Download Dermatology by Ronald Marks PDF

By Ronald Marks

ISBN-10: 1840761660

ISBN-13: 9781840761665

ISBN-10: 1840766298

ISBN-13: 9781840766295

2 hundred randomly offered scientific circumstances masking such a lot points of dermatology to mirror genuine lifestyles perform, designed not just to check the power of the reader but additionally to teach and inform.

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Extra resources for Dermatology

Sample text

On examination the horny layers of the soles of the feet are pale, sodden, and fissured or pitted in places. i. What is the diagnosis? ii. What is the cause? iii. What is the treatment for this condition? 41 42–44: Answers 42 i. Pustular psoriasis of the palms and soles. ii. The condition is episodic and chronic, each episode lasting a few weeks to months over several years. iii. The typical pathological changes are the presence of minute collections of polymorphonuclear leucocytes within a slightly thickened epidermis (microabscesses).

Iii. The most important issues in the management are the identification of the precipitating allergen by a detailed history, intracutaneous tests (prick tests) using a battery of common allergens, and blood tests to assay the complement components. Avoidance of exposure to the allergen is also important. Regular administration of prophylactic antihistamines may help. Carrying around loaded syringes containing 1 in 1000 epinephrine (adrenaline) to be self-administered by intramuscular injection may be life saving.

The condition must be distinguished from atopic dermatitis by the absence of sun sensitivity and the presence of high circulating immunoglobulin E (IgE) levels in atopy. It must also be distinguished from erythropoietic protoporphyria and polymorphic light eruption. ii. There is no single test that will point to the diagnosis. Porphyrin tests and autoantibody tests will be negative. Testing to different wavelengths of light and ultraviolet radiation (UVR) will not reveal a specific hypersensitivity.

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Dermatology by Ronald Marks

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