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SPEC - Andrews' Diseases of the Skin E-Book 12Month Subscription

SPEC - Andrews' Diseases of the Skin E-Book 12Month Subscription

William D. James | Dirk Elston | Timothy Berger

(2011)

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Book Details

Abstract

The 11th Edition of the classic Andrews’ Diseases of the Skin, by Drs. William D. James, Timothy G. Berger and Dirk M. Elston, provides the ultimate foundation in dermatology with comprehensive guidance to effectively diagnose and treat a wide range of skin conditions. These highly respected authors balance evidence-based treatment guidelines with advice from their own clinical experience, offering a practical and realistic medical perspective. Updated throughout with the latest dermatologic findings and a new chapter on cosmetic surgical techniques, this title helps you keep current, improve your skills, and prepare for exams. It is an indispensable, convenient reference for trainees and practicing dermatologists.

  • Practice with confidence through the valued authorship of seasoned professionals Dr. William D. James, Dr. Timothy G. Berger, and Dr. Dirk M. Elston.
  • Rapidly improve your knowledge of skin conditions through a concise, clinically focused, user-friendly format.
  • Obtain thorough guidance on clinical presentation and therapy for a full range of common and rare skin diseases.
  • Confirm your diagnoses by comparing your clinical findings to more than 1,150 illustrations, 40% of which are brand new.
  • Update your surgical skills with chapters devoted to basic dermatologic, laser, and cosmetic surgery, contributed by Dr. Issac M. Neuhaus.

Table of Contents

Section Title Page Action Price
Front cover cover
Andrew's Diseases of the Skin i
Copyright page iv
Table of contents v
Preface and Acknowledgements vi
Dedication vii
Contributor viii
Chapter 1: Skin: 1
Epidermis and adnexa 1
Langerhans cells 3
Dermoepidermal junction 4
Epidermal appendages: adnexa 4
Sebaceous glands 7
Nails 8
Dermis 9
Mast cells 10
Subcutaneous tissue (fat) 10
Chapter 2: Cutaneous Signs and Diagnosis 12
Cutaneous signs 12
General diagnosis 15
Hair, nails, and oral mucosa 17
Chapter 3: Dermatoses Resulting from Physical Factors 18
Heat injuries 18
Hot tar burns 19
Treatment 20
Erythema ab igne 20
Cold injuries 21
Acrocyanosis 21
Chapter 4: Pruritus and Neurocutaneous Dermatoses 45
Pruritus 45
Treatment 45
Internal causes of pruritus 46
Chronic kidney disease 46
Primary biliary cirrhosis 47
Polycythemia vera 47
Pruritic dermatoses 48
Winter itch 48
Treatment 49
Pruritus scroti 49
Treatment 50
Puncta pruritica (itchy points) 50
Aquagenic pruritus and aquadynia 50
Scalp pruritus 50
Drug-induced pruritus 50
Treatment 51
Prurigo pigmentosa 51
Papuloerythroderma of Ofuji 51
Treatment 52
Treatment 53
Psychodermatology 53
Skin signs of psychiatric illness 53
Delusions of parasitosis 54
Neurotic excoriations 55
Factitious dermatitis (dermatitis artefacta) 55
Trichotillomania 56
Body dysmorphic disorder (dysmorphic syndrome, dysmorphophobia) 57
Neurocutaneous dermatoses 57
Scalp dysesthesia 57
Burning mouth syndrome (glossodynia, burning tongue) 57
Vulvodynia 57
Notalgia paresthetica 58
Brachioradial pruritus 58
Meralgia paresthetica (Roth–Bernhardt disease) 58
Complex regional pain syndrome 58
Trigeminal trophic lesions 59
Mal perforans pedis 60
Sciatic nerve injury 60
Syringomyelia 60
Congenital insensitivity to pain with anhidrosis 61
Chapter 5: Atopic Dermatitis, Eczema, and Noninfectious Immunodeficiency Disorders 62
Atopic dermatitis 62
Management of an acute flare 69
Eczema 70
Hormone-induced dermatoses 77
Immunodeficiency syndromes 78
Disorders of antibody deficiency 79
X-linked agammaglobulinemia (XLA) 79
Isolated IgA deficiency 79
Common variable immunodeficiency 79
Class-switch recombination defects (formerly immunodeficiency with hyper-IgM) 80
Thymoma with immunodeficiency 80
DiGeorge syndrome 80
Purine nucleoside phosphorylase deficiency 80
Severe combined immunodeficiency disease 81
WHIM syndrome 82
Wiskott–Aldrich syndrome 82
Ataxia telangiectasia 82
Defects of phagocyte number, function, or both 83
Chronic granulomatous disease 83
Leukocyte adhesion molecule deficiency 84
Hyperimmunoglobulinemia E syndrome 84
Complement deficiency 85
GVHD in solid organ transplantation 87
Chapter 6: Contact Dermatitis and Drug Eruptions 88
Contact dermatitis 88
Solvents 90
Lower extremities 93
Testing for plant allergens 97
Dermatitis from clothing 97
Shoe dermatitis 98
Other metals 101
Contact stomatitis 101
Antioxidants 101
Adhesive dermatitis 101
Acrylic monomers 102
Cosmetic intolerance syndrome 104
p-Chloro-meta-xylenol (PCMX) 105
Ethylenediamine 105
Corticosteroids 106
Management 106
Management 108
Drug reactions 108
Exanthems (morbilliform or maculopapular reactions) 110
Dapsone hypersensitivity syndrome 113
Bullous drug reactions (Stevens–Johnson syndrome [SJS] and toxic epidermal necrolysis [TEN]) 114
