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ABC of Dermatology
Eczema Causing Inflammatory Matrix Changes and Compounded by Picking with Surrounding Eczema and Loss of Intact Nail
Table of Contents
Free Topics
About
Acne, Rosacea, and Hidradenitis Suppurativa
Box - Associations of Pyoderma Gangrenosum
Box - Autoimmune Associations with Vitiligo
Cosmetic Dermatology
Drug Rashes
Figure - 'ice-Pick' Scars
Figure - 'id Reaction' after Commencing Oral Treatment for Tinea Capitis
Formulary
Genital Dermatoses
HIV and the Skin
Management of Psoriasis
Preface
Premalignant and Malignant Skin Lesions
Table - Abnormality Underlying Some Inherited Skin Disorders
Table - Antibiotics Used in Dermatology, Their Method of Action, Indications, and Complications
Viral Infections
1. Introduction
1. Introduction
Box(es)
1-1. Dermatology History-Taking
1-2. Examination of Skin Lesions - Key Points
Figure(s)
1-1. Psoriasis with Nail Changes
1-10. Psoriasis Plaques on the Knees
1-11. Bullae on the Palm from Multidermatomal Shingles
1-12. Section through Skin Showing Sites of Vesicle and Bulla
1-13. Lichenification Due to Chronic Eczema in Nickel Allergy
1-14. Discoid Lesions in Discoid Eczema
1-15. Inflammatory Pustules Secondary to Contact Dermatitis with Argon Oil
1-16. Epidermal Atrophy in Extra-Genital Lichen Sclerosus
1-17. Ulceration in Pyoderma Gangrenosum
1-18. Erosions (Loss of Epidermis) in Paraneoplastic Bullous Pemphigoid
1-19. Excoriation of Epidermis in Atopic Dermatitis
1-2. Erythema Nodosum in Pregnancy
1-20. Crusted Lesions in Pemphigus Vulgaris
1-21. Desquamation Following A Severe Drug Reaction
1-22. Annular (Ring-Shaped) Lesions in Neonatal Lupus
1-23. Reticulate Pattern in Vasculitis
1-24. Symmetrical Hypopigmented Plaques of Cutaneous T-Cell Lymphoma
1-25. Irritant Eczema on Dominant Hand of Chef
1-26. Bilateral Contact Dermatitis to Cement
1-27. Chronic Actinic Dermatitis
1-28. Eczema: Intraepidermal Vesicle (Arrow)
1-29. Vesicles and Bullae in Erythema Multiforme
1-3. Superficial Spreading Melanoma
1-30. Vesicles in Herpes Simplex
1-31. Vesicles and Bullae in Bullous Pemphigoid
1-32. Bullae in Cellulitis on Lower Leg
1-33. Bullae from Insect Bite Reactions
1-34. Possible Precipitating Factors in Psoriasis
1-4. Section through Skin
1-5. Erythema Due to A Drug Reaction
1-6. Section through Skin with A Papule
1-7. Papules in Lichen Planus
1-8. Nodules in Hypertrophic Lichen Planus
1-9. Section through Skin with Plaque
2. Psoriasis
2. Psoriasis
Figure(s)
2-1. Pathophysiological Mechanisms Involved in the Development of Psoriasis
2-10. Koebner's Phenomenon: Psoriasis in Surgical Scar
2-11. Hyperkeratotic Palmar Psoriasis
2-12. Scalp Psoriasis
2-13. Onycholysis in Nail Psoriasis
2-14. Guttate Psoriasis
2-15. Palmar Pustular Psoriasis
2-16. Acute Unstable Pustular Psoriasis
2-17. Flexural Psoriasis
2-18. Napkin Psoriasis
2-19. Erythrodermic Psoriasis
2-2. (Diagram/Histology Composite) Increased Epidermal Proliferation
2-20. Chronic Psoriatic Arthropathy
2-21. Acute Arthropathy X-Ray Signs
2-3. Pitting and Onycholysis of the Nails
2-4. Multiple Small Plaques
2-5. Large Chronic Plaques
2-6. Common Patterns of Distribution of Psoriasis
2-7. Generalised Plaques
2-8. Psoriatic Plaques on the Trunk
2-9. Annular Plaques
3. Management of Psoriasis
3. Management of Psoriasis
