By Bethel Solomons, R.A.C. Graham-Brown, Tony Burns

Review''This booklet is great''Scope, collage of Nottingham clinical Gazette''Lecture Notes on Dermatology is a superb textual content. it's eminently readable, and combines an outstanding stability of textual content with color photos...of use either as a revision textual content and as a middle textual content to be used all through scientific school''Dermatology in Practice''...once back the sequence [Lecture Notes] has performed itself proud. It has much more photographs in it than the final variation so it stops you purchasing a dermatology atlas''Leech Y Gelen, college of Wales university of drugs scholar Gazette''Lecture Notes on Dermatology offers a concise advent to the topic in an effort to attract clinical scholars but in addition encompasses enough aspect to be enough for postgraduates learning for the MRCP examination.''Southampton future health Journal''It is especially tricky to fault this ebook in any respect, it really is good laid out, effortless to learn and entire of color pictures''Barts & London scholar Gazette

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The source of the fungus is almost invariablythe patient's feet. Tinea unguium Toenail fungal dystrophy is very common in adults, and is invariably associated with athlete's foot. This is thought t o be related t o a change in the fatty acid constituents of sebum around the time of puberty. The principal fungi responsible for scalp ringworm vary in different parts of the world. In the UK, most cases of scalp ringworm are the result of M. canis infection, usually acquired from cats, in the USA the usual causative organism is Trichophyton tonsurans, and in the Indian subcontinent the commonest cause is Trichophyton violaceurn.

There is a marked inflammatory reaction t o the fungus, producing an appearance resembling a bacterial infection (Fig. 9). Children who visit farms may pick up the fungus from gates and fences where cattle have left keratin debris containing the organism, and subsequently develop a kerion. Tinea incognito This term is applied t o a fungal infection whose appearance has been altered by inappropriate treatment with topical steroid preparations. Topical steroids suppress the inflammatory response t o the fungus, and the typical scaly erythematous margin usually disappears, leaving an 32 Chapter 4: Fungal Infections Fig.

Fleas May the fleas of a thousand camels infest your armpits! (Arab curse) The commonest cause of papular urticaria acquired in the home environment is flea bites. It is not the human flea, Pulex irritans, which is responsible, but fleas whose natural hosts are household pets. A familiar clinical picture is of multiple lesions, some of which may form blisters, around the ankles of women (Fig. 12). Men are rarely affected, because socks and trousers deny fleas access t o the ankles. Cats and dogs are perambulating quadripedal 'meals-on-wheels' for the fleas.

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