Radiation-induced erythema multiforme 116
HIV disease and drug reactions 116
Fixed drug reactions 117
Acute generalized exanthematous pustulosis 119
Drug-induced pseudolymphoma 120
Red man syndrome 121
Photosensitivity reactions (photosensitive drug reactions) 122
Anticoagulant-induced skin necrosis 124
Injection site reactions 125
Drug-induced pigmentation 126
Vasculitis and serum sickness-like reactions 128
Lichenoid reactions 128
Adverse reactions to immunosuppressants used in dermatology 131
Adverse reactions to biologic agents 132
TNF inhibitors 132
Iododerma 134
Leukotriene receptor antagonist-associated Churg–Strauss syndrome 135
Systemic complications 137
Chapter 7: Erythema and Urticaria 138
Flushing 138
Erythemas 138
Treatment 141
Oral erythema multiforme 141
Annular erythema of infancy 142
Eosinophilic cellulitis (Wells syndrome) 142
Reactive neutrophilic dermatoses 143
Marshall syndrome 145
Pyoderma gangrenosum 145
Autoinflammatory syndromes 147
Urticaria (hives) 147
Galvanic urticaria 154
Chapter 8: Connective Tissue Diseases 155
Lupus erythematosus 155
Other therapy 164
Dermatomyositis 165
Prognosis 168
Scleroderma 169
Treatment 173
Eosinophilic fasciitis 175
Mixed connective tissue disease 176
Nephrogenic systemic fibrosis 176
Sjögren syndrome (sicca syndrome) 177
Rheumatoid arthritis 178
Related palisading granulomas 179
Juvenile rheumatoid arthritis (juvenile idiopathic arthritis) 180
Relapsing polychondritis 180
Chapter 9: Mucinoses 182
Lichen myxedematosus 182
Atypical or intermediate lichen myxedematosus 184
Scleredema 185
Reticular erythematous mucinosis (REM syndrome, plaque-like cutaneous mucinosis) 185
Follicular mucinosis (alopecia mucinosa) 186
Cutaneous focal mucinosis 187
Myxoid cysts 187
Chapter 10: Seborrheic Dermatitis, Psoriasis, Recalcitrant Palmoplantar Eruptions, Pustular Dermatitis, and Erythroderma 188
Seborrheic dermatitis 188
Treatment 189
Psoriasis 190
Alternative therapies 198
Reactive arthritis with conjunctivitis/urethritis/diarrhea (Reiter syndrome) 199
Clinical features 199
Subcorneal pustular dermatosis (Sneddon–Wilkinson disease) 200
Eosinophilic pustular folliculitis 200
Recalcitrant palmoplantar eruptions 201
Palmoplantar pustulosis (pustular psoriasis of the extremities) 201
Pustular bacterid 202
Infantile acropustulosis 202
Chapter 11: Pityriasis Rosea, Pityriasis Rubra Pilaris, and Other Papulosquamous and Hyperkeratotic Diseases 203
Small plaque parapsoriasis 203
Confluent and reticulated papillomatosis (Gougerot and Carteaud) 203
Pityriasis rosea 204
Treatment 205
Pityriasis rubra pilaris 205
Treatment 207
Palmoplantar keratoderma 207
Aquagenic wrinkling of the palms (acquired aquagenic syringeal acrokeratoderma) 210
Exfoliative dermatitis (erythroderma) 211
Treatment 212
Chapter 12: Lichen Planus and Related Conditions 213
Lichen planus 213
Treatment 218
Follicular lichen planus (lichen planopilaris) 220
Idiopathic eruptive macular pigmentation 221
Keratosis lichenoides chronica 221
Lichen nitidus 222
Clinical features 222
Lichen striatus 223
Lichen sclerosus (lichen sclerosus et atrophicus) 224
Treatment 225
Chapter 13: Acne 228
Acne vulgaris 228
Complications 234
Acne conglobata 235
Acne fulminans 236
SAPHO syndrome 236
Other acne variants 236
Excoriated acne 237
Acneiform eruptions 237
Gram-negative folliculitis 238
Acne keloidalis 238
Hidradenitis suppurativa 239
Treatment 240
Dissecting cellulitis of the scalp 240
Acne miliaris necrotica (acne varioliformis) 241
Rosacea 241
Surgical intervention 244
Pyoderma faciale 244
Perioral dermatitis 245
Periorbital dermatitis 245
Granulomatous facial dermatitis 245
Granulomatous perioral dermatitis in children 245
Chapter 14: Bacterial Infections 247
Infections caused by Gram-positive organisms 247
Gram-positive toxic shock syndromes 253
Streptococcal skin infections 254
Streptococcus iniae infections 258
Miscellaneous Gram-positive skin infections 258
Treatment 259
Pneumococcal cellulitis 259
Anthrax 259
Listeriosis 260
Cutaneous diphtheria 260
Corynebacterium jeikeium sepsis 261
Desert sore 261
Tropical ulcer 261
Erythrasma 261
Arcanobacterium haemolyticum infection 262
Intertrigo 262
Pitted keratolysis 262
Clostridial infections and gangrene of the skin (dermatitis gangrenosa) 263
Fournier gangrene of the penis or scrotum 264
Actinomycosis 264
Nocardiosis 264
Infections caused by Gram-negative organisms 265
Gram-negative folliculitis 267
Malacoplakia (malakoplakia) 267
Haemophilus influenzae cellulitis 267
Chancroid 268
Treatment 269
Granuloma inguinale (granuloma venereum, donovanosis) 269
Treatment 270
Gonococcal dermatitis 270
Gonococcemia 270
Meningococcemia 270
Vibrio vulnificus infection 271
Chromobacteriosis and Aeromonas infections 271
Salmonellosis 272
Shigellosis 272
Helicobacter cellulitis 272
Rhinoscleroma 272
Treatment 273
Pasteurellosis 273
Dog and human bite pathogens 273
Glanders 274
Melioidosis 274
Infections caused by Bartonella 274
