    Psoriatic Arthritis- affects the joints, causing joint pain, swelling, and stiffness. It can make your joints feel sore and swollen, and in severe cases, can affect joint movement.

    Where on your body is the problem? Please select all that apply

    Head and NeckUpper BodyLower BodyOther

    Head and Neck

    ScalpFaceEarsEyebrowsEyelidsMouth

    Scalp

    All over scalpFrontBackSidesNape (back of neck where hair starts)Several PatchesOne Patches

    Face

    ForeheadBoth CheeksLeft CheekRight CheekNoseJaw lineChinCentre of face (down the middle)

    Ears

    Outside earInside earBehind earEar lobeLeft earRight earBoth ears

    Eyebrows

    BothLeftRightSingle patchMultiple patchesAll over

    Eyelids

    All overPatchSingle spotLeft eyelidRight eyelidBoth eyelids

    Mouth

    Around the moutCorner(s) of mouth

    Upper Body

    ChestBackUpper ArmsForearmsElbowsBreastsArmpitsStomach/AbdomenHandsFinger Nails

    Chest

    Entire chestLeft sideRight sideIn Between Breasts

    Back

    UpperMiddleLowerAll over

    Upper Arms

    InsideOutsideLeft armRight armBoth arms

    Forearms

    InsideOutsideAll aroundLeft armRight armBoth arms

    Elbows

    Inside elbow foldOutside elbow surfaceLeftRight

    Breasts

    Underneath both breasts (in the skin folds)Underneath one breast (in the skin fold)Side(s)TopBottomIn between breasts

    Armpits

    Left armpitRight armpitBoth armpits

    Stomach/ Abdomen

    StomachLower AbdomenBelly ButtonAll over

    Hands

    TopPalmLeft handRight handBoth hands

    Finger Nails

    ThumbIndex fingerMiddle fingerRing fingerLittle fingerLeft handRight handBoth handsOther

    Lower Body

    GroinThighsLower LegsKneesFeetToe Nails

    Groin

    Left groinRight groinBoth groins

    Thighs

    Left thighRight thighBoth thighs

    Lower Legs

    CalfShinLeft legRight legBoth legs

    Knees

    Behind KneesOutside knee surfaceLeftRight

    Feet

    TopSideSole (underneath)HeeLeft footRight footBoth feet

    Toe Nails

    Big toe2nd toeMiddle toe4th toeLittle toeLeft footRight footBoth feet

    Other

    GenitalsJointsOtherI don't know

    Due to the sensitive nature of this area- DigiDerm does not treat skin problems related to the genitals. Please visit your NHS GP or local sexual health clinic.

    Joints

    0%

    Do you have any of the following symptoms?

    RednessPlaques (slightly raised patches of thick silvery-white flakey skin)Papules (small spots)Scaling (Flakeyness)ItchStinging or BurningWarm to touch or hot skinTinglingThickened skinRoughnessSmoothnessGreasy/ Oily skinDry skinItchy/ flakey skin affecting the eyebrows, side of the nose or earsYellowish crusting of the skinDarkening of skin (increase in colour or pigment)BlisteringPustules (small pus filled spots)Discharge or OozingBleedingCrustingChange in nail colourBrittle nail(s)Pits (small holes) in nailsWhite lines on nailsCurving of nails the wrong way (spoon shaped)Nail breakdown/ lossPainPain or stiffness in your jointsAltered sensation or feelingRash affecting more than 10% of your body surface (about 10 hand prints worth of skin)Regular InfectionsNone of the aboveOtherI don’t know

    Please rate from 1-10 how painful it is (0= no pain, 10= worst imaginable):

    Pain or stiffness in your joints

    Altered sensation or feeling

    Regular Infections

    When did the problems start?

    How quickly did the problem start?

    Suddenly (minutes)Quickly (hours)Gradually (days)Slowly (weeks)Very slowly (months)Over several yearsOtherI don't know

    Is it getting worse?

    NoYesOtherI don’t know

    16%

    How does the problem behave?

    It's always thereIt comes and goesOtherI don’t know

    How long does it last?

    MinutesHoursDaysWeeksMonthsYears

    Please explain:

    Has anyone in your close family had psoriasis or other autoimmune conditions, such as lupus, rheumatoid arthritis, Crohn’s disease, or vitiligo?

    NoYes, other people in my family have suffered with this skin problem tooYes, I have a personal or family history of autoimmune diseaseI don’t know

    Please tell us more

    Please tell us more

    Have you been unwell in any other way recently or experienced any of the following symptoms?

    No- I have been wellI have been unwell recently due to another condition, illness or circumstanceTemperatureFeverNauseaVomitingNight sweatsWeight lossExcessive tirednessJoint pain/ swellingOther concerning symptomsI don’t know

    Please tell us more

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    Please tell us more

    33%

    Does anything make it WORSE?

    StressDiet/ Certain foodsInfectionsSkin injury e.g. cuts, scrapes, sunburnWeatherMedicationsAlcoholSmokingHormonal ChangesObesityHeatColdExerciseSunlightOtherNone of the aboveI don’t know

    Please explain e.g which foods?

