Menu Expand
Andrews' Diseases of the Skin E-Book

Andrews' Diseases of the Skin E-Book

William D. James | Dirk Elston | Timothy Berger | Isaac Neuhaus

(2015)

Additional Information

Book Details

Abstract

Effectively diagnose and treat a wide range of skin conditions with the latest edition of the highly regarded Andrews’ Diseases of the Skin: Clinical Dermatology. The 12th edition of this classic reference, by esteemed authors William D. James, MD, Timothy G. Berger, MD, and Dirk M. Elston, MD, provides state-of-the-art information on newly recognized diseases, new conditions, and unusual variants of well-known diseases, as well as new uses for tried-and-true medications and unique drugs for diseases as disparate as melanoma and rosacea. It’s your ideal go-to resource for clinical dermatology, at every stage of your career.

  • Consult this title on your favorite e-reader.
  • Still the only one-volume, go-to dermatology text!
  • 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.
  • Ensure that you’re up to speed with the hottest topics in dermatology, including drug eruptions from new medications, new therapeutics for melanoma, as well as viral infections, biologic agents, and newly described gene targets for treatment.
  • Broaden your knowledge with updated information on serological diagnosis of pemphigus, TNF-I for hidradenitis suppurativa, the use of immunosuppressives for atopic dermatitis, excimer laser for the treatment of vitiligo and much more.
  • Quickly access hundreds of new images depicting a wide variety of skin conditions.
  • Stay up to date with recent society guidelines, including the latest from the American Academy of Dermatology, covering a variety of conditions such as melanoma and atopic dermatitis.
  • Expand your clinical repertoire and meet your patients’ expectations with coverage of the most recent cosmetic agents, their indications, and possible complications.

Table of Contents

Section Title Page Action Price
Front Cover cover
Expert Consult page IFC2
Video Contents IFC3
Andrews' Diseases of the Skin i
Copyright Page iv
Table Of Contents v
Preface and Acknowledgments vii
Dedication viii
Contributors ix
1 Skin: 1
Epidermis and adnexa 1
Keratinocytes 1
Melanocytes 3
Langerhans cells 3
2 Cutaneous Signs and Diagnosis 11
Cutaneous signs 11
Primary lesions 11
Macules (maculae, spots) 11
Patches 11
Papules 11
Plaques 11
Nodules 11
Tumors 11
Wheals (hives) 11
Vesicles (blisters) 12
Bullae 12
Pustules 13
Secondary lesions 13
Scales (exfoliation) 13
Crusts (scabs) 13
Excoriations and abrasions (scratch marks) 13
Fissures (cracks, clefts) 13
Erosions 13
Ulcers 13
Scars 14
General diagnosis 14
History 14
Examination 14
Diagnostic details of lesions 15
Distribution 15
Evolution 15
Involution 15
Grouping 15
Configuration 15
Color 15
Texture/consistency 16
Hyperesthesia/anesthesia 16
Hair, nails, and oral mucosa 16
Self-examination 16
References 16
3 Dermatoses Resulting from Physical Factors 18
Heat injuries 18
Thermal burns 18
Treatment 18
Electrical burns 19
Hot tar burns 19
References 19
Miliaria 19
Miliaria crystallina (sudamina) 19
Miliaria rubra (prickly heat) 19
Miliaria pustulosa 20
Miliaria profunda 20
Postmiliarial hypohidrosis 20
Tropical anhidrotic asthenia 20
Treatment 20
References 20
Erythema ab igne 20
4 Pruritus and Neurocutaneous Dermatoses 45
Pruritus 45
Patterns of itching 45
Treatment 45
References 45
Internal causes of pruritus 46
References 46
Chronic kidney disease 46
5 Atopic Dermatitis, Eczema, and Noninfectious Immunodeficiency Disorders 62
Atopic dermatitis 62
Epidemiology 62
Genetic basis and pathogenesis 62
Prevention in high-risk children 63
Food allergy 63
Clinical manifestations 63
Infantile atopic dermatitis 63
Childhood atopic dermatitis 64
Atopic dermatitis in adolescents and adults 65
Associated features and complications 66
Cutaneous stigmata 66
Vascular stigmata 66
Ophthalmologic abnormalities 66
Susceptibility to infection 66
Differential diagnosis 67
Histopathology 67
General management 67
Education and support 67
Barrier repair 67
Antimicrobial therapy 68
Environmental factors 68
Antipruritics 68
Specific treatment modalities 68
Topical corticosteroid therapy 68
Topical calcineurin inhibitors 68
Tar 69
Phototherapy 69
Systemic therapy 69
Systemic corticosteroids 69
Cyclosporine 69
Other immunosuppressive agents 69
Management of acute flare 69
References 69
Eczema 71
Regional eczemas 71
Ear eczema 71
Eyelid dermatitis 71
Breast eczema (nipple eczema) 72
Hand eczema 72
Vesiculobullous hand eczema (pompholyx, dyshidrosis) 73
Chronic vesiculobullous hand eczema 74
Hyperkeratotic hand dermatitis 74
Pulpitis (fingertip hand dermatitis) 74
Treatment 74
Protection 74
Barrier repair 74
Topical agents 74
Phototherapy 74
Botulinum toxin A 74
Systemic agents 75
Workplace modifications 75
Diaper (napkin) dermatitis 75
Circumostomy eczema 76
Autosensitization and conditioned irritability 76
Id reactions 76
Juvenile plantar dermatosis 76
Xerotic eczema 76
Nummular eczema (discoid eczema) 77
Pruritic dermatitis in elderly persons 77
Hormone-induced dermatoses 78
References 78
Immunodeficiency syndromes 79
6 Contact Dermatitis and Drug Eruptions 90
Contact dermatitis 90
Irritant contact dermatitis 90
Alkalis 90
Acids 90
Airbag dermatitis 91
Other irritants 91
Fiberglass dermatitis 91
Dusts 91
Capsaicin 91
Tear gas dermatitis 91
Chloracne 92
Hydrocarbons 92
Solvents 93
References 93
Allergic contact dermatitis 93
Testing for sensitivity 94
Patch test 94
Provocative use test 94
Photopatch test 94
Regional predilection 94
Head and neck 94
Trunk 95
Arms 95
Hands 95
Abdomen 95
Groin 95
Lower extremities 95
References 95
Dermatitis resulting from plants 95
Toxicodendron (poison ivy) 96
Other Toxicodendron-related dermatitides 97
Flowers and houseplants 97
Fruit and vegetables 97
Trees 97
Tree-associated plants 98
Pollens and seeds 98
Marine plants 98
Plant-associated dermatitis 98
Plant derivatives 98
References 98
Dermatitis from clothing 99
References 99
Shoe dermatitis 100
References 100
Dermatitis from metals and metal salts 100
