BOOK
Urgent Care Dermatology: Symptom-Based Diagnosis E-Book
James E. Fitzpatrick | Whitney A. High
(2017)
Additional Information
Book Details
Abstract
Urgent Care Dermatology: Symptom-Based Diagnosis, by Drs. James E. Fitzpatrick, Whitney A. High, and Lamar Kyle, helps you quickly identify skin conditions and provide necessary treatment at the point of care. Concise, to-the-point text is highlighted by more than 1,000 high-quality photographs – all conveniently organized by lesion appearance – making this resource ideal for first-line clinicians to quickly identify and treat dermatologic conditions.
- Appearance-based format designed for non-specialists who diagnose and treat skin conditions, such as family practice physicians, urgent care providers, nurse practitioners, and physician assistants.
- Organized by presentation (scaly lesions, blisters, etc.), with a full chapter on treatment pearls that offers expert advice pertaining to diagnosis and treatment.
- Richly illustrated with more than 1,000 full-color clinical examples of lesions you’re likely to see.
- Up-to-date coverage of morbilliform eruptions, scaly papular lesions, dermatitis (eczematoid reactions), and abscesses, as well as a timely chapter on cutaneous diseases of travelers organized by global region.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Inside Front Cover | ifc1 | ||
| Urgent Care Dermatology: Symptom-Based Diagnosis | i | ||
| Copyright Page | iv | ||
| Dedication | v | ||
| Preface | vii | ||
| Acknowledgments | ix | ||
| Table Of Contents | xi | ||
| 1 Introduction to Clinical Dermatology | 1 | ||
| “Thinking” Like a Dermatologist | 1 | ||
| Etiologic Premises | 1 | ||
| Morphology | 1 | ||
| Palpation and Appreciation of Texture | 1 | ||
| Color | 1 | ||
| Configuration and Distribution | 3 | ||
| Temporal Course | 5 | ||
| Other Historical Information | 5 | ||
| Conclusion | 5 | ||
| 2 Diagnostic Techniques | 7 | ||
| Key Terms | 7 | ||
| Equipment Needed | 7 | ||
| Core cutaneous surgical equipment | 7 | ||
| Optional cutaneous surgical equipment | 7 | ||
| Core diagnostic equipment | 7 | ||
| Optional diagnostic equipment | 7 | ||
| Wood Light | 8 | ||
| Introduction | 8 | ||
| Applications | 8 | ||
| Supplies | 8 | ||
| Technique | 8 | ||
| Interpretation | 8 | ||
| Comments | 8 | ||
| Potassium Hydroxide Preparation | 10 | ||
| Applications | 10 | ||
| Supplies | 10 | ||
| Technique | 10 | ||
| Interpretation | 10 | ||
| Comments | 10 | ||
| Mineral Oil Preparation | 14 | ||
| Application | 14 | ||
| Supplies | 14 | ||
| Technique | 14 | ||
| Interpretation | 14 | ||
| Comments | 14 | ||
| Tzanck Preparation | 18 | ||
| Applications | 18 | ||
| Supplies | 18 | ||
| Technique | 18 | ||
| Interpretation | 18 | ||
| Comments | 18 | ||
| Shave Biopsy | 22 | ||
| Applications | 22 | ||
| Supplies | 22 | ||
| Technique | 22 | ||
| With Razor Blade | 22 | ||
| With Scalpel Blade | 22 | ||
| Comments | 22 | ||
| Punch Biopsy | 26 | ||
| Applications | 26 | ||
| Supplies | 26 | ||
| Technique | 26 | ||
| Comments | 26 | ||
| References | 30 | ||
| Wood Light (Lamp) | 30 | ||
| Potassium Hydroxide Preparation | 30 | ||
| Scabies Mineral Oil Preparation | 30 | ||
| Tzanck Preparation | 30 | ||
| Shave and Punch Biopsy | 30 | ||
| 3 Morbilliform Eruptions | 31 | ||
| Important History Questions | 31 | ||
| How long have your spots been present? | 31 | ||
| Have you started any new medications in the last 10 days? | 31 | ||
| Have you had any fever? | 31 | ||
| Do you have any other medical problems? | 31 | ||
| Important Physical Findings | 31 | ||
| What is the distribution of the lesions? | 31 | ||
| Presence or absence of lesions in the oral mucosa | 31 | ||
| Are any blisters present? | 31 | ||
| Do any of the lesions demonstrate hemorrhage? | 31 | ||
| Do any of the lesions demonstrate a reticulated (netlike) appearance? | 31 | ||
| Morbilliform Drug Eruptions | 32 | ||
| Drug Eruption With Eosinophilia and Systemic Symptoms | 34 | ||
| Morbilliform Viral Eruptions | 36 | ||
