Natural Skin Medicine

Natural Skin Medicine Practitioner Mentor and Skin Expert. Leading the way in practitioner education and treatment of chronic skin conditions such as eczema, acne, psoriasis.

Rebecca is devoted to providing safe, natural and effective solutions for skin conditions eg acne, eczema, hives, and psoriasis.

17/06/2026

The last few spots are available for my webinar tonight “Read the Skin with Me”. We’ll be pulling apart those look-like presentations and creating a clear pathway through the task morass.
Live delivery only. Recordings won’t be available if you miss it. So settle in with a cuppa and let’s talk all things skin.

Acne vulgaris or rosacea? Both may present with pustules on the face. Both are common. The oestrogen dominant acne (espe...
14/06/2026

Acne vulgaris or rosacea?
Both may present with pustules on the face. Both are common.
The oestrogen dominant acne (especially of perimenopause) can look similar to pustular rosacea (which can also appear around the same life stgae). In the first consultation, the distinction is not always obvious.
What they share:
Erythema - which can difficult to distinguish on pigmented skin. A tendency to flare with certain foods, stress, and hormonal shifts. A significant impact on quality of life and confidence. Both may have pustules or nodules.
Where they diverge:
Acne vulgaris involves the pilosebaceous unit. Comedones are a defining feature. Nodular and cystic lesions may be present. Distribution may follow sebaceous density: central face, jawline, chest, and back.
Pustular rosacea does not involve comedones. This is the most useful single distinguishing feature. The pustules in rosacea are set against a background of diffuse erythema and telangiectasia, typically on the central face: cheeks, nose, chin, forehead. There is no nodular or cystic component. Also, the triggers are distinct: UV exposure, heat, alcohol, spicy food, and temperature extremes are characteristic rosacea flare patterns. The vascular component, flushing, persistent redness, visible vessels is present to varying degrees. What questions would you ask to tell the difference?

At the start of every skin case, I ask myself: What is this person dealing with? And, what does the skin look like?The v...
11/06/2026

At the start of every skin case, I ask myself: What is this person dealing with? And, what does the skin look like?
The visual presentation of the skin PLUS associated symptoms, history, and systemic dysfunction provide so many clues. As long as the correct questions are posed.
Eczema, psoriasis, and seborrhoeic dermatitis share a lot on the surface. Erythema, scale, pruritus, chronicity. Each condition has distinct drivers, and they respond to different approaches as a result. Months can pass on treatment that isn’t matched to the condition.
Getting the differential right changes helps target investigations, therapeutic priorities, and conversations with the patient.
I work exclusively in the skin space. The single biggest lever I see practitioners could pull to improve their outcomes with skin diseases, isn’t more knowledge - it’s a clearer diagnostic framework at the start of the case.
I’m teaching exactly this on Wednesday 17 June — a free 60-minute live interactive session: eczema vs psoriasis vs seborrhoeic dermatitis.

If this is relevant to your practice, please join us.
https://offers.naturalskinmedicine.com/read-the-skin

09/06/2026

A diagnosis is like a map.
It shows you where you are — and it gives you a route.
With skin conditions sometimes the terrain looks the same, and you realise you’ve been wondering around in circles.
Do you have the right map?
Are you even on the right mountain.
If this sounds familiar, I’m running a free webinar Wednesday the 17th June at 7pm AEST. You’re invited to come “Read The Skin with Me”
Link in bio and comments.

29/05/2026

Do you want to be a ninja at diagnosing skin conditions?
education

26/05/2026

Darkness, the difference between scalp psoriasis and separate dermatitis isn’t straightforward. He’s a little glimpse into how I do it upon visual inspection.

Four immune mechanisms. One two-year-old body.If a case like this has ever landed in your consult room and you weren’t q...
22/05/2026

Four immune mechanisms. One two-year-old body.
If a case like this has ever landed in your consult room and you weren’t quite sure where to start — maybe it’s not a gap in your knowledge, just a gap in the framework.

This vignette breaks down exactly what’s happening immunologically in a complex paediatric presentation: IgE-mediated anaphylaxis, salicylate sensitivity, latex-food syndrome, and a coeliac family history on both sides. Four different mechanisms, all needing to be considered during diagnosis and treatment.

Would like a systematic way to approach cases like this?

Start with the Free Diagnostic Desk Reference in my bio.

20/05/2026

Two years old. Nonimmune-mediated latex-food reactions, salicylate sensitivity, IgE-mediated anaphylaxis risk, and coeliac disease running in the family.

If you’re seeing complex multi-reactive paediatric cases and feeling like the pieces don’t quite fit together — this video is for you.
I walk through the clinical layers, how to distinguish the reaction types, and how to approach it without defaulting to “refer on.”
The free Diagnostic Desk Reference is in my bio — it’s built for exactly this kind of case. Ready to work through cases like this with support? Mentoring spots are open.

Eczema awareness month deserves every bit of attention it’s getting.For the patients living with chronic eczema, the bur...
14/05/2026

Eczema awareness month deserves every bit of attention it’s getting.
For the patients living with chronic eczema, the burden is so much more than what shows up on the skin. The sleep loss. The shame. The years of treatment that doesn’t quite hold.
For practitioners, there’s an additional layer worth naming this month. Awareness is the start — accurate diagnosis is what changes outcomes.
Eczema is the most overused word in dermatology. It gets applied to almost anything itchy and red — including conditions that need completely different treatment. The patient who has been told they have eczema for years sometimes doesn’t. And when the diagnosis is wrong, everything downstream is wrong — testing, prognosis, treatment, the patient’s expectations.
So as we lift awareness of eczema this month, let’s also lift awareness of how easily it gets misread.
The free Diagnostic Desk Reference I built for practitioners — distribution, scale, itch, lesion borders, key systemic links for eczema, psoriasis and seborrhoeic dermatitis side by side on a single printable page — is in my bio.
Save it. Print it. Use it tomorrow.
integrativedermatology naturopath naturopathicmedicine functionalmedicine practitionereducation skinhealth seborrhoeicdermatitis psoriasis

A patient presents with inflamed, itchy skin. You treat for eczema. Six months later, they’re still not better. Here’s t...
04/05/2026

A patient presents with inflamed, itchy skin. You treat for eczema. Six months later, they’re still not better.
Here’s the question worth sitting with: did you diagnose, or did you assume what the patient said is correct? We’ve all done it. Differential diagnosis in skin isn’t just for GPs referring to dermatologists. It’s the foundation of effective naturopathic practice. The same presentation — red, reactive, itchy — can be atopic dermatitis, contact dermatitis, seborrhoeic dermatitis, psoriasis, or a food-driven pseudo-allergic response, or even TSW. Each has a different mechanism. Each needs a different approach.

Question: What’s the presentation you find hardest to differentiate in practice — and why?
I’m building more training materials, and I want them to be practical and helpful in your clinic day. Drop your wishes in the comments 🙏🩷 steroidwithdrawal

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