Dermatology beyond psoriasis and eczema the wider skin picture
Alongside psoriasis and eczema, Clinovia assesses and treats a broad range of skin, hair and nail conditions, from vitiligo and hives to hair loss, fungal infection and mole checks.
Other skin conditions seen at Clinovia include vitiligo, urticaria, acne and rosacea, hair loss, fungal infections, chronic itch and mole checks. Each is a distinct diagnosis that needs its own assessment, so a dermatologist examines the skin, confirms the cause and builds an evidence-based plan rather than treating symptoms in isolation.
Beyond psoriasis and eczema, many people come to a dermatologist with conditions that look alike but behave very differently. Vitiligo, urticaria, acne and rosacea, hair loss, fungal infection and chronic itch each have their own mechanism, and a single red or itchy patch can have several possible causes. Reaching the right diagnosis is what separates lasting improvement from repeated, ineffective treatment of the wrong problem, and it is the first thing we set out to establish.
Some of these conditions are chronic and relapsing, such as vitiligo and chronic spontaneous urticaria; others, such as fungal infection, are readily treatable once correctly identified. Several carry an emotional weight out of proportion to their size, since visible pigment loss, persistent hives or thinning hair can affect confidence and sleep. Others, such as changing moles, matter most for what they might signal, which is why careful examination and monitoring are central.
At Clinovia our approach follows Inside Out Medicine: we look past the surface sign to the mechanism and the triggers behind it. A dermatologist examines the skin, uses dermoscopy and Wood's-lamp assessment where useful, and orders targeted tests before treatment begins. Plans are evidence-based and cortisone-sparing where appropriate, and any condition outside our focus is referred on clearly. Every decision follows examination and is reviewed as the skin responds over time.
Other Skin Conditions — Subtypes
VitiligoVitiligo is a chronic condition in which the immune system destroys the pigment-producing melanocytes, leaving sharply defined white patches on the skin.
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Urticaria (Hives)Urticaria produces itchy, raised red weals that typically shift and fade within a day, sometimes with deeper swelling of the lips or eyelids, reflecting a hypersensitivity reaction.
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Acne & RosaceaAcne and rosacea both show up as spots, redness and sensitivity on the face; though they look similar, their causes and treatments are quite different from one another.
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Hair LossHair loss ranges from inherited male-pattern thinning to temporary shedding driven by stress or deficiencies, so effective treatment depends first on identifying the underlying cause.
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Fungal InfectionsFungal infections can affect skin, nails and scalp, causing itching, scaling and colour change; treatment must be based on a diagnosis confirmed by a sample.
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Chronic ItchChronic itch lasting more than six weeks can occur without any visible rash; because it may stem from systemic or nerve-related causes beyond the skin, it warrants careful investigation.
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Mole CheckA mole check is a screening service in which moles are mapped with dermoscopy and their changes tracked over time, aiming to catch suspicious lesions early and refer for excision when needed.
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Symptoms
- Sharply bordered white patches of pigment loss on the skin
- Itchy, raised weals that appear and then fade within a day
- Facial redness, flushing, visible spots or persistent skin sensitivity
- Increased hair shedding, thinning or patchy bald areas
- Itchy, scaly or ring-shaped patches suggesting fungal infection
- A new, changing or asymmetrical mole that needs assessment
Triggers
- Autoimmune activity, as in vitiligo and chronic hives
- Infections, medicines, foods and insect stings
- Periods of stress and hormonal change
- Warm, moist skin folds that favour fungal growth
- Skin trauma, friction and sunburn exposure
- Underlying thyroid, iron or vitamin deficiencies
Diagnosis
Clinical examination
A dermatologist examines the whole skin surface, along with hair, nails and mucous membranes where relevant, to place a single sign in context and separate conditions that can look confusingly similar to one another.
Dermoscopy and Wood's lamp
Dermoscopy magnifies lesions to aid diagnosis and mapping, while a Wood's lamp highlights pigment loss in vitiligo and certain fungal infections, adding objective detail that the naked eye alone can miss.
Targeted testing
Depending on the suspected diagnosis, we may arrange a fungal scraping, blood tests for thyroid, iron and related factors, or a trigger diary for hives, so that treatment addresses the cause rather than the symptom.
Mole and lesion monitoring
Suspicious or changing moles are examined with dermoscopy and recorded so that any change can be compared at future visits, and a biopsy is advised when a lesion needs a definitive diagnosis.
Treatment
We avoid cortisone as a first step to reduce the skin-thinning and rebound risk associated with long-term topical steroid use.
