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Dermatological Signs of Internal Disease E-Book

Dermatological Signs of Internal Disease E-Book

Jeffrey P. Callen | Joseph L. Jorizzo | Jean L. Bolognia | Warren Piette | John J. Zone

(2009)

Additional Information

Book Details

Abstract

Practical, comprehensive, and updated throughout, the 4th edition of Dermatological Signs of Internal Diseases helps you identify a full range of common and rare systemic diseases early…so they can be managed as effectively as possible. Coverage of new disorders, including nephrogenic fibrosing dermopathy, new treatment options, expanded histopathology content, new color images, online image library and much more...to help you attain definitive diagnoses of internal diseases that manifest on the skin. Best of all, each chapter features an evidence-based approach to diagnosis and treatment so you know you can depend on the clinical recommendations presented. Expert Consult functionality allows you to access the entire contents of the book online at expertconsult.com from any Internet connection.

  • Presents an evidence-based approach so you can depend on the clinical recommendations presented.
  • Covers advice on patient evaluation and lab tests, as well as tables of differential diagnoses, to facilitate diagnosis for every condition.
  • Uses a consistent, user-friendly format for easy reference.
  • Discusses new diseases such as nephrogenic fibrosing dermopathy and new therapies, including biologics, to keep you on the cusp of this rapidly expanding field.
  • Provides improved and expanded histopathology content for a better understanding in this difficult area of diagnosis.
  • Features over 500 full-color illustrations—100 new to this edition—that provide the best possible representations of diseases as they appear in real life.
  • Features a companion website at expertconsult.com with fully searchable text and an image library to enhanced visual guidance.