Oroya fever and verruga peruana 276
Plague 277
Rat-bite fever 277
Tularemia 278
Brucellosis 279
Rickettsial diseases 279
Rickettsialpox 280
Ehrlichiosis 281
Leptospirosis 282
Borreliosis 282
Acrodermatitis chronica atrophicans 284
Mycoplasma 284
Chlamydial infections 285
Lymphogranuloma venereum 285
Treatment 286
Chapter 15: Diseases Resulting from Fungi and Yeasts 287
Superficial and deep mycoses 287
Antifungal therapy 287
The Superficial Mycoses 288
Treatment 296
Candidiasis 297
Antibiotic (iatrogenic) candidiasis 301
Geotrichosis 301
Tinea nigra 302
Piedra (trichosporosis) 302
Tinea versicolor (pityriasis versicolor) 302
Pityrosporum folliculitis 303
The deep mycoses 304
Treatment 305
Histoplasmosis 306
Treatment 307
Cryptococcosis 307
Treatment 308
North American blastomycosis 309
Treatment 310
South American blastomycosis 310
Treatment 311
Sporotrichosis 311
Treatment 312
Chromoblastomycosis 313
Treatment 314
Phaeohyphomycosis 314
Alternariosis 315
Mycetoma 315
Treatment 316
Keloidal blastomycosis (lobomycosis) 316
Rhinosporidiosis 317
Zygomycosis (phycomycosis) 317
Treatment 318
Hyalohyphomycosis 319
Fusariosis 319
Aspergillosis 319
Treatment 320
Disease caused by algae (protothecosis) 320
Chapter 16: Mycobacterial Diseases 322
Tuberculosis 322
Treatment 328
Atypical mycobacteriosis 329
Mycobacterium kansasii 332
Chapter 17: Hansen’s Disease 334
Epidemiology 334
The infectious agent 334
Diagnosis 335
Classification 335
Nerve involvement 337
Ocular involvement 339
Mucous membrane involvement 339
Visceral involvement 339
Pregnancy and Hansen’s disease 339
Human immunodeficiency virus (HIV) and Hansen’s disease 339
Pathogenesis 339
Histopathology 340
Reactional states 340
Treatment 341
Management of reactions 343
Prevention 343
Chapter 18: Syphilis, Yaws, Bejel, and Pinta 345
Syphilis 345
Syphilis and HIV disease 356
Nonvenereal treponematoses: yaws, endemic syphilis, and pinta 357
Treatment 359
Chapter 19: Viral Diseases 360
Herpesvirus group 360
Differential diagnosis 367
Immunocompromised patients 371
Inflammatory skin lesions following a zoster infection (isotopic response) 376
Cytomegalic inclusion disease 378
Human herpesvirus-8 379
B virus 380
Infectious hepatitis 380
Hepatitis C virus 380
Gianotti–Crosti syndrome (papular acrodermatitis of childhood, papulovesicular acrolocated syndrome) 382
Poxvirus group 383
Variola major (smallpox) 383
Other skin lesions at vaccination scars 385
Parapoxvirus infections from wildlife 387
Molluscum contagiosum 387
Picornavirus group 389
Eruptive pseudoangiomatosis 391
Paramyxovirus group 391
Congenital rubella syndrome 392
Asymmetric periflexural exanthem of childhood (APEC) 393
Parvovirus group 393
Other skin findings attributed to parvovirus B19 394
Arbovirus group (togaviridae) 395
Alphavirus 396
Papovavirus group 397
Immunosuppressed patients 406
Viral-associated trichodysplasia (cyclosporine-induced folliculodystrophy) 408
Retroviruses 408
Human T-lymphotropic virus-1 408
AIDS and Kaposi sarcoma 412
Chapter 20: Parasitic Infestations, Stings, and Bites 414
Phylum protozoa 414
Other ameba 414
Trichomoniasis 415
Viscerotropic leishmaniasis 419
Human trypanosomiasis 420
Class Sporozoa 421
Toxoplasmosis 421
Phylum Cnidaria 421
Dogger Bank itch 423
Phylum Platyhelminthes 423
Visceral schistosomiasis (bilharziasis) 424
Cysticercosis cutis 425
Sparganosis 425
Echinococcosis 425
Phylum Annelida 425
Leeches 425
Phylum Nemathelminthes 426
Class Nematoda 426
Enterobiasis (pinworm infection, seatworm infection, oxyuriasis) 426
Larva currens 427
Dracunculiasis (Guinea worm disease, dracontiasis, medina worm) 428
Filariasis 428
Elephantiasis tropica (elephantiasis arabum) 428
Loiasis (loa loa, Calabar swelling, tropical swelling, fugitive swelling) 429
Onchocerciasis 430
Trichinosis 431
Pneumocystosis 431
Phylum Arthropoda 432
Prevention of flea-borne illness 433
Centipede bites (Chilopoda) 433
Millipede burns (Diplopoda) 434
Moth dermatitis 435
Cimicosis (bedbug bites) 435
Reduviid bites 435
Pediculosis pubis (crabs) 437
Mosquito bites 438
Myiasis 438
Other beetles 439
Ants 440
Tungiasis 441
Tick paralysis 442
Other mite-related dermatitis 445
Order Scorpionidae 445
Scorpion sting 445
Tarantulas (Lycosidae: Theraphosidae) 446
Phylum Chordata 447
Lizard bite 447
Chapter 21: Chronic Blistering Dermatoses 448
Pemphigus vulgaris 448
Pemphigus vegetans 451
Pemphigus foliaceus 452
Endemic pemphigus (fogo selvagem) 453
Pemphigus erythematosus (Senear–Usher syndrome) 453
Paraneoplastic pemphigus 453
Intraepidermal neutrophilic IgA dermatosis 454
Bullous pemphigoid 455
Course and prognosis 457
Pemphigoid gestationis (herpes gestationis) 457
Other pregnancy-related dermatoses 458
Impetigo herpetiformis 459
Cicatricial pemphigoid (benign mucosal pemphigoid) 460
Treatment 461
Epidermolysis bullosa acquisita 461
Treatment 462
Dermatitis herpetiformis (Duhring disease) 463
Gluten-free diet 464
Linear IgA bullous dermatosis 465
Childhood linear IgA disease (chronic bullous disease of childhood) 465
