By David R. Berk, Daniel L. Popkin, Susan J. Bayliss Margaret W. Mann

Simply because dermatology is a posh visible forte that combines clinical and surgical ways to administration, trainees want quick entry to a variety of fabric. This concise new reference makes use of tables, algorithms, protocols, directions, and staging and scoring platforms to provide succinct suggestions on best-practice sufferer care. established round 3 parts -- clinical, surgical, and pharmacological -- the ebook consolidates the middle Board examination details citizens ordinarily glance up.В  guide of Dermatology: a pragmatic guide В was road-tested because it was once constructed to make sure usefulness for dermatology citizens, dermatologists, and relatives physicians.

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No evidence to support specific follow-up interval. AAD Task force recommends q3–12 months ϫ 2 years, then q6–12 months. (Sober et al. AAD Guidelines: Care for primary cutaneous melanoma. ) ***Evaluation: Strong evidence that routine CXR and blood work have limited value in patients with Stage 0/IA disease (Sober et al. AAD Guidelines: Care for primary cutaneous melanoma. ) CT, PET, MRI may be performed to evaluate specific sxs. Yes FNA or bx of ϩLN, then LND WLE Stage III Clinical ϩ nodes, macromet SLN* Margin (cm) Breslow depth (mm) G E N E R A L D E R M ATO L O G Y 39 DNA Human papilloma virus HHV1: HSV1 HHV2: HSV2 HHV3: VZV HHV4: EBV HHV5: CMV HHV6: Roseola infantum, reactivation increases drug-induced hypersensitivity syndrome severity HHV7: ?

1999; 40(4):507–35. 0 mm a: no ulceration and Clarks level II/III b: ϩ ulceration or Clarks level IV/V a: no ulceration b: ϩ ulceration a: no ulceration b: ϩ ulceration a: no ulceration b: ϩ ulceration N classification Nx N0 N1 N2 N3 Nodes cannot be assessed No regional lymphadenopathy 1 node a: micrometastasis b: macrometastasis 2–3 nodes a: micrometastasis b: macrometastasis c: satellite or in transit metastasis without metastatic nodes ജ4 nodes or matted nodes, or in transit mets/satellites and metastatic nodes Micrometastases: patients without clinical or radiologic evidence of LN mets (clinically occult) but with pathologically ϩ nodal mets after sentinel or elective lymphadenectomy Macrometastases: patients with clinically detectable of nodal metastases confirmed by therapeutic lymphadenectomy or when nodal mets exhibit gross extracapsular extension Adapted from Balch CM et al.

Ketron-Goodmann – disseminated pagetoid reticulosis, aggressive Granulomatous Slack Skin – pendulous atrophic lax skin, esp. axillae and groin. Associated with MF or Hodgkin lymphoma in 1/3 of cases. Usually indolent, very rare. Sezary – 5% of MF cases, triad of exfoliative erythoderma, lymphadenopathy, and atypical circulating (“Sezary,” ”Lutzner,” or “mycosis”) cells. MF-like immunophenotype but characteristically CD26and CD3ϩ but diminished. Change from Th1 to Th2 profile may drive progression to Sezary.

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