| Roseola (Infantum; Exanthem Subitum, Sixth Disease) | 38 | ||
| Unilateral Thoracic Exanthem (Asymmetric Periflexural Exanthem of Childhood) | 40 | ||
| Measles (Rubeola) | 42 | ||
| Rubella (German Measles) | 44 | ||
| Roseola Vaccinatum | 46 | ||
| Rickettsial Infections | 48 | ||
| References | 50 | ||
| Morbilliform Drug Eruptions | 50 | ||
| Drug Eruption With Eosinophilia and Systemic Symptoms (DRESS) | 50 | ||
| Morbilliform Viral Exanthems | 50 | ||
| Roseola Infantum | 50 | ||
| Unilateral Laterothoracic Exanthem | 50 | ||
| Measles (Rubeola) | 50 | ||
| Rubella (German Measles) | 50 | ||
| Roseola Vaccinatum | 50 | ||
| Rickettsiosis | 50 | ||
| 4 Diffuse or Reticulated Erythema | 51 | ||
| Key Term | 51 | ||
| Important History Questions | 51 | ||
| How long has your redness been present? | 51 | ||
| Have you started any new medications in the last 10 days? | 51 | ||
| Have you had any fever? | 51 | ||
| Do you have any other medical problems? | 51 | ||
| Important Physical Findings | 51 | ||
| What is the distribution of the lesions? | 51 | ||
| Are lesions present in the oral mucosa? | 51 | ||
| Are vesicles or blisters present? | 51 | ||
| Presence or absence of lesions with a reticulated (netlike) appearance | 51 | ||
| Scarlet Fever | 52 | ||
| Toxic Shock Syndrome | 54 | ||
| Kawasaki Disease | 56 | ||
| Erythema Infectiosum | 58 | ||
| Erythema Ab Igne | 60 | ||
| References | 62 | ||
| Scarlet Fever | 62 | ||
| Toxic Shock Syndrome | 62 | ||
| Kawasaki Disease | 62 | ||
| Erythema Infectiosum | 62 | ||
| Erythema Ab Igne | 62 | ||
| 5 Urticarial and Indurated Eruptions | 63 | ||
| Important History Questions for Urticarial Eruptions | 63 | ||
| How long have you had these lesions? | 63 | ||
| How long do individual lesions last? | 63 | ||
| What medications do you take? | 63 | ||
| Do the lesions itch or are they painful? | 63 | ||
| Have you had any difficulty breathing? | 63 | ||
| Important Physical Findings for Urticarial Eruptions | 63 | ||
| Are any of the lesions annular? | 63 | ||
| Are any of the lesions linear? | 63 | ||
| Do any of the lesions demonstrate focal hemorrhage? | 63 | ||
| How large are the lesions? | 63 | ||
| What is the distribution of the lesions? | 63 | ||
| Is any fever present? | 63 | ||
| Urticaria | 64 | ||
| Physical Urticarias | 66 | ||
| Angioedema | 68 | ||
| Papular Urticaria | 70 | ||
| Urticarial Vasculitis | 72 | ||
| Pruritic Urticarial Papules and Plaques of Pregnancy (Polymorphic Eruption of Pregnancy) | 74 | ||
| Sweet Syndrome | 76 | ||
| Erysipelas | 78 | ||
| Cellulitis | 80 | ||
| References | 82 | ||
| Urticaria | 82 | ||
| Physical Urticarias | 82 | ||
| Angioedema | 82 | ||
| Pruritic Urticarial Papules and Plaques of Pregnancy (Polymorphic Eruption of Pregnancy) | 82 | ||
| Sweet Syndrome | 82 | ||
| Cellulitis and Erysipelas | 82 | ||
| 6 Papular Eruptions | 83 | ||
| Important History Questions | 83 | ||
| How long have the papules (bumps) been present? | 83 | ||
| Did all the papules (bumps) start at the same time? | 83 | ||
| Have you had a similar rash in the past? | 83 | ||
| Where did the rash start? | 83 | ||
| Have you or your immediate relatives had eczema, asthma, or hay fever (seasonal allergies)? | 83 | ||
| What sort of work do you do? | 83 | ||
| How do you feel? | 83 | ||
| Have you started any new medications in the last month? | 83 | ||
| How are you treating this rash? | 83 | ||
| What do you think caused your rash? | 83 | ||
| Important Physical Findings | 83 | ||
| What is the distribution of the papules? | 83 | ||
| Are any linear lesions present? | 83 | ||
| Scabies | 84 | ||
| Chiggers (Trombiculosis) | 86 | ||
| Mite Bites (Ascarine Dermatitis) | 88 | ||
| Bedbug Bites | 90 | ||
| Gianotti-Crosti Syndrome (Papular Acrodermatitis of Childhood) | 92 | ||
| Miliaria (Prickly Heat) | 94 | ||
| References | 96 | ||
| Scabies | 96 | ||
| Chiggers | 96 | ||
| Mite Bites | 96 | ||
| Bedbugs | 96 | ||
| Gianotti-Crosti Syndrome | 96 | ||
| Milaria | 96 | ||
