ABC of Dermatology, 4th Edition by Paul K. Buxton

By Paul K. Buxton

(BMJ Books) Royal Infirmary, united kingdom. bargains a concise evaluate of all the necessities of dermatology, written for non-dermatologists and first care physicians. Discusses a number of universal stipulations reminiscent of psoriasis, eczema, pimples and rosacea, bacterial an infection, viral an infection, tropical dermatology, and extra. considerable colour pictures. earlier version: c1998. Softcover.

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Extra resources for ABC of Dermatology, 4th Edition

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The facts. Oxford: Oxford University Press, 1994 Cronin E. Contact dermatitis. Edinburgh: Churchill Livingstone, 1980 Fisher AA. Contact dermatitis, 3rd ed. Baltimore: Williams and Wilkins, 1986 Foussereau J, Benezra JE, Maibach H. Occupational contact dermatitis. Copenhagen: Munksgaard, 1982 Schwanitz HJ. Atopic palmoplantar eczema. Berlin: Springer-Verlag, 1988 5 Treatment of eczema and inflammatory dermatoses Treat the patient, not just the rash. Many patients accept their skin condition with equanimity but others suffer much distress, especially if the face and hands are affected.

Azathioprine aids remission, with reduced steroid requirements, but takes some weeks to produce an effect. It is essential to check the serum thiopurine methyl transferase (TPMT) level before starting treatment. Patients with low levels have impaired ability to metabolise azathioprine and are likely to suffer toxic effects. Topical steroids can be used on developing lesions. Chronic scarring pemphigoid affects the mucous membranes with small bullae that break down, leading to erosions and adhesions in the conjunctivae, mouth, pharynx, and genitalia.

By mixing two tablespoons in a kitchen blender with a pint of water, the result is a creamy mixture that can easily be used in the bath. A useful preparation is equal parts of white soft paraffin and liquid paraffin. Various proprietary bath oils are available and can be applied directly to wet skin. There are many proprietary emollients. Wet weeping lesions should generally be treated with creams rather than ointments (which remain on the surface). Steroid ointments are effective in relieving inflammation and itching but are not always used effectively.

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