By David Gawkrodger DSc MD FRCP FRCPE, Michael R Ardern-Jones BSc MBBS FRCP DPhil
This concise textbook of dermatology is aimed toward clinical scholars and people getting ready for the MRCP and MRCGP examinations. the knowledge is gifted in a hugely available layout, broad use of color for either scientific pictures and photographs makes for a good visual appeal. For assessment for exam guidance key element packing containers are supplied. during this 3rd version huge revision has been made to the contents to mirror adjustments within the realizing of dermatological stipulations at a molecular point and the alterations in scientific perform. additionally using the net for dermatological info via either medical professionals and sufferers is reviewed.
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Extra resources for Dermatology. An Illustrated Colour Text, Churchill Livingstone
Asteatotic eczema (eczema craquele) Asteatotic eczema is a dry eczema with fissuring and cracking of the skin, often affecting limbs in the elderly (Fig. 6). Overwashing of patients in institutions, a dry winter climate, hypothyroidism and use of diuretics, Clinical presentation Hand dermatitis often presents as a chronic eczema, but may appear as a vesicular eruption known as pompholyx. Vesicles may be seen with atopic eczema or contact dermatitis, but in pompholyx there is usually no Table 2 Hints on hand care for hand dermatitis patients Hand washing Other eczemas Other types of eczema are occasionally encountered.
Patients with the most severe and resistant forms of atopic eczema may be treated with UVB or PUVA (p. 110), azathioprine or ciclosporin (p. 107), given as an 8-week course. and azathioprine Dietary manipulation Topical therapy Emollients Emollients such as aqueous cream and emulsifying ointment (p. 20) should be used regularly on the skin and as soap substitutes. They moisturize the dry skin, diminishing the desire to scratch and reducing the need for topical steroids. Bath oil emollients may also help.
Topical cortico steroids Topical steroids have the advantage of being clean, non-irritant and easy to use. However, against this must be balanced the risk of side-effects (p. 21) and of precipitating an unstable form of psoriasis, especially on their withdrawal. Topical steroids are the treatment of choice for face, genitalia Management The non-infectious nature of psoriasis and the likely need for long-term therap} should be explained. A sympathetic approach is helpful and patients often obtain support from the self-help group, The Psoriasis Association (see p.
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