Black dermatographism 100
Nickel 101
Chromium 101
Mercury 102
Cobalt 102
Gold 102
Other metals 102
7 Erythema and Urticaria 136
Flushing 136
8 Connective Tissue Diseases 153
Lupus erythematosus 153
Chronic cutaneous lupus erythematosus 153
Discoid lupus erythematosus 153
Localized discoid lupus erythematosus 153
Generalized discoid lupus erythematosus 153
Childhood discoid lupus erythematosus 153
Histology 153
Differential diagnosis 155
Hypertrophic lupus erythematosus 155
Lupus erythematosus–lichen planus overlap syndrome 155
Chilblain lupus erythematosus 155
Tumid lupus erythematosus 155
Lupus erythematosus panniculitis (lupus erythematosus profundus) 156
Subacute cutaneous lupus erythematosus 156
Histopathology 156
Neonatal lupus erythematosus 157
Complement deficiency syndromes 157
Systemic lupus erythematosus 157
Cutaneous manifestations 157
Systemic manifestations 159
Childhood systemic lupus erythematosus 160
Pregnancy 160
Etiology 160
Laboratory findings 160
Immunologic findings 160
Differential diagnosis 161
Treatment 161
Local treatment 161
Systemic treatment 161
Antimalarials 161
Corticosteroids 161
Immunosuppressive therapy 162
Other therapy 162
References 162
Dermatomyositis 162
Skin findings 162
Muscle changes 164
Diagnostic criteria 164
Associated diseases 164
Neoplasia with dermatomyositis 164
Childhood dermatomyositis 164
Etiology 165
Incidence 165
Histopathology 165
Laboratory findings 165
Differential diagnosis 165
Treatment 165
Prognosis 166
References 166
Scleroderma 166
Cutaneous types 166
Localized morphea 166
Morphea–lichen sclerosus et atrophicus overlap 167
Generalized morphea 167
Atrophoderma of Pasini and Pierini 167
Pansclerotic morphea 167
Morphea profunda 167
Linear scleroderma 167
Systemic types 167
CREST syndrome 167
Progressive systemic sclerosis 168
Skin findings 168
Internal involvement 169
Prognosis 169
Laboratory findings 169
Radiographic findings 169
Histology 170
Differential diagnosis 170
Pathogenesis 170
Treatment 171
References 171
Eosinophilic fasciitis 172
References 172
Mixed connective tissue disease 172
9 Mucinoses 179
Lichen myxedematosus 179
Generalized lichen myxedematosus 179
Localized lichen myxedematosus 180
Discrete papular lichen myxedematosus 180
Acral persistent papular mucinosis 181
Self-healing papular mucinosis 181
Papular mucinosis of infancy 181
Nodular lichen myxedematosus 181
Atypical or intermediate lichen myxedematosus 181
References 181
Scleredema 182
References 182
Reticular erythematous mucinosis (REM syndrome, plaquelike cutaneous mucinosis) 183
References 183
Follicular mucinosis (alopecia mucinosa) 183
10 Seborrheic Dermatitis, Psoriasis, Recalcitrant Palmoplantar Eruptions, Pustular Dermatitis, and Erythroderma 185
Seborrheic dermatitis 185
Clinical features 185
Etiology and pathogenesis 185
Histology 185
Differential diagnosis 185
Treatment 186
References 186
Psoriasis 187
Clinical features 187
Types 187
Seborrheic-like psoriasis 187
Inverse psoriasis 188
“Napkin” psoriasis 188
Psoriatic arthritis 188
Guttate psoriasis 188
Generalized pustular psoriasis (von Zumbusch psoriasis) 188
Acrodermatitis continua (of Hallopeau) 189
Impetigo herpetiformis 189
Keratoderma blennorrhagicum (Reiter syndrome) 189
Erythrodermic psoriasis 189
Course 189
Inheritance 190
Epidemiology 190
Pathogenesis 190
Streptococci 191
Stress 191
Drug-induced psoriasis 191
Pathology 191
Clinical differential diagnosis 191
Treatment 192
Topical treatment 192
Corticosteroids 192
Tars 192
Anthralin 192
Tazarotene 192
Calcipotriene 192
Macrolactams (calcineurin inhibitors) 192
Salicylic acid 192
Ultraviolet light 192
Goeckerman technique 192
Ingram technique 193
PUVA therapy 193
Surgical treatment 193
Hyperthermia 193
Occlusive treatment 193
Systemic treatment 193
Corticosteroids 193
Methotrexate 193
Cyclosporine 193
Diet 194
Oral antimicrobial therapy 194
Retinoids 194
Dapsone 194
Biologic agents 194
Percentage of patients clearing with each drug 194
Risks 194
Combination therapy 194
Evolving therapies 195
References 195
Reactive arthritis with conjunctivitis/urethritis/diarrhea (Reiter syndrome) 195
Clinical features 195
11 Pityriasis Rosea, Pityriasis Rubra Pilaris, and Other Papulosquamous and Hyperkeratotic Diseases 199
Small plaque parapsoriasis 199
12 Lichen Planus and Related Conditions 209
Lichen planus 209
Linear lichen planus 210
Annular and annular atrophic lichen planus 211
Hypertrophic lichen planus 211
Erosive/ulcerative/mucosal lichen planus 211
Cancer risk and lichen planus 212
Hepatitis-associated lichen planus 213
Bullous lichen planus 213
Pathogenesis and histology 213
Differential diagnosis 214
Treatment 214
References 214
Adnexal lichen planus: follicular lichen planus (lichen planopilaris) and acrosyringeal lichen planus 217
References 217
Lichen planus pigmentosus/actinicus 217
Erythema dyschromicum perstans 218
Idiopathic eruptive macular pigmentation 218
References 218
Keratosis lichenoides chronica 218
References 219
Lichen nitidus 219
Clinical features 219
References 220
Lichen striatus 220
References 221
Lichen sclerosus (lichen sclerosus et atrophicus) 221
Lichen sclerosus and cancer 222
Histopathology 223
Differential diagnosis 223
Treatment 223
References 223
13 Acne 225
Acne vulgaris 225
Clinical features 225
Pathogenesis 225
Pathology 227
Treatment 227
General principles 227
Medical therapy 228
Topical treatment 228
Topical retinoids 228
Benzoyl peroxide 228
Topical antibacterials 228
Sulfur, sodium sulfacetamide, resorcin, and salicylic acid 228
Azelaic acid 229
Combination topical therapy 229
Oral antibiotics 229
Tetracycline derivatives 229
Doxycycline. 229
Minocycline. 229
Amoxicillin 229
Clindamycin 229
Other antibiotics 229
Bacterial resistance 229
Hormonal therapy 230
Oral contraceptives 230
Spironolactone 230
Dexamethasone 230
Prednisone 230
Other hormonal agents 230
Oral retinoid therapy 230
Isotretinoin 230
Tumor necrosis factor inhibitors 232
Intralesional corticosteroids 232
Physical modalities 232
Complications 232
References 232
Acne conglobata 233
References 233
Acne fulminans 233
