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ABC of Dermatology von Buxton, Paul K. (eBook)

  • Erscheinungsdatum: 27.03.2013
  • Verlag: BMJ Books
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ABC of Dermatology

With over 250 full colour illustrations the new 5th edition of the bestselling ABC of Dermatology covers the diagnosis and treatment of skin conditions for the non-dermatologist. It sets out the main types of clinical change that occur in and on the skin, and relates this to specific skin conditions and underlying pathological changes. It then summarises the relevant pathological processes, diagnostic features and learning points. The types of treatment are clearly differentiated - between those suitable for the patient to obtain 'off the shelf', on prescription, and in specialist units. The ABC of Dermatology provides the core knowledge of diagnosis and therapy of common conditions and the general principles of skin condition management. Including new chapters on drug rashes, connective tissue disease, skin tumours, practical procedures, laser treatments and a practical guide to dressings and bandages, this highly illustrated ABC is the perfect learning partner for GPs, GP registrars, junior doctors, medical students and primary care nurses. Paul K Buxton , FRCP, Consultant Dermatologist. Currently visiting lecturer, Department of Dermatology, University of Addis Ababa. Previously Consultant Dermatologist, to Royal Infirmary Edinburgh and Fife Hospitals. Founding editor Community Dermatology Journal . Member British Association of Dermatologists. Fellow, section of Dermatology, Royal Society of Medicine. Rachael Morris-Jones , Dermatology Consultant, Kings College Hospital, Denmark Hill, London, UK


    Format: ePUB
    Kopierschutz: AdobeDRM
    Seitenzahl: 224
    Erscheinungsdatum: 27.03.2013
    Sprache: Englisch
    ISBN: 9781118598658
    Verlag: BMJ Books
    Serie: ABC Series
    Größe: 13371 kBytes
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ABC of Dermatology




The clinical features of skin lesions are related to the underlying pathological processes.
Broadly skin conditions fall into three clinical groups: (a) those with a well-defined appearance and distribution; (b) those with a characteristic pattern but with a variety of underlying clinical conditions; (c) those with a variable presentation and no constant association with underlying conditions.
Skin lesions may be the presenting feature of serious systemic disease, and a significant proportion of skin conditions threaten the health, the well-being and even the life of the patient.
Descriptive terms such as macule, papule, nodule, plaque, induration, atrophy, bulla and erythema are defined and illustrated.
The significance of morphology and distribution of skin lesions in different clinical conditions are discussed. Introduction

The aim of this book is to provide an insight for the non-dermatologist into the pathological processes, diagnosis and management of skin conditions. Dermatology is a broad specialty with over 2000 different skin diseases, the most common of which are introduced here. Pattern recognition is often the key to successful history-taking and examination of the skin, usually without the need for complex investigations. Although dermatology is a clinically orientated subject an understanding of the cellular changes underlying the skin disease can give helpful insights into the pathological processes. This understanding aids the interpretation of clinical signs and overall management of cutaneous disease. Skin biopsies can be a useful adjuvant to reaching a diagnosis; however, clinicopathological correlation is essential in order that interpretation of the clinical and pathological patterns is put into the context of the patient.

The interpretation of clinical signs on the skin in the context of underlying pathological processes is a theme running through the chapters. This helps the reader to develop a deeper understanding of the subject and should form some guiding principles that can be used as tools to help assess almost any skin eruption.

Clinically cutaneous disorders fall into three main groups.
1 Those that generally present with a characteristic distribution and morphology that leads to a specific diagnosis - such as chronic plaque psoriasis ( Figure 1.1 ) and atopic eczema. 2 A characteristic pattern of skin lesions with variable underlying causes - such as erythema nodosum and erythema multiforme. 3 Skin rashes that can be variable in their presentation and/or underlying causes - such as lichen planus and urticaria.
A holistic approach in dermatology is essential as cutaneous eruptions may be the first indicator of an underlying internal disease. Patients may, for example, first present with a photosensitive rash on the face, but deeper probing may reveal symptoms of joint pains etc. leading to the diagnosis of systemic lupus erythematosus ( Figure 1.2 ). Similarly a patient with underlying coeliac disease may first present with blistering on the elbows (dermatitis herpetiformis). It is therefore important not only to take a thorough history ( Box 1.1 ) of the skin complaint but in addition to ask about any other symptoms the patient may have, and examine the entire patient carefully.

Figure 1.1 Extensive psoriasis.

Figure 1.2 Lupus erythematosus.
Box 1.1 Dermatology history-taking

Where? Site of initial lesion(s) and subsequent distribution
How long? Continuous or intermittent?
Trend? Better or worse?
Previous episodes? Timing? Similar/dissimilar? Other skin conditions?
Who else? Fami

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