Top 10 Skin Conditions Reported on First Derm: Teledermatology Consultation Insights
First Derm offers a convenient, affordable, and confidential way to get a professional opinion on any skin concern, including suspicious moles or lesions. This online platform makes healthcare more accessible to people worldwide; you just need a smartphone and internet access to use the service. The best part is, you can get reliable advice about your concern from a group of board-certified dermatologists from the comfort of your home.
Charles SLBG Foundation Skin Cancer Screening Report brings evidence as to how effective this platform is. 84 different skin conditions were identified, including 66 cases of potentially life-threatening cancers (malignant melanoma and basal cell carcinoma), leading to urgent dermatology referrals, and potentially saving lives, while also preventing 802 unnecessary consultations and providing reassurance.[1] This article will give you insight into the top 10 skin conditions reported on Fist Derm.
1. Acne
Acne, commonly known as acne vulgaris, is a widespread inflammatory skin condition affecting nearly 85% of adolescents and young adults, marking the importance of medical advice and timely treatment.[2] Acne manifests as pimples, blackheads, whiteheads, and sometimes painful nodules, primarily on the face. They result from complex interactions between hair follicles and Cutibacterium acnes bacteria. Severe acne and its consequences, such as pigmentation changes and scarring, can significantly affect a person’s quality of life.
Acne vulgaris on the face, featuring small pustules and papules
Case Description
In the beginning of April, I started new skincare products, and I started breaking out after a few weeks. My skin has been progressively getting worse. I’ve been getting pus filled pimples, and big red pimples that just don’t go away. I don’t have any allergies, don’t eat much dairy, and haven’t had much stress for the past month.
Dermatologist’s Response
Based on the images and information, this is possibly Acne Vulgaris. Acne vulgaris is a common cutaneous inflammatory disorder of the pilosebaceous unit, which runs a chronic course, affecting around 85% of people between the ages of 12 and 24. Acne may come and go during this period. Some factors that may precipitate the onset of acne include hormonal fluctuations that result in increased sebum production. These may be associated with menstruation, pregnancy, contraceptive pills, or stress. In addition, the use of greasy or oily cosmetic and hair products, some medications such as steroids, B12 pills or injections, and a diet high in salt, saturated fats, and refined sugars may cause inflammation and clogged pores. The individual’s unique structure and environment may have exacerbated acne. For now, as an over the counter product, you can try to apply benzoyl peroxide gel 5% twice a day in small amounts. Azelaic acid cream can be used together with benzoyl peroxide. If there is no improvement within a few weeks, prescription treatment with either topical products (such as clindamycin, nadifloxacin) or oral antibiotics (doxycycline, minocycline), oral isotretinoin or spironolactone should be considered. For this, you should personally consult a dermatologist. Best wishes.
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2. Atopic Dermatitis (Eczema)
Atopic dermatitis starts with red, swollen, and oozing skin in its acute phase, and progresses to thickened, lichenified skin in its chronic phase. It affects 15-20% of children and 1-3% of adults in wealthy countries.[3] This skin condition is influenced by genetics, including mutations in the filaggrin gene, and environmental factors like climate, diet, and breastfeeding.
Atopic dermatitis (eczema) on the left forearm, displaying a pink circular patch
Case Description
Location is left forearm. Color varies like/dark pink and some normal flesh peeking through. Smaller than a dime, about a 1/4 of an inch circular shape. Has never increased in size. Also has a few tiny, raised bumps that come and go. It does itch sometimes and flakes a little. I acquired this after a severe case of poison ivy that covered my arm. I do have excessive dry/flakey skin and light eczema since childhood.