14 Bacterial Infections 245
Infections Caused by Gram-Positive Organisms 245
Staphylococcal Infections 245
Superficial pustular folliculitis (impetigo of Bockhart) 245
Sycosis vulgaris (sycosis barbae) 245
Folliculitis 246
Treatment 246
Furunculosis 246
Hospital furunculosis 247
Treatment 247
Chronic furunculosis 247
Pyogenic paronychia 247
Botryomycosis 248
Blastomycosis-like pyoderma 249
Pyomyositis 249
Impetigo contagiosa 249
Treatment 250
Bullous impetigo 250
Staphylococcal scalded skin syndrome 250
Gram-positive toxic shock syndromes 251
Streptococcal skin infections 252
Ecthyma 252
Scarlet fever 252
Recurrent toxin-mediated perineal erythema 253
Erysipelas 253
Cellulitis 254
Chronic recurrent erysipelas, chronic lymphangitis 254
Necrotizing fasciitis 254
Blistering distal dactylitis 255
Perianal dermatitis 255
Streptococcal intertrigo 255
Erythema marginatum 255
Group B streptococcal infection 256
Streptococcus iniae infections 256
Miscellaneous gram-positive skin infections 257
Erysipeloid of Rosenbach 257
Treatment 257
Pneumococcal cellulitis 257
Anthrax 257
Listeriosis 258
Cutaneous diphtheria 258
Corynebacterium jeikeium sepsis 259
Erythrasma 259
Arcanobacterium haemolyticum infection 259
Intertrigo 260
Pitted keratolysis 260
Clostridial infections and gangrene of the skin 260
Gas gangrene (clostridial myonecrosis) 260
Chronic undermining burrowing ulcers (Meleney gangrene) 261
Fournier gangrene of the penis or scrotum 261
Actinomycosis 261
Nocardiosis 262
Infections Caused by Gram-Negative Organisms 262
Pseudomonas infections 262
Ecthyma gangrenosum 262
Green nail syndrome 263
Gram-negative toe web infection 263
Blastomycosis-like pyoderma 264
Pseudomonas aeruginosa folliculitis (hot tub folliculitis) 264
External otitis 264
Gram-negative folliculitis 265
Malacoplakia (malakoplakia) 265
Haemophilus influenzae cellulitis 265
Chancroid 265
Treatment 266
Granuloma inguinale (granuloma venereum, donovanosis) 266
Treatment 267
Gonococcal dermatitis 267
Gonococcemia 268
Meningococcemia 268
Vibrio vulnificus infection 269
Chromobacteriosis and Aeromonas infections 269
Salmonellosis 269
Shigellosis 270
Helicobacter cellulitis 270
Rhinoscleroma 270
Treatment 271
Pasteurellosis 271
Dog and human bite pathogens 271
Glanders 271
Melioidosis 272
Infections caused by Bartonella 272
Cat-scratch disease 272
Trench fever 273
Bacillary angiomatosis 273
Treatment 274
Oroya fever and verruga peruana 274
Plague 275
Rat-bite fever 275
Tularemia 275
Brucellosis 276
Rickettsial Diseases 277
Typhus group 277
Epidemic typhus 277
Endemic typhus 277
Scrub typhus 277
Spotted fever group 278
Rocky Mountain spotted fever 278
Mediterranean spotted fever 278
Rickettsialpox 278
Ehrlichiosis 279
Leptospirosis 279
Borreliosis 280
Lyme disease 280
Treatment 281
Acrodermatitis chronica atrophicans 282
Mycoplasma 282
Chlamydial infections 283
Lymphogranuloma venereum 283
Treatment 284
15 Diseases Resulting from Fungi and Yeasts 285
Superficial and Deep Mycoses 285
Susceptibility and prevalence 285
Antifungal therapy 285
The Superficial Mycoses 286
Tinea capitis 286
Favus 286
Pathogenesis and natural history 287
Diagnosis 287
Wood’s light 287
Laboratory examination 287
Trichophyton tonsurans 287
Trichophyton mentagrophytes 287
Trichophyton verrucosum 287
Microsporum audouinii 287
Microsporum canis 287
Differential diagnosis 288
Treatment 288
Prognosis 288
Dermatophytids 288
Tinea barbae 288
Diagnosis 289
Differential diagnosis 289
Treatment 289
Tinea faciei 289
Tinea corporis (tinea circinata) 289
Diagnosis 290
Treatment 290
Other forms of tinea corporis 290
Fungal folliculitis (Majocchi granuloma) and tinea incognito 290
Tinea imbricata (Tokelau) 290
Tinea cruris 290
Etiology and differential diagnosis 291
Treatment 291
Tinea of hands and feet 291
Diagnosis 292
Prophylaxis 292
Treatment 292
Onychomycosis (tinea unguium) 292
Diagnosis 293
Differential diagnosis 294
Treatment 294
Candidiasis 295
Diagnosis 295
Topical anticandidal agents 295
Other agents 295
Oral candidiasis (thrush) 295
Perlèche 296
Candidal vulvovaginitis 296
Candidal intertrigo 296
Diaper candidiasis 297
Congenital cutaneous candidiasis 297
Perianal candidiasis 297
Candidal paronychia 297
Erosio interdigitalis blastomycetica 297
Chronic mucocutaneous candidiasis 297
Systemic candidiasis 298
Candidid 299
Antibiotic (iatrogenic) candidiasis 299
Geotrichosis 299
Tinea nigra 299
Piedra 300
Tinea versicolor (pityriasis versicolor) 300
Diagnosis 300
Differential diagnosis 301
Treatment 301
Pityrosporum folliculitis 301
The Deep Mycoses 301
Coccidioidomycosis 302
Primary pulmonary coccidioidomycosis 302
Disseminated coccidioidomycosis (coccidioidal granuloma) 302
Primary cutaneous coccidioidomycosis 302
Etiology and pathology 302
Culture 303
Epidemiology 303
Differential diagnosis 303
Immunology 303
Treatment 303
Histoplasmosis 303
Primary pulmonary histoplasmosis 303
Progressive disseminated histoplasmosis 304
Primary cutaneous histoplasmosis 304
African histoplasmosis 304
Etiology and pathology 304
Epidemiology 305
Immunology 305
Treatment 305
Cryptococcosis 305
Etiology and pathology 306
Epidemiology 306
Immunology 306
Mycology 306
Treatment 306
North American blastomycosis 306
Etiology and pathology 307
Epidemiology 307
Immunology 307
Differential diagnosis 307
16 Mycobacterial Diseases 319
Tuberculosis 319
Epidemiology 319
Tuberculin testing 320
BCG vaccination 320
Inoculation cutaneous tuberculosis from exogenous source 321
Primary inoculation tuberculosis (primary tuberculous complex, tuberculous chancre) 321
Paucibacillary cutaneous tuberculosis from exogenous or endogenous source in persons with high immunity 321
Tuberculosis verrucosa cutis 321
Differential diagnosis 322
Lupus vulgaris 322
Cutaneous tuberculosis from endogenous source by direct extension (scrofuloderma and periorificial tuberculosis) 323
Cutaneous tuberculosis from hematogenous spread 323
Miliary (disseminated) tuberculosis 323
Metastatic tuberculous abscess, ulceration, or cellulitis 324
Sporotrichoid tuberculosis 324
Tuberculous mastitis 324
Tuberculids 324