Figure(s)
3-1. Psoriasis Suitable for Topical Dithranol Treatment
3-2. Scalp Psoriasis
3-3. Thin Plaques of Psoriasis Suitable for Tl01
3-4. Psoralen with Ultraviolet A (Puva) Cabinet
3-5. Psoriasis Before Phototherapy
3-6. Skin after Phototherapy
3-7. Hand and Foot Puva
3-8. Severe Psoriasis Suitable for Systemic Therapy
3-9. Severe Unstable Pustulating Psoriasis Suitable for Treatment with Biological Therapy
Table(s)
3-1. Management of Psoriasis
4. Eczema (Dermatitis)
4. Eczema (Dermatitis)
Box(es)
4-1. Common Contact Allergens
Figure(s)
4-1. Chronic Atopic Dermatitis
4-10. Asteatotic Eczema
4-11. Discoid Eczema
4-12. Pompholyx Eczema
4-13. Varicose Eczema
4-14. Infected Eczema
4-15. Paget's Disease of the Nipple - Beware Unilateral 'eczema'
4-16. Common Sources of Contact Dermatitis by Body Site
4-17. Severe Contact Dermatitis to Potassium Dichromate in Leather Shoes
4-18. Contact Dermatitis to Iodine
4-19. Allergic Contact Dermatitis to Melamine Formaldehyde Resin
4-2. Histology of Eczema
4-20. Contact Dermatitis to Fragrance in Facial Cream
4-21. Contact Dermatitis to Neomycin Cream and (B) after Stopping the Treatment
4-22. Acute Ppd Allergy in A 'henna' Tattoo
4-23. Contact Allergy to Morphine Dressing
4-24. Immunological Response Leading to the Development of Contact Dermatitis
4-25. Chronic Actinic Dermatitis
4-26. Irritant Hand Eczema in A Chef
4-27. Test Patches in Place
4-28. Patches Being Removed after 48 Hours
4-29. Positive Patch Test Reactions
4-3. Facial Atopic Dermatitis
4-4. Chronic Lichenified Eczema on the Legs
4-5. Distribution of Atopic Dermatitis
4-6. Factors Leading to the Exacerbation of Atopic Dermatitis
4-7. Eczema Herpeticum
4-8. Plantar Dermatitis
4-9. Lichen Simplex
5. Urticaria and Angio-oedema
5. Urticaria and Angio-oedema
Box(es)
5-1. Causes of Non-Physical Urticaria
5-2. Causes of Physical Urticaria
Figure(s)
5-1. Urticarial Vasculitis with Bruising
5-2. Ordinary Urticaria
5-3. Urticaria from Contact with Brown Caterpillar Moths
5-4. Cold-Induced Urticaria on the Cheeks
5-5. Ordinary Urticaria with Dermatographism
5-6. Annular Urticaria
5-7. Angio-Oedema of the Hand
5-8. Dermatographism
6. Skin and Photosensitivity
6. Skin and Photosensitivity
Box(es)
6-1. Determining Skin Type: Questions to Ask Patients in Clinic
Figure(s)
6-1. Non-Ionising, Visible, and Infrared Radiation
6-2. Porphyia Cutanea Tarda
6-3. Erythropoietic Protoporphyria
6-4. Photosensitive Drug Eruption Showing Typical 'phototoxic' or Exaggerated Sunburn Response with Sparing Under the Chin
6-5. Phytophotodermatitis to Lime Juice
6-6. Polymorphous Light Eruption (Pmle)
6-7. Chronic Actinic Dermatitis
Table(s)
6-1. Common Photosensitive Drugs and Associated Features
7. Drug Rashes
7. Drug Rashes
Figure(s)
7-1. Photosensitive Eruption
7-10. Dress Swollen Ears
7-11. Acute Generalised Exanthematous Pustulosis Multiple Pustules on an Erythematous Base
7-2. Diltiazem Pigmentation on the Face
7-3. Maculopapular Exanthem
7-4. Urticaria Secondary to Penicillin
7-5. Drug-Induced Lupus
7-6. Drug-Induced Vasculitis
7-7. Lichenoid Drug Reaction to Nifedipine
7-8. Fixed Drug Eruption
7-9. Toxic Epidermal Necrolysis on the Trunk
Table(s)
7-1. Cutaneous Reactions and the Most Commonly Implicated Drugs
7-2. Time from Drug Commencement to Drug Rash
7-3. Scorten Parameters