Vitiligo and pigment care
For vitiligo we map activity with a Wood's lamp, use cortisone-sparing topical calcineurin inhibitors on the face and folds, and add NB-UVB or targeted excimer phototherapy for widespread or resistant patches over time.
Urticaria and chronic itch
For hives and chronic itch we identify and ease triggers, use stepped antihistamine therapy for control, and consider biologic options for chronic spontaneous urticaria that resists standard doses, while screening for underlying causes.
Acne, rosacea and infections
Acne, rosacea and fungal infections are treated according to their specific cause, from topical and, where appropriate, systemic regimens to antifungal therapy, always confirming the diagnosis first so the right treatment is chosen.
Hair loss assessment
Hair loss is worked up to find its type and any driver such as thyroid or iron deficiency, then treated accordingly, with dermoscopy of the scalp used to guide diagnosis and follow the response over time.
Related treatments
PUVA & Targeted PhototherapyPUVA and targeted local units treat stubborn sites such as hands, feet and scalp with cortisone-free light. Dose and response are monitored throughout the course.
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Systemic TherapySystemic drugs such as methotrexate, cyclosporine and acitretin are used in widespread or resistant psoriasis and eczema, alongside laboratory and safety monitoring.
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Cortisone-Free Topical PlanA cortisone-free topical plan combines calcineurin inhibitors, PDE-4 inhibitors and ceramide barrier repair to control inflammation without steroid side effects.
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DermoscopyDigital dermoscopy magnifies and maps lesions, supports differential diagnosis, and allows treatment response to be followed objectively over time.
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Living with it
Sun protection
Daily sun protection matters across many of these conditions, shielding depigmented vitiligo skin from burning and easing rosacea flushing, while reducing the risk linked to sun-exposed and changing moles.
Gentle skin care
A simple, fragrance-free routine with regular moisturising supports sensitive and reactive skin, calms chronic itch and avoids the irritation that harsh products can add to an already inflamed surface.
The gut-skin axis
For conditions such as hives and rosacea, links with diet and the gut are still under research. We may explore them alongside proven treatment, never as a replacement for the care the condition needs.
When to seek review
Any patch, mole or symptom that is new, changing, spreading or failing to settle deserves a dermatologist's assessment. Early review usually means simpler treatment and, for moles, greater peace of mind.
Treatment in İstanbul
At Clinovia in Eyüpsultan, İstanbul, a dermatologist assesses conditions from vitiligo and hives to hair loss, fungal infection and changing moles, using dermoscopy, Wood's-lamp assessment and targeted tests. Consultation is available in Turkish, English, Georgian, Azerbaijani and Russian, and a same-day callback is offered for new enquiries. International patients travelling from Georgia, Azerbaijan or Russia are helped to plan care around their stay.
- Defterdar, Fethi Çelebi Cd. No:15, Eyüpsultan/İstanbul
- +90 212 267 52 10
- Mon–Sat: 09:00 – 19:00 · Sunday: closed
Frequently asked questions
No. Vitiligo is neither dangerous nor contagious; it is an autoimmune condition in which the skin loses pigment, and it cannot be passed to anyone else. It is chronic and cannot be guaranteed to clear, but early, consistent treatment can often slow its spread and help many patches regain colour, especially on the face.
Chronic urticaria is managed with stepped antihistamine therapy alongside a search for triggers and any underlying cause such as thyroid disease. When standard doses are not enough, higher doses within safe limits or a biologic option may be considered. The aim is lasting control of the itch and weals without cortisone dependence.
It depends on the type. Some hair loss, such as that from iron or thyroid problems or a temporary shedding phase, recovers once the cause is corrected. Other patterns are chronic and are managed to slow loss and support regrowth. Dermoscopy of the scalp and targeted tests establish the type before treatment begins.
Have any mole assessed if it is new in adulthood, changing in size, shape or colour, asymmetrical, itchy or bleeding. Dermoscopy lets a dermatologist examine it in detail and record it for comparison at later visits. A biopsy is advised only when a lesion needs a definitive diagnosis.
Only examination can tell reliably, because fungal infection, eczema and psoriasis can look alike. A dermatologist inspects the pattern, uses dermoscopy and, where needed, a simple skin scraping to confirm or exclude fungus. This matters, since a steroid applied to a fungal rash can make it spread and worsen.
Yes. Clinovia assesses vitiligo, hives, hair loss, fungal infection and mole checks for international patients visiting İstanbul, with consultation in five languages. Because some conditions need phototherapy or follow-up over time, a dermatologist plans what can start during your stay and what continues afterwards, and a same-day callback is offered.
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