ABC of Dermatology by Paul K. Buxton

By Paul K. Buxton

(BMJ Books) Royal Infirmary, united kingdom. bargains a concise evaluation of all the necessities of dermatology, written for non-dermatologists and first care physicians. Discusses numerous universal stipulations reminiscent of psoriasis, eczema, zits and rosacea, bacterial an infection, viral an infection, tropical dermatology, and extra. considerable colour pictures. past variation: c1998. Softcover.

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Does gentle scratching give greasy scales with bleeding points beneath (Auspitz sign)? With vesicles and poorly defined edge? No No Bowen's disease or intraepidermal carcinoma Fixed drug eruption: Barbiturates Sulphonamides Chlordiazepoxide Phenolphthalein Dapsone Tetracycline Yes Thickening hyperkeratotic epidermis due to rubbing? Solitary lesion, slowly growing with sharp uneven outline? Yes Lichen simplex Yes Lichen planus Yes Fungal injection No Papules of violaceous colour with white striae and hyperkeratosis—look for lacy white net-like lesions, sometimes with ulcers on oral mucosa.

Characteristics of lichen planus Lichen planus Like psoriasis, the lesions are well defined and raised. They also occur in areas of trauma—the Koebner’s phenomenon. There is no constant relation to stress. Unlike psoriasis, there is no family history. Itching is common. The distribution is on the flexor aspects of the limbs, particularly the ankles and wrists, rather than on the extensor surfaces, as in psoriasis. It also occurs on the trunk. However, localised forms of lichen planus can occur on the shin, palm, and soles or elsewhere.

Pruritus is a general term for itching skin, whatever the reason. hyperthyroidism • Metabolic diseases—hepatic failure, chronic renal failure • Haematological—polycythaemia, iron deficiency anaemia • Malignancy—lymphoma, reticulosis, carcinomatosis Itching with skin manifestations Eczema is associated with itching due to the accumulation of fluid between the epidermal cells that are thought to produce stretching of the nerve fibres. As a result of persistent scratching there is often lichenification which conceals the original underlying areas with eczema.

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