| 7 Scaly Papular Lesions | 97 | ||
| Key Terms | 97 | ||
| Important History Questions | 97 | ||
| How long has the lesion(s) been present? | 97 | ||
| Have you had a similar lesion(s) in the past? | 97 | ||
| Do any of your immediate relatives have psoriasis? | 97 | ||
| Have you had any previous pre–skin cancers or skin cancers? | 97 | ||
| How are you treating your skin condition? | 97 | ||
| Are you taking any medications? | 97 | ||
| Have you had a recent illness? | 97 | ||
| Important Physical Findings | 97 | ||
| How many lesions are present? | 97 | ||
| What is the distribution of the lesions? | 97 | ||
| Is the oral mucosa involved? | 97 | ||
| Are the nails normal or abnormal? | 97 | ||
| Guttate Psoriasis | 98 | ||
| Lichen Nitidus | 100 | ||
| Lichen Planus | 102 | ||
| Secondary Syphilis | 104 | ||
| Molluscum Contagiosum | 106 | ||
| Grover Disease | 108 | ||
| Actinic Keratosis | 110 | ||
| References | 112 | ||
| Psoriasis | 112 | ||
| Lichen Nitidus | 112 | ||
| Lichen Planus | 112 | ||
| Secondary Syphilis | 112 | ||
| Molluscum Contagiosum | 112 | ||
| Grover Disease | 112 | ||
| Actinic Keratosis | 112 | ||
| 8 Plaques With Scale | 113 | ||
| Important History Questions | 113 | ||
| How long has the lesion(s) been present? | 113 | ||
| Have you had a similar lesion(s) in the past? | 113 | ||
| Do any of your immediate relatives have psoriasis? | 113 | ||
| How are you treating your skin condition? | 113 | ||
| Has the skin condition ever been biopsied? | 113 | ||
| Are you taking any medications? | 113 | ||
| Have you had any recent illnesses or infections? | 113 | ||
| Important Physical Findings | 113 | ||
| What is the distribution of the lesions? | 113 | ||
| Is the Koebner phenomenon present? | 113 | ||
| Is the oral mucosa involved? | 113 | ||
| Are the nails normal or abnormal? | 113 | ||
| Is there any historical or clinical evidence of arthritis? | 113 | ||
| Plaque Psoriasis | 114 | ||
| Reactive Arthritis (Reiter Disease) | 116 | ||
| Pityriasis Rubra Pilaris | 118 | ||
| Mycosis Fungoides | 120 | ||
| References | 122 | ||
| Psoriasis | 122 | ||
| Reactive Arthritis (Reiter Disease) | 122 | ||
| Pityriasis Rubra Pilaris | 122 | ||
| Mycosis Fungoides | 122 | ||
| 9 Scaly Disorders | 123 | ||
| Key Term | 123 | ||
| Important History Questions | 123 | ||
| How long has the lesion(s) been present? | 123 | ||
| Have you had a similar lesion(s) in the past? | 123 | ||
| Do any of your immediate relatives have a similar disorder? | 123 | ||
| How are you treating your skin condition? | 123 | ||
| Has the skin condition ever been biopsied? | 123 | ||
| Are you taking any medications? | 123 | ||
| Important Physical Findings | 123 | ||
| What is the distribution of the lesions? | 123 | ||
| Are the nails normal or abnormal? | 123 | ||
| What is the color of the scale? | 123 | ||
| What are the size and shape of the scale? | 123 | ||
| Tinea (Pityriasis) Versicolor | 124 | ||
| Acquired Ichthyosis Vulgaris (Ichthyosis Acquisita) | 126 | ||
| Tinea Pedis and Tinea Manuum | 128 | ||
| Xerosis (Asteatosis, Dry Skin) | 130 | ||
| Kwashiorkor | 132 | ||
| References | 134 | ||
| Pityriasis (Tinea) Versicolor | 134 | ||
| Acquired Ichthyosis Vulgaris | 134 | ||
| Tinea Pedis | 134 | ||
| Xerosis (Asteatosis) | 134 | ||
| Kwashiorkor | 134 | ||
| 10 Dermatitis (Eczematoid Reactions) | 135 | ||
| Key Terms | 135 | ||
| Important History Questions | 135 | ||
| How long has the dermatitis (rash) been present? | 135 | ||
| Have you had a similar rash in the past? | 135 | ||
| Where did the rash start? | 135 | ||
| Do any of your immediate relatives have eczema, asthma, or hay fever? | 135 | ||
| Do you have allergies or sensitivity to things that come into contact with your skin? | 135 | ||
| What sort of work do you do? | 135 | ||
| Have you started any new medications in the past month? | 135 | ||
| How are you treating the rash? | 135 | ||
| What else do you put on your skin, and what type of soap do you use? | 135 | ||
| Important Physical Findings | 135 | ||