8. Immunobullous and Other Blistering Disorders
8. Immunobullous and Other Blistering Disorders
Box(es)
8-1. Widespread Blistering Eruptions
8-2. Localised Blistering Eruptions
Figure(s)
8-1. Section through the Skin with (A) Intraepidermal Blister and (B) Subepidermal Blister
8-10. Pemphigus Vulgaris in the Mouth
8-11. Dermatitis Herpetiformis on the Knees
8-12. Linear IgA on the Trunk
8-13. Histopathology of Bullous Pemphigoid
8-14. Histopathology of Pemphigus Vulgaris
8-15. Immunofluorescence of Bullous Pemphigoid
8-16. Immunofluorescence of Pemphigus Vulgaris
8-2. Bullous Pemphigoid
8-3. Urticated Plaques in Pre-Bullous Pemphigoid
8-4. Bullous Pemphigoid: Showing Mouth Erosions
8-5. Pemphigoid Gestationis on the Abdomen
8-6. Mucous Membrane Pemphigoid: Scarring Skin Eruption
8-7. Mucous Membrane Pemphigoid on the Scalp
8-8. Mucous Membrane Pemphigoid: Eyes
8-9. Pemphigus Vulgaris on the Trunk
Table(s)
8-1. Differential Diagnosis of Immunobullous Disorders - Other Causes of Cutaneous Blistering
8-2. Clinical Features of Immunobullous Disorders
8-3. Skin Biopsy Findings in Immunobullous Disorders
9. Connective Tissue Disease, Vasculitis, and Related Disorders
9. Connective Tissue Disease, Vasculitis, and Related Disorders
Box(es)
9-1. Investigations Might Include the Following
9-2. Possible Causes of Cutaneous Vasculitis
9-3. Crest Syndrome
9-4. Clinical Variants of Lupus Erythematosus
Figure(s)
9-1. Vasculitis
9-10. Bullous Lichen Planus
9-11. Antiphospholipid Syndrome in Systemic Lupus Erythematosus Affecting the Ears
9-12. Systemic Lupus Erythematosus
9-13. Subacute Lupus Erythematosus Triggered by Terbinafine
9-14. Discoid Lupus Erythematosus Classically Affects the Ears
9-15. Neonatal Lupus Erythematosus
9-16. Dermatomyositis Rash on the 'v' of the Neck
9-17. Dermatomyositis of the Hands
9-18. Dermatomyositis: Ragged Cuticles
9-2. Bullous Vasculitis with Necrosis
9-3. Livedo Reticularis with Skin Necrosis in Polyarteritis Nodosa
9-4. Perniosis on the Knees from Outdoor Work in the Winter
9-5. Morphoea Seen as Hyperpigmented Indurated Plaques in the Torso
9-6. Calcinosis Cutis
9-7. Crest Syndrome
9-8. Lichen Planus on the Wrist
9-9. Lichen Planus in the Mouth
10. The Skin and Systemic Disease
10. The Skin and Systemic Disease
Box(es)
10-1. Clues to A Possible Underlying Systemic Disease
10-2. Characteristic Rashes Associated with Underlying Systemic Disease
10-3. Associations of Pyoderma Gangrenosum
10-4. Liver Disease and the Skin
10-5. Autoimmune Associations with Vitiligo
10-6. Skin Markers of Internal Malignancy
10-7. Non-Specific Skin Changes Associated with Malignant Disease
Figure(s)
10-1. Toxic Erythema Reactive Morbilliform Rash
10-10. Pretibial Myxoedema
10-11. Zinc Deficiency
10-12. Shiitake Mushroom Flagellate Dermatosis
10-13. Pyoderma Gangrenosum
10-14. Dermatitis Herpetiformis
10-15. Porphyria Cutanea Tarda
10-16. Xanthomas in Alagille Syndrome
10-17. Piebaldism
10-18. Vitiligo Being Treated with Phototherapy (Tl-01)
10-19. Haemochromatosis
10-2. Erythema Multiforme
10-20. Sézary Syndrome (Erythroderma with Abnormal Circulating Sézary Cells)
10-21. Cutaneous B-Cell Lymphoma
10-22. Poikiloderma
10-23. Polymorphous Eruption of Pregnancy (Pep)
10-24. Pemphigoid Gestationis
10-25. Ichthyosis Vulgaris
10-26. Blashko's Lines
10-27. Epidermal Naevus Following Blashko's Lines