Table of Contents

Section Title Page Action Price
Front cover cover
Half title page i
Title page iii
Copyright page iv
Table of contents v
Preface vii
Acknowledgments viii
List of Contributors ix
Chapter 1: Lupus Erythematosus 1
CHRONIC CUTANEOUS LUPUS ERYTHEMATOSUS 1
SUBACUTE CUTANEOUS LUPUS ERYTHEMATOSUS 4
NEONATAL LUPUS ERYTHEMATOSUS 6
ACUTE CUTANEOUS LUPUS ERYTHEMATOSUS 6
OTHER CUTANEOUS CHANGES ASSOCIATED WITH LUPUS ERYTHEMATOSUS 7
LABORATORY PHENOMENA IN PATIENTS WITH CUTANEOUS LUPUS ERYTHEMATOSUS 8
TREATMENT OF CUTANEOUS LUPUS ERYTHEMATOSUS 9
SUGGESTED READINGS 10
Chapter 2: Dermatomyositis 11
DEFINITION AND CLASSIFICATION 11
PATHOGENESIS 11
MANIFESTATIONS 12
AMYOPATHIC DERMATOMYOSITIS 15
MYOSITIS AND MALIGNANCY 15
EVALUATION OF THE PATIENT WITH MYOSITIS 16
COURSE AND TREATMENT 17
SUGGESTED READINGS 19
Chapter 3: Scleroderma, Raynaud’s Phenomenon, and Related Conditions 21
SCLERODERMA 21
EOSINOPHILIC FASCIITIS 26
RAYNAUD’S PHENOMENON AND DISEASE 27
MIXED CONNECTIVE TISSUE DISEASE (MCTD) 28
NEPHROGENIC SYSTEMIC FIBROSIS (NSF) (see also Chapter 32) 28
SUGGESTED READINGS 28
Chapter 4: Vasculitis 31
CLASSIFICATION 31
PATHOGENESIS 31
ETIOLOGIC ASSOCIATIONS 32
CLINICAL MANIFESTATIONS 33
VASCULITIS VARIANTS 36
DIFFERENTIAL DIAGNOSIS AND EVALUATION 36
TREATMENT 37
SUGGESTED READINGS 38
Chapter 5: Miscellaneous Disorders With Prominent Features Involving the Skin and the Joints 39
RHEUMATOID ARTHRITIS 39
PSORIATIC ARTHRITIS 42
BEHÇET’S DISEASE 43
SWEET’S SYNDROME (ACUTE FEBRILE NEUTROPHILIC DERMATOSIS) 45
PYODERMA GANGRENOSUM 46
BOWEL BYPASS–BOWEL-ASSOCIATED DERMATOSIS–ARTHRITIS SYNDROME 48
REACTIVE arthritis (REITER’S SYNDROME) 48
KAWASAKI’S DISEASE (MUCOCUTANEOUS LYMPH-NODE SYNDROME) 50
GOUT 51
SUGGESTED READINGS 51
Chapter 6: Urticaria 53
PATHOGENESIS 53
CLASSIFICATION 53
DIFFERENTIAL DIAGNOSIS 55
PATIENT EVALUATION 55
TREATMENT 56
SUGGESTED READINGS 62
Chapter 7: Erythema Multiforme, Stevens–Johnson Syndrome, and Toxic Epidermal Necrolysis 63
PATHOGENESIS 63
CLINICAL MANIFESTATIONS 64
SUGGESTED READINGS 68
Chapter 8: Erythema Nodosum and Other Panniculitides 69
ERYTHEMA NODOSUM 69
LOBULAR PANNICULITIDES 72
SUGGESTED READINGS 73
Chapter 9: Pruritus 75
SKIN SIGNS OF CHRONIC PRURITUS 75
COMMON COMPLICATIONS IN PATIENTS WITH GENERALIZED PRURITUS 75
DIAGNOSIS 75
EXAMINATION 76
INVESTIGATIONS 76
PATHOPHYSIOLOGY OF GENERALIZED PRURITUS 76
END-STAGE RENAL FAILURE (ESRF) PRURITUS 77
PRURITUS OF CHOLESTASIS 77
NEUROPATHIC ITCH 78
LYMPHOMAS, LEUKEMIA, AND HEMATOLOGIC DISEASE 78
ENDOCRINE DISEASE 78
PRURITUS OF HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION 78
PREGNANCY 78
TREATMENT OF PRURITUS 78
SUGGESTED READINGS 79
Chapter 10: Erythroderma 81
CAUSE AND PATHOGENESIS 81
CLINICAL MANIFESTATIONS 82
HISTOPATHOLOGIC FINDINGS 82
EVALUATION 82
COURSE AND TREATMENT 83
SUGGESTED READINGS 84
Chapter 11: Purpura 85
PATHOGENESIS 85
CLINICAL MANIFESTATIONS 90
HISTORY AND PHYSICAL FINDINGS 91
HISTOPATHOLOGIC FINDINGS 91
DIFFERENTIAL DIAGNOSIS 91
EVALUATION 91
TREATMENT 92
SUGGESTED READINGS 92
Chapter 12: Bullous Diseases 93
PEMPHIGUS 93
BULLOUS PEMPHIGOID 98
EPIDERMOLYSIS BULLOSA ACQUISITA 101
DERMATITIS HERPETIFORMIS 103
LINEAR IgA BULLOUS DERMATOSIS 104
SUGGESTED READINGS 106
Chapter 13: Skin Signs of Internal Malignancy 107
PROLIFERATIVE AND INFLAMMATORY DERMATOSES 107
HORMONE-SECRETING SYNDROMES 113
INHERITED SYNDROMES ASSOCIATED WITH INTERNAL CANCER 113
CONCLUSIONS 116
SUGGESTED READINGS 116
Chapter 14: Metastatic Disease 117
EPIDEMIOLOGY 117
PATHOGENESIS 117
CLINICAL MANIFESTATIONS 118
