If you have a rapidly spreading rash accompanied by fever, difficulty breathing, or facial swelling — seek emergency care immediately. Call 155 or 112 or go to your nearest emergency department.
Skin conditions are among the most visible and most undertreated medical concerns. Whether it is a rash that appeared this morning, an eczema flare that has been building for weeks, acne that is affecting your confidence, or a lesion you have been meaning to have checked — most skin concerns can be assessed clinically by video call by an experienced doctor.
For expats and international residents in Czech Republic, accessing a dermatologist or even a GP who can assess a skin condition in English is genuinely difficult. Dermatology waiting times in Czech Republic — even privately — are long. Our doctors, registered with the Czech Medical Chamber (ČLK), offer comprehensive skin assessments by secure video call in English, Arabic, and Bengali — identifying your condition, advising on evidence-based management, and coordinating dermatology referral where specialist input is needed.
Who This Service Is For
This consultation is appropriate for adults and children presenting with:
- A new rash, skin change, or lesion that needs clinical assessment
- An existing skin condition that is flaring or not responding to current treatment
- Acne — from mild to moderate presentations requiring structured medical management
- Eczema or atopic dermatitis — flare assessment and ongoing management
- Psoriasis — assessment and management at GP level
- A mole or skin lesion that has changed or is causing concern
- Allergic skin reactions — urticaria, contact dermatitis, or drug reactions
- Scalp conditions — seborrhoeic dermatitis, scalp psoriasis, or fungal conditions
- Skin infections — bacterial, viral, or fungal
- Chronic skin conditions requiring ongoing GP-level management
- Patients who need a dermatology referral letter
Conditions Commonly Assessed
Inflammatory Conditions
- Eczema and atopic dermatitis — flare management, trigger identification, ongoing care
- Psoriasis — plaque, guttate, and scalp presentations at GP level
- Seborrhoeic dermatitis — scalp and facial presentation
- Rosacea — assessment and management
- Perioral dermatitis
Acne
- Mild to moderate acne — comedonal, inflammatory, and mixed
- Acne in teenagers and adults
- Hormonal acne in women — assessed alongside hormonal assessment where indicated
- Post-acne pigmentation and scarring assessment
- Acne management review — patients already on treatment who need clinical review
Note: Isotretinoin (Roaccutane) must be prescribed by a dermatologist in Czech Republic (as specified in the product authorisation) and cannot be initiated through this service. Your doctor will advise on referral if your acne presentation warrants isotretinoin consideration.
Allergic and Reactive Conditions
- Urticaria — acute and chronic hives
- Allergic contact dermatitis — assessment and allergen avoidance advice
- Drug reactions affecting the skin
- Angioedema — assessment and management at GP level
- Food allergy-related skin presentations
Infections
- Impetigo — bacterial skin infection
- Cellulitis — assessment and management with escalation where indicated
- Folliculitis
- Fungal skin infections — tinea corporis, tinea pedis, tinea versicolor
- Molluscum contagiosum
- Warts and verrucae
- Herpes simplex — cold sores and cutaneous herpes
- Shingles — assessment and management
Pigmentation and Lesions
- Moles and skin lesions that have changed in size, shape, colour, or texture
- Post-inflammatory hyperpigmentation
- Melasma — assessment and management
- Vitiligo — assessment and referral where indicated
Scalp Conditions
- Seborrhoeic dermatitis of the scalp
- Scalp psoriasis
- Scalp folliculitis
- Tinea capitis — fungal scalp infection
Paediatric Skin Conditions
- Eczema in infants and children
- Nappy rash and infant skin concerns
- Childhood viral rashes — assessment and guidance for parents
- Impetigo and skin infections in children
- Molluscum contagiosum in children
What Your Consultation Includes
Visual clinical assessment — Skin conditions are uniquely suited to video consultation — your doctor can observe the lesion, rash, or skin change directly during the call and conduct a structured clinical assessment. Good lighting and a clear camera view significantly improve the quality of assessment — your doctor will guide you on positioning during the call.
Comprehensive history — Your doctor reviews the onset, progression, distribution, associated symptoms, triggers, previous treatments, relevant medical history, medications, and family history of skin conditions.
Diagnosis and management plan — Based on the assessment, your doctor advises on the most likely diagnosis, the appropriate management approach, and what to expect from treatment — including how to monitor your condition and when to seek further review.
Investigation requests where indicated — Where blood tests — including allergy panels or inflammatory markers — are clinically indicated, your doctor issues the request on the same day.
eRecept — where clinically appropriate — When clinically indicated, your doctor issues eRecept electronically. You receive the code and present it at any pharmacy of your choice in Czech Republic.
Dermatology referral where needed — Where specialist dermatology assessment is required — including suspicious lesions, severe or treatment-resistant conditions, or conditions requiring biopsy or patch testing — your doctor issues a formal referral letter and advises on urgency.
Skin Lesions — When to Act Urgently
Any change in a mole or skin lesion warrants clinical assessment. The ABCDE criteria are the standard clinical guide:
- A — Asymmetry — one half does not match the other
- B — Border — irregular, ragged, or blurred edges
- C — Colour — variation in colour within the lesion
- D — Diameter — larger than 6mm
- E — Evolution — any change in size, shape, colour, or any new symptom
If your lesion meets any of these criteria, book an assessment promptly. Your doctor will assess visually and advise on whether urgent in-person dermatology assessment is needed. Skin cancer diagnosis requires in-person dermoscopy and biopsy where indicated. Video consultation allows clinical assessment and urgent referral — it does not replace in-person specialist assessment for suspicious lesions.
Preparing for Your Skin Consultation
- Good lighting — natural daylight or a lamp directed at the affected area gives your doctor the clearest view
- Close-up photos — take clear photos of the affected area before your consultation — these can be shared during the call and help your doctor assess changes over time
- Multiple angles — show the lesion or rash from multiple angles during the call
- Note the history — when it started, how it has changed, what makes it better or worse, and what you have already tried
Short Disclaimer
Skin consultations are conducted at GP level by doctors registered with the Czech Medical Chamber (ČLK), in accordance with Czech telemedicine regulations under Act No. 372/2011 Coll. and Decree No. 30/2025 Coll. Video-based skin assessment has inherent limitations — conditions requiring dermoscopy, biopsy, patch testing, or in-person specialist examination cannot be fully assessed remotely. Isotretinoin cannot be initiated through this service — dermatologist assessment is required in Czech Republic as specified in the product authorisation. Clinical recommendations and referrals are issued solely at the doctor's professional discretion following full assessment. If you are experiencing a skin-related emergency — rapidly spreading rash, anaphylaxis, or angioedema — call 155 or 112 immediately.
