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ABC of Dermatology PDF

2020·48.47 MB·English
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Preview ABC of Dermatology

Cover Page: iii List of Contributors Page: vii Preface Page: ix Acknowledgements Page: xi CHAPTER 1: Introduction Page: 1 Introduction Page: 1 The significance of skin disease Page: 2 Descriptive terms of clinical inspection Page: 3 Clinical approach to the diagnosis of rashes Page: 5 Symmetry Page: 6 Diagnosis Page: 6 Distribution Page: 7 Morphology Page: 8 Assessment of the patient Page: 9 Further reading Page: 10 CHAPTER 2: Psoriasis Page: 11 Introduction Page: 11 Clinical appearance Page: 12 The typical patient Page: 13 Clinical presentation Page: 13 Psoriatic arthritis – pathophysiology Page: 16 Psoriatic arthritis – clinical presentation Page: 17 Psoriasis and systemic disease Page: 17 Further reading Page: 18 CHAPTER 3: Management of Psoriasis Page: 19 Introduction Page: 19 Dermatology day treatment units Page: 19 Topical treatment Page: 20 Scalp psoriasis Page: 21 Ultraviolet treatment – phototherapy and photochemotherapy Page: 21 Ultraviolet B (UVB) Page: 23 Ultraviolet A (UVA) Page: 23 Systemic treatment Page: 23 Methotrexate Page: 23 Acitretin Page: 24 Ciclosporin A Page: 24 Mycophenolate mofetil (MMF) Page: 24 Biological therapy Page: 25 Etanercept Page: 25 Infliximab Page: 25 Adalimumab Page: 26 Ustekinumab Page: 26 Ixekizumab Page: 26 Secukinumab Page: 26 Apremilast Page: 26 Further reading Page: 26 CHAPTER 4: Eczema (Dermatitis) Page: 27 Clinical features Page: 27 Pathophysiology Page: 27 Pathology Page: 27 Types of eczema Page: 28 Classification of eczema Page: 31 Clinical features Page: 31 Allergic contact dermatitis Page: 31 Irritant contact dermatitis Page: 32 Photodermatitis Page: 33 Occupational dermatitis Page: 34 Investigations of contact dermatitis Page: 35 Patch testing Page: 35 General management of eczema Page: 36 Biological treatment for atopic dermatitis Page: 37 Pruritus Page: 37 Pruritus with skin changes Page: 37 Pruritus with normal skin Page: 38 Management of pruritus Page: 38 Further reading Page: 38 CHAPTER 5: Urticaria and Angio‐oedema Page: 39 Introduction Page: 39 Pathophysiology Page: 39 Clinical history Page: 39 Classification of urticaria Page: 39 Ordinary urticaria Page: 40 Cholinergic urticaria Page: 41 Solar urticaria Page: 41 Pressure urticaria Page: 41 Angio‐oedema Page: 41 General investigations Page: 42 General management Page: 42 Further reading Page: 42 CHAPTER 6: Skin and Photosensitivity Page: 43 Ultraviolet radiation Page: 43 Skin pigmentation and fitzpatrick skin type Page: 43 Oculocutaneous albinism Page: 44 Xeroderma pigmentosum Page: 44 Medications causing photosensitivity Page: 46 Photosensitive disorders Page: 47 Vitamin D levels and sun protection Page: 48 Reference Page: 49 Further reading Page: 49 CHAPTER 7: Drug Rashes Page: 51 Introduction Page: 51 History Page: 51 Examination Page: 51 Investigation of a suspected drug reaction Page: 52 Classification of drug reactions in the skin Page: 52 Further reading Page: 58 CHAPTER 8: Immunobullous and Other Blistering Disorders Page: 59 Introduction Page: 59 Pathophysiology Page: 59 Differential diagnosis Page: 60 Clinical features of immunobullous disorders Page: 61 Investigation of immunobullous disease Page: 64 Management of immunobullous disease Page: 65 Further reading Page: 66 CHAPTER 9: Connective Tissue Disease, Vasculitis, and Related Disorders Page: 67 Introduction Page: 67 Connective tissue disease Page: 67 Vasculitis Page: 67 Polyarteritis nodosa (PAN) Page: 69 Henoch–schönlein purpura (IgA vasculitis) Page: 69 Management of cutaneous vasculitis Page: 69 Chilblains (perniosis) Page: 69 Raynaud's phenomenon Page: 70 Systemic sclerosis (SSc) Page: 70 Lichen