Transient acantholytic dermatosis (Grover’s disease) 466
Chapter 22: Nutritional Diseases 468
Vitamin A 468
Hypervitaminosis A 469
Vitamin D 469
Vitamin K deficiency 469
Vitamin B1 deficiency 470
Vitamin B2 deficiency 470
Vitamin B6 470
Pyridoxine excess 470
Vitamin B12 deficiency 470
Folic acid deficiency 470
Scurvy 471
Niacin deficiency (pellagra) 472
Diagnosis and treatment 472
Biotin deficiency 473
Zinc deficiency 473
Essential fatty acid deficiency 474
Iron deficiency 475
Selenium deficiency 475
Protein–energy malnutrition 475
Kwashiorkor 475
Carotenemia and lycopenemia 476
Chapter 23: Diseases of Subcutaneous Fat 477
Septal panniculitis (acute and chronic erythema nodosum) 477
Lobular panniculitis 479
Nodular vasculitis 479
Sclerosing panniculitis (hypodermitis sclero­dermiformis, lipodermatosclerosis, stasis panniculitis) 479
Physical panniculitis 480
Cold panniculitis 481
Post-steroid panniculitis 482
Traumatic panniculitis 482
Factitial panniculitis 482
Sclerosing lipogranuloma 482
Enzyme-related panniculitis 483
Pancreatic panniculitis (subcutaneous fat necrosis) 483
Alpha1-antitrypsin deficiency panniculitis 483
Cytophagic histiocytic panniculitis 484
Miscellaneous forms of panniculitis 484
Gouty panniculitis 484
Lipodystrophy (lipoatrophy) 484
Localized lipodystrophy 486
Chapter 24: Endocrine Diseases 488
Acromegaly 488
Cushing syndrome 488
Addison’s disease 489
Panhypopituitarism and growth hormone deficiency 490
Androgen-dependent syndromes 490
Hypothyroidism 491
Diagnosis and treatment 492
Hyperthyroidism 492
Hypoparathyroidism 493
Hyperparathyroidism 493
Acanthosis nigricans 494
Type III: acanthosis nigricans associated with insulin-resistant states and syndromes 495
Chapter 25: Abnormalities of Dermal Fibrous and Elastic Tissue 497
Collagen 497
Elastosis perforans serpiginosa 497
Reactive perforating collagenosis 497
Pseudoxanthoma elasticum 498
Perforating calcific elastosis 499
Ehlers–Danlos syndromes 500
Treatment 501
Marfan syndrome 501
Homocystinuria 502
Cutis laxa (generalized elastolysis) 503
Blepharochalasis 503
Anetoderma (macular atrophy) 503
Striae distensae 504
Linear focal elastosis (elastotic striae) 504
Acrodermatitis chronica atrophicans 504
Osteogenesis imperfecta 505
Chapter 26: Errors in Metabolism 506
Amyloidosis 506
Systemic amyloidoses 506
Cutaneous amyloidosis 508
Familial syndromes associated with amyloidosis (heredofamilial amyloidosis) 510
Porphyrias 511
Transient erythroporphyria of infancy (purpuric phototherapy-induced eruption) 516
Calcinosis cutis 516
Osteoma cutis 518
Lipid disturbances 520
Familial α-lipoprotein deficiency (hypoalphalipoproteinemia, Tangier disease) 525
Niemann–Pick disease 526
Gaucher’s disease 526
Lipoid proteinosis 527
Angiokeratoma corporis diffusum (Fabry disease) 527
Fucosidosis 528
Sialidosis 528
Beta-mannosidase deficiency 529
Skin disorders in diabetes mellitus 529
Necrobiosis lipoidica/necrobiosis lipoidica diabeticorum 529
Other diabetic dermadromes 530
Other associated conditions in patients with diabetes 531
Other metabolic disorders 531
Citrullinemia 531
Hartnup disease 531
Prolidase deficiency 532
Phenylketonuria 532
Alkaptonuria and ochronosis 533
Exogenous ochronosis 533
Wilson’s disease (hepatolenticular degeneration) 534
Tyrosinemia II (Richner–Hanhart syndrome) 534
Hurler syndrome (mucopolysaccharidosis I) 534
Hunter syndrome (mucopolysaccharidosis II) 534
Morquio’s disease (mucopolysaccharidosis IV) 535
Hyaluronidase deficiency (mucopolysaccharidosis IX) 535
Lafora’s disease 535
CADASIL syndrome 535
Farber disease 536
Adrenoleukodystrophy (Schilder’s disease) 536
Gout 536
Lesch–Nyhan syndrome 536
Chapter 27: Genodermatoses and Congenital Anomalies 538
X-linked, mosaic, and related disorders 538
Naegeli–Franceschetti–Jadassohn syndrome 539
Incontinentia pigmenti achromians (hypomelanosis of Ito) 539
Linear and whorled nevoid hypermelanosis 540
Chondrodysplasia punctata 540
Klinefelter syndrome 541
XXYY genotype 541
Turner syndrome 541
Noonan syndrome 541
Multiple lentigines (LEOPARD) syndrome 541
Cardio-facio-cutaneous syndrome 542
Phakomatoses 542
Treatment 543
Neurofibromatosis (von Recklinghausen’s disease) 544
Screening and monitoring for complications 545
Proteus syndrome 545
Other Epidermal Nevus Syndromes 546
Von Hippel–Lindau syndrome 546
Ataxia-telangiectasia 546
Epidermolysis bullosa 547
Recessive dystrophic epidermolysis bullosa (Hallopeau–Siemens) 550
Familial benign chronic pemphigus (Hailey–Hailey disease) 550
Disorders of cornification (ichthyoses and ichthyosiform syndromes) 551
Ichthyosis bullosa of Siemens 554
Restrictive dermopathy 554
Ichthyosis linearis circumflexa 554
Neutral lipid storage disease 555
Ichthyosis follicularis 555
Sjögren–Larsson syndrome 555
Refsum syndrome 555
Rud syndrome 556
Keratitis-ichthyosis-deafness syndrome 556
Congenital hemidysplasia with ichthyosiform erythroderma and limb defects syndrome 556
Erythrokeratodermia variabilis 557