10-3. Erythema Nodosum
10-4. Annular Erythema
10-5. Sarcoid
10-6. Melasma
10-7. Acanthosis Nigricans
10-8. Necrobiosis Lipoidica on the Shin
10-9. Granuloma Annulare
Table(s)
10-1. Clinical Signs of Thyroid Disease
10-2. Abnormality Underlying Some Inherited Skin Disorders
11. Leg Ulcers
11. Leg Ulcers
Box(es)
11-1. Treatment of Venous Leg Ulcers
Figure(s)
11-1. Venous Leg Ulcer
11-10. Cleaning Leg Ulcers
11-11. Arterial Ulcer
11-12. Martorell Ulcer Caused by Uncontrolled Hypertension
11-13. Ulcers in Diabetic Foot
11-14. Vasculitis and Perniosis Pre-Ulceration
11-15. Pyoderma Gangrenosum
11-16. Buruli Ulcer on the Arm
11-17. Squamous Cell Carcinoma in A Chronic Diabetic Ulcer
11-18. Dermatitis Artefacta
11-2. Healthy Valves in Legs
11-3. Incompetent Valves in Legs
11-4. Varicose Veins
11-5. Varicose Eczema
11-6. Atrophie Blanche
11-7. Lymphoedema
11-8. Lipodermatosclerosis
11-9. Compression Bandaging
12. Acne, Rosacea, and Hidradenitis Suppurativa
12. Acne, Rosacea, and Hidradenitis Suppurativa
Box(es)
12-1. Factors Causing Acne
12-2. Ladder of Treatment for Rosacea
Figure(s)
12-1. Sebaceous Gland: Pathology in Acne
12-10. Acne Excoriée
12-11. Acne Conglobate on the Back
12-12. Acne Fulminans on the Chin
12-13. Dry Lips as A Result of Oral Isotretinoin
12-14. Classic Xerotic Rash on the Dorsal Hand Secondary to Taking Oral Isotretinoin
12-15. Rosacea
12-16. Rosacea Localised to the Nose
12-17. Rhinophyma
12-18. Blepharitis
12-19. Hidradenitis Suppurativa (Hurley Stage III) Affecting the Axilla
12-2. Acne with Closed Comedones
12-3. Acne with Open Comedones, Cysts, and Scars
12-4. Perioral Dermatitis
12-5. Acne Vulgaris with Inflammatory Papules and Pustules
12-6. Acne Keloidalis Nuchae Hypertrophic Scarring Affecting Posterior Neck/Scalp
12-7. Types of Atrophic Acne Scars (A, Boxcar; B, Ice-Pick; C, Rolling)
12-8. 'ice-Pick' Scars
12-9. and (B) Keloid Scars Secondary to Acne
Table(s)
12-1. Treatment of Acne
13. Bacterial Infections
13. Bacterial Infections
Figure(s)
13-1. Multiple Abscesses Due to Pvl Staphylococcus Aureus Infection
13-10. Staphylococcus Scalded Skin Syndrome
13-11. Ecthyma
13-12. Lupus Vulgaris
13-13. Erythema Induratum (Bazin's Disease)
13-14. Sporotrichoid Spread of Mycobacterium Marinum
13-15. Bacillary Angiomatosis
13-16. Rocky Mountain Spotted Fever
13-17. Secondary Syphilis
13-2. Impetigo with Golden Crusting
13-3. Impetigo with Bullae and Erosions
13-4. Bacterial Folliculitis
13-5. Pseudofolliculitis: Forehead
13-6. Acne Keloidalis
13-7. Erythrasma
13-8. Erysipelas
13-9. Extending Cellulitis
Table(s)
13-1. Common Patterns of Bacterial Infection in the Skin
14. Viral Infections
14. Viral Infections
Box(es)
14-1. Herpes Simplex - Points to Note
14-2. Shingles - Points to Note
14-3. Viral Diseases with Rashes
Figure(s)
14-1. Inoculation Herpes
14-10. Molluscum Contagiosum
14-11. Histology Showing Molluscum Bodies
14-12. Orf
14-13. Filiform Hpv Wart
14-14. Periungual Hyperkeratotic Hpv Warts
14-15. Plantar Warts (Verrucas)
14-16. Koplick's Spots in Measles
14-17. Measles Rash
14-18. Rubella
14-19. Erythema Infectiosum
14-2. Herpes 'cold Sore'
14-20. Gianotti-Crosti Syndrome
14-21. Classic Oval Blisters in Hfmd Coxsackie A16
14-22. More Severe Form of Hfmd Coxsackie A6
14-23. Onychomadesis (Nail Shedding) One to Two Months after Hfmd Coxsackie A6
