Top 7 Skin Conditions Treated by Pediatric Dermatologists in Cape Town
And what makes Prof. Carol Hlela the specialist parents trust most
Why Skin Health Matters in Cape Town’s Kids
From cradle cap in newborns to acne in teens, Cape Town’s warm climate, high UV exposure, and diverse environment mean skin issues are common—and often persistent—in children.
While many conditions may seem minor, they can affect sleep quality, school confidence, and even long-term health if left untreated or misdiagnosed. That’s where a paediatric dermatologist like Prof. Carol Hlela makes all the difference.
With years of experience and a deep understanding of African and coloured skin, Prof. Hlela offers more than quick fixes—she provides long-term solutions tailored to your child’s needs.
Let’s explore the top 7 skin conditions Prof. Hlela treats in Cape Town—and why a specialist is essential.
1. Eczema and Atopic Dermatitis
How to Spot It:
- Dry, itchy patches (especially behind knees, elbows, and cheeks)
- Flare-ups triggered by soaps, detergents, or heat
- Difficulty sleeping due to intense itching
Common Misdiagnoses:
Often mistaken for dry skin or allergies by general practitioners, leading to under-treatment.
Prof. Hlela’s Approach:
- Identifies individual triggers like local allergens or harsh water
- Prescribes child-safe topical treatments and emollients
- Offers lifestyle advice (e.g., switching detergents, choosing breathable fabrics)
“We tried everything at Dis-Chem, but nothing worked until Prof. Hlela helped us understand our son’s eczema properly.” – Parent from Claremont
2. Acne (Mild to Severe Cystic Acne)
How to Spot It:
- Pimples on the face, back, or chest
- Cysts or nodules causing pain and scarring
- Psychological effects like low self-esteem or bullying
Common Misdiagnoses:
Many GPs overuse antibiotics or OTC treatments that don’t suit African skin types.
Prof. Hlela’s Approach:
- Considers hormonal factors and lifestyle
- Recommends non-comedogenic local products
- Provides medicated regimens safe for long-term use
- Emphasises scarring prevention and emotional well-being
3. Bacterial and Fungal Skin Infections
How to Spot It:
- Yellow crusts (impetigo), circular rashes (ringworm), swollen red areas
- Itching, discomfort, or discharge
- Often spread in crèches, schools, or sports settings
Common Misdiagnoses:
Some rashes may be mistaken for eczema or allergy, causing delays in proper antifungal or antibiotic treatment.
Prof. Hlela’s Approach:
- Uses clinical pattern recognition and culture tests
- Educates on hygiene and preventing reinfection
- Prescribes topical and oral treatments based on skin type
“After months of trying creams, Prof. Hlela diagnosed a fungal issue that cleared in a week.” – Father from Rondebosch
4. Pigmentation Issues in African and Coloured Skin
How to Spot It:
- Light or dark patches after skin injury or acne
- Uneven tone that worsens with sun exposure
Common Misdiagnoses:
Often dismissed as cosmetic or mismanaged with bleaching agents that harm the skin.
Prof. Hlela’s Approach:
- Addresses post-inflammatory hyperpigmentation (PIH) with care
- Recommends safe, evidence-based treatments
- Educates parents on sunscreen use for all skin tones
5. Psoriasis
How to Spot It:
- Red, scaly patches on elbows, knees, and scalp
- Family history of autoimmune issues
- It can affect nails and joints in severe cases
Common Misdiagnoses:
GPs may confuse it with eczema or ringworm, delaying immune-modulating therapy.
Prof. Hlela’s Approach:
- Offers long-term treatment plans for chronic care
- Monitors for joint involvement (psoriatic arthritis)
- Uses child-appropriate medication and phototherapy if needed
6. Birthmarks and Mole Assessments
How to Spot It:
- Moles that grow, change colour, or become itchy
- Birthmarks that bleed, ulcerate, or grow rapidly
Common Misdiagnoses:
Often ignored or monitored casually, yet some birthmarks require urgent attention.
Prof. Hlela’s Approach:
- Uses dermatoscopic tools for mole checks
- Offers laser or surgical referral if necessary
- Monitors high-risk moles in children with albinism or genetic conditions
7. Heat Rash and Sun Sensitivity
How to Spot It:
- Small, red bumps on the neck, back, or chest
- Complaints of burning or itching after sun exposure
- Skin reacting to fragranced lotions or UV light
Common Misdiagnoses:
Often labelled as allergies or ignored, delaying protective care for sensitive skin types.
Prof. Hlela’s Approach:
- Recommends local sunscreens suitable for darker skin
- Offers advice on clothing, hydration, and topical relief
- Educates on sunburn prevention and vitamin D balance
Why Cape Town Families Trust Prof. Hlela
- Years of experience treating children across all skin tones
- Gentle, child-centred consultations
- Tailored treatment for Cape Town’s climate and lifestyle
- Trusted by parents from Sea Point to Khayelitsha
“It’s not just that she knew what my daughter had—it’s the way she explained it. Calm, clear, and reassuring. I walked out with hope.” – Mother from Constantia
Booking a Consultation with Prof. Carol Hlela
Location: Cape Town
Medical Aid: Most major South African medical aids are accepted
Private rates: Estimates available upon request
Book via Book Now
Don’t Wait to Seek Help
Skin conditions can be uncomfortable, but they don’t have to become traumas.
When it comes to your child’s health, early diagnosis and specialist care matter. Whether it's a mild irritation or a complex autoimmune issue, Prof. Hlela is here to help you get answers and effective relief.
Ready to take action?
Book a consultation with Prof. Carol Hlela in Cape Town today.
