By Paul K. Buxton
(BMJ Books) Royal Infirmary, united kingdom. deals a concise review of all the necessities of dermatology, written for non-dermatologists and first care physicians. Discusses a number of universal stipulations corresponding to psoriasis, eczema, pimples and rosacea, bacterial an infection, viral an infection, tropical dermatology, and extra. ample colour pictures. prior version: c1998. Softcover.
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Extra resources for ABC of Dermatology
Triazole antifungal drugs by mouth have been reported to produce clearing and can be used topically. These drugs clear yeasts and fungi from the skin, including P. ovale, which is further evidence for the role of this organism. Seborrhoeic dermatitis Characteristics of seborrhoeic dermatitis Clinical features of psoriasis Possible family history Sometimes related to stress Itching—rare Extensor surfaces and trunk Well defined, raised lesions Hyperkeratosis Scaling, bleeding points beneath scales Koebner’s phenomenon Nails affected Scalp affected Mucous membranes not affected Clinical features of eczema Possible family history Sometimes worse with stress Usually itching Flexor surfaces and face Poorly, demarcated lesions Oedema, vesicles, lichenification Secondary infection sometimes, present Seborrhoeic dermatitis affecting centre of face Seborrheoic dermatitis under breasts Seborrhoeic dermatitis—distribution pattern 29 ABC of Dermatology Infantile seborrhoeic dermatitis In infants less than six months old a florid red eruption occurs with well defined lesions on the trunk and confluent areas in the flexures associated with scaling of the scalp.
Allergic reactions” due to external agents often cause intense itching. Systemic allergic reactions such as a fixed drug eruption, erythema multiforme, and vasculitis are less likely to cause pruritus. Psoriasis, which characteristically has hyperkeratotic plaques, usually does not itch but sometimes there can be considerable itching. Occasionally this is due to secondary infection of breaks in the skin surface. Lichen planus presents with groups of flat-topped papules which often cause an intense itch.
There may be thinning and atrophy of part or all of a nail and these often take the form of a longitudinal groove, sometimes with destruction of the nail plate. The oral mucosa is commonly affected with a white, net-like appearance and sometimes ulceration. The typical flat topped lesions have a shiny hyperkeratotic lichenified surface with a violaceous colour, interrupted by milky white streaks—Wickham’s striae. Less commonly, very thick hypertrophic lesions occur and also follicular lesions. Lichen planus is one cause of localised alopecia on the scalp as a result of hair follicle destruction.
ABC of Dermatology by Paul K. Buxton