| What is the distribution of the dermatitis? | 135 | ||
| Is there a distinct pattern to the dermatitis? | 135 | ||
| Allergic Contact Dermatitis | 136 | ||
| Irritant Contact Dermatitis | 140 | ||
| Atopic Dermatitis (Childhood Eczema) | 142 | ||
| Diaper Dermatitis | 146 | ||
| Eczematous Drug Eruptions | 148 | ||
| Nummular Dermatitis | 150 | ||
| Id Reactions (Autoeczematization) | 152 | ||
| Dyshidrosis (Pompholyx) | 154 | ||
| Pityriasis Rosea | 156 | ||
| Seborrheic Dermatitis | 158 | ||
| Erythrasma | 160 | ||
| References | 162 | ||
| Allergic Contact Dermatitis | 162 | ||
| Atopic Dermatitis | 162 | ||
| Diaper Dermatitis | 162 | ||
| Eczematoid Drug Eruptions | 162 | ||
| Nummular Dermatitis | 162 | ||
| Id Reactions | 162 | ||
| Pityriasis Rosea | 162 | ||
| Dyshidrotic Hand Dermatitis | 162 | ||
| Seborrheic Dermatitis | 162 | ||
| Erythrasma | 162 | ||
| 11 Blisters and Vesicles | 163 | ||
| Key Terms | 163 | ||
| Important History Questions | 163 | ||
| How long have the blisters been present? | 163 | ||
| Have you had blisters before, and do the blisters occur at the same site(s)? | 163 | ||
| Are the blisters symptomatic? | 163 | ||
| Are you taking any medications? | 163 | ||
| Important Physical Findings | 163 | ||
| How old is the patient? | 163 | ||
| Is the patient a woman of childbearing years, is she pregnant, or has she just delivered a baby? | 163 | ||
| What is the distribution of the blisters? | 163 | ||
| Is the oral mucosa (or other mucosal surfaces) involved? | 163 | ||
| Bullous Impetigo | 164 | ||
| Staphylococcal Scalded Skin Syndrome | 166 | ||
| Blistering Distal Dactylitis | 168 | ||
| Pemphigus Foliaceus | 170 | ||
| Pemphigus Vulgaris | 172 | ||
| Bullous Allergic Contact Dermatitis | 174 | ||
| Bullous Insect and Arthropod Reactions | 176 | ||
| Chickenpox | 178 | ||
| Herpes Zoster | 180 | ||
| Herpes Simplex Virus Infection | 182 | ||
| Hand, Foot, and Mouth Disease | 184 | ||
| Bullous Fixed Drug Eruption | 186 | ||
| Bullous Erythema Multiforme | 188 | ||
| Stevens-Johnson Syndrome | 190 | ||
| Toxic Epidermal Necrolysis | 192 | ||
| Bullous Pemphigoid | 194 | ||
| Dermatitis Herpetiformis | 196 | ||
| Herpes Gestationis | 198 | ||
| Linear IgA Bullous Dermatosis | 200 | ||
| Porphyria Cutanea Tarda | 202 | ||
| References | 204 | ||
| Bullous Impetigo | 204 | ||
| Staphylococcal Scalded Skin Syndrome | 204 | ||
| Pemphigus | 204 | ||
| Herpes Zoster | 204 | ||
| Herpes Simplex Infections | 204 | ||
| Hand, Foot, and Mouth Disease | 204 | ||
| Toxic Epidermal Necrolysis and Stevens-Johnson Syndrome | 204 | ||
| Bullous Pemphigoid | 204 | ||
| Dermatitis Herpetiformis | 204 | ||
| Porphyria Cutanea Tarda | 204 | ||
| 12 Pustular Eruptions, Nonfollicular | 205 | ||
| Key Terms | 205 | ||
| Important History Questions | 205 | ||
| How long have the pustules been present? | 205 | ||
| Do you have a known personal or family history of psoriasis? | 205 | ||
| Do you have a past or current history of arthritis or painful joints? | 205 | ||
| Have you started any new medications? | 205 | ||
| Had you spent any time outdoors before you developed the rash? | 205 | ||
| Does anyone else in the family have a rash? | 205 | ||
| How are you treating this rash? | 205 | ||
| Important Physical Findings | 205 | ||
| How old is the patient? | 205 | ||
| What are the distribution and arrangement of the pustules? | 205 | ||
| Are the pustules based on hair follicles or non-follicular skin? | 205 | ||
| Acute Generalized Exanthematous Pustulosis | 206 | ||
| Pustular Psoriasis | 208 | ||
| Acropustulosis of Infancy | 210 | ||
| Pustular Arthropod Reactions | 212 | ||
| Cutaneous Vaccinia Infections | 214 | ||
| References | 216 | ||
| General | 216 | ||
| Acute Generalized Exanthematous Pustulosis | 216 | ||
| Pustular Psoriasis | 216 | ||
| Pustular Arthropod Reactions | 216 | ||
| Acropustulosis of Infancy (Infantile Acropustulosis) | 216 | ||
| Vaccination Reactions | 216 | ||
| 13 Abscesses | 217 | ||
| Key Terms | 217 | ||