Dermatologist’s Response
Based on the information and images of your arm, this is possibly a ATOPIC DERMATITIS: Also called atopic eczema is very common in children but can persist into adulthood in some cases. It often affects sites like the flexures of the big joints (skin folds cush as the knee, elbows, neck, etc.), but it can be found anywhere on the body surface. This condition causes itchy inflammation of the skin with red, dry patches which sometimes lead to cracking of the skin. In some cases, multiple small blisters or bumps can appear. Bacterial infections can also UPDATE to the problem. At-home treatment options include: avoiding substances that may be irritants (e.g. excessive showering/bathing), applying over-the-counter 1% hydrocortisone ointment (twice daily for a week, then once daily for another week and then every other day for 2 weeks) plus frequent application of a moisturizing cream. If it doesn’t improve, see a dermatologist in person since more potent steroid creams requiring a prescription may be needed. Furthermore, a skin biopsy could be considered for long-standing lesions to rule out other potential inflammatory or premalignant skin conditions.
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3. Hair Loss (Androgenetic Alopecia)
Androgenic alopecia is a common form of hair loss characterized by a gradual thinning of hair follicles on the scalp in a distinct pattern. It affects half of European men by age 50 and 80% by age 80.[4] While it is more prevalent in older men, it can also occur in younger men under 30 as premature AGA. This condition is primarily genetic and influenced by androgen hormones, but also linked to chronic inflammation, oxidative stress, coronary heart disease, metabolic syndrome, and prostate cancer.[4]
Androgenic alopecia displaying hair thinning and scalp visibility
Case Description
Started 2 months ago. Every time I take a shower, 5-10 strands fall out. Looking for specialist opinion as to what to do as the balding area is increasing in size. Treatment objectives: Looking to stop the hair loss (right now) and regrow or renourish my hair and scalp.
Dermatologist’s Response
Based on the information and images of your scalp, this is possibly a ANDROGENIC ALOPECIA (male pattern hair loss). Male pattern hair loss is characterized by a receding hairline and/or hair loss on the top and front of the head. Male pattern hair loss affects nearly all men at some point in their lives. It affects different populations at different rates, probably because of genetics. Male pattern hair loss is caused by a sensitivity to the effects of dihydrotestosterone, or DHT in some areas of the scalp. DHT is believed to shorten the growth and cause miniaturization of the follicles, and progressively produces fewer and finer hairs. Eventually when all the hairs in the tuft are gone, bald scalp appears between the hairs. Various treatment options are available. Some are over the counter and others require an evaluation with a dermatologist. Hair replacement/transplant, hairpieces, hair/scalp lasers, minoxidil solution (rogaine). As an over the counter agent, you can try to apply Rogaine 5 % twice a day in small amounts , but not over entire scalp. Ketoconazole shampoo has been reported to be effective in such type of hair loss . Monitor the condition. Depending on the findings of this initial attempt, you can consider consulting a dermatologist in person.
4. Psoriasis
Psoriasis is an inflammatory skin condition that leads to red, itchy, and scaly patches. It affects 1-3% of people globally, with different rates among various ethnic groups and regions.[5] This condition is caused by a mix of genetic factors and environmental triggers such as UV exposure, certain medications, smoking, alcohol, infections, and stress.
large, red, scaly, and itchy psoriasis patch, showing significant scaling and redness
Case Description
Spot is about 4” by 3”, has gotten slightly larger in last 2 weeks. Itchy, slightly uncomfortable but not painful. Non responsive to lotions, hydrocortisone cream or first aid ointment.
Dermatologist’s Response
Based on the information and images of your skin, this is possibly PSORIASIS VULGARIS: Psoriasis vulgaris is a common, heterogeneous, chronic inflammatory skin disease characterized by thickened, red, scaly plaques covered with silvery scales particularly over the extensor surfaces, scalp, and lower back region. Psoriasis has no cure and the disease waxes and wanes with flareups. It may be localized or diffuse involvement. The exact etiology is unknown. Topical agents such as coal tar, dithranol, corticosteroids, vitamin D analog, and retinoids are used in the treatment of localized psoriasis . Emollients and moisturizers may help in improving barrier function . Light therapy and biologicals might be needed in extensive cases. Since you have already tried hydrocortisone cream and it doesn’t work, see a dermatologist in person for prescription therapies.
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5. Rosacea
Rosacea is a chronic skin condition causing redness, often with flushing, primarily on the midface (forehead, nose, cheeks, chin, and ears). Symptoms include recurring or persistent redness, visible blood vessels, pimples, pustules, and thickened skin on the nose. Those with rosacea may also experience skin irritation, dryness, and burning. It mostly affects women aged 30 to 50, with a global prevalence of 1% to 22%.[6] Common triggers include sun exposure, stress, temperature changes, and hot weather.
Rosacea on the nose characterized by redness, soreness, and occasional spots
Case Description
It started around 4 years ago following childbirth. It’s very red, sore and at times, spots form, particularly on my nose.
Dermatologist’s Response
Based on the information and images submitted, this is possibly ROSACEA: Rosacea is an inflammatory skin condition that is common in both men and women which usually appears after the age of 30. Small red lesions/spots can appear in the central part of the face (cheeks, nose and forehead). Flushing is also common. Sometimes a slight burning sensation or itching is felt with symptoms that can come and go. At times, the condition gets worse due to different factors which vary greatly between individuals (e.g. sun exposure, sudden temperature changes, spicy foods, alcohol, etc.). Hydrocortisone and similar topical steroids can exacerbate the condition. Patients with rosacea often present with a various symptoms and signs of the disease, so an individualized treatment plan should be tailored to a patient’s unique clinical presentation. Currently, there is no cure for the condition, but it can be controlled. Topical medications include metronidazole, azelaic acid, benzoyl peroxide, antibiotics, sulfacetamide/sulfur, and retinoids, while oral medications used for this purpose include tetracyclines, metronidazole, isotretinoin, and macrolides. Until reaching out a dermatologist, you can try to apply Azelaic acid cream twice a day in small amounts along with Bioderma Sensibio AR cream . The best approach would be to consult a dermatologist in person to confirm the diagnosis, and then proper prescription treatments. A combination of oral and topical proper antibiotics with sun protection could help improve the condition. I hope this has been helpful.
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6. Skin Cancer
Skin cancer is a major medical concern because of its high prevalence. It includes malignant melanoma and non-melanocytic skin cancers like basal cell carcinoma and squamous cell carcinoma. According to the American cancer society, skin cancer is the most common type of cancer in the US.[7] The number of new cases identified every day is as high as 9500, and every hour more than two people die because of it.[8] New skin lesions, which are irregular in shape or colour, lesions that are rapidly changing in size, shape or colour, itching, bleeding and non-healing lesions should raise suspicion of skin cancer.
Suspicious pigmented lesion with irregular shape and multiple colors
Case Description
Since July 2023 I had this mole, it was smaller then and now maybe 50% bigger, light red colored. Located on the lower left side of the eye.
Dermatologist’s Response
Based on the information and images of your face, a MALIGNANT MELANOMA should be ruled out because of the marked increase in size: Melanoma is a type of skin cancer usually caused by excessive sun exposure, especially a history of sunburn(s). The pigmented lesion seen in the images is larger than most benign moles and also shows an irregular shape and multiple colors. Nevertheless, it is hard to be sure. It could also be a benign nevus. In any case, an urgent visit to a see a dermatologist for closer examination with dermoscopy (a diagnostic technique with a specialized magnifying glass which allows for a more precise assessment) s highly recommended.
7. Seborrheic Keratosis
Seborrheic keratosis is a common harmless skin condition characterized by raised skin growths made up of immature skin cells called keratinocytes, ranging from light-colored patches to darker, scaly bumps with a unique “stuck-on” look. It becomes more prevalent with age, affecting nearly all adults over 60 years old.[9]
Seborrheic keratosis characterized by a well-defined, circular dark brown lesion
Case Description
A perfect circle shape Dark brown with one black spot It has changed recently from the normal mole I’ve had for year to more 3D and bigger.
Dermatologist’s Response
Based on the information and images of your back, this is possibly a SEBORRHOEIC KERATOSIS: Is a benign wart (not contagious) that is very common in adults. It is usually slightly raised and to have well-defined borders which is typical. Most seborrheic keratoses are brown or grey in color and have a wart-like or waxy surface. They can also have a redder appearance. I would however recommend a visit to a dermatologist for a closer look with a dermoscope (special magnifying glass) for a more accurate assessment.
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8. Folliculitis
Folliculitis is a common skin condition where hair follicles become infected, resulting in red bumps or pustules on hair-covered skin. It can be caused by bacterial infections, fungal species, viruses, or mites like Demodex folliculorum. Sometimes, it can also occur without an infection, due to factors like irritation.[10]
Bacterial folliculitis on the left side of the chin, characterized by a group of red bumps
Case Description
Two little inflammations below nostrils. I did not have a cold recently. It is a bit itchy.
Dermatologist’s Response
Based on the images and information, this is possibly BACTERIAL FOLLICULITIS. Folliculitis is a very common skin condition. It is caused by an inflammation of the hair roots due to small sores in the skin allowing bacteria and other irritants to enter and inflame the hair follicles. It can be either infectious or non-infectious. Your case looks like infectious folliculitis caused by bacteria. Infectious folliculitis is a common skin disorder seen in sensitive individuals. Oily face (if you have so ) is a predisposing factor for folliculitis. Folliculitis can sometimes have a chronic and recurrent course. I would recommend applying povidone-iodine solution and neosporin cream twice daily ,both over the counter medications. Also, keep the area clean with antibacterial soaps or solutions (e.g. Chlorhexidine). If it does not improve, see a dermatologist in person. Prescription topical antibiotics (mupriocin) and/or oral antibiotics may be necessary if the above recommendations do not have any effect after a week I hope this has been helpful
9. Dermal Nevus
Dermal nevi are harmless moles located in the skin layer called dermis (layer below the outermost epidermis), and usually appear brown, pinkish, or skin coloured. Usually they are round, well defined, and present from birth. Also, you might be able to observe a stand of hair growing from the mole.
Dermal nevus on the inner left thigh, characterized by a dark, raised, and irregularly shaped mole
Case Description
The mole is located on my inner left thigh. Over the last 6-8 months I have spotted that it is larger than it used to be. It is also more elevated than it used to be. I have been watching it however as it has become more sensitive to touch.
Dermatologist’s Response
Based on the information and images of your thigh, this is possibly a DERMAL NEVUS: A type of benign mole. Typically, these moles are light or dark brown but can also be pinkish-red or skin-colored. Usually slightly raised and soft. They can sometimes change in size or itch due to trauma. However, since you have noticed changes you need to confirm the assessment, seeing a dermatologist in person who can perform dermoscopy (application of a special magnifying glass with polarized light source) which can provide more details than a normal clinical image. This is especially important when a mole changes in size. A clinical photo is not conclusive enough to decide that there are no sinister signs. If dermoscopic examination is not conclusive you may have to have it excised and then seen under the microscope.
10. Genital Herpes
Genital herpes is caused by herpes simplex virus types 1 and 2 (HSV-1 and HSV-2), with HSV-2 being the commoner cause. It is the second most common sexually transmitted infection in the United States, with approximately 18.6 million cases of HSV-2 alone. Symptoms include painful, fluid-filled blisters that break open, forming sores or ulcers. These sores are typically inflamed and painful, and during the outbreak, they may ooze clear or yellowish fluid before scabbing over. Other symptoms can include swelling, tenderness, pain, and itching in the genital area. Currently there is no means to completely cure genital herpes, but the symptoms can be controlled.
Genital herpes characterized by a red rash with raised, clumped blisters
Case Description
Red rash with raised clumped blisters. 1-2 inches above base of penis – pubic region
Dermatologist’s Response
Based on the images and information, this is possibly a Genital Herpes. Genital herpes is an infection caused by the Herpes Simplex Virus (HSV) type 1 or 2. This virus spreads through unprotected sexual contact. Small blisters or eroded lesions in a group surrounded by red, inflamed skin are the typical appearance. The lesions usually heal within 7–10 days but can sometimes take longer the first time they appear. The virus can unfortunately not be eliminated from the body, so new episodes of herpes can be expected. However, the frequency and intensity are very variable. A visit to an STD clinic or a dermatologist is recommended to confirm this evaluation. Treatment with antiviral drugs (aciclovir or valaciclovir; prescription required) can be useful to lessen the symptoms, especially if taken during the first hours or first 2-3 days of the outbreak. Povidone-iodine application can provide faster healing in herpetic lesions. If you cannot reach a physician in a shorter time, you can apply this solution twice a day until healing. I hope this has been helpful.