Progressive symmetric erythrokeratodermia 557
Acquired ichthyosis 557
Pityriasis rotunda 557
Porokeratosis 558
Porokeratotic eccrine ostial and dermal duct nevus 559
Darier’s disease (keratosis follicularis, Darier–White disease) 560
Treatment 560
Acrokeratosis verruciformis 560
Pachyonychia congenita 561
Dyskeratosis congenita (Zinsser–Cole–Engman syndrome) 561
Fanconi syndrome 562
Ectodermal dysplasia 562
Lelis syndrome 564
Pachydermoperiostosis (idiopathic hypertrophic osteoarthropathy, Touraine–Solente–Gole syndrome) 564
Cutis verticis gyrata 565
Aplasia cutis congenita 565
Adams–Oliver syndrome 565
Focal dermal hypoplasia (Goltz syndrome) 565
Werner syndrome (adult progeria) 566
Progeria (Hutchinson–Gilford syndrome) 566
Xeroderma pigmentosum 567
Cockayne syndrome 567
Xeroderma pigmentosum/Cockayne syndrome complex 568
Trichothiodystrophy 568
Bloom syndrome (Bloom–Torre–Machacek syndrome) 568
Rothmund–Thomson syndrome (poikiloderma congenitale) 569
Hereditary sclerosing poikiloderma and mandibuloacral dysplasia 569
Scleroatrophic syndrome of Huriez 569
Franceschetti–Klein syndrome (mandibulofacial dysostosis) 570
Treacher Collins syndrome 570
Oculoauriculofrontonasal syndrome 570
Popliteal pterygium syndrome 570
Van der Woude syndrome 570
Apert syndrome (acrocephalosyndactyly) 570
Pfeiffer syndrome 570
Crouzon syndrome 570
Carpenter syndrome 570
Whistling face syndrome 570
Syndromes that include abnormalities of the hair 570
Atrichia with papules 571
Keratosis pilaris 572
Erythromelanosis follicularis faciei et colli 572
Follicular atrophoderma 572
Keratosis pilaris atrophicans 572
Keratosis follicularis spinulosa decalvans (Siemens-1 syndrome) 573
H syndrome 573
Chapter 28: Dermal and Subcutaneous Tumors 574
Cutaneous vascular anomalies 574
Phakomatosis pigmentovascularis 574
Eccrine angiomatous hamartoma 574
Malformations 575
Nevus oligemicus 575
Cutis marmorata telangiectatica congenita (congenital phlebectasia, van Lohuizen syndrome) 575
Nevus flammeus (port wine stain) 575
Deep venous malformations including cavernous venous malformation 576
Klippel–Trenaunay syndrome (hemangiectatic hypertrophy, angio-osteohypertrophy syndrome) 578
Arteriovenous fistulas 578
Acral arteriolar ectasia 579
Superficial lymphatic malformation (lymphangioma circumscriptum) 579
Cystic lymphatic malformation 579
Gorham–Stout syndrome 580
Solitary angiokeratoma 582
Lymphangiectasis (lymphangioma) 582
Hyperplasias 583
Angiolymphoid hyperplasia with eosinophilia 583
Pyogenic granuloma 583
Intravascular papillary endothelial hyperplasia 584
Angioma serpiginosum 584
Benign neoplasms 584
Infantile hemangioma (strawberry hemangioma) 584
Cherry angiomas (senile angiomas, de Morgan spots) 586
Targetoid hemosiderotic hemangioma 586
Glomeruloid hemangioma 586
Microvenular hemangioma 586
Tufted angioma (angioblastoma) 587
Kaposiform hemangioendothelioma 587
Multifocal lymphangioendotheliomatosis 587
Kasabach–Merritt syndrome (hemangioma with thrombocytopenia) 587
Acquired progressive lymphangioma (benign lymphangioendothelioma) 588
Glomus tumor (glomangioma) 588
Lesions formerly classified as hemangiopericytomas 589
Proliferating angioendotheliomatosis 589
Hemangioendotheliomas 589
Course 591
Composite hemangioendothelioma 592
Endovascular papillary angioendothelioma (Dabska tumor) 592
Angiosarcoma 592
Fibrous tissue abnormalities 593
Keloid 593
Plantar fibromatosis 594
Peyronie’s disease 594
Knuckle pads 595
Pachydermodactyly 595
Desmoid tumor 595
Collagenous fibroma (desmoplastic fibroblastoma) 595
Aponeurotic fibroma 596
Aggressive infantile fibromatosis 596
Juvenile hyaline fibromatosis and infantile systemic hyalinosis 596
Infantile digital fibromatosis (infantile digital myofibroblastoma, inclusion body fibroma) 597
Fibrous hamartoma of infancy 597
Fibromatosis colli 597
Giant cell tumor of the tendon sheath 597
Pseudo-ainhum 598
Connective tissue nevi 598
Elastofibroma dorsi 599
Angiofibromas 599
Fibrous papule of the nose (fibrous papule of the face, benign solitary fibrous papule) 599
Acral fibrokeratoma 599
Superficial acral fibromyxoma 600
Subungual exostosis 600
Chondrodermatitis nodularis chronica helicis 600
Oral submucous fibrosis 600
Fascial hernia 600
Cutaneous pseudosarcomatous polyp and umbilical polyp 601
Epithelioid cell histiocytoma 602
Dermal dendrocyte hamartoma 602
Nodular fasciitis (nodular pseudosarcomatous fasciitis) 602
Solitary fibrous tumor 603
Plexiform fibrohistiocytic tumor 603
Dermatofibrosarcoma protuberans 603
Atypical fibroxanthoma 603
Cutaneous myxofibrosarcoma 604
Epithelioid sarcoma 604
Myxomas 605
Aggressive angiomyxoma 605
Mastocytosis 605
Treatment 608
Abnormalities of neural tissue 609
Granular cell tumor 609
Perineurioma 609
Neuroma cutis 610
Neurothekeoma (nerve sheath myxoma) 610
Schwannoma (neurilemmoma) 610
Infantile neuroblastoma 611
Ganglioneuroma 611
Nasal glioma (cephalic brainlike heterotopias) 611
Cutaneous meningioma 611
Chordomas 612