| Important History Questions | 217 | ||
| How long has the abscess(es) been present? | 217 | ||
| Do you have any underlying medical conditions? | 217 | ||
| Have you recently traveled outside of the country? | 217 | ||
| Are you currently taking antibiotics? | 217 | ||
| Does anyone else in the family have similar lesions? | 217 | ||
| Important Physical Findings | 217 | ||
| Is the abscess solitary or multiple? | 217 | ||
| What is the distribution of the abscesses? | 217 | ||
| Does the abscess demonstrate significant associated erythema or edema? | 217 | ||
| Is the patient febrile? | 217 | ||
| Furuncle | 218 | ||
| Mycobacterial Furunculosis | 220 | ||
| Hidradenitis Suppurativa | 222 | ||
| Dissecting Cellulitis of the Scalp | 224 | ||
| Ruptured Epidermoid Cyst | 226 | ||
| Kerion | 228 | ||
| References | 230 | ||
| Furunculosis | 230 | ||
| Mycobacterial Furunculosis | 230 | ||
| Hidradenitis Suppurativa | 230 | ||
| Dissecting Cellulitis of the Scalp | 230 | ||
| Ruptured Epidermoid Cyst | 230 | ||
| Kerion | 230 | ||
| 14 Necrotic and Ulcerative Skin Disorders | 231 | ||
| Key Terms | 231 | ||
| Important History Questions | 231 | ||
| How long has the condition been present? | 231 | ||
| Do you have any underlying systemic disorders? | 231 | ||
| Is there any history of a clotting disorder? | 231 | ||
| When was your last sexual contact, and did you use a barrier device? | 231 | ||
| Have you had exposure to animals? | 231 | ||
| Important Physical Findings | 231 | ||
| What is the distribution of the lesions? | 231 | ||
| How many lesions are present? | 231 | ||
| What is the shape of the ulcer? | 231 | ||
| How deep does the ulceration extend? | 231 | ||
| What does the base of the ulcer look like? | 231 | ||
| Are the peripheral pulses normal and equal in patients with lower extremity ulcers? | 231 | ||
| Necrotizing Fasciitis | 232 | ||
| Ecthyma Gangrenosum | 234 | ||
| Orf | 236 | ||
| Necrotic Arachnidism | 238 | ||
| Calciphylaxis | 240 | ||
| Stasis Ulcer | 242 | ||
| Arterial (Ischemic) Ulcer | 244 | ||
| Pyoderma Gangrenosum | 246 | ||
| Chancroid | 248 | ||
| Primary Syphilis | 250 | ||
| References | 252 | ||
| Necrotizing Fasciitis | 252 | ||
| Ecthyma Gangrenosum | 252 | ||
| Spider Bites | 252 | ||
| Calciphylaxis | 252 | ||
| Stasis Ulcers | 252 | ||
| Arterial Ulcers | 252 | ||
| Pyoderma Gangrenosum | 252 | ||
| Chancroid | 252 | ||
| Primary Syphilis | 252 | ||
| 15 Subcutaneous Diseases | 253 | ||
| Key Terms | 253 | ||
| Important History Questions | 253 | ||
| How long have the lesions been present? | 253 | ||
| Are the lesions painful, and, if so, how painful are they? | 253 | ||
| What medications do you take? | 253 | ||
| Do you have any other medical conditions? | 253 | ||
| Have you ever had a positive tuberculosis skin test? | 253 | ||
| How much alcohol do you consume in a week? | 253 | ||
| Important Physical Findings | 253 | ||
| What is the distribution of the lesions? | 253 | ||
| Are the lesions ulcerated, or is there any evidence of epidermal change? | 253 | ||
| Is there any physical evidence of active arthritis? | 253 | ||
| Are there any other types of skin lesions? | 253 | ||
| Erythema Nodosum | 254 | ||
| Erythema Induratum | 256 | ||
| Pancreatic Panniculitis | 258 | ||
| Lupus Panniculitis | 260 | ||
| Subcutaneous Granuloma Annulare | 262 | ||
| Rheumatoid Nodules | 264 | ||
| Cutaneous Polyarteritis Nodosa | 266 | ||
| References | 268 | ||
| Erythema Nodosum | 268 | ||
| Erythema Induratum | 268 | ||
| Pancreatic Panniculitis | 268 | ||
| Lupus Erythematosus Panniculitis | 268 | ||
| Subcutaneous Granuloma Annulare | 268 | ||
| Rheumatoid Nodules | 268 | ||
| Polyarteritis Nodosa | 268 | ||
| 16 Annular and Targetoid Lesions | 269 | ||
| Key Term | 269 | ||
| Important History Questions | 269 | ||
| How long have the lesions been present? | 269 | ||
| Have you had a similar rash in the past? | 269 | ||
| What medications do you take? | 269 | ||
| Where have you lived? | 269 | ||
| Where have you been recently? | 269 | ||
