Ferri's Fast Facts in Dermatology: A Practical Guide to Skin Diseases and Disorders, 1e

453 Pages·2010·64.58 MB·English

by  Fred F. Ferri MD FACP

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Ferri’s Fast Facts in Dermatology
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Ferri’s Fast Facts in Dermatology
A Practical Guide to Skin Diseases and Disorders
EDITOR
Fred F. Ferri, MD, FACP
Clinical Professor
Warren Alpert Medical School
Brown University
Providence, Rhode Island
ASSOCIATE EDITORS
J ames S. Studdiford, MD, FACP
Associate Professor
Department of Family and Community Medicine
Jeff erson Medical College
Th omas Jeff erson University
Philadelphia, Pennsylvania
Amber Tully, MD
Assistant Professor of Family Medicine
Jeff erson Medical College
Th omas Jeff erson University
Philadelphia, Pennsylvania
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
FERRI’S FAST FACTS IN DERMATOLOGY ISBN: 978-1-4377-0847-9
A Practical Guide to Skin Diseases and Disorders
Copyright © 2011 by Saunders, an imprint of Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical,
including photocopying, recording, or any information storage and retrieval system, without permission in writing from
the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our
arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be
found at our website: www.elsevier.com/permissions.
Th is book and the individual contributions contained in it are protected under copyright by the Publisher (other than as
may be noted herein).
Notice
Knowledge and best practice in this fi eld are constantly changing. As new research and experience broaden our
understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any
information, methods, compounds, or experiments described herein. In using such information or methods they
should be mindful of their own safety and the safety of others, including parties for whom they have a profes-
sional responsibility. With respect to any drug or pharmaceutical products identifi ed, readers are advised to check
the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to
be administered, to verify the recommended dose or formula, the method and duration of administration, and
contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their
patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take
all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contribu-
tors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products
liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
Th e Publisher
Library of Congress Cataloging-in-Publication Data
Ferri, Fred F.
Ferri’s fast facts in dermatology : a practical guide to skin diseases and disorders / Fred F. Ferri ; associate editors,
James S. Studdiford, Amber Tully.—1st ed.
p. ; cm.
ISBN 978-1-4377-0847-9
Includes index.
1. Skin—Diseases—Handbooks, manuals, etc. 2. Skin—Diseases—Atlases. I. Studdiford, James S. II. Tully,
Amber. III. Title. IV. Title: Fast facts in dermatology.
[DNLM: 1. Skin Diseases—Handbooks. WR 39 F388f 2011]
RL74.F47 2011
616.5—dc22 2009025859
Th e patient images without a credit line were taken from the following collections:
1) Th e Honickman Collection of Medical Images in memory of Elaine Garfi nkel
2) Th e Jeff erson Clinical Images Collection (through the generosity of JMB, AKR, LKB, and DA)
Acquisitions Editor: Jim Merritt
Developmental Editor: Nicole DiCicco
Project Manager: Bryan Hayward
Design Direction: Steven Stave
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
CONTENTS
PREFACE .............................................................................................xv
ACKNOWLEDGMENTS....................................................................xvii
CHAPTER 1 EVALUATION OF SKIN DISORDERS
...........................1
A. HISTORY AND PHYSICAL EXAMINATION ........................................1
B. DERMATOSES BY REGION ...............................................................6
1. SCALP ...............................................................................................6
2. FACE .................................................................................................7
3. ORAL MUCOSA ..............................................................................8
4. AXILLA .............................................................................................8
5. HANDS AND FEET ........................................................................9
6. GENITALIA/INGUINAL ...............................................................10
7. PHOTODISTRIBUTED ................................................................11
C. DERMATOSES BY MORPHOLOGY .................................................11
1. MACULES ......................................................................................11
2. PAPULES ........................................................................................12
3. PUSTULES .....................................................................................13
4. PLAQUES .......................................................................................14
5. NODULES AND TUMORS ..........................................................14
6. VESICLES AND BULLAE .............................................................15
7. EROSIONS AND ULCERS ...........................................................16
8. DESQUAMATION ........................................................................17
D. DERMATOSES IN THE YOUNG ........................................................17
1. NEWBORN INFANTS WITH VESICOPUSTULES ...................17
2. CHILDREN WITH PRURITIC RASHES.....................................17
3. FEBRILE CHILDREN WITH RASH ............................................18
CHAPTER 2 DIFFERENTIAL DIAGNOSIS
..........................................19
1. ALOPECIA, NON-SCARRING .....................................................19
2. ALOPECIA, SCARRING ................................................................19