Papulonecrotic tuberculid 324
Lichen scrofulosorum 324
Erythema induratum and vascular reactions caused by tuberculosis (nodular tuberculid and nodular granulomatous phlebitis) 325
Diagnosis of cutaneous tuberculosis 325
Treatment 325
References 325
Atypical mycobacteriosis 326
Classification of mycobacteria 326
Swimming pool granuloma (aquarium granuloma) 327
Buruli ulcer 327
Other atypical mycobacterial infections 328
Mycobacterium haemophilum 328
Rapidly growing mycobacteria 328
Mycobacterium avium-intracellulare complex 329
Mycobacterium kansasii 329
References 329
17 Hansen’s Disease 331
Epidemiology 331
The infectious agent 331
Diagnosis 332
Classification 332
Early and indeterminate Hansen’s disease 333
Tuberculoid leprosy 333
Borderline tuberculoid (BT) leprosy 333
Borderline borderline (BB) leprosy 334
Borderline lepromatous (BL) leprosy 334
Lepromatous leprosy 334
Histoid leprosy 335
Nerve involvement 335
Ocular involvement 336
Mucous membrane involvement 336
Visceral involvement 337
Special clinical considerations and Hansen’s disease 337
Pregnancy 337
Human immunodeficiency virus 337
Organ transplantation 337
Immunopathogenesis 337
Histopathology 337
Tuberculoid leprosy 337
Borderline tuberculoid leprosy 338
Borderline leprosy 338
Borderline lepromatous leprosy 338
Lepromatous leprosy 338
Reactional states 338
Type 1 reactions (reversal, lepra, and downgrading reactions) 338
Type 2 reactions (erythema nodosum leprosum) 338
Lucio’s phenomenon 339
Treatment 339
Adjunctive treatments 340
Management of reactions 340
Prevention 341
References 341
18 Syphilis, Yaws, Bejel, and Pinta 343
Syphilis 343
Serologic tests 344
Biologic false-positive test results 344
Cutaneous syphilis 345
Chancre (primary stage) 345
Secondary syphilis 346
Cutaneous lesions 346
Macular eruptions 346
Papular eruptions 347
Relapsing secondary syphilis 348
Systemic involvement 348
Histopathology 348
Diagnosis and differential diagnosis 349
Latent syphilis 349
Late syphilis 349
Tertiary cutaneous syphilis 349
Late osseous syphilis 350
Neurosyphilis 350
Early neurosyphilis 351
Meningovascular neurosyphilis 351
Late (parenchymatous) neurosyphilis 351
Late cardiovascular syphilis 351
Congenital syphilis 351
Early congenital syphilis 351
Late congenital syphilis 352
Inflammatory lesions 352
Malformations (stigmata) 352
Diagnosis 352
Treatment 353
Jarisch-Herxheimer or Herxheimer reaction 353
Treatment of sex partners 354
Serologic testing after treatment 354
Syphilis and HIV disease 354
References 354
Nonvenereal treponematoses: yaws, endemic syphilis, and pinta 356
Yaws (pian, frambesia, bouba) 356
Early yaws 356
Late yaws 357
Histopathology 357
Diagnosis 357
Endemic syphilis (bejel) 357
Pinta 357
Primary stage 357
Secondary stage 357
Late dyschromic stage 358
Histopathology 358
Treatment 358
References 358
19 Viral Diseases 359
Herpesvirus group 359
Herpes simplex 359
Orolabial herpes 360
Herpetic sycosis 361
Herpes gladiatorum 361
Herpetic whitlow 362
Herpetic keratoconjunctivitis 362
Genital herpes 362
Intrauterine and neonatal herpes simplex 363
Eczema herpeticum (Kaposi varicelliform eruption) 365
Immunocompromised patients 365
Histopathology 366
Differential diagnosis 366
References 367
Varicella 368
Treatment 369
Pregnant women and neonates 369
Varicella vaccine 369
Modified varicella-like syndrome 370
Immunocompromised patients 370
References 370
Zoster (shingles, herpes zoster) 371
Disseminated herpes zoster 372
Ophthalmic zoster 372
Other complications 372
Treatment 373
Zoster-associated pain (postherpetic neuralgia) 373
Immunosuppressed patients 374
Diagnosis 375
Histopathology 375
Differential diagnosis 376
Prevention of zoster 376
Inflammatory skin lesions after zoster infection (isotopic response) 376
References 376
Epstein-Barr virus 377
Cytomegalic inclusion disease 379
References 379
Human herpesviruses 6 and 7 379
Roseola infantum (exanthem subitum, sixth disease) 380
Human herpesvirus 8 380
References 380
B virus 381
References 381
Infectious hepatitis 381
Hepatitis B virus 381
Hepatitis C virus 381
References 382
Gianotti-Crosti syndrome (papular acrodermatitis of childhood, papulovesicular acrolocated syndrome) 383
References 383
Poxvirus group 383
Variola major (smallpox) 384
References 384
Vaccinia 384
Vaccination 384
Inadvertent inoculation and autoinoculation 385
Generalized vaccinia 385
Eczema vaccinatum 385
Progressive vaccinia (vaccinia necrosum, vaccinia gangrenosum) 385
Cutaneous immunologic complications 385
Benign hypersensitivity reactions to vaccinia 386
Postvaccination follicular eruption 386
Other skin lesions at vaccination scars 386
References 386
Human monkeypox 386
Buffalopoxvirus 386
Zoonotic poxvirus infections 386
Cowpox 386
Farmyard pox 387
Bovine-associated parapoxvirus infections: milker’s nodules, bovine papular stomatitis (BPSV), and pseudocowpox (PCPV) 387
Orf 387
Clinical features 387
Histologic features 387
Human tanapox 388
References 388
Molluscum contagiosum 388
References 390
Picornavirus group 390
Enterovirus infections 391
Herpangina 391
Hand-foot-and-mouth disease 391
Eruptive pseudoangiomatosis 392
References 392
Filovirus 392
References 393
Paramyxovirus group 393
Measles 393
Rubella 394
Congenital rubella syndrome 394
References 394
Asymmetric periflexural exanthem of childhood (APEC) 395
References 395
Parvovirus group 395
Erythema infectiosum (fifth disease) 395
Papular-purpuric gloves-and-socks syndrome 396
Other skin findings attributed to parvovirus B19 396
References 396
Arbovirus group (Togaviridae) 397
West Nile fever 397
Sandfly fever 397
Dengue 397
Alphavirus 398
Sindbis virus 398
Chikungunya virus 398
References 398
Papovavirus group 399
Warts (verruca) 399
Verruca vulgaris 399
Pigmented warts 400
Flat warts (verruca plana) 400
Plantar warts (verruca plantaris) 401
Histologic features 401
Treatment 401
Flat warts 401
Common warts 402
Plantar warts 403
Genital warts (external genital warts) 403
Condylomata acuminata 404
Bowenoid papulosis and HPV-induced genital dysplasias 405
Giant condyloma acuminatum (Buschke-Lowenstein tumor) 405