| Have you been camping outdoors or with animals? | 269 | ||
| Are you diabetic? | 269 | ||
| Important Physical Findings | 269 | ||
| Do the lesions demonstrate scale? | 269 | ||
| What is the distribution of the lesions? | 269 | ||
| Are there any mucosal lesions? | 269 | ||
| Tinea Corporis, Tinea Faciei, and Tinea Cruris | 270 | ||
| Lyme Disease | 272 | ||
| Erythema Annulare Centrifugum | 274 | ||
| Erythema Marginatum | 276 | ||
| Neonatal Lupus Erythematosus | 278 | ||
| Granuloma Annulare | 280 | ||
| Necrobiosis Lipoidica (Diabeticorum) | 282 | ||
| Leprosy (Hansen Disease) | 284 | ||
| Erythema Multiforme | 286 | ||
| References | 288 | ||
| Tinea Corporis, Tinea Faciei, and Tinea Cruris | 288 | ||
| Lyme Disease | 288 | ||
| Erythema Annulare Centrifugum | 288 | ||
| Erythema Marginatum | 288 | ||
| Neonatal Lupus Erythematosus | 288 | ||
| Granuloma Annulare | 288 | ||
| Necrobiosis Lipoidica (Diabeticorum) | 288 | ||
| Leprosy | 288 | ||
| Erythema Multiforme | 288 | ||
| 17 Linear and Serpiginous Lesions | 289 | ||
| Epidermal Nevus Syndrome | 289 | ||
| Important History Questions | 289 | ||
| Were the lesions present at birth or shortly after birth? | 289 | ||
| Is there a family history of a similar lesion? | 289 | ||
| How long have the lesions been present? | 289 | ||
| What medications do you take? | 289 | ||
| Is there a history of recent travel? | 289 | ||
| Important Physical Findings | 289 | ||
| What is the distribution of the lesions? | 289 | ||
| What color are the lesions? | 289 | ||
| Do any lesions demonstrate vesicles or blisters? | 289 | ||
| Does the lesion demonstrate induration on palpation? | 289 | ||
| Lichen Striatus | 290 | ||
| Bleomycin-Induced Flagellate Erythema and Hyperpigmentation | 292 | ||
| Linear Epidermal Nevus | 294 | ||
| Linear Morphea | 296 | ||
| Cutaneous Larva Migrans | 298 | ||
| References | 300 | ||
| Lichen Striatus | 300 | ||
| Bleomycin-Induced Erythema and Hyperpigmentation | 300 | ||
| Linear Epidermal Nevus | 300 | ||
| Linear Morphea | 300 | ||
| Cutaneous Larva Migrans | 300 | ||
| 18 Sporotrichoid Disorders | 301 | ||
| Important History Questions | 301 | ||
| Have you had any recent injuries to your skin? | 301 | ||
| Do you own cats, or have you been exposed to cats? | 301 | ||
| Have you had any fever or chills? | 301 | ||
| Do you have any other medical problems? | 301 | ||
| Have you traveled outside of the United States? | 301 | ||
| Have you had a recent pedicure? | 301 | ||
| Important Physical Findings | 301 | ||
| What is the distribution of the lesions? | 301 | ||
| Does there appear to be a lesion that represents a primary point of trauma? | 301 | ||
| Are there any lesions outside of the lymphatic drainage basin? | 301 | ||
| Sporotrichosis | 302 | ||
| Sporotrichoid Mycobacterial Infections | 304 | ||
| References | 306 | ||
| Sporotrichosis | 306 | ||
| Sporotrichoid Mycobacterial Infections | 306 | ||
| 19 Photosensitive Disorders | 307 | ||
| Key Terms | 307 | ||
| Important History Questions | 307 | ||
| How long have you had a photoaggravated skin condition? | 307 | ||
| Do your lesions itch or burn? | 307 | ||
| Have you recently started any new medications? | 307 | ||
| Do you have any other symptoms or recent problems such as muscle pain, joint pain, fever, or other unexplained problems? | 307 | ||
| Is there a family history of a similar rash? | 307 | ||
| Important Physical Findings | 307 | ||
| Is there any evidence of hair loss? | 307 | ||
| What is the distribution of the lesions? | 307 | ||
| Is a mucosal surface involved? | 307 | ||
| Does the patient have periungual telangiectasias? | 307 | ||
| Polymorphous Light Eruption | 308 | ||
| Photoallergic Drug Eruption | 310 | ||
| Phototoxic Drug Eruption | 312 | ||
| Pellagra | 314 | ||
| Systemic Lupus Erythematosus | 316 | ||
| Subacute Cutaneous Lupus Erythematosus | 318 | ||
| Discoid Lupus Erythematosus | 320 | ||
| Dermatomyositis | 322 | ||
| Sunburn | 324 | ||
| References | 326 | ||
