Dr Alison Duncan
Consultant Dermatologist in Cayman
MBBS FRCP MSc
SPECIALIST DERMATOLOGIST IN CAYMAN
Dr Alison Duncan is a highly experienced dermatologist with more than 12 years at consultant-level, including 7 years at Lancashire Teaching Hospitals NHS Trust, a highly respected university service. She specialises in both adult and paediatric dermatology, with particular experience in skin cancer identification and management, as well as general and inflammatory skin conditions.
View our dermatology services.
More Information & Booking
Appointment Booking with Dr Duncan
Please simply work through the steps on screen. Please note that even if Dr Alison Duncan has been your dermatologist previously in Cayman, if this is your first visit to Integra, you need to tick ‘no’ with respect to Existing Patient. If you are using a smartphone, it helps to turn your screen sideways (landscape). Thank you.
If you cannot see an appointment in the timescale you had hoped for or feel might be clinically necessary, please call on (345) 745 7450 as not all appointment times are available for online booking.
- General dermatology
- Paediatric dermatology
- Skin cancer
- Photo damage
- Skin pigmentation
- Warts & verruca
- Skin tags
- Scars & keloids
- Genital or vulval skin conditions
- Autoimmune skin conditions
- Hyperhidrosis (excessive sweating)
- Hair and nail conditions
- Allergic skin reactions
- Mole-mapping for skin cancer identification
- Cutaneous surgery- skin biopsy and excisions
- Non-invasive management of skin cancer
- Botox therapeutic injections
- Patch Testing for skin allergy assessment
- Mole-mapping using the cutting edge FotoFinder System
- Skin cancer diagnosis and management
- Skin biopsies & excisions
- Referral management for off-island procedures
- Follow-up & monitoring
- After care & treatment of skin-related side-effects
Dr Duncan’s Career Highlights
- Experienced UK Consultant Dermatologist
- Fellow of Royal College of Physicians.
- MSc qualified.
- Extensive experience in skin cancer assessment & identification.
- Was principal investigator for the BADBIR (British Association of Dermatologist Biologic Interventions Register)
- Additional specific interest in Vulval Dermatology.
Education, Training & Experience
I have been exposed to all aspects of skin disease, which include, but are not limited to Eczema, Psoriasis, Acne, Inflammatory skin disease and Hyperhidrosis (excessive sweating). In addition I have an interest in Paediatric dermatology and Vulval dermatology.
Understandably due to Cayman Islands being blessed with a wealth of sunshine, in some skin types the rate of skin cancer is high. Therefore, I am able to use my in-depth training in skin cancer management to provide good care to my patients. Over the past 5 years as a dermatologist in Cayman, I was able to gain training and extensive experience using the cutting edge FOTOFINDER DERMATOSCOPE SYSTEM. The FotoFinder brand is the global epitome of skin visualization technology. It is used for the early skin cancer detection, hair diagnostics, aesthetics, clinical dermatology and research.
I have also been a Member of the Educational Committee Cayman Islands Cancer Society and have given educational talks to colleagues, church groups and the community about sun awareness and skin cancer prevention. During skin cancer awareness month we give radio talks and host free skin cancer screenings at the Health fair.
I understand the significant impact that skin disease can have on an individual’s quality of life and I aim to provide expert care with compassion.
General Experience & Training
I commenced my substantive Consultant post in dermatology in 2008 at Lancashire Teaching Hospitals NHS Trust, into a unit which consisted of three consultants working single handed in clinic with admitting rights to both hospital sites. I spent 7 years undertaking clinics and surgical lists in dermatology in this busy regional service. We carried out our own contact dermatitis assessment and patch testing as well as managing our own patients in our phototherapy unit and those requiring Photodynamic Therapy (PDT). I performed treatment for hyperhidrosis with botox injections or iontophoresis.
In Royal Preston Hospital, I established and ran the Transplant dermatology service surveying and managing skin disease and cancers in all patients on long term immunosuppression. Close links were forged with the renal, cardiac and liver transplant teams in the prevention, management and treatment of skin cancer in patients with solid organ transplants. In this role I was a member of the Skin Multidisciplinary skin cancer team meetings, which met weekly, and the NSSG (Network Site Specific Group) for skin cancer.
I subsequently had a dedicated once weekly minor surgery list to treat the skin cancers detected and to perform skin curettage, punch biopsy, lesion and cyst excision as well as other minor surgical and cosmetic procedures. I attended a laser course at the Salford Royal Hospital NHS Foundation Trust in Manchester and I am keen to obtain further experience in this area.
Due to the nature of dermatology with there being a multitude of dermatological conditions and a dearth of large evidenced based trials – I gained experience using off licence treatments to treat difficult autoimmune, immunobullous diseases and severe pyoderma gangrenosum in conjunction with the Drug and Therapeutics committee in the Trust. I am also experienced in using biologics in the treatment of severe Psoriasis, as I was the principal investigator for the BADBIR (British Association of Dermatologist Biologic Interventions Register) which is an observational UK wide study to assess the long-term safety of biologic treatments for psoriasis in the Trust.
Conditions in Skin of Colour
Although my practice was UK-based I am experienced in recognizing and treating dermatological conditions in skin of colour. I regularly attended the Caribbean Dermatology Meetings where I am a member and speaker. I undertook clinical attachment to the Regional Dermatology Centre in Moshi Tanzania to gain further experience in dermatological manifestations in Africa and in tropical and infectious dermatology during my training. I have also attended the Indian Association of Dermatologists, Venereologists and Leprologists DERMACON meeting in Jaipur India February 2012. At a more practical and recent level, I now have 5 years of direct experience treating skin conditions in skin of colour here as a dermatologist in the Cayman Islands
Latest Communications from Dr Duncan
(Featured image above is a close up of the fruit and leaves on a machineel tree) With beautiful weather year round there are always fun outdoor activities to do in Cayman. However, there are a range of dangerous plants in the Cayman Islands to be aware of which can...
Understanding the Health Insurance Claims Process What Happens After you Leave? Understanding the health insurance claims process is complicated enough for the health professionals providing you with care, let alone the poor patient without an inside knowledge...
There are five factors to consider when dealing with eczema in the changing weather according to the National Eczema Association. These include: Temperature: Individuals, especially those who have eczema can experience itchiness or irritation of skin when changing out...
With many skin conditions, the impacts to the individual can vary greatly depending on their skin tone. Representing skin diseases on various skin tones, especially in a country as diverse as the Cayman Islands is vital to ensure that every person receives the...
Chief Medical Officer says ‘No Cause For Concern’ and no local transmission from imported case of Dengue in Cayman Brac in November
In a statement made last month, the Public Health Department, Customs and Border Control (CBC) and the Mosquito Research and Control Unit (MRCU) confirmed that there was a case of Dengue Fever reported in Cayman Brac. They stated that the individual was receiving the...
There are several common screenings individuals should have. It is important that you go for these screenings as early as possible (i.e. when you reach the recommended age to have these tests done) as physicians are use these screenings to look for anything abnormal...