14-3. Herpes Simplex Vesicles on Posterior Pinna
14-4. Eczema Herpeticum
14-5. Varicella Zoster Virus Chickenpox Infection in an Adult
14-6. Herpes Zoster in A Dermatome (Shingles)
14-7. Multidermatomal Varicella Zoster Virus (Shingles)
14-8. Mandibular Nerve Zoster
14-9. Herald Patch of Pityriasis Rosea
15. HIV and the Skin
15. HIV and the Skin
Box(es)
15-1. HIV and the Skin
15-2. Skin Disorders in HIV/Aids
Figure(s)
15-1. Primary HIV Infection: Seroconversion Rash
15-10. Oral Hairy Leukoplakia
15-11. Kaposi's Sarcoma on the Hard Palate
15-12. Kaposi's Sarcoma Nodules
15-13. Molluscum Contagiosum
15-14. Human Papillomavirus Warts: Extensive
15-15. Crusted Scabies on the Hand
15-16. Toxic Epidermal Necrolysis
15-2. Seborrhoeic Dermatitis
15-3. Eosinophilic Folliculitis
15-4. Nodular Prurigo
15-5. Flexural Candida Infection
15-6. Pseudomembranous Candida
15-7. Bacillary Angiomatosis
15-8. Secondary Syphilis
15-9. Hsv (Immune Reconstitution Inflammatory Syndrome, Iris)
16. Fungal Infections
16. Fungal Infections
Box(es)
16-1. Principles of Diagnosis
Figure(s)
16-1. Animal Ringworm
16-10. Toeweb Tinea Pedis
16-11. Tinea Corporis
16-12. Tinea Cruris
16-13. Pityriasis Versicolor with Hyperpigmented Scaling
16-14. Pityriasis Versicolor with Hypopigmented Scaling
16-15. Onychomycosis Caused by Trichophyton Rubrum
16-16. Candida Onychomycosis
16-17. Candida Infection in the Groin
16-18. Candida Albicans Stomatitis
16-19. Fusarium Infection in A Bone Marrow Recipient
16-2. Tinea Capitis: Microsporum
16-20. Deep Fungal Infection
16-3. Patchy Alopecia in Tinea Capitis Caused by Trichophyton Tonsurans
16-4. Scaling with Alopecia in the Scalp and Scaly Rash on the Neck Caused by T
16-5. Kerion in T
16-6. 'id Reaction' after Commencing Oral Treatment for Tinea Capitis
16-7. Tinea Incognito
16-8. Seborrhoeic Dermatitis
16-9. Tinea Pedis
17. Insect Bites and Infestations
17. Insect Bites and Infestations
Box(es)
17-1. Clinical Features of Bites
17-2. Risk Factors for Bites
17-3. Scabies - Points to Note
17-4. Management of Scabies
Figure(s)
17-1. Severe Bed Bug Bites
17-10. Scabies Nodules in A Child
17-11. Scabies on Sole of an Infant
17-12. Crusted Scabies on Buttocks
17-13. Head Lice
17-14. Pediculosis (Head Lice) Causing an Irritant Rash on the Posterior Neck and Upper Back
17-15. Pubic Lice on Eyelashes
17-16. Cutaneous Larva Migrans
17-2. Linearity of Configuration of Insect Bite Reactions
17-3. Bulla Bite Reaction
17-4. Persistent Insect Bite Reaction
17-5. Parasitophobia Specimens
17-6. Tick and Bite Reaction
17-7. Erythema Chronicum Migrans in Lyme Disease
17-8. Spider Bite (Nigeria)
17-9. Scabies Burrows and Papules in A Child
Table(s)
17-1. Skin Lesions Associated with Insect Bites
18. Tropical Dermatology
18. Tropical Dermatology
Box(es)
18-1. Bacterial Index (BI)
18-2. Cutaneous Leishmaniasis
Figure(s)
18-1. Spectrum of Clinical Disease in Leprosy
18-10. Tinea Imbricata
18-11. Madura Foot
18-12. Chromoblastomycosis
18-13. Paracoccidioides Brasiliensis Causing Disseminated Disease in A Young Patient
18-14. Histoplasmosis in HIV Infection
18-15. Tungiasis
18-16. Myiasis: Larva
18-17. Lymphoedema of the Legs in Filariasis
18-18. 'leopard Skin' in Onchocerciasis
18-2. Tuberculoid Leprosy: Hypopigmented Patches
18-3. Tuberculoid Leprosy
18-4. Lepromatous Leprosy
18-5. Borderline Leprosy