planus (LP) Page: 71 Lupus erythematosus (LE) Page: 71 Dermatomyositis Page: 73 Mixed connective tissue disease (MCTD) Page: 74 Further reading Page: 74 CHAPTER 10: The Skin and Systemic Disease Page: 75 Introduction Page: 75 Skin reactions associated with infections Page: 75 Sarcoidosis Page: 77 Skin changes associated with hormonal imbalance Page: 77 Thyroid disease Page: 78 Skin changes associated with disorders of the gastrointestinal system and liver Page: 78 Liver disease and the skin Page: 81 Pigmentation disorders Page: 82 Skin manifestations of underlying malignancy Page: 83 Pregnancy and the skin Page: 84 Genetics and skin disease Page: 84 Single gene disorders Page: 85 Further reading Page: 86 CHAPTER 11: Leg Ulcers Page: 87 Introduction Page: 87 Venous ulcers Page: 88 Arterial ulcers Page: 91 Diabetic/neuropathic ulcers Page: 92 Inflammatory conditions Page: 92 Infectious ulcers Page: 92 Malignant diseases Page: 93 Trauma Page: 93 Further reading Page: 93 CHAPTER 12: Acne, Rosacea, and Hidradenitis Suppurativa Page: 95 Introduction Page: 95 What is acne? Page: 95 Underlying causes Page: 96 Diet Page: 97 Types of acne Page: 97 Treatment of acne Page: 99 Rosacea Page: 101 Management Page: 102 Further reading Page: 103 CHAPTER 13: Bacterial Infections Page: 105 Introduction Page: 105 Clinical presentation Page: 105 Bacterial investigations Page: 105 General approach to management Page: 107 Superficial infections Page: 107 Deeper infections Page: 108 Mycobacterial disease Page: 110 Other infections Page: 111 Further reading Page: 112 CHAPTER 14: Viral Infections Page: 113 Introduction Page: 113 Herpes viruses Page: 113 Treatment Page: 118 Viral diseases with rashes Page: 119 Further reading Page: 121 CHAPTER 15: HIV and the Skin Page: 123 Introduction Page: 123 Stages of HIV Page: 124 Skin disorders in HIV Page: 124 Infections Page: 125 Further reading Page: 129 CHAPTER 16: Fungal Infections Page: 131 Introduction Page: 131 Investigations Page: 131 General features of fungi in the skin Page: 132 Yeast infections Page: 136 Deep fungal infections Page: 137 Systemic antifungal drugs Page: 138 Further reading Page: 138 CHAPTER 17: Insect Bites and Infestations Page: 139 Insect bites and stings Page: 139 Delusions of parasitosis (DoP) Page: 140 Allergic reaction to bites Page: 140 Management of bite reactions Page: 141 Prevention of bites Page: 141 Insect bites transmitting parasites Page: 141 Lyme disease Page: 141 Spider bites Page: 141 Wasp and bee stings Page: 142 Treatment Page: 142 Infestations Page: 142 Cutaneous larva migrans Page: 145 Further reading Page: 145 CHAPTER 18: Tropical Dermatology Page: 147 Introduction Page: 147 Bacterial Infections Page: 147 Superficial fungal infections Page: 150 Deep fungal infections Page: 151 Infestations Page: 153 Further reading Page: 155 CHAPTER 19: Hair and Scalp Page: 157 Introduction Page: 157 The hair follicle and hair cycle Page: 157 Hair loss Page: 157 Non‐scarring alopecias Page: 158 Other non‐scarring alopecias Page: 160 Tinea capitis Page: 161 Scarring alopecias Page: 161 Excessive hair Page: 163 Skin disease involving the scalp Page: 164 Further reading Page: 164 CHAPTER 20: Diseases of the Nails Page: 165 Introduction Page: 165 Changes of shape, surface, and attachment Page: 165 Nail bed changes Page: 168 Nail plate changes Page: 168 Common dermatoses and the nail unit Page: 169 Infection Page: 171 Trauma Page: 171 General diseases affecting the nails Page: 172 Treatment of nail conditions Page: 173 Further reading Page: 174 CHAPTER 21: Genital Dermatoses Page: 175 Introduction Page: 175 History and examination Page: 175 Eczema Page: 176 Lichen simplex Page: 176 Balanitis and balano‐posthitis Page: 176 Psoriasis Page: 176 Lichen sclerosus Page: 177 Lichen planus Page: 178 Other inflammatory