By Paul K. Buxton
(BMJ Books) Royal Infirmary, united kingdom. deals 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. ample colour pictures. past variation: c1998. Softcover.
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A further examination is carried out at 96 hours to detect any further reactions. Acutely infected eczema 21 ABC of Dermatology It is most important not to put a possible causative substance on the skin in a random manner without proper dilution and without control patches. The results will be meaningless and irritant reactions, which are unpleasant for the patient, may occur. Test patches in place Positive reactions marked Patches being removed after 48 hours Impairment in function of stratum corneum Acute Skin clinically abnormal Skin clinically normal but physiologically abnormal Occupational dermatitis Dermatitis, which is simply inflammation of the skin, can arise as a result of: Damage • Inherited tendency to eczema (atopy) • Contact dermatitis, which may be either irritant or allergic • Infection.
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.
Clusters” of cases occur but not true epidemics. This suggests an infective basis. There may be prodromal symptoms with malaise, fever, or lymphadenopathy. Numerous causes have been suggested, from allergy to fungi; the current favourite is a virus infection. The typical patient is an adolescent or young adult, who is often more than a little concerned about the sudden appearance of a widespread rash. The lesions are widely distributed, often following skin creases, and concentrated on the trunk with scattered lesions on the limbs.
ABC of Dermatology by Paul K. Buxton