Diagnosis 405
Treatment 406
Human papillomavirus vaccination 407
Genital warts in children 407
Recurrent respiratory (laryngeal) papillomatosis 407
Heck’s disease 408
Epidermodysplasia verruciformis 408
Immunosuppressed patients 409
References 409
Trichodysplasia spinulosa 411
References 411
Retroviruses 412
Human T-lymphotropic virus 1 412
References 412
Human immunodeficiency virus 413
Primary HIV infection (acute seroconversion syndrome) 414
HIV-associated pruritus 414
HIV-associated neoplasia 415
AIDS and Kaposi sarcoma 416
References 416
20 Parasitic Infestations, Stings, and Bites 418
Phylum Protozoa 418
Class sarcodina 418
Amebiasis cutis 418
Other amebas 418
Class mastigophora 419
Trichomoniasis 419
Leishmaniasis 419
Cutaneous leishmaniasis 419
Clinical features 419
Etiologic factors 420
Epidemiology 421
Pathogenesis 421
Histopathology 421
Diagnosis 421
Treatment 421
Mucocutaneous leishmaniasis (leishmaniasis americana, espundia) 421
Clinical features 421
Etiologic factors 422
Epidemiology 422
Histopathology 422
Laboratory findings 422
Prophylaxis 422
Treatment 422
Visceral leishmaniasis (kala-azar, dumdum fever) 422
Clinical features 422
Etiologic factors 423
Epidemiology 423
Diagnosis 423
Treatment 423
Post–kala-azar dermal leishmaniasis 423
Viscerotropic leishmaniasis 423
Human trypanosomiasis 423
Class sporozoa 424
Toxoplasmosis 424
Phylum Cnidaria 425
Portuguese man-of-war dermatitis 425
Jellyfish dermatitis 425
Hydroid, sea anemone, and coral dermatitis 426
Treatment of stings and cuts 426
Sponges and bristleworms 426
Sea urchin injuries 427
Seaweed dermatitis 427
Dogger Bank itch 427
Phylum Platyhelminthes 427
Class trematoda 427
Schistosome cercarial dermatitis 427
Visceral schistosomiasis (bilharziasis) 428
Cysticercosis cutis 428
Sparganosis 428
Echinococcosis 429
Phylum Annelida 429
Leeches 429
Phylum Nemathelminthes 429
Class nematoda 429
Enterobiasis (pinworm infection, seatworm infection, oxyuriasis) 429
Hookworm disease (ground itch, uncinariasis, ancylostomiasis, necatoriasis) 430
Nematode dermatitis 430
Creeping eruption (larva migrans) 430
Gnathostomiasis 431
Larva currens 431
Dracunculiasis (Guinea worm disease, dracontiasis, Medina worm) 431
Filariasis 432
Elephantiasis tropica (elephantiasis arabum) 432
Loiasis (Loa loa, Calabar swelling, tropical swelling, fugitive swelling) 433
Onchocerciasis 433
Trichinosis 435
Pneumocystosis 435
Phylum Arthropoda 435
Prevention of arthropod-related disease 435
Prevention of disease from ticks and chiggers 436
Prevention of flea-borne illness 436
Class myriapoda 436
Centipede bites (Chilopoda) 436
Millipede burns (Diplopoda) 437
Class insecta 437
Order Lepidoptera 437
Caterpillar dermatitis 437
Moth dermatitis 438
Order Hemiptera 438
Cimicosis (bedbug bites) 438
Reduviid bites 439
Order Anoplura 439
Pediculosis 439
Pediculosis capitis 440
Pediculosis corporis 440
Pediculosis pubis (crabs) 440
Order Diptera 441
Mosquito bites 441
Ked itch 441
Myiasis 441
Order Coleoptera 442
Blister beetle dermatitis 442
Other beetles 442
Order Hymenoptera 443
Bees and wasps 443
Ants 443
Order Siphonaptera 443
Pulicosis (flea bites) 443
Vectors of disease 444
Tungiasis 444
Class arachnida 444
Order Acarina 444
Tick bite 444
Tick paralysis 445
Mites 445
Scabies 445
Animal scabies 447
Other mite diseases 447
Demodex mites 447
Cheyletiella dermatitis 447
Chigger bite 447
Gamasoidosis 448
Grocer’s itch 448
Grain itch 448
Other mite-related dermatitides 448
Order Scorpionidae 448
Scorpion sting 448
Order Arachnidae 449
Arachnidism 449
Latrodectism 449
Loxoscelism 449
Treatment 449
Funnel web spiders 450
Tarantulas (lycosidae: theraphosidae) 450
Phylum Chordata 450
Stingray injury 450
Snakebite 450
Lizard bite 450
21 Chronic Blistering Dermatoses 451
Pemphigus vulgaris 451
Clinical features 451
Epidemiology 451
Etiologic factors 452
Histopathology 453
Treatment 453
Topical treatment 453
Systemic therapy 453
Pemphigus vegetans 454
References 454
Pemphigus foliaceus 454
Treatment 455
Endemic pemphigus (fogo selvagem) 455
Pemphigus erythematosus (Senear-Usher syndrome) 456
References 456
Paraneoplastic pemphigus 456
References 457
Intraepidermal neutrophilic IgA dermatosis 457
References 458
Bullous pemphigoid 458
Clinical features 458
Etiologic factors 459
Histopathology 459
Treatment 459
Course and prognosis 460
References 460
Pemphigoid gestationis (herpes gestationis) 460
Clinical features 460
Etiologic factors 461
Pathogenesis 461
Histopathology 461
Differential diagnosis 461
Treatment 461
Other pregnancy-related dermatoses 461
Intrahepatic cholestasis of pregnancy (prurigo gravidarum) 461
Polymorphic eruption of pregnancy 462
Pruritic urticarial papules and plaques of pregnancy 462
Papular dermatitis of pregnancy 462
Prurigo gestationis (Besnier) 462
Pruritic folliculitis of pregnancy 462
Linear IgM dermatosis of pregnancy 462
Impetigo herpetiformis 462
References 462
Cicatricial pemphigoid (benign mucosal pemphigoid) 463
Clinical features 463
Etiologic factors 463
Histopathology 464
Treatment 464
References 464
Epidermolysis bullosa acquisita 464
Treatment 465
References 465
Dermatitis herpetiformis (Duhring disease) 466
Clinical features 466
Associated disease 466
Enteropathy 466
Diagnosis 466
Autoantibodies 466
Epidemiology 466
Histopathology 466
Treatment 467
Gluten-free diet 467
References 467
Linear IgA bullous dermatosis 468
Adult linear IgA disease 468
Childhood linear IgA disease (chronic bullous disease of childhood) 468
22 Nutritional Diseases 471
Vitamin A 471
Hypovitaminosis A (phrynoderma) 471
Hypervitaminosis A 472
23 Diseases of Subcutaneous Fat 480
Septal panniculitis (acute and chronic erythema nodosum) 480
Lobular Panniculitis 482
Vessel-based lobular panniculitis 482
Nodular vasculitis and erythema induratum 482
Lipodermatosclerosis 482
Physical panniculitis 483
Sclerema neonatorum 484
Subcutaneous fat necrosis of the newborn 484
Cold panniculitis 484
Poststeroid panniculitis 485
Traumatic panniculitis 485
Factitial panniculitis 485
Sclerosing lipogranuloma 486
Enzyme-Related Panniculitis 486