| Polymorphous Light Eruption | 326 | ||
| Photoallergic Drug Eruption | 326 | ||
| Pellagra | 326 | ||
| Systemic Lupus Erythematosus | 326 | ||
| Subacute Lupus Erythematosus | 326 | ||
| Dermatomyositis | 326 | ||
| Sunburn | 326 | ||
| 20 Purpuric and Hemorrhagic Disorders | 327 | ||
| Important History Questions | 327 | ||
| How long have the lesions been present? | 327 | ||
| Have you had more than one episode? | 327 | ||
| What medications do you take? | 327 | ||
| Do you have other known medical conditions? | 327 | ||
| Do you or any member of your family have a history of blood clots or a clotting disorder? | 327 | ||
| Is there a recent history of tick bites or exposure to ticks, especially to a dog with ticks? | 327 | ||
| Important Physical Findings | 327 | ||
| What is the distribution of the lesions? | 327 | ||
| Is there any physical evidence of active arthritis or arthralgias? | 327 | ||
| Are there other skin lesions present? | 327 | ||
| Henoch-Schönlein Purpura | 328 | ||
| Acute Hemorrhagic Edema of Infancy | 330 | ||
| Leukocytoclastic (Hypersensitivity) Vasculitis | 332 | ||
| Disseminated Gonococcal Infection | 334 | ||
| Meningococcemia | 336 | ||
| Rocky Mountain Spotted Fever | 338 | ||
| Progressive Pigmented Purpura | 340 | ||
| Purpura Fulminans | 342 | ||
| Cryoglobulinemia | 344 | ||
| Cryofibrinogenemia | 346 | ||
| Pernio (Chilblains) | 348 | ||
| Pityriasis Lichenoides et Varioliformis Acuta (Mucha-Habermann Disease) | 350 | ||
| References | 352 | ||
| Henoch-Schönlein Purpura | 352 | ||
| Acute Hemorrhagic Edema of Infancy | 352 | ||
| Hypersensitivity Vasculitis | 352 | ||
| Disseminated Gonococcal Infection/Gonococcemia | 352 | ||
| Meningococcemia | 352 | ||
| Rocky Mountain Spotted Fever | 352 | ||
| Progressive Pigmented Purpura (Majocchi-Schamberg Disease) | 352 | ||
| Purpura Fulminans | 352 | ||
| Cryoglobulinemia | 352 | ||
| Cryofibrinogenemia | 352 | ||
| Pernio (Chilblains) | 352 | ||
| Pityriasis Lichenoid et Varioliformis Acuta (Mucha-Habermann Disease) | 352 | ||
| 21 Sclerosing and Fibrosing Disorders | 353 | ||
| Key Terms | 353 | ||
| Important History Questions | 353 | ||
| Do you have a history of cold intolerance in your fingers or known Raynaud phenomenon? | 353 | ||
| Have you noticed swelling in your hands? | 353 | ||
| Do you have any difficulty in swallowing solid foods? | 353 | ||
| What medications do you take? | 353 | ||
| Have you had any recent infections? | 353 | ||
| Do you have any other medical conditions? | 353 | ||
| Have you had any gadolinium-enhanced magnetic resonance imaging (MRI) studies? | 353 | ||
| Important Physical Findings | 353 | ||
| What is the distribution of the fibrosis? | 353 | ||
| Are there any other types of skin lesions? | 353 | ||
| Are there any changes in skin color? | 353 | ||
| Morphea | 354 | ||
| Scleroderma | 356 | ||
| Limited Scleroderma (CREST Syndrome) | 358 | ||
| Eosinophilic Fasciitis | 360 | ||
| Scleredema | 362 | ||
| Nephrogenic Systemic Fibrosis | 364 | ||
| References | 366 | ||
| Morphea | 366 | ||
| Progressive Systemic Sclerosis | 366 | ||
| CREST Syndrome | 366 | ||
| Eosinophilic Fasciitis | 366 | ||
| Scleredema | 366 | ||
| Nephrogeneic Systemic Fibrosis | 366 | ||
| 22 Atrophic Disorders | 367 | ||
| Key Terms | 367 | ||
| Important History Questions | 367 | ||
| When was this change in your skin noted? | 367 | ||
| Over what period of time did these changes occur? | 367 | ||
| Have you used any steroids in the area, or have you had steroid injections or taken steroid pills? | 367 | ||
| Have you been given any other injections in the area? | 367 | ||
| Do you have any other medical conditions? | 367 | ||
| Important Physical Findings | 367 | ||
| What is the distribution of the atrophy? | 367 | ||
| How large are the areas of atrophy, and how are they shaped? | 367 | ||
| Are there any changes in skin color? | 367 | ||
| Striae | 368 | ||
| Postinjection Lipoatrophy | 370 | ||
| Aplasia Cutis Congenita | 372 | ||
| References | 374 | ||
