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By Paul K. Buxton

ISBN-10: 0727916963

ISBN-13: 9780727916969

(BMJ Books) Royal Infirmary, united kingdom. bargains a concise review of the entire necessities of dermatology, written for non-dermatologists and first care physicians. Discusses a number of universal stipulations corresponding to psoriasis, eczema, zits and rosacea, bacterial an infection, viral an infection, tropical dermatology, and extra. plentiful colour pictures. earlier variation: c1998. Softcover.

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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. Nail involvement is less common than in psoriasis. 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.

However, a speculative diagnosis of scabies should be avoided. Itching with no skin lesions If no dermatological lesions are present generalised pruritus or itchy skin may indicate an underlying internal cause. In elderly patients, however, the skin may itch simply because it is dry. Hodgkin’s disease may present with pruritus as a sign of the internal malignancy long before any other manifestations. A 35 year old ambulance driver attended the dermatology clinic with intense itching but a normal skin and no history of skin disease.

Adult seborrhoeic dermatitis The adult type is more common in men and in those with a tendency to scaling and dandruff in the scalp. There are several commonly affected areas: • Seborrhoeic dermatitis affects the central part of the face, scalp, ears, and eyebrows. There may be an associated blepharitis, giving some red eyes and also otitis externa. • The lesions over the sternum sometimes start as a single “medallion” lesion. A flower-like “petaloid” pattern can occur. The back may be affected as well.

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ABC of Dermatology by Paul K. Buxton

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