Abnormalities of fat tissue 612
Subtypes 613
Nevus lipomatosus superficialis 614
Folded skin with scarring (Michelin tire baby syndrome) 614
Benign lipoblastoma 614
Liposarcoma 614
Abnormalities of smooth muscle 614
Treatment 615
Congenital smooth muscle hamartoma 615
Leiomyosarcoma 616
Miscellaneous tumors and tumor-associated conditions 616
Cutaneous endometriosis 616
Teratoma 616
Metastatic carcinoma 616
Paraneoplastic syndromes 617
Treatment 619
Chapter 29: Epidermal Nevi, Neoplasms, and Cysts 620
Epidermal nevi 620
Keratinocytic epidermal nevi 620
Nevus comedonicus 621
Epidermal nevus syndrome 621
Inflammatory linear verrucous epidermal nevus 622
Hyperkeratosis of the nipple and areola 623
Clear cell acanthoma (pale cell acanthoma) 624
Waxy keratoses of childhood (kerinokeratosis papulosa) 624
Multiple minute digitate hyperkeratosis 624
Acantholytic acanthoma, epidermolytic acanthoma, acantholytic dyskeratotic acanthoma 624
Warty dyskeratoma 625
Seborrheic keratosis 625
Sign of Leser–Trélat 625
Dermatosis papulosa nigra 626
Stucco keratosis 626
Hyperkeratosis lenticularis perstans (Flegel’s disease) 627
Benign lichenoid keratoses (lichen planus-like keratosis) 627
Arsenical keratoses 627
Nonmelanoma skin cancers and their precursors 628
Actinic keratosis (solar keratosis) 629
Cutaneous horn (cornu cutaneum) 631
Keratoacanthoma 631
Keratoacanthoma centrifugum marginatum 632
Basal cell carcinoma 633
Topical therapy 637
Nevoid basal cell carcinoma syndrome (Gorlin syndrome) 637
Treatment 639
Squamous cell carcinoma 639
Prevention/treatment 641
Verrucous carcinoma (carcinoma cuniculatum) 641
Bowen’s disease (squamous cell carcinoma in situ) 642
Treatment 643
Erythroplasia of Queyrat 643
Balanitis plasmacellularis (Zoon’s balanitis) 644
Pseudoepitheliomatous keratotic and micaceous balanitis 645
Paget’s disease of the breast 645
Treatment 645
Extramammary Paget’s disease 646
Clear cell papulosis 648
Merkel cell carcinoma (trabecular carcinoma) 648
Sebaceous nevi and tumors 650
Nevus sebaceus (organoid nevus) 650
Sebaceous hyperplasia 651
Muir–Torre syndrome 652
Sweat gland tumors 653
Syringoma 653
Hidrocystomas 654
Malignant acrospiroma (malignant poroma, porocarcinoma) 655
Spiradenoma 656
Cylindroma 656
Malignant mixed tumor (malignant chondroid syringoma) 657
Ceruminoma 657
Hidradenoma papilliferum 657
Syringadenoma papilliferum (syringocystadenoma papilliferum) 658
Papillary eccrine adenoma (tubular apocrine adenoma) 658
Syringofibroadenoma (acrosyringeal nevus of Weedon and Lewis) 658
Microcystic adnexal carcinoma (sclerosing sweat duct carcinoma) 659
Mucinous carcinoma 659
Aggressive digital papillary adenocarcinoma (digital papillary adenocarcinoma) 660
Primary cutaneous adenoid cystic carcinoma 660
Apocrine gland carcinoma 660
Hair follicle nevi and tumors 660
Malignant pilomatricoma (pilomatrix carcinoma, pilomatrical carcinoma) 661
Trichofolliculoma 661
Trichoblastoma 662
Trichilemmoma and Cowden syndrome (Cowden’s disease, multiple hamartoma syndrome) 663
Trichilemmal carcinoma 664
Trichodiscoma, fibrofolliculoma, perifollicular fibro­mas, mantleomas and Birt–Hogg–Dubé syndrome 665
Tumors of the follicular infundibulum 666
Epithelial cysts and sinuses 667
Proliferating epidermoid cyst 668
Proliferating trichilemmal cyst/malignant trichilemmal cyst 668
Dermoid cyst 669
Pilonidal sinus 669
Steatocystoma simplex 670
Steatocystoma multiplex 670
Eruptive vellus hair cysts 671
Milia 671
Pseudocyst of the auricle (auricular endochondral pseudocyst) 672
Congenital preauricular fistula 673
Chapter 30: Melanocytic Nevi and Neoplasms 675
Epidermal melanocytic lesions 675
Nevus spilus 675
Peutz–Jeghers syndrome 677
Becker nevus 677
Melanoacanthoma 677
Benign melanocytic nevi 678
Treatment 679
Pseudomelanoma (recurrent nevus) 679
Balloon cell nevus 680
Halo nevus 680
Small and medium-sized congenital nevocytic nevus 681
Spindle and epithelioid cell nevus (benign juvenile melanoma, Spitz nevus) 681
Dysplastic nevus 683
Epidermolysis bullosa-associated nevus 684
Melanoma (malignant melanoma) 685
Treatment 690
Dermal melanocytic lesions 691
Mongolian spot 691
Nevus of Ito 692
Treatment 693
Chapter 31: Macrophage/Monocyte Disorders 694
Palisaded granulomatous dermatoses 694
Treatment 696
Annular elastolytic giant cell granuloma (Meischer’s) and actinic granuloma (O’Brien) 698
Interstitial granulomatous drug reaction 699
Granuloma multiforme (Leiker) 699
Necrobiotic xanthogranuloma 699
Sarcoidosis 700
Treatment 705
Histiocytoses 707
Non-X histiocytoses 707
Juvenile xanthogranuloma 707
Benign cephalic histiocytosis 710
Generalized eruptive histiocytoma (generalized eruptive histiocytosis) 710
Xanthoma disseminatum (Montgomery syndrome) 711
Progressive nodular histiocytosis 711
Papular xanthoma 711
Erdheim–Chester disease 711
Progressive mucinous histiocytosis in women 712
Multicentric reticulohistiocytosis 712
Indeterminate cell histiocytosis 713
Sea-blue histiocytosis 714
