Download Acute Adult Dermatology: Diagnosis and Management: A Colour by Daniel Creamer PDF

By Daniel Creamer

Specializes in dermatoses with a surprising onset, speedy development or with neighborhood or systemic morbidity. This name covers numerous universal inflammatory and infective dermatoses, rarer stipulations: rashes, tumours, connective tissue disorder, travelllers' dermatoses and drug eruptions.

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Extra info for Acute Adult Dermatology: Diagnosis and Management: A Colour Handbook

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Erythroderma (see p. 51). • Corticosteroid ointment, twice per day (use for a restricted period): face and flexures: mild. trunk and limbs: moderately potent. ) • UVB phototherapy and psoralen-UVA (PUVA) photochemotherapy should be used carefully since these modalities can aggravate unstable psoriasis. • Specific antipsoriatic topical agents, such as dithranol (anthralin), tend to irritate acute psoriasis and should probably be avoided at first. INVESTIGATIONS • The diagnosis is usually made clinically.

Ciclosporin, azathioprine). LP of the scalp can result in scarring alopecia, while nail involvement can lead to irreversible scarring of the nail bed, therefore, in these situations, the prompt introduction of systemic immunosuppressant therapy may be necessary. Lichen planus 37 39 39 Lichen planus. In acute LP there is an eruption of violaceous papules. The inner aspects of the wrists and forearms are common sites of involvement. 40 40 Lichen planus. The individual lesions of LP are flat-topped and shiny.

DIFFERENTIAL DIAGNOSIS • Erysipelas/cellulitis (p. 126, zone of painful, spreading erythema with fever). • Lymphoedema (nonpitting oedema with textural changes to the skin). COMPLICATIONS • Nausea and vomiting. • Diarrhoea. • Anaphylaxis (bronchospasm, laryngeal oedema, hypotension, cardiac dysrhythmia). INVESTIGATIONS • The diagnosis is usually made clinically. • Complement C3, C4 (C4 is lowered in hereditary and acquired C1 esterase inhibitor deficiency). If C4 is low, confirm C1 esterase inhibitor deficiency by specific quantitative and functional assays.

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