DIFFERENTIAL DIAGNOSIS 121
HISTOPATHOLOGIC FINDINGS 121
EVALUATION AND PROGNOSIS 121
THERAPY 122
SUGGESTED READINGS 122
Chapter 15: Cutaneous Manifestations of Leukemias, Myelodysplastic and Myeloproliferative Syndromes, and Systemic Lymphomas 125
PATHOGENESIS 125
CLINICAL MANIFESTATIONS 125
DIFFERENTIAL DIAGNOSIS 130
HISTOPATHOLOGIC FINDINGS 132
EVALUATION 132
TREATMENT 132
SUGGESTED READINGS 133
Chapter 16: Dysproteinemias, Plasma Cell Disorders, and Amyloidosis 135
DISORDERS DIRECTLY RELATED TO MONOCLONAL PROTEINS 135
DISORDERS ASSOCIATED WITH MONOCLONAL PROTEIN PRODUCTION 138
AMYLOIDOSIS 142
SUGGESTED READINGS 146
Chapter 17: Cutaneous Manifestations of Macrophage/Dendritic Cell Proliferative Disorders (Histiocytoses) 149
PATHOGENESIS 149
CLASS I: LANGERHANS’ CELL GRANULOMATOSES 149
CLASS II AND III HISTIOCYTOSES: NON-LANGERHANS’ CELL DISEASES 152
SUGGESTED READINGS 159
Chapter 18: Vascular Neoplasms 161
TELANGIECTASIAS 161
HEMANGIOMAS AND VASCULAR MALFORMATIONS 163
KAPOSI’S SARCOMA 169
ANGIOSARCOMA 172
SUGGESTED READINGS 173
Chapter 19: Primary Cutaneous T-cell and B-cell Lymphomas 175
CLASSIFICATIONS OF CUTANEOUS LYMPHOMAS 175
PRIMARY CUTANEOUS T-CELL LYMPHOMAS 176
PRIMARY CUTANEOUS B-CELL LYMPHOMAS 186
SUGGESTED READINGS 187
Chapter 20: Diabetes Mellitus 189
DIABETIC FOOT 189
DIABETIC DERMOPATHY (SHIN SPOTS) 189
NECROBIOSIS LIPOIDICA (FORMERLY NECROBIOSIS LIPOIDICA DIABETICORUM) 190
Description 190
Frequency 190
Pathogenesis 191
Significance 191
Treatment 191
ACQUIRED ICHTHYOSIFORM CHANGES OF THE SHINS 191
ACANTHOSIS NIGRICANS 191
SKIN TAGS 192
SCLERODERMA-LIKE SKIN CHANGES 192
SCLEREDEMA (SCLEREDEMA ADULTORUM, SCLEREDEMA DIABETICORUM OF BUSCHKE) 193
DIABETIC BLISTERS (BULLOSIS DIABETICORUM) 193
ACQUIRED PERFORATING DERMATOSES 194
RUBEOSIS 194
YELLOW SKIN OF DIABETICS (CAROTENODERMA) 194
KERATOSIS PILARIS 195
ERUPTIVE XANTHOMAS 195
INFECTIONS 195
CUTANEOUS COMPLICATIONS OF ANTIDIABETIC THERAPY 196
DERMATOLOGIC DISEASES ASSOCIATED WITH DIABETES MELLITUS 197
MISCELLANEOUS CONDITIONS 197
SUGGESTED READINGS 198
Chapter 21: Thyroid and the Skin 199
SPECIFIC LESIONS 200
HYPERTHYROIDISM 200
HYPOTHYROIDISM 202
MISCELLANEOUS CUTANEOUS DISORDERS AND THE THYROID 204
SUGGESTED READINGS 204
Chapter 22: Lipids 205
DISORDERS OF LIPID METABOLISM 205
Clinical Manifestations 207
TREATMENT 209
SUGGESTED READINGS 209
Chapter 23: Adrenal, Androgen-related, and Pituitary Disorders 211
ADRENAL DISORDERS 211
ANDROGEN-RELATED DISORDERS 213
DISORDERS OF STEROID HORMONE RECEPTORS 215
PITUITARY DISORDERS WITH CUTANEOUS MANIFESTATIONS 215
SUGGESTED READINGS 216
Chapter 24: Porphyrias 217
PORPHYRIA CUTANEA TARDA 217
ERYTHROPOIETIC PROTOPORPHYRIA 223
CONGENITAL ERYTHROPOIETIC PORPHYRIA 223
VARIEGATE PORPHYRIA AND HEREDITARY COPROPORPHYRIA 224
SUGGESTED READINGS 224
Chapter 25: Cutaneous Diseases Associated with Gastrointestinal Abnormalities 225
GASTROINTESTINAL HEMORRHAGE 225
POLYPOSIS SYNDROMES 229
MALABSORPTION 231
INFLAMMATORY BOWEL DISEASE 234
SUGGESTED READINGS 235
Chapter 26: Cutaneous Hepatology 237
CIRRHOSIS 237
PRIMARY BILIARY CIRRHOSIS 239
HEMOCHROMATOSIS 239
WILSON’S DISEASE 240
CUTANEOUS DISEASE ASSOCIATED WITH VIRAL HEPATITIS 240
SUGGESTED READINGS 242
Chapter 27: Pancreatic Disease 243
CUTANEOUS LESIONS ASSOCIATED WITH PANCREATITIS 243
CUTANEOUS CHANGES RELATED TO PANCREATIC ENDOCRINE TUMORS 245
CUTANEOUS CHANGES RELATED TO NONHORMONE-SECRETING PANCREATIC CARCINOMA 246
SUGGESTED READINGS 246
Chapter 28: Cutaneous Manifestations of Systemic Viral, Bacterial, and Fungal Infections and Protozoan Disease 247