Congenital self-healing reticulohistiocytosis (Hashimoto–Pritzker disease) 715
Differential diagnosis 718
Chapter 32: Cutaneous Lymphoid Hyperplasia, Cutaneous T-cell Lymphoma, Other Malignant Lymphomas, and Allied Diseases 720
Cutaneous lymphoid hyperplasia (lymphocytoma cutis, lymphadenosis benigna cutis, pseudolymphoma) 720
Jessner lymphocytic infiltrate of the skin 721
Cutaneous lymphomas 721
Fusion toxin 727
Sézary syndrome 728
Granulomatous slack skin 728
Lymphomatoid papulosis 729
Pityriasis lichenoides chronica 730
Blastic plasmacytoid dendritic cell neoplasm (blastic NK-cell lymphoma, CD4, CD56+ hematodermic neoplasm) 732
Cutaneous B-cell lymphoma 733
Intravascular large B-cell lymphoma (malignant “angioendotheliomatosis,” angiotropic large-cell lymphoma) 735
Hodgkin disease 736
Malignant histiocytosis (histiocytic medullary reticulosis) 736
Leukemia cutis 736
Nonspecific conditions associated with leukemia (leukemids) 738
Cutaneous myelofibrosis 738
Hypereosinophilic syndrome 738
Angioimmunoblastic lymphadenopathy with dysproteinemia (angioimmunoblastic T-cell lymphoma) 739
Sinus histiocytosis with massive lymphadenopathy (Rosai–Dorfman disease) 739
Polycythemia vera (erythremia) 740
Chapter 33: Diseases of the Skin Appendages 741
Diseases of the hair 741
Prognosis 743
Telogen effluvium 743
Anagen effluvium 745
Female-pattern alopecia (androgenetic alopecia in women) 747
Trichotillomania (trichotillosis) 747
Other forms of noncicatricial alopecia 748
Atrichia with papular lesions 754
Hair color 754
Hair structure defects 755
Hair casts (pseudonits) 755
Pili torti 755
Menkes kinky hair syndrome 755
Uncombable hair syndrome 756
Plica neuropathica (felted hair) 758
Pseudofolliculitis barbae 758
Pili bifurcati 759
Trichostasis spinulosa 759
Hypertrichosis 760
Generalized or patterned acquired hypertrichosis 761
Hirsutism 761
Treatment 762
Trichomycosis axillaris 763
Associated hair follicle diseases 763
Pityriasis amiantacea (tinea amiantacea) 763
Folliculitis nares perforans 764
Acquired perforating dermatosis 764
Reactive perforating collagenosis 764
Traumatic anserine folliculosis 765
Erythromelanosis follicularis faciei et colli 765
Disseminate and recurrent infundibulofolliculitis 765
Lichen spinulosus 765
Disorders of the sweat glands 765
Surgical treatment 766
Anhidrosis (hypohidrosis) 767
Bromhidrosis 767
Chromhidrosis 768
Fox–Fordyce disease 768
Granulosis rubra nasi 768
Recurrent palmoplantar hidradenitis 769
Diseases of the nails 769
Lichen planus of nails 769
Psoriatic nails 770
Darier’s disease 771
Clubbing 771
Shell nail syndrome 771
Koilonychia (spoon nails) 771
Congenital onychodysplasia of the index fingers 771
Trachyonychia 772
Onychauxis 772
Onychogryphosis 772
Onychophosis 772
Anonychia 772
Onychoatrophy 772
Onychomadesis 772
Beau’s lines 773
Half and half nails 773
Muehrcke’s lines 773
Mees’ lines 773
Terry nails 774
Onychorrhexis (brittle nails) 774
Onychoschizia 774
Stippled nails 774
Racquet nails (nail en raquette) 775
Chevron nail (herringbone nail) 775
Hapalonychia 775
Platonychia 775
Nail–patella syndrome (hereditary osteo-onychodysplasia, Fong syndrome) 775
Onychophagia 775
Onychotillomania 775
Onycholysis 776
Median nail dystrophy (dystrophia unguis mediana canaliformis, solenonychia) 776
Pterygium unguis 776
Pterygium inversum unguis 776
Hangnail 777
Pincer nails 777
Retronychia 777
Nail discolorations 778
Leukonychia or white nails 778
Longitudinal erythronychia 778
Melanonychia 778
Green nails 779
Staining of the nail plate 779
Red lunulae 779
Spotted lunulae 780
Purpura of the nail beds 780
Blue nails 780
Yellow nail syndrome 780
Neoplasms of the nailbed 780
Chapter 34: Disorders of the Mucous Membranes 783
Cheilitis 783
Cheilitis exfoliativa 783
Allergic contact cheilitis 783
Actinic cheilitis 783
Cheilitis glandularis 784
Angular cheilitis 785
Plasmoacanthoma 785
Drug-induced ulcer of the lip 785
Oral and cutaneous Crohn’s disease 785
Pyostomatitis vegetans 786
Cheilitis granulomatosa 786
Melkersson–Rosenthal syndrome 787
Fordyce’s disease (Fordyce spots) 787
Stomatitis nicotina 787
Torus palatinus 788
Fissured tongue 788
Geographic tongue 788
Black hairy tongue 789
Smooth tongue 789
Eruptive lingual papillitis 789
Median rhomboid glossitis 790
Eosinophilic ulcer of the oral mucosa 790
Caviar tongue 790
Cutaneous sinus of dental origin (dental sinus) 790
Neoplasms 791
Squamous cell carcinoma 793
Acquired dyskeratotic leukoplakia 793
White sponge nevus 794
Melanocytic oral lesions 794
Melanosis 794
Osseous choristoma of the tongue 795
Peripheral ameloblastoma 795
Trumpeter’s wart 795
Epulis 795
Pyogenic granuloma 795
Granuloma fissuratum 795
Angina bullosa haemorrhagica 795
Mucocele 795
Acute necrotizing ulcerative gingivostomatitis (trench mouth, Vincent’s disease) 796
Acatalasemia 796
Cyclic neutropenia 796
Recurrent intraoral herpes simplex infection 797
Recurrent aphthous stomatitis (canker sores, aphthosis) 797
Treatment 798
Major aphthous ulcer (periadenitis mucosa necrotica recurrens) 799