Pancreatic panniculitis (subcutaneous fat necrosis) 486
Alpha-1-antitrypsin deficiency panniculitis 487
Cytophagic histiocytic panniculitis 487
Miscellaneous Forms of Panniculitis 487
Gouty panniculitis 487
Lipodystrophy (lipoatrophy) 488
Congenital lipodystrophies 488
Congenital generalized lipodystrophy 488
Familial partial lipodystrophy 488
Acquired lipodystrophy 489
Acquired partial lipodystrophy (Barraquer-Simons syndrome) 489
Acquired generalized lipodystrophy 489
Centrifugal abdominal lipodystrophy 490
Lipoatrophia annularis (Ferreira-Marques syndrome) 490
Localized lipodystrophy 490
24 Endocrine Diseases 491
Acromegaly 491
25 Abnormalities of Dermal Fibrous and Elastic Tissue 500
Collagen 500
26 Errors in Metabolism 509
Amyloidosis 509
Systemic amyloidoses 509
Primary systemic amyloidosis (AL amyloidosis) 509
Secondary systemic amyloidosis (AA amyloidosis) 510
Dialysis-associated amyloidosis (β2-microglobulin amyloidosis) 511
Senile systemic amyloidosis 511
Cutaneous amyloidosis 511
Primary localized cutaneous amyloidosis 511
Macular amyloidosis 511
Lichen amyloidosis 511
Treatment 512
Nodular amyloidosis 512
Secondary cutaneous amyloidosis 512
Hereditary cutaneous amyloidosis syndromes 512
Pharmaceutical amyloidosis 513
Familial syndromes associated with amyloidosis (heredofamilial amyloidosis) 513
Porphyrias 514
Porphyria cutanea tarda 515
Pseudoporphyria 517
Hepatoerythropoietic porphyria 517
Variegate porphyria 517
Hereditary coproporphyria 517
Erythropoietic protoporphyria 518
X-linked dominant protoporphyria 519
Congenital erythropoietic porphyria 519
Acute intermittent porphyria 519
Transient erythroporphyria of infancy (purpuric phototherapy-induced eruption) 520
Calcinosis Cutis 521
Dystrophic calcinosis cutis 521
Metastatic calcinosis cutis 522
Iatrogenic and traumatic calcinosis cutis 522
Idiopathic calcinosis cutis 522
Idiopathic scrotal calcinosis 522
Subepidermal calcified nodule and milia-like idiopathic calcinosis cutis 523
Tumoral calcinosis 523
Osteoma cutis 523
Lipid Disturbances 525
Xanthomas 525
Xanthoma tuberosum 525
Xanthoma tendinosum 525
Eruptive xanthoma 525
Xanthoma planum (plane xanthoma) 526
Palmar xanthomas 526
Xanthelasma palpebrarum (xanthelasma) 526
Primary hyperlipoproteinemias 527
Lipoprotein lipase deficiency 527
Familial apoprotein CII deficiency 527
Familial hypertriglyceridemia 527
Familial hypercholesterolemia 527
Secondary hyperlipoproteinemia 528
Obstructive liver disease (xanthomatous biliary cirrhosis) 528
Pancreatitis 528
Medication-induced hyperlipoproteinemia 528
Cerebrotendinous xanthomatosis 528
Sitosterolemia (phytosterolemia) 528
Verruciform xanthoma 529
Familial α-lipoprotein deficiency (hypoalphalipoproteinemia, Tangier disease) 529
Niemann-Pick disease 530
Gaucher’s disease 530
Lipoid proteinosis 531
Angiokeratoma corporis diffusum (Fabry disease) 532
Fucosidosis 533
Sialidosis 533
β-Mannosidase deficiency 533
Skin Disorders in Diabetes Mellitus 533
Necrobiosis lipoidica/necrobiosis lipoidica diabeticorum 533
Other diabetic dermadromes 534
Diabetic dermopathy (shin spots) 534
Diabetic bullae 534
Carotenosis 535
Limited joint mobility and waxy skin 535
Other associated conditions in patients with diabetes 535
Other Metabolic Disorders 535
Citrullinemia 535
Hartnup disease 536
Prolidase deficiency 536
Phenylketonuria 536
Alkaptonuria and ochronosis 537
Exogenous ochronosis 537
Wilson’s disease (hepatolenticular degeneration) 538
Tyrosinemia II (Richner-Hanhart syndrome) 538
Hurler syndrome (mucopolysaccharidosis I) 538
Hunter syndrome (mucopolysaccharidosis II) 539
Lafora’s disease 539
CADASIL syndrome 540
Farber disease 540
Adrenoleukodystrophy (Schilder’s disease) 540
Gout 540
Lesch-Nyhan syndrome 541
27 Genodermatoses and Congenital Anomalies 542
X-Linked, Mosaic, and Related Disorders 542
Incontinentia pigmenti 542
Naegeli-Franceschetti-Jadassohn syndrome 543
Incontinentia pigmenti achromians (hypomelanosis of Ito) 544
Linear and whorled nevoid hypermelanosis 544
Chondrodysplasia punctata 544
Klinefelter syndrome 545
XXYY genotype 545
Turner syndrome 545
Noonan syndrome 545
Multiple lentigines (LEOPARD) syndrome 546
Costello syndrome 546
Cardiofaciocutaneous syndrome 546
Epidermal nevus syndromes 546
Phakomatoses 547
Tuberous sclerosis (epiloia, Bourneville disease) 547
Diagnosis 548
Treatment 548
Neurofibromatosis (von Recklinghausen’s disease) 548
Diagnosis 550
Screening and monitoring for complications 550
Proteus syndrome 551
Von Hippel–Lindau syndrome 551
Ataxia-telangiectasia 551
Epidermolysis bullosa 552
Intraepidermal forms 552
Epidermolysis bullosa simplex, generalized intermediate 552
Localized epidermolysis bullosa simplex 553
Epidermolysis bullosa simplex, generalized severe 553
Epidermolysis bullosa simplex (Ogna) 553
Epidermolysis bullosa simplex with mottled pigmentation 553
Epidermolysis bullosa simplex with muscular dystrophy 553
Junctional forms 553
Junctional epidermolysis bullosa, generalized severe 553
Junctional epidermolysis bullosa with pyloric atresia 554
Dermolytic or dystrophic forms 554
Dominant dystrophic epidermolysis bullosa 554
Bart syndrome 554
Transient bullous dermolysis of the newborn 555
Acrokeratotic poikiloderma (Kindler syndrome, Weary-Kindler syndrome) 555
Ectodermal dysplasia/skin fragility syndrome (McGrath syndrome) 555
Recessive dystrophic epidermolysis bullosa, generalized severe 555
Familial benign chronic pemphigus (Hailey-Hailey disease) 556
Disorders of cornification (ichthyoses and ichthyosiform syndromes) 556
Treatment 556
Ichthyosis vulgaris 557
X-linked ichthyosis 557
Multiple sulfatase deficiency 557
Autosomal recessive ichthyosis 557
Lamellar ichthyosis 557
Nonbullous congenital ichthyosiform erythroderma 558
Harlequin fetus 558
Epidermolytic ichthyosis 558
Ichthyosis bullosa of Siemens 559
Acquired ichthyosis 559
Restrictive dermopathy 559
Ichthyosis linearis circumflexa 560
Neutral lipid storage disease 560
Ichthyosis follicularis (ichthyosis follicularis, alopecia, and photophobia syndrome) 560
Sjögren-Larsson syndrome 560
Refsum syndrome 560
Rud syndrome 561