| Striae | 374 | ||
| Postinjection Lipoatrophy | 374 | ||
| Aplasia Cutis Congenita | 374 | ||
| 23 Follicular Disorders | 375 | ||
| Important History Questions | 375 | ||
| How long has the follicular alteration been present? | 375 | ||
| Have you started any new medications in the past month? | 375 | ||
| Are you putting anything on the skin of the affected area? | 375 | ||
| Have you recently used a hot tub or hot springs pool or had some other immersive water exposure? | 375 | ||
| Important Physical Findings | 375 | ||
| What is the distribution of the follicular disorder? | 375 | ||
| Is there a distinct pattern to the dermatitis? | 375 | ||
| Are other mucocutaneous findings present? | 375 | ||
| Is a pustular component present? | 375 | ||
| Acute Vulgaris | 376 | ||
| Drug-Induced Acneiform Reactions | 378 | ||
| Rosacea | 380 | ||
| Pseudomonas Folliculitis | 382 | ||
| References | 384 | ||
| Acne Vulgaris | 384 | ||
| Drug-Induced Acneiform Eruptions | 384 | ||
| Rosacea | 384 | ||
| Pseudomonas Folliculitis | 384 | ||
| 24 Alopecia | 385 | ||
| Important History Questions | 385 | ||
| When did you first notice that you were losing hair? | 385 | ||
| What products do you put on your hair? | 385 | ||
| Do you have any other known medical conditions? | 385 | ||
| Have there been recent changes in your health? | 385 | ||
| What medications are you taking, and are any of these new? | 385 | ||
| Do you find yourself pulling on your hair under stress? | 385 | ||
| Important Physical Findings | 385 | ||
| What is the distribution of hair loss? | 385 | ||
| Is there evidence of inflammation or pustules? | 385 | ||
| Is there evidence of epidermal changes in addition to the alopecia? | 385 | ||
| Is there any scarring? | 385 | ||
| Is there hair loss in other hairy areas? | 385 | ||
| Are there nail changes? | 385 | ||
| Androgenic Alopecia | 386 | ||
| Telogen Effluvium | 388 | ||
| Trichotillomania | 390 | ||
| Traction Alopecia | 392 | ||
| Alopecia Areata | 394 | ||
| Tinea Capitis | 396 | ||
| Lupus Erythematosus | 398 | ||
| Central Centrifugal Cicatricial Alopecia | 400 | ||
| References | 402 | ||
| Androgenetic Alopecia | 402 | ||
| Telogen Effluvium | 402 | ||
| Trichotillomania | 402 | ||
| Traction Alopecia | 402 | ||
| Alopecia Areata | 402 | ||
| Tinea Capitis | 402 | ||
| Lupus Erythematosus | 402 | ||
| Central Centrifugal Scarring Alopecia | 402 | ||
| 25 Nail Disorders | 403 | ||
| Key Terms | 403 | ||
| Important History Questions | 403 | ||
| How long have your nails been abnormal? | 403 | ||
| Is there any family history of a similar disorder? | 403 | ||
| Has there been any trauma, and are the nails continuing to change? | 403 | ||
| Important Physical Findings | 403 | ||
| How many nails are involved? | 403 | ||
| Which portion(s) of the nail are affected by the disease? | 403 | ||
| If tan, brown, or black pigment is present in the nail, in a linear fashion, what is the shape of this pigmented area? | 403 | ||
| Paronychia | 404 | ||
| Onychocryptosis (Ingrown Toenails) | 406 | ||
| Onychomycosis | 408 | ||
| Onycholysis | 410 | ||
| Onychauxis | 412 | ||
| Onychoschizia (Lamellar Dystrophy) | 414 | ||
| Beau Lines | 416 | ||
| Trachyonychia (Rough Nails, Nail Pitting) | 418 | ||
| Nail Clubbing | 420 | ||
| Habit Tic Deformity (Onychotillomania) | 422 | ||
| Nail Discoloration | 424 | ||
| References | 428 | ||
| Review | 428 | ||
| Paronychia | 428 | ||
| Ingrown Nails | 428 | ||
| Onychomycosis | 428 | ||
| Onycholysis | 428 | ||
| Psoriatic Nails | 428 | ||
| Nail Clubbing | 428 | ||
| Habit Tic Deformity (Onychotillomania) | 428 | ||
| Chromonychia | 428 | ||
| 26 Infestations, Stings, and Bites | 429 | ||
| Important History Questions | 429 | ||
| Did you see what bit or stung you? | 429 | ||
| Did you capture, kill, or photograph the “bug” that bit or stung you? | 429 | ||
| Does anyone else that you know have a similar problem? | 429 | ||
| Are you sexually active? | 429 | ||
| Does the lesion itch, or is it painful? | 429 | ||
| