Forest
Specialist (Dermatologist) Assessment:

MODERATE TO SEVERE

INFLAMMATORY, AUTOIMMUNE & ALLERGIC DISEASES

If you have any of the following conditions and require specialist care, please ask your healthcare provider to refer you to our clinic.

Origins Dermatology Centre is a high-priority referral centre for moderate-to-severe and complex forms of inflammatory, allergic, and immune-mediated skin diseases. Consultations are conducted by one of Canada’s well known medical dermatologists, Dr. Rachel Asiniwasis MD MSHS FRCPC FAAD. We provide expert, up-to-date advice on disease management and are experienced and knowledgeable in systemic immunosuppression, immunomodulatory therapy, and advanced therapeutics (eg. Biologics, oral small molecules) for all ages. We also collaborate with rheumatology, internal medicine, and other specialties to ensure comprehensive patient-centred management.

ATOPIC DERMATITIS/ECZEMA

Chronic Inflammatory Skin Condition

A chronic inflammatory skin condition characterized by intense itching, skin barrier dysfunction, and recurrent flares. Advanced biologics and targeted therapies are now available.

PSORIASIS

Plaque & Variants

An immune-driven condition causing rapid skin cell buildup resulting in scaling, plaques, and systemic inflammation. Specialist evaluation guides biologic and systemic therapy.

URTICARIA

Chronic Spontaneous Urticaria (CSU)

Persistent hives lasting more than six weeks requiring specialist assessment to rule out autoimmune causes and guide advanced antihistamine or biologic therapy.

HIDRADENITIS SUPPURATIVA

"HS"

A chronic inflammatory disease of the hair follicles causing painful nodules, abscesses, and tunnels, primarily in intertriginous areas. Requires multidisciplinary specialist care.

PRURIGO NODULARIS

and Lichen Simplex Chronicus

Intensely pruritic nodular eruptions requiring targeted neuroimmune and anti-inflammatory approaches. Specialist care significantly improves quality of life.

LICHEN PLANUS

Cutaneous & Oral Variants

An inflammatory condition affecting skin, mucous membranes, nails, and scalp. Specialist evaluation guides systemic and targeted therapy selection.

ALLERGIC CONTACT DERMATITIS

Patch Testing & Management

A delayed hypersensitivity reaction to allergens requiring comprehensive patch testing and allergen avoidance counselling by a specialist.

ALOPECIA AREATA

Autoimmune Hair Loss

Immune-mediated hair loss ranging from focal patches to complete scalp or body hair loss. New JAK inhibitor therapies offer significant hope for patients.

VITILIGO

Pigmentary Disorder

An autoimmune condition causing loss of melanocytes and skin depigmentation. Specialist care includes phototherapy and emerging targeted treatments.

SCLERODERMA

Systemic Sclerosis

A chronic autoimmune disease affecting the skin and connective tissues, causing fibrosis and vascular changes. Specialist dermatologic assessment is essential for skin-directed management.

DERMATOMYOSITIS

Inflammatory Myopathy with Skin Involvement

An autoimmune condition primarily affecting the muscles and skin, requiring multidisciplinary specialist care for cutaneous and systemic features.

LUPUS

SLE, SCLE & Discoid (DLE)

Skin manifestations of systemic and cutaneous lupus include butterfly rash, photosensitivity, oral ulcers, and scarring hair loss. Dermatologic specialist co-management is critical.

BEHÇET'S DISEASE

Systemic Vasculitis

A rare multisystem inflammatory disorder causing recurrent oral and genital ulcerations, skin lesions, and ocular involvement requiring specialist care.

VASCULITIS

Including Urticarial Vasculitis

Vasculitis affecting the skin and small vessels, presenting with persistent urticarial plaques or palpable purpura. Requires specialist evaluation and systemic workup.

PEMPHIGOID/BULLOUS PEMPHIGOID

Autoimmune Bullous Disease

The most common autoimmune blistering skin disorder, primarily affecting older adults. Requires specialist diagnosis and systemic immunosuppressive management.

PEMPHIGUS

Pemphigus Vulgaris & Variants

A serious autoimmune blistering condition affecting skin and mucous membranes, requiring urgent specialist evaluation and systemic therapy.

OTHER CONDITIONS

Not Listed Above

Due to the underserviced nature of our region, we cannot accept referrals for all other conditions (eg. Complex immunodeficiencies, genodermatoses, paediatric dermatoses) and referrals may be considered on a case-by-case basis.

HOW TO GET A REFERRAL

Origins Dermatology Centre accepts referrals from physicians, nurse practitioners, and other regulated healthcare providers.To be seen at our clinic, please ask your primary care provider to submit a referral on your behalf.

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