VIRUSES 247
BACTERIA 253
MYCOBACTERIA 259
FUNGI 262
PROTOZOAN DISEASE 267
SUGGESTED READINGS 268
Chapter 29: Acquired Immunodeficiency Syndrome and Sexually Transmitted Infections 271
ACQUIRED IMMUNODEFICIENCY SYNDROME 271
sexually transmitted infections 279
SUGGESTED READINGS 285
Chapter 30: Sarcoidosis 287
CAUSE AND PATHOGENESIS 287
CLINICAL MANIFESTATIONS 287
HISTOPATHOLOGIC FINDINGS 293
DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS 293
EVALUATION 294
PROGNOSIS 294
TREATMENT 294
SUGGESTED READINGS 295
Chapter 31: Cardiovascular Diseases and the Skin 297
ANTIPHOSPHOLIPID ANTIBODY SYNDROME 297
CARCINOID SYNDROME 297
DEGOS DISEASE (MALIGNANT ATROPHIC PAPULOSIS) 297
EARLOBE CREASES 300
MALE PATTERN BALDNESS 300
HEMOCHROMATOSIS 300
RELAPSING POLYCHONDRITIS 300
EMBOLIC PHENOMENA 301
EHLERS–DANLOS SYNDROME 301
LOEYS–DIETZ SYNDROME 301
LEOPARD AND NOONAN SYNDROMES 301
CARNEY COMPLEX 301
WERNER’S SYNDROME 302
PSEUDOXANTHOMA ELASTICUM 302
PSORIASIS AND HEART DISEASE 302
MYOSITIS 302
SUGGESTED READING 302
Chapter 32: Renal Disease and the Skin 305
INTRODUCTION 305
HERITABLE DISORDERS WITH RENAL AND CUTANEOUS FEATURES 305
skin disorders associated with acute and chronic renal failure 305
SUGGESTED READINGS 309
Chapter 33: Manifestations in Transplant Recipients 311
INFECTIONS 311
NEOPLASMS 319
GRAFT-VERSUS-HOST DISEASE 321
DRUG EFFECTS 323
SUGGESTED READINGS 323
Chapter 34: Neurocutaneous Disease 325
CLASSIFICATION 325
NEUROFIBROMATOSIS (VON RECKLINGHAUSEN’S DISEASE) 325
TUBEROUS SCLEROSIS (BOURNEVILLE’S DISEASE) 329
STURGE–WEBER DISEASE 333
COBB’S SYNDROME 335
ATAXIA–TELANGIECTASIA (LOUIS–BAR SYNDROME) 335
OTHER NEUROCUTANEOUS DISEASES 336
SUGGESTED READINGS 338
Chapter 35: Pregnancy 339
PHYSIOLOGIC SKIN CHANGES 339
PRURITUS IN PREGNANCY 341
CUTANEOUS TUMORS AFFECTED BY PREGNANCY 342
PRE-EXISTING SKIN DISEASES AND INTERNAL DISEASES WITH SKIN MANIFESTATIONS AFFECTED BY PREGNANCY 343
SPECIFIC DERMATOSES OF PREGNANCY 345
SUGGESTED READINGS 348
Chapter 36: Mast Cell Disease 349
PATHOGENESIS 349
CLASSIFICATION OF MAST CELL DISEASE 349
CLINICAL MANIFESTATIONS 350
DIAGNOSIS 352
PROGNOSIS 353
TREATMENT 353
SUGGESTED READING 354
Chapter 37: Hair Disorders in Systemic Disease 355
FOLLICULAR BIOLOGY 355
HAIR DISORDERS AND SYSTEMIC DISEASE 356
ALOPECIA 356
EXCESSIVE HAIR 362
SUGGESTED READING 364
Chapter 38: Nail Signs of Systemic Disease 365
ANATOMIC CHANGES OF THE NAIL APPARATUS (Table 38–1) 365
CHANGES IN SPECIFIC DISORDERS 370
SUGGESTED READINGS 373
Chapter 39: Oral Mucous Membranes and Systemic Disease 375
NEVOID BASAL CELL CARCINOMA SYNDROME(OMIM 375
CHEILITIS GRANULOMATOSA (MELKERSSON–ROSENTHAL SYNDROME) 375
ACUTE NECROTIZING ULCERATIVE GINGIVITIS 375
ORAL PIGMENTATION 378
XEROSTOMIA 378
GINGIVAL HYPERPLASIA 378
SUGGESTED READINGS 378
Chapter 40: Leg Ulcerations 381
PREVALENCE AND ECONOMIC COST 381
PATHOPHYSIOLOGY 382
PATIENT HISTORY AND PHYSICAL EXAMINATION FINDINGS 387
COMMON CAUSES OF ULCERATION 388
DIAGNOSTIC TESTS 392
GENERAL PRINCIPLES OF WOUND CARE 393
LEG ELEVATION. AND COMPRESSION 398
MANAGEMENT OF CHRONIC ULCERATIONS 399
SUGGESTED READINGS 400
Chapter 41: Cutaneous Drug Eruptions 401
DEFINING THE PROBLEM 401
MECHANISMS OF CUTANEOUS DRUG ERUPTION 401
CLINICAL MANIFESTATIONS 402
MAJOR DRUG REACTION PATTERNS 403
DIAGNOSIS 407
LITERATURE RESOURCES 408
MANAGEMENT ISSUES 409
SUGGESTED READINGS 409
Chapter 42: Systemic Therapy for Cutaneous Disease 411
PRINCIPLES OF DRUG SELECTION 411
MONITORING PRINCIPLES 412
SUGGESTED READING 414
Index 415