Behçet syndrome (oculo-oral-genital syndrome) 799
Treatment 800
Chapter 35: Cutaneous Vascular Diseases 801
Raynaud phenomenon and Raynaud’s disease 801
Treatment 802
Erythromelalgia 803
Red ear syndrome 804
Livedo reticularis, livedo racemosa 805
Cholesterol emboli 806
Livedoid vasculopathy 807
Calciphylaxis 808
Marshall–White syndrome and Bier spots 809
Purpura 809
Immune thrombocytopenic purpura (immune thrombocytopenia) 810
Drug-induced thrombocytopenia 811
Thrombotic microangiopathy 811
Hemolytic uremic syndrome 812
Nonthrombocytopenic purpura (dysproteinemic purpura) 813
Cryoglobulinemia and cryofibrinogenemia 813
Waldenström hyperglobulinemic purpura (purpura hyperglobulinemica) 814
Waldenström macroglobulinemia 814
Purpura secondary to clotting disorders 815
Drug- and food-induced purpura 815
Purpura fulminans 816
Disseminated intravascular coagulation 817
Congenital fibrinogen disorders 817
Blueberry muffin baby 817
Miscellaneous purpuric manifestations 818
Deep venous thrombosis 818
Mondor’s disease 818
Obstructive or traumatic purpura 819
Paroxysmal nocturnal hemoglobinuria (PNH) 820
Paroxysmal hand hematoma (Achenbach syndrome) 820
Easy bruising syndromes 820
Painful bruising syndrome (autoerythrocyte sensitization, Gardner–Diamond syndrome, psychogenic purpura) 820
Pigmentary purpuric eruptions (progressive pigmentary dermatosis, progressive pigmenting purpura, purpura pigmentosa chronica) 821
Purpuric agave dermatitis 822
Vasculitis 822
Classification 822
Small-vessel vasculitis 822
Treatment 824
Cutaneous vasculitis and connective tissue disease 824
Subtypes of small-vessel vasculitis 824
Henoch–Schönlein purpura 824
Acute hemorrhagic edema of infancy 825
Urticarial vasculitis 826
Cryoglobulinemic vasculitis 827
Golfer’s and exercise-related “vasculitis” 827
Erythema elevatum diutinum 827
Granuloma faciale 828
Polyarteritis nodosa 829
Cutaneous polyarteritis nodosa 830
ANCA-positive small-vessel vasculitides 830
Microscopic polyangiitis 831
Wegener granulomatosis 831
Churg–Strauss syndrome 832
Cocaine-associated vasculitis 833
Giant-cell arteritis/temporal arteritis 833
Takayasu arteritis 834
Malignant atrophic papulosis 834
Thromboangiitis obliterans (Buerger’s disease) 835
Arteriosclerosis obliterans 836
Diffuse dermal angiomatosis 836
Mucocutaneous lymph node syndrome (Kawasaki’s disease) 837
Treatment 838
Telangiectasia 838
Generalized essential telangiectasia 838
Unilateral nevoid telangiectasia 839
Hereditary hemorrhagic telangiectasia (Osler’s disease) 839
Leg ulcers 840
Venous diseases of the extremities 840
Arterial insufficiency (ischemic) ulcer 842
Neuropathic ulcers 842
Lymphedema 843
Treatment 845
Chapter 36: Disturbances of Pigmentation 846
Pigmentary demarcation lines 846
Abnormal pigmentation 846
Postinflammatory hyperpigmentation (postinflammatory pigmentary alteration—PIPA) 846
Melasma (chloasma) 847
Pigmented anomalies of the extremities 848
Dyschromatosis symmetrica hereditaria (DSH) (reticulate acropigmentation of Dohi) 849
Dyschromatosis universalis hereditaria (DUH) 849
Galli–Galli disease 849
Reticulate acropigmentation of Kitamura 850
Dermatopathia pigmentosa reticularis 850
Transient neonatal pustular melanosis 850
Peutz–Jeghers syndrome 851
Riehl melanosis 851
Tar melanosis (melanodermatitis toxica lichenoides) 852
Familial progressive hyperpigmentation 852
Periorbital hyperpigmentation 852
Metallic discolorations 852
Arsenic 852
Hemochromatosis 853
Titanium 854
Canthaxanthin 854
Idiopathic guttate hypomelanosis (leukopathia symmetrica progressiva) 854
Vitiligo 854
Chemical leukoderma (occupational vitiligo) 857
Vogt–Koyanagi–Harada syndrome 858
Alezzandrini syndrome 859
Leukoderma 859
Oculocutaneous albinism 859
Disorders of melanocyte transport 861
Griscelli syndrome 861
Cross–McKusick–Breen syndrome 862
Chapter 37: Dermatologic Surgery 863
Anticoagulants 863
Antibiotic prophylaxis 863
Endocarditis prophylaxis 865
Preoperative antisepsis 865
Anesthesia 866
Side effects 866
Anatomy A thorough understanding of anatomy is critical when performing dermatologic surgery. The vascular supply, sensory ... 867
Biopsies 869
Suture technique 870
Cryosurgery 872
Curettage 875
Electrosurgery 875
Electrosection 876
Excisional technique 877
Skin flaps and grafts 878
Skin grafts 881
Mohs micrographic surgery 884
Photodynamic therapy 885
Squamous cell carcinoma in situ 886
Radiation therapy for skin cancer 886
Chapter 38: Cutaneous Laser Surgery 888
Laser principles 888
Laser treatment of vascular lesions 891
Intense pulsed light 893
Laser treatment for pigmented lesions 893
Tattoo complications 896
Laser hair removal 897
Ablative laser resurfacing 898
Fractional resurfacing 898
Chapter 39: Cosmetic Dermatology 900
Soft-tissue augmentation 900
Expanded polytetrafluoroethylene 903
Botulinum toxin 903
Hyperhidrosis 905
Varicose and telangiectatic veins 906
Endovenous ablation 908
Liposuction 909
Chemical peels 909
Deep peel 910
Index 911