Keratitis-ichthyosis-deafness syndrome 561
CHILD syndrome: congenital hemidysplasia with ichthyosiform erythroderma and limb defects 561
Erythrokeratodermia variabilis 562
Progressive symmetric erythrokeratodermia 562
Pityriasis rotunda 562
Porokeratosis 563
Plaque-type porokeratosis (Mibelli) 563
Disseminated superficial actinic porokeratosis 563
Linear porokeratosis 564
Porokeratosis palmaris, plantaris, et disseminata 564
Porokeratotic eccrine ostial and dermal duct nevus 564
Darier’s disease (keratosis follicularis, Darier-White disease) 564
Histology 565
Treatment 565
Acrokeratosis verruciformis 565
Pachyonychia congenita 566
Dyskeratosis congenita (Zinsser-Cole-Engman syndrome) 566
Fanconi syndrome 567
Ectodermal dysplasia 567
Hypohidrotic ectodermal dysplasia (anhidrotic ectodermal dysplasia, Christ-Siemens-Touraine syndrome) 567
Hidrotic ectodermal dysplasia 568
AEC syndrome (Hay-Wells syndrome) 568
EEC syndrome 568
Rapp-Hodgkin ectodermal dysplasia syndrome 568
Ectodermal dysplasia with corkscrew hairs 568
Odonto-tricho-ungual-digital-palmar syndrome 569
Lenz-Majewski syndrome 569
CHIME syndrome 569
Lelis syndrome 569
Nectinopathies 569
Pachydermoperiostosis (idiopathic hypertrophic osteoarthropathy, Touraine-Solente-Gole syndrome) 569
Cutis verticis gyrata 570
Aplasia cutis congenita 570
Adams-Oliver syndrome 570
Focal dermal hypoplasia (Goltz syndrome) 570
Werner syndrome (adult progeria) 571
Progeria (Hutchinson-Gilford syndrome) 571
Xeroderma pigmentosum 572
Cockayne syndrome 572
Xeroderma pigmentosum/Cockayne syndrome complex 572
Trichothiodystrophy 573
Bloom syndrome (Bloom-Torre-Machacek syndrome) 573
Rothmund-Thomson syndrome (poikiloderma congenitale) 573
Hereditary sclerosing poikiloderma and mandibuloacral dysplasia 574
Scleroatrophic syndrome of Huriez 574
Franceschetti-Klein syndrome (mandibulofacial dysostosis) 574
Treacher Collins syndrome 574
Oculoauriculofrontonasal syndrome 574
Popliteal pterygium syndrome 574
Van der Woude syndrome 575
Apert syndrome (acrocephalosyndactyly) 575
Pfeiffer syndrome 575
Crouzon syndrome 575
Carpenter syndrome 575
Whistling face syndrome 575
Other syndromes that include hair abnormalities 575
Hallerman-Streiff syndrome 575
Polyostotic fibrous dysplasia (Albright’s disease) 575
Cronkhite-Canada syndrome 575
Marinesco-Sjögren syndrome 575
Generalized trichoepitheliomas 576
Crow-Fukase (POEMS) syndrome 576
Cartilage-hair hypoplasia (McKusick-type metaphyseal chondrodysplasia) 576
Trichorhinophalangeal syndrome 576
Papillon-Lefèvre syndrome 576
Klippel-Feil syndrome 576
McKusick syndrome 576
Atrichia with papules 576
Keratosis pilaris 577
Erythromelanosis follicularis faciei et colli 577
Follicular atrophoderma 577
Keratosis pilaris atrophicans 577
Keratosis pilaris atrophicans faciei and ulerythema ophryogenes 577
Atrophodermia vermiculata 577
Rombo syndrome 578
Keratosis follicularis spinulosa decalvans (Siemens-1 syndrome) 578
H syndrome 578
MELAS syndrome 578
28 Dermal and Subcutaneous Tumors 579
Cutaneous vascular anomalies 579
29 Epidermal Nevi, Neoplasms, and Cysts 625
Epidermal nevi 625
Keratinocytic epidermal nevi 625
References 626
Nevus comedonicus 626
References 627
Epidermal nevus syndrome 627
Reference 627
Inflammatory linear verrucous epidermal nevus 628
30 Melanocytic Nevi and Neoplasms 680
Epidermal melanocytic lesions 680
Ephelis 680
Nevus spilus 680
References 680
Lentigo 680
Lentigo simplex 680
Solar lentigo (lentigo senilis) 681
PUVA lentigines 681
Ink spot lentigo (sunburn lentigo) 681
Labial, penile, and vulvar melanosis (melanotic macules, mucosal lentigines) 681
Multiple lentigines syndrome 681
Moynahan syndrome 682
Generalized lentiginosis 682
Centrofacial lentiginosis 682
Carney complex 682
Inherited patterned lentiginosis in black persons 682
Partial unilateral lentiginosis 682
Peutz-Jeghers syndrome 682
31 Macrophage/Monocyte Disorders 699
Palisaded granulomatous dermatoses 699
Granuloma annulare 699
Localized granuloma annulare 699
Generalized granuloma annulare 699
Patch-type or macular granuloma annulare 699
Subcutaneous granuloma annulare (deep granuloma annulare, pseudorheumatoid nodule) 699
Perforating granuloma annulare 700
Palmar granuloma annulare/acute-onset painful acral granuloma annulare 700
Granuloma annulare in HIV disease 701
Granuloma annulare and malignant neoplasms 701
Other conditions associated with granuloma annulare 701
Granuloma annulare and eye disease 701
Histology 701
Treatment 701
References 701
Annular elastolytic giant cell granuloma (Meischer’s), annular elastolytic granuloma, and actinic granuloma (O’Brien) 703
32 Cutaneous Lymphoid Hyperplasia, Cutaneous T-Cell Lymphoma, Other Malignant Lymphomas, and Allied Diseases 726
Cutaneous lymphoid hyperplasia (lymphocytoma cutis, lymphadenosis benigna cutis, pseudolymphoma) 726
Cutaneous lymphoid hyperplasias—nodular B-cell pattern 726
Cutaneous lymphoid hyperplasias—bandlike T-cell pattern 726
Jessner lymphocytic infiltrate of the skin 727
References 727
Cutaneous lymphomas 727
Primary cutaneous T-cell lymphomas 727
Mycosis fungoides 727
Natural history 728
Evaluation and staging 728
Clinical features 728
Alopecia mucinosa 729
Systemic manifestations 730
Pathogenesis 730
Histopathology 731
Differential diagnosis 731
Treatment 731
Topical corticosteroids 732
Topical nitrogen mustard 732
Topical BCNU (carmustine) 732
Ultraviolet therapy 732
Photodynamic therapy 732
Radiation 732
Biologic response modifiers (multimodality immunomodulatory therapy) 732
Retinoids 733
Systemic chemotherapy 733
Fusion toxin 733
References 733
Pagetoid reticulosis 733
Sézary syndrome 734
33 Diseases of the Skin Appendages 747
Diseases of the hair 747
Noncicatricial alopecia 747
Alopecia areata 747
Clinical features 747
Etiologic factors 747
Histology 748
Differential diagnosis 748
Treatment 748
Prognosis 749
References 749
Telogen effluvium 749
References 750
Anagen effluvium 750
References 751
Pattern alopecia (androgenetic alopecia) 751
Male-pattern baldness 751
Female-pattern alopecia (androgenetic alopecia in women) 752
34 Disorders of the Mucous Membranes 789