    Please tell us more

    Please tell us more

    Please explain e.g. which type of weather or climate?

    Please explain e.g which medication(s) and how do you react?

    Please explain e.g. is there any particular type of alcohol?

    Does anything make it BETTER?

    Moisturising RegularlyRegular BathingManaging StressLight therapySunlightHealthy dietHealthy weightHeatColdExerciseSea WaterCertain products e.g. oatmeal, epsom salts, dead sea salt, aloe veraCertain supplements e.g. vitamins, omega 3, turmeric, probiotics , zinc, seleniumOtherNone of the aboveI don’t know

    Have you already tried any of the following treatments?

    Moisturisers
    e.g. CeraVe, Aveeno, E45, Diprobase, Epaderm, Doublebase, Dermol, Oilatum

    Washes/ Soap Substitutes
    e.g. Dermol, Cerave, E45, Aqueous cream, Oilatum, QV Gentle, Hydromol, Epaderm

    Shampoos
    e.g. Capasal, Dermax, Polytar, Alphosyl, Etrivex, Nizoral

    Scalp Applications
    e.g. Betnovate (Betamethasone) scalp solution, Enstillar foam, Dovobet gel, Diprosalic, Sebco ointment

    Steroid creams/ointments
    e.g. Hydrocortisone, Eumovate (Clobetasone), Elocon (Mometasone), Betnovate (Betamethasone), Fucibet

    Specialist Psoriasis treatments
    e.g. Dovonex ointment (Calcipotriol), Dovobet gel/ointment, Enstillar foam

    Antihistamines
    e.g. Loratadine, Cetirizine, Fexofenadine

    Antibiotic creams/ gels/ lotions
    e.g. Fucidin, Fucibet, Trimovate

    Antibiotic tablets/capsules
    e.g. Flucloxacillin, Clarithromycin, Erythromycin, Cefalexin, Co-amoxiclav

    Steroid tablets, tape or injections
    e.g Prednisolone tablets, Haelen (Fludroxycortide tape), Cortisone injection

    Immune Suppressing tablets/injections
    e.g. Methotrexate, Azathioprine, Hydroxychloroquine, Mycophenolate, Ciclosporin

    Biologics
    e.g Humira injection, Remicade injection

    Cosmetic procedures
    e.g. Chemical peels, Micro-needling, Dermal fillers, Botox

    Laser/ Light/UV therapy

    Herbal/ Alternative treatments

    Surgical Procedures

    Other

    None - I haven't tried any treatments.

    50%

    Is there anything else you feel is important for us to know that would prevent us from safely prescribing for you?

    NoYes

    66%

    Photo Upload

    • If this is a new problem then we require at least one photo of it (max 6 photos) using your phone or digital camera.

    • Take a "far away photo" (from 1 meter away) to show the location and size of the problem.

    • Take a close-up photo (10-12 cm away) to show the details.

    • If appropriate please include a size reference (e.g. a coin or ruler) in your photo for scale.

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    83%

    Do you understand and agree with the following?

    You agree that for eczema, dermatitis, psoriasis and other dry skin conditions it is important that in order to prevent flare ups of your condition, you regularly moisturise (3-4 times daily) using an emollient cream or ointment. You understand that you should use a cream or ointment instead of soap to wash your skin.

    You are aware paraffin containing preparations (emollients/creams/ ointments etc) can soak into clothing and bedding and cause a fire hazard. You should wash clothing and bedding frequently and avoid smoking and naked flames. You are aware that for any scalp applications they can be flammable and it is not recommended to blow dry your hair after using them.

    You are aware that long-term use of steroid creams, ointments, lotions and other forms can cause permanent skin damage and skin thinning and should be applied sparingly and not be used continuously.

    You are aware that if your symptoms are not responding to treatment, you develop any worsening, new or severe symptoms, or you have any concerns or psychological distress then you should see your GP or seek urgent care as soon as possible.

    You will read the patient information leaflet supplied with any medication we send you and if you have any allergies to any of the ingredients or any contraindications, you will not take the medication and contact a DigiDerm clinician for further advice. You have informed us of any allergies you have by completing the general health questions.

    You have informed us of any current or previous medical conditions you have by completing the general health questions.

    You are not pregnant.

    You agree that if needed, a DigiDerm clinician may contact you via email, whatsapp or telephone in response to this consultation form to offer advice and suggest treatments where necessary, or if they feel they need more information to make an accurate diagnosis or assessment of your condition.

    You agree that if needed, a DigiDerm clinician may contact you via email, whatsapp or telephone in response to this consultation form to offer advice and suggest treatments where necessary, or if they feel they need more information to make an accurate diagnosis or assessment of your condition.

    You agree that if after reviewing your consultation, your skin problem is something we cannot treat or is not suitable for our service, then we will give you a full refund and suggest you visit your registered NHS GP for further advice.

    You are at least 16 years old and currently resident in the UK at the time of this consultation. This treatment is to be used only by you.

    You take responsibility to inform your own regular doctor/ NHS GP of this online consultation and any treatments supplied, or any changes in your circumstances.

    The answers provided to the above questions are true and accurate to the best of your knowledge.


    100%

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