By David Gawkrodger DSc MD FRCP FRCPE, Michael R Ardern-Jones BSc MBBS FRCP DPhil
This concise textbook of dermatology is aimed toward scientific scholars and people getting ready for the MRCP and MRCGP examinations. the data is gifted in a hugely available layout, huge use of color for either scientific pictures and portraits makes for an outstanding visual appeal. For evaluate for exam instruction key element bins are supplied. during this 3rd variation wide revision has been made to the contents to mirror adjustments within the figuring out of dermatological stipulations at a molecular point and the adjustments in medical perform. additionally using the net for dermatological details via either medical professionals and sufferers is reviewed.
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Extra info for Dermatology. An Illustrated Colour Text, Churchill Livingstone
Their use must be monitored carefully. Creams are often preferred to ointments. Lotions and gels are available for the scalp. Coal tar preparations Coal-tar distillates have been used for decades to treat psoriasis. They are safe and seem to act by inhibiting DNA synthesis. The main disadvantages of tar are that it smells and is messy. g. combined with ultraviolet B- the Goeckermann regimen. g. Alphosyl, Carbo-Dome, Clinitar). These preparations are suitable for chronic plaque psoriasis or guttate psoriasis once the acute phase is past.
Skin disease in the general population Reliable population statistics are difficult to obtain, but it appears that in Europe the prevalence of skin disease needing some sort of medical care is about 20%. Eczema, acne and infective disorders [including warts) are the commonest complaints (Fig. 1). Only a minority seek medical advice. Skin disease in community and specialized clinics The precise proportion of skin disorders seen in a community setting (Fig. 2) will vary with the age structure of the population served, the amount of industry in the area and socio-economic factors.
Fig. 4 Hypertrophic lichen planus showing hyperpigmentation. Lichenoid eruptions scarring alopecia is more common (p. 63). ii Malignant change: very infrequent. Management Lichen planus disease is self-limiting in most patients. Moderate to high potency topical steroids usually produce symptomatic improvement. g. Adcortyl in Orabase). Hypertrophic lichen planus may require highly potent topical steroids, sometimes under occlusion, or intralesional steroid injection. Extensive involvement, ulcerative mucous membrane lesions or a potentially scarring nail dystrophy warrant a trial of oral prednisolone (in a dose of 10-40 mg/d) for 1 to 3 months.
Dermatology. An Illustrated Colour Text, Churchill Livingstone by David Gawkrodger DSc MD FRCP FRCPE, Michael R Ardern-Jones BSc MBBS FRCP DPhil