dermatoses Page: 179 Ulcers Page: 179 Pigmentation Page: 179 Infections Page: 180 Intra‐epithelial neoplasia Page: 180 Extra‐mammary paget’s disease Page: 181 Vulval and penile pain Page: 181 Further reading Page: 181 CHAPTER 22: Benign Skin Tumours Page: 183 Introduction Page: 183 Pigmented benign tumours Page: 184 Melanocytic naevi Page: 185 Dermatofibroma (benign fibrous histiocytoma) Page: 187 Benign vascular tumours Page: 188 Benign tumour papules Page: 189 Benign tumour nodules Page: 191 Benign tumour plaques Page: 192 Further reading Page: 193 CHAPTER 23: Premalignant and Malignant Skin Lesions Page: 195 Introduction Page: 195 Premalignant skin tumours Page: 195 Malignant skin tumours Page: 196 Moles/naevi: benign or malignant? Page: 199 Dysplastic naevi Page: 199 Melanoma Page: 200 Cutaneous lymphoma Page: 204 Other cutaneous malignancies Page: 205 Further reading Page: 205 CHAPTER 24: Practical Procedures and Skin Surgery Page: 207 Introduction Page: 207 Application technique Page: 207 Risks and precautions Page: 208 Skin lesions suitable for freezing Page: 208 Electrosurgery Page: 209 Curettage Page: 209 Diagnostic biopsies Page: 210 Incisional biopsy Page: 211 Surgical excision Page: 211 Mohs micrographic surgery Page: 214 Further reading Page: 214 CHAPTER 25: Lasers, Intense Pulsed Light, and Photodynamic Therapy Page: 215 Lasers in dermatology Page: 215 Lasers versus intense pulsed light Page: 215 Laser treatment Page: 215 Dermabrasion and chemical peels Page: 220 Intense pulsed light Page: 220 Photodynamic therapy Page: 220 Summary Page: 221 Further reading Page: 221 CHAPTER 26: Cosmetic Dermatology Page: 223 Beauty and visible ageing Page: 223 The preoperative assessment Page: 223 Soft tissue augmentation Page: 223 Botulinum toxins Page: 226 Chemical peels Page: 228 Skin tightening devices Page: 230 Further reading Page: 230 CHAPTER 27: Wounds, Dressings, and Bandages Page: 231 Introduction Page: 231 Wounds Page: 231 Dressings Page: 235 Bandages Page: 239 References Page: 243 Further reading Page: 243 CHAPTER 28: Formulary Page: 245 Introduction Page: 245 Topical therapy Page: 245 Emollients Page: 245 Topical immunomodulatory treatments Page: 245 Phototherapy Page: 249 Systemic therapy Page: 249 Biological therapies Page: 252 Miscellaneous Page: 253 Further reading Page: 253 Index Page: 255 End User License Agreement Page: 263

Description:

ABC of Dermatology
SEVENTH EDITION

ABC of Dermatology is the bestselling, practical guide for anyone involved in clinical dermatology. This fully illustrated book helps readers identify, recognise, treat, and manage the common dermatological conditions encountered in daily practice.

The seventh edition has been revised and updated to incorporate current approaches to the management of skin disease, such as the use of new biological agents for treating inflammatory disease and tumours, and new chapters on cosmetic dermatology procedures, genital dermatology and cutting-edge advances in genetics and pathophysiology.

  • Presents a practical approach to clinical dermatology that relates skin changes to specific skin conditions and underlying pathology
  • Summarises relevant pathological processes, diagnostic features, learning points, and treatment options for a range of conditions
  • Offers hundreds of full-colour clinical photographs that illustrate manifestations of skin disease in a multitude of diverse skin tones and ethnic groups
  • Covers a wide range of skin management treatments, from simple interventions to sophisticated immunotherapies
  • Includes insights on the increasing use of teledermatology by remote doctors

ABC of Dermatology is a must-have guide for GPs, junior doctors, medical students, and primary healthcare professionals.

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