3. ANHYDROSIS ...............................................................................19
4. ARTHRITIS, FEVER, AND RASH ...............................................19
viii CONTENTS
5. BLISTERS, SUBEPIDERMAL .....................................................20
6. BULLOUS DISEASES ..................................................................20
7. CUTANEOUS COLOR CHANGES ...........................................21
8. CUTANEOUS INFECTIONS, ATHLETES ...............................21
9. EXANTHEMS ..............................................................................22
10. FEVER AND RASH .....................................................................22
11. FINGER LESIONS, INFLAMMATORY .....................................23
12. FLUSHING...................................................................................23
13. FOOT DERMATITIS...................................................................23
14. FOOT LESIONS, ULCERATING ...............................................23
15. GENITAL SORES ........................................................................24
16. GRANULOMATOUS DERMATITIDES ....................................24
17. HIV INFECTION, CUTANEOUS MANIFESTATIONS ...........24
18. HYPERPIGMENTATION ...........................................................25
19. HYPERTRICHOSIS .....................................................................25
20. HYPOPIGMENTATION .............................................................26
21. LEG ULCERS ...............................................................................26
22. LIVEDO RETICULITIS ..............................................................28
23. MELANONYCHIA ......................................................................28
24. NAIL CLUBBING ........................................................................28
25. NAIL, HORIZONTAL WHITE LINES (BEAU’S LINES) ..........29
26. NAIL KOILONYCHIA.................................................................29
27. NAIL ONYCHOLYSIS .................................................................29
28. NAIL PITTING ............................................................................29
29. NAIL SPLINTER HEMORRHAGE ............................................30
30. NAIL STRIATIONS .....................................................................30
31. NAIL TELANGIECTASIA ...........................................................30
32. NAIL WHITENING (TERRY’S NAILS) .....................................30
33. NAIL YELLOWING .....................................................................30
34. NIPPLE LESIONS ........................................................................31
35. NODULAR LESIONS, SKIN ......................................................31
36. NODULES, PAINFUL .................................................................31
37. ORAL MUCOSA, ERYTHEMATOUS LESIONS .......................32
38. ORAL MUCOSA, PIGMENTED LESIONS ...............................32
39. ORAL MUCOSA, PUNCTATE LESIONS ..................................32
40. ORAL MUCOSA, WHITE LESIONS .........................................33
CCOONNTTEENNTTSS iixx
41. ORAL VESICLES AND ULCERS ................................................33
42. PAPULOSQUAMOUS DISEASES...............................................33
43. PENILE RASH ..............................................................................34
44. PHOTODERMATOSES...............................................................34
45. PHOTOSENSITIVITY .................................................................34
46. PREMATURE GRAYING, SCALP HAIR ....................................34
47. PRURITUS ...................................................................................35
48. PRURITUS ANI ...........................................................................35
49. PURPURA ....................................................................................35
50. SEXUALLY TRANSMITTED DISEASES,
ANORECTAL REGION ..............................................................36
51. STOMATITIS, BULLOUS ...........................................................36
52. TELANGIECTASIA .....................................................................36
53. TICK-RELATED INFECTIONS .................................................37
54. VASCULITIS, DISEASES THAT MIMIC VASCULITIS ............37
55. VASCULITIS, CLASSIFICATION ...............................................37
56. VERRUCOUS LESIONS .............................................................38
57. VESICULOBULLOUS DISEASES...............................................38
58. VULVAR LESIONS ......................................................................39
CHAPTER 3 DISEASES AND DISORDERS
.......................................41
1. ACANTHOSIS NIGRICANS (AN) .............................................41
2. ACNE KELOIDALIS ....................................................................42
3. ACNE VULGARIS........................................................................44
4. ACROCHORDON ......................................................................48
5. ACTINIC KERATOSIS ................................................................50
6. ALOPECIA AREATA ....................................................................52
7. AMALGAM TATTOO .................................................................54
8. ANAGEN EFFLUVIUM ..............................................................55
9. ANDROGENIC ALOPECIA .......................................................56
10. ANGIOEDEMA ...........................................................................59
11. ANGIOMA (CHERRY ANGIOMA)............................................61
12. ANGULAR CHEILITIS (PERLECHE) ........................................63
13. ANTIPHOSPHOLIPID SYNDROME ........................................64
14. APHTHOUS STOMATITIS (CANKER SORES) .......................67
15. ATOPIC DERMATITIS (ATOPIC ECZEMA) ............................70