Cheilitis 789
Cheilitis exfoliativa 789
35 Cutaneous Vascular Diseases 807
Raynaud phenomenon and Raynaud disease 807
Secondary Raynaud phenomenon 807
Raynaud disease (primary Raynaud disease) 808
Treatment 808
Erythromelalgia 809
Red ear syndrome 810
Livedo reticularis, livedo racemosa 811
Cholesterol emboli 812
Evaluation of the patient with possible cutaneous vascular disorders 813
Livedoid vasculopathy 813
Calciphylaxis 814
Marshall-White syndrome and Bier spots 816
Purpura 816
Pathogenesis 816
Evaluation 816
Thrombocytopenic purpura 816
Immune thrombocytopenic purpura (immune thrombocytopenia) 816
Drug-induced thrombocytopenia 817
Thrombotic microangiopathy 818
Thrombotic thrombocytopenic purpura 818
Hemolytic uremic syndrome 818
Nonthrombocytopenic purpura (dysproteinemic purpura) 819
Cryoglobulinemia and cryofibrinogenemia 819
Waldenström hyperglobulinemic purpura (purpura hyperglobulinemica) 821
Waldenström macroglobulinemia 821
Purpura secondary to clotting disorders 822
Drug-induced and food-induced purpura 822
Purpura fulminans 822
Disseminated intravascular coagulation 824
Congenital fibrinogen disorders 824
Blueberry muffin baby 824
Miscellaneous purpuric manifestations 825
Deep venous thrombosis 825
Superficial thrombophlebitis 825
Mondor’s disease 826
Postcardiotomy syndrome 826
Orthostatic purpura (stasis purpura) 826
Obstructive or traumatic purpura 826
Paroxysmal nocturnal hemoglobinuria 827
Paroxysmal hand hematoma (Achenbach syndrome) 827
Easy bruising syndromes 827
Painful bruising syndrome (autoerythrocyte sensitization, Gardner-Diamond syndrome, psychogenic purpura) 827
Pigmentary purpuric eruptions (progressive pigmentary dermatosis, progressive pigmenting purpura, purpura pigmentosa chronica) 828
Purpuric agave dermatitis 829
Vasculitis 829
Classification 829
Small-vessel vasculitis 830
Cutaneous small-vessel vasculitis (cutaneous leukocytoclastic vasculitis) 830
Histology 830
Pathogenesis 830
Etiology 831
Clinical evaluation 831
Treatment 831
Cutaneous vasculitis and connective tissue disease 831
Subtypes of small-vessel vasculitis 832
IgA vasculitis (Henoch-Schönlein purpura) 832
Acute hemorrhagic edema of infancy 833
Urticarial vasculitis 833
Cryoglobulinemic vasculitis 834
Macular lymphocytic arteritis (lymphocytic thrombophilic arteritis) 835
Golfer’s and exercise-related “vasculitis” 835
Erythema elevatum diutinum 835
Granuloma faciale 836
Polyarteritis nodosa 837
Treatment 838
Cutaneous polyarteritis nodosa 838
ANCA-positive vasculitides 838
Microscopic polyangiitis 839
Granulomatosis with polyangiitis (Wegener’s granulomatosis) 839
Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) 840
Cocaine-associated vasculitis and levamisole-induced vasculopathy/vasculitis 841
Giant cell arteritis/temporal arteritis 842
Takayasu arteritis 843
Malignant atrophic papulosis 843
Thromboangiitis obliterans (Buerger’s disease) 844
Arteriosclerosis obliterans 845
Diffuse dermal angiomatosis 845
Mucocutaneous lymph node syndrome (Kawasaki disease) 846
Pathogenesis 846
Treatment 847
Telangiectasia 847
Generalized essential telangiectasia 847
Unilateral nevoid telangiectasia 848
Hereditary hemorrhagic telangiectasia (Osler’s disease) 848
Leg ulcers 850
Venous diseases of the extremities 850
Stasis dermatitis 850
Venous insufficiency and obesity-associated mucinosis 850
Venous insufficiency ulceration 850
Arterial insufficiency (ischemic) ulcer 851
Neuropathic ulcers 852
Lymphedema 852
Types 852
Lymphedema praecox 852
Nonne-Milroy-Meige syndrome (hereditary lymphedema) 853
Lymphedema-distichiasis syndrome 853
Emberger syndrome 853
WILD syndrome (warts, immunodeficiency, lymphedema, anogenital dysplasia) 854
Hypotrichosis-telangiectasia- lymphedema syndrome 854
Primary lymphedema associated with yellow nails and pleural effusion (yellow nail syndrome) 854
Secondary lymphedema 854
Postmastectomy lymphangiosarcoma (Stewart-Treves syndrome) 854
Obesity-related lymphedema 854
Postinflammatory lymphedema 854
Bullous lymphedema 854
Factitial lymphedema 854
Podoconiosis 854
Occupational hand edema 855
Evaluation 855
Treatment 855
36 Disturbances of Pigmentation 856
Pigmentary demarcation lines 856
References 856
Abnormal pigmentation 857
Hemosiderin hyperpigmentation 857
Postinflammatory hyperpigmentation (postinflammatory pigmentary alteration) 857
References 857
Melasma (chloasma) 858
References 858
Reticulate pigment disorders of the skin 859
Dyschromatosis symmetrica hereditaria (reticulate acropigmentation of Dohi) 859
37 Dermatologic Surgery 874
Preparation for surgery 874
Anticoagulants 874
38 Cutaneous Laser Surgery 901
Laser principles 901
References 901
Laser treatment of vascular lesions 902
Pulsed dye laser 902
Potassium titanyl phosphate laser 904
Long-pulsed infrared lasers 905
Intense pulsed light 905
References 905
Laser treatment for pigmented lesions 906
Epidermal pigmented lesions 907
Dermal pigmented lesions 907
Tattoos 907
Tattoo complications 908
References 909
Laser hair removal 910
References 910
Ablative laser resurfacing 911
Carbon dioxide lasers 911
Erbium:yttrium-aluminum-garnet laser 911
Fractional resurfacing 912
References 912
39 Cosmetic Dermatology 913
Soft tissue augmentation 913
Bovine collagen 913
Human collagen 913
Hyaluronic acid 914
Poly-L-lactic acid 914
Calcium hydroxylapatite 915
Silicone 915
Polymethylmethacrylate 915
Expanded polytetrafluoroethylene 915
Autologous fat transplantation 916
References 916
Botulinum toxin 916
Glabellar frown lines 917
Horizontal forehead lines 917
Crow’s feet 917
Other locations 917
Hyperhidrosis 917
References 919
Varicose and telangiectatic veins 919
Sclerotherapy 919
Sclerosing solutions 919
Complications 921
Ambulatory phlebectomy 921
Endovenous ablation 921
References 921
Liposuction 922
References 922
Chemical peels 922
Superficial peel 922
Medium-depth peel 923
Deep peel 923
References 923
Index 925
A 925
B 928
C 930
D 934
E 936
F 938
G 939
H 940
I 943
J 944
K 944
L 945
M 947
N 950
O 951
P 951
Q 956
R 956
S 958
T 961
U 963
V 964
W 965
X 965
Y 965
Z 965
Clinical Key ad IBC1