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I welcome interesting clinical cases you think might fit here, or any suggestions for subjects you would like to hear more about.


Dermoscopy & acral melanoma. Keep it BRAAF please.
Acral melanoma is something which worries every podiatrist – a rare malignancy but one not to be missed as timely diagnosis can reduce...

Ivan Bristow
May 5, 20233 min read


A practical solution to emollient selection....
Dry skin is regular problem encountered in podiatry clinics – particularly at this time of the year when the days get shorter and colder,...

Ivan Bristow
Mar 7, 20233 min read


Dissolving microneedles - the future of topical drug delivery?
One of the most convenient and safest ways to deliver medicine into the body is via the topical route, through the skin into the dermis...

Ivan Bristow
Mar 7, 20233 min read


The rise and fall of COVID toes
With the onset of the pandemic in January 2020, we began to learn the effects of the COVID 19 virus went well beyond just being a...

Ivan Bristow
Feb 1, 20233 min read


Silver Nitrate - an alternative to phenol in nail surgery
A review of a recent paper discussing the use of silver nitrate as an alternative to phenol for nail ablations.

Ivan Bristow
Dec 30, 20224 min read


Known associations in patients with lichen planus
When we think of common inflammatory disorders psoriasis and eczema may come to mind as very common dermatoses but one condition that is...

Ivan Bristow
Dec 30, 20223 min read


Drug reactions and the skin
The skin is the most common organ involved in reactions to ingested drugs. Fixed drug eruptions are a common manifestation of the problem.

Ivan Bristow
Dec 5, 20223 min read


Drilling holes in nails – getting to the root of the infection?
How can we improve cure rates when using topical antifungal nail treatments? Published work suggests nail fenestration may help.

Ivan Bristow
Dec 5, 20226 min read


Search box added to foot.expert
The Foot.Expert website is now over six years old and it continues to grow in size with videos, blogs and papers. I noticed a while back...

Ivan Bristow
Dec 4, 20221 min read


Is susceptibility to tinea genetic?
With increasing DNA analysis technology, can we unravel the mystery of tinea? Is susceptibility genetic? This blog looks at recent work.

Ivan Bristow
Nov 8, 20224 min read


Skin metastases from internal tumours
Cutaneous metastases are the secondary spread of cancers, but how often do internal cancers spread to the skin?

Ivan Bristow
Nov 8, 20223 min read


How useful is zinc in wart treatment?
This blog documents a recent systematic review of zinc in the treatment of warts.

Ivan Bristow
Oct 10, 20224 min read


What’s your patient hiding from you?
Tinea incognito a term for an unrecognised fungal skin infection occurring after topical steroid use.

Ivan Bristow
Oct 10, 20223 min read


Vasculitis and skin ulcers
A paper has been published looking at the vasculitic causes of lower limb ulcers.

Ivan Bristow
Aug 30, 20221 min read


Assessing Progress in Onychomycosis
The OSI is a simple clinical tool to quantify and measure the extent of nail involvement in onychomycosis. This video explains how it works.

Ivan Bristow
Aug 30, 20222 min read


How thick is the epidermis?
How thick is the human epidermis. This recent paper pools results to try and answer the question.

Ivan Bristow
Aug 3, 20222 min read


An unusual onychocryptosis
The authors present an unusual case of onychocryptosis.
Ivan Bristow & Stuart Metcalfe
Aug 3, 20222 min read


Book: Diagnostic Dermoscopy 2E – A great update
A review of the second edition Dr. Jonathan Bowling's award winning book "Diagnostic Dermoscopy".

Ivan Bristow
Jul 26, 20223 min read


Clubbing of the nails
This blog explores the phenomenon of nail clubbing and its cause.

Ivan Bristow
Jul 5, 20225 min read


How much should I use?
So often patients ask how much cream should I apply to my feet? The Fingertip unit is a way of conveying this information simply.

Ivan Bristow
Jul 5, 20222 min read
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