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


Why do feet itch?
Itch (pruritus) is a common symptom, often frustrating for the patient making life difficult as they may be unable to sleep, relax or work. In some cases, itch can be debilitating as a painful condition. In this blog, I will look at a range of conditions that may present as itching primarily of the feet.

Ivan Bristow
Aug 317 min read


Ceramides - the future of emollients?
Ceramides are a specific group of lipids known as sphingolipids – long fatty acid chains with an amide bind and a waxy texture (“cera”-meaning wax in Latin). They are amphipathic meaning they have hydrophilic (water attracting) and hydrophobic (water repelling) components within their structure.

Ivan Bristow
Aug 317 min read


Why is my toenail lifting? Onycholysis!
Onycholysis is a common nail condition observed by podiatrists and other healthcare professionals, but it is seldom discussed as a single entity. This blog explores the various diagnoses that can lead to lifting of a single nail – monodactylic onycholysis. Why? As this article uncovers, monodactylic disease can be the presenting sign of nail malignancy, a condition which is often delayed in diagnosis due to their rarity.

Ivan Bristow
Aug 58 min read


Does fungal nail infection get better on its own?
A question which many patients ask - can my fungal nail infection clear by itself?

Ivan Bristow
Jul 53 min read


Foot Eczema and Alitretinoin
Alitretinoin has been shown to be effective at managing eczema affecting the feet.

Ivan Bristow
Jul 55 min read


Don’t misdiagnose melanoma in diabetes - The new U.L.C.E.R acronym
The ULCER acronym can help clinicians to recognise a melanoma disguised as a diabetic foot ulcer

Ivan Bristow
Jun 33 min read


Infective Intertrigo - a step on from tinea pedis
Infective intertrigo is a mixed bacterial and fungal infection found between the toes causing redness, pain an swelling

Ivan Bristow
May 57 min read


Tinea pedis - an occult disease?
Tinea pedis is very common but much of it may not be recognised due to subtle symptoms.

Ivan Bristow
Mar 17 min read


Why do feet smell?
A common question from patients to podiatrists are “how do you put up with all those smelly feet?” reflecting the belief that foot odour is a common issue. In truth, as most podiatrists know, most feet don’t really smell – but a few do! This article examines the science behind smelly feet and its management.

Ivan Bristow
Jan 307 min read


The "CUBED" App - a tool to assist UK podiatrists.
The CUBED App is a tool developed for use by UK podiatrists to support decision making when assessing lesions on the foot.

Ivan Bristow
Dec 31, 20255 min read


Scabies - mite it be a problem on the foot?
Scabies is on the rise again. How does it present on the foot?

Ivan Bristow
Dec 31, 20257 min read


DERMFoot UK - Meeting Report
The first DERMfoot UK event was held in October and was a great success, for all healthcare professionals looking after feet.

Ivan Bristow
Dec 2, 20253 min read


Melanoma Rates in the UK - an update
Melanoma incidence and mortality rates have been examined for a 19 year period showing some interesting trends

Ivan Bristow
Nov 3, 20253 min read


Can the HPV vaccine treat verrucae and warts (2025 Update)?
Can the HPV vaccine really treat warts and verrucae? This blog investigates.

Ivan Bristow
Oct 6, 20254 min read


Could antihypertensive drugs cause eczema in the elderly?
Medications can provoke skin disease. This blog explores common antihypertensive medications that can provoke eczema in the elderly

Ivan Bristow
Aug 29, 20254 min read


Beyond the foot: considering extragenital lichen sclerosus in podiatry
A genital skin problem which can manifest on the foot and leg, Lichen Sclerosus is something podiatrists may not be aware of.

Michelle Reynolds
Jul 31, 202510 min read


Melanonychia: visually differentiating the good from bad
What is Melanonychia? Melanonychia, a term derived from the Greek "Melas" (meaning black or brown) and "Onyx" (meaning nail), describes...

Ivan Bristow
Jul 31, 20254 min read


Acral lentiginous melanoma - improving detection on the foot
How can we improve detection of acral lentiginous melanoma on the foot? This blog looks at the evidence and suggests practical methods that can be implemented in clinic.

Ivan Bristow
Jun 2, 202510 min read


How common is tinea pedis in children?
How common is athletes foot or tinea pedis in children? This article investigates,

Ivan Bristow
May 1, 20254 min read


Wet Wrapping - a technique to reduce hyperkeratosis on the feet
This blog describes how to perform a wet wrap on the feet, a gentle treatment for hyperkeratosis

Ivan Bristow
Feb 24, 20255 min read
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