18-6. Acute Leishmaniasis
18-7. Chronic Leishmaniasis
18-8. Diffuse Cutaneous Leishmaniasis
18-9. Superficial Fungal Infection
Table(s)
18-1. Tropical Fungal Infections of the Skin
19. Hair and Scalp
19. Hair and Scalp
Figure(s)
19-1. Diagrammatic Cross-Section of Hair at Various Growth Phases
19-10. Discoid Lupus Erythematosus
19-11. Lichen Planopilaris
19-12. Pseudopelade of Brocq
19-13. Folliculitis Decalvans
19-14. Hirsutism
19-15. Hypertrichosis
19-16. Scalp Psoriasis
19-17. Pityriasis Amiantacea
19-2. Norwood's Classification of Male Pattern Balding
19-3. Ludwig Patterns of Hair Loss
19-4. Patterns of Hair Loss in Female Pattern Hair Loss
19-5. Alopecia Areata
19-6. Exclamation Mark Hairs
19-7. Nail Pitting Associated with Alopecia Areata
19-8. Tinea Capitis
19-9. Kerion
Table(s)
19-1. Causes of Telogen Effluvium
19-2. Causes of Scarring Alopecia
19-3. Causes of Hirsutism
19-4. Hypertrichosis Due to Drugs
20. Diseases of the Nails
20. Diseases of the Nails
Box(es)
20-1. Pigmented Streaks in Nails
Figure(s)
20-1. Section through Finger
20-10. Linear Melanonychia
20-11. Nail Psoriasis with Onycholysis, Pitting, and Arthritis of the Distal Interphalangeal Joint of the Little Finger
20-12. Eczema Causing Inflammatory Matrix Changes and Compounded by Picking with Surrounding Eczema and Loss of Intact Nail
20-13. Lichen Planus
20-14. Nail Dystrophy with Alopecia Areata Comprising Multiple Small, Regular, Pits
20-15. Dystrophy Due to Lupus
20-16. Pterygium Formation with Lupus
20-17. Chronic Paronychia with Alteration of Nail Plate Shape, Loss of Cuticle and Discolouration Secondary to Nail Fold Inflammation and Microbial Colonisation
20-18. Fungal Infection with Superficial Pattern (Fourth Toe) and Distal and Subungual Pattern on the Little Toe
20-19. Chronic Rubbing Trauma to the Proximal Nail Fold Leads to A 'habit Tic' Pattern of Longitudinal Dystrophy
20-2. Pitting of Nail and (B) Pitting of Nail Appearance with Dermatoscope
20-20. Mucoid Cyst, also Called Myxoid Pseudocyst
20-21. In Situ Melanoma with Progressive Pigmentation of Nail Plate
20-22. Subungual Exostosis of the Big Toe
20-3. Onycholysis Due to Manicure beneath the Nail
20-4. Onycholysis and Hyperkeratosis of Nail Plate in Psoriasis
20-5. Longitudinal Ridge and Partial Split Termed Canaliform Dystrophy of Heller
20-6. Darier's Disease
20-7. Clubbing with Loss of the Angle Between the Proximal Nail Fold and the Base of the Nail
20-8. Apparent Leukonychia
20-9. Yellow Nail Syndrome
21. Genital Dermatoses
21. Genital Dermatoses
Figure(s)
21-1. Angiokeratomas, Multiple Small Vascular Lesions on Labia Majora
21-10. Vulval Melanosis - Irregular Pigmentation Inner Labia
21-11. Vulval Intra-Epithelial Neoplasia with White Hyperkeratotic Plaques
21-12. Perianal Hpv-Associated Intra-Epithelial Neoplasia
21-2. Extensive Erythema in Acute Allergic Contact Dermatitis
21-3. Lichen Simplex with Lichenification and Excoriation of Labia Majora
21-4. Vulval Psoriasis with Well-Defined Plaques Affecting Labia Majora and Inguinal Folds
21-5. Vulval Lichen Sclerosus with White Sclerotic Plaques on Inner Labia Minora and Clitoral Hood
21-6. Vulval Lichen Sclerosus - Architectural Change with Loss of Labia Minora and Narrowing of the Introitus
21-7. Lichen Sclerosus Affecting the Glans Penis
21-8. Erosive Vulval Lichen Planus with Vestibular Erosions and Architectural Change
21-9. Erosive Lichen Planus of Glans Penis
Table(s)
21-1. Causes of Genital Ulceration
22. Benign Skin Tumours
22. Benign Skin Tumours
Figure(s)
22-1. Seborrhoeic Keratoses on the Trunk, There is A Melanoma on the Right Upper Shoulder (Shown by the Arrow)
22-10. Intradermal Naevus
22-11. Blue Naevus
22-12. Spitz Naevus
22-13. Halo Naevi
22-14. Becker's Naevus
22-15. Dermatofibroma
22-16. Naevus Flammeus Neonatorum
22-17. Sturge-Weber Syndrome
22-18. Cavernous (Strawberry) Haemangioma and (B) Ulcerating and Bleeding Cavernous Haemangioma Suitable for Treatment with Systemic Ss Blockers
22-19. Spider Telangiectasia
22-2. Seborrhoeic Keratoses
22-20. Campbell De Morgan Angiomas
22-21. Pyogenic Granuloma
22-22. Syringomas
22-23. Trichoepitheliomas
22-24. Apocrine Hidrocystomas
22-25. Milia
22-26. Sebaceous Gland Hyperplasia
22-27. Lipoma
22-28. Leiomyoma on Scalp Vertex
22-29. Epidermoid Cyst
22-3. Dermatosis Papulosa Nigra
22-30. Eccrine Poroma
22-31. Keloid Scar Secondary to Ear Piercing
22-32. Naevus Sebaceous
22-33. Epidermal Naevus
22-34. Inflammatory Linear Verrucous Epidermal Naevus (Ilven)
22-4. Skin Tags
22-5. Lentigines on Upper Back
22-6. Congenital Melanocytic Naevus
22-7. Mongolian Blue Spot
22-8. Junctional Naevus
22-9. Compound Naevus
Table(s)
22-1. Differential Diagnosis of Common Benign Skin Tumours
23. Premalignant and Malignant Skin Lesions
23. Premalignant and Malignant Skin Lesions
Box(es)
23-1. The Abcde of Malignant Pigmented Lesions
Figure(s)
23-1. Sun-Damaged Skin with Multiple Actinic Keratoses
23-10. Hyperkeratotic Rapidly Enlarging Squamous Cell Carcinoma on the Scalp
23-11. Squamous Cell Carcinoma Histology
23-12. Keratoacanthoma-Like Squamous Cell Carcinoma on the Lip
23-13. Dysplastic Naevus
23-14. Superficial Spreading Melanoma on the Right Upper Back
23-15. Melanoma with A Pale Area of Regression around It
23-16. Lentigo Maligna Pre-Imiquimod Treatment and (B) Lentigo Maligna Midway through Treatment with Topical Imiquimod
23-17. Lentigo Maligna Melanoma
23-18. Nodular Melanoma
23-19. Acral Melanoma
23-2. Bowen's Disease
23-20. Amelanotic Melanoma
23-21. Desmoplastic Melanoma
23-22. Ulcerating Melanoma with Satellites and in Transit Metastasis
23-23. Mycosis Fungoides
23-24. Primary Cutaneous B-Cell Lymphoma
23-25. Paget's Disease of the Nipple
23-3. Nodular-Type Basal Cell Carcinoma Inner Canthus of the Eye
23-4. Nodular Basal Cell Carcinoma Histology
23-5. Recurrent Nodular Basal Cell Carcinoma Arising in A Hypopigmented Scar
23-6. Superficial Basal Cell Carcinoma
23-7. Pigmented Basal Cell Carcinoma
23-8. Morphoeic Basal Cell Carcinoma
23-9. Squamous Cell Carcinoma: Initial Stages on the Pinna
Table(s)
23-1. Prognosis in Melanoma According to Staging
24. Practical Procedures and Skin Surgery
24. Practical Procedures and Skin Surgery
Box(es)
24-1. Cryotherapy - Practical Points
24-2. Curettage - Practical Points
24-3. Surgical Excision
24-4. Suturing
Figure(s)
24-1. Cryotherapy
24-10. Incisional Biopsy: Marked Area for Sampling
24-11. Surgical Excision: 'skin Wrinkle Lines' of the Trunk
24-12. Surgical Excision: 'skin Wrinkle Lines' of the Limbs
24-13. Surgical Excision: 'skin Wrinkle Lines' of the Face
24-14. Surgical Excision of Bcc from Lower Back
24-15. Surgical Excision of Bcc: Removal of Specimen Illustrating the Defect