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Conclusion
Understanding common skin conditions is the key to feeling confident and healthy. Whether it’s acne, eczema, or something more serious like skin cancer, knowing what to look for and when to seek help can make a big difference. Keeping an eye on your skin gives you a lot of health benefits, ranging from improving your appearance to saving your life. So, do not hesitate to consult a dermatologist if you notice any changes or persistent issues with your skin. Especially with First Derm, now you can connect to the experts very easily and effortlessly. Your skin deserves attention—so don’t wait, act today to keep it glowing and healthy!
References
First Derm ensures the highest quality and accuracy in our articles by using reliable sources. We draw from peer-reviewed studies, academic research institutions, and reputable medical journals. We strictly avoid tertiary references, linking to primary sources such as scientific studies and statistics. All sources are listed in the resources section at the bottom of our articles, providing transparency and credibility to our content.
- Charles SLBG Foundation Skin Cancer Screening Report | First Derm. (n.d.). Retrieved May 6, 2023, from https://www.firstderm.com/charles-slbg-foundation-skin-cancer-screening-report/
- Kostrzębska A, Junka A, Brożyna M, Musiał W. The Assessment of Physicochemical and Antimicrobial Properties of Hydrophilic Gels Containing Tetracycline Hydrochloride and Various Concentrations of Ethanol. Pharmaceutics. 2024;16(6):830. Published 2024 Jun 19. doi:10.3390/pharmaceutics16060830
- Chaudhary F, Agrawal DK. Ethnic and Racial Disparities in Clinical Manifestations of Atopic Dermatitis. Arch Intern Med Res. 2024;7(2):114-133. doi:10.26502/aimr.0170
- Oiwoh SO, Enitan AO, Adegbosin OT, Akinboro AO, Onayemi EO. Androgenetic Alopecia: A Review. Niger Postgrad Med J. 2024;31(2):85-92. doi:10.4103/npmj.npmj_47_24
- Kamel FZ, Hoseiny HAM, Shahawy AAE, Boghdadi G, Shahawy AAE. NLRP3 (rs10754558) gene polymorphism and tumor necrosis factor alpha as predictors for disease activity and response to methotrexate and adalimumab in psoriasis. BMC Immunol. 2024;25(1):40. Published 2024 Jul 4. doi:10.1186/s12865-024-00630-2
- Zhang J, Gu D, Yan Y, et al. Potential Role of Tranexamic Acid in Rosacea Treatment: conquering Flushing Beyond Melasma [published correction appears in Clin Cosmet Investig Dermatol. 2024 Jun 26;17:1551-1552. doi: 10.2147/CCID.S484236]. Clin Cosmet Investig Dermatol. 2024;17:1405-1412. Published 2024 Jun 14. doi:10.2147/CCID.S473598
- Cancer Facts and Figures 2023. American Cancer Society. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2023/2023-cancer-facts-and-figures.pdf.
- Skin Cancer Facts & Statistics – The Skin Cancer Foundation. (n.d.). Retrieved May 3, 2023, from https://www.skincancer.org/skin-cancer-information/skin-cancer-facts/
- Greco MJ, Bhutta BS. Seborrheic Keratosis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; May 6, 2024.
- Winters RD, Mitchell M. Folliculitis. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547754/
- Connolly KL, Bachmann L, Hiltke T, et al. Summary of the Centers for Disease Control and Prevention/National Institute of Allergy and Infectious Diseases Joint Workshop on Genital Herpes: 3-4 November 2022. Open Forum Infect Dis. 2024;11(5):ofae230. Published 2024 Apr 24. doi:10.1093/ofid/ofae230
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The Specialist doctor from the University Hospital in Gothenburg, alumnus UC Berkeley. My doctoral dissertation is about Digital Health and I have published 5 scientific articles in teledermatology and artificial intelligence and others.