24-16. Surgical Excision of Bcc: after Suturing, Showing Wound Eversion
24-17. Placement of Epidermal Sutures
24-18. Methods of Placing Buried Dermal Sutures
24-2. Electrodessication during Surgery
24-3. Spoon Curettage
24-4. Punch Biopsy Tools
24-5. Punch Biopsy: Injecting Local Anaesthetic
24-6. Punch Biopsy: Tool Insertion
24-7. Punch Biopsy: Plug of Skin
24-8. Punch Biopsy: Raising A Plug of Skin
24-9. Punch Biopsy: Specimen Taken
25. Lasers, Intense Pulsed Light, and Photodynamic Therapy
25. Lasers, Intense Pulsed Light, and Photodynamic Therapy
Figure(s)
25-1. Port Wine Stain (A) Before and (B) after Treatment with A Pulsed Dye Laser
25-2. Bruising Following Pulsed Dye Laser Treatment
25-3. Café Au Lait Macule (A) Before and (B) after Treatment with A Q-Switched Nd-Yag Laser
25-4. Tattoo Subjected to Laser Removal
25-5. Superficial Basal Cell Carcinoma on the Lower Back
Table(s)
25-1. Laser Indications and Selection
25-2. Possible Complications of Laser Treatment
25-3. Laser Selection by Colour for Tattoo Removal
26. Cosmetic Dermatology
26. Cosmetic Dermatology
Figure(s)
26-1. Age-Related Facial Changes as A Consequence of Bone Loss, Fat Pad Atrophy, and Pigmentary Changes on the Skin
26-10. Chemical Burn as A Consequence of Accidental Spillage of 50% Tca Peel
26-2. Glogu Classification Scale for Photodamage
26-3. Filling Agents Should be Placed Within the Skin at A Site that Best Suits Their Purpose (E
26-4. Placement of Hyaluronic Acid, with A Needle, Just below the Vermillion Border for Lip Augmentation
26-5. Botulinum Toxin Injected into the Upper Forehead to Reduce the Horizontal Lines
26-6. Botulinum Toxin to the Platysma Muscle and Mentalis
26-7. Solar Lentigines on the Cheek after 35% Tca Peel
26-8. Classification of Depth of Peel Penetration and Common Agents Used
26-9. Application of Trichloroacetic Acid on the Cheek
27. Wounds, Dressings, and Bandages
27. Wounds, Dressings, and Bandages
Figure(s)
27-1. Wound Assessment
27-2. The Wound Healing Continuum is Represented by the Colour of the Tissues in the Wound (Grey Et Al
27-3. Types of Wound Dressings
27-4. Larvae Dressing in A Second Toe Amputation Site
27-5. Negative Pressure Wound Therapy (Npwt) Dressings Applied to A Deep Stump Wound
27-6. Integra Skin Substitute Applied to Lower Leg Wound
27-7. Example of A Four-Layer System
27-8. Example of A Two-Layer System with A Foam Bandage Underneath
27-9. Example of A Different Two-Layer Compression System with Printed Pressure Indicators
Table(s)
27-1. Wound Types and Suitable Dressings
27-2. Wound Dressing Categories
28. Formulary
28. Formulary
Figure(s)
28-1. Liberal Application of A Potent Topical Steroid Resulting in Striae Formation
28-2. Perioral Dermatitis Caused by Local Application of Topical Steroids
28-3. Potent Topical Steroid-Induced Atrophy and Acne
Table(s)
28-1. Comparison of Formulations for Topical Therapy
28-2. Relative Potency of Topical Corticosteroids
28-3. Topical Antimicrobials Used in the Treatment of Superficial Infections
28-4. Miscellaneous Preparations Used in the Treatment of Psoriasis
28-5. Antibiotics Used in Dermatology, Their Method of Action, Indications, and Complications
28-6. Side Effects of Systemic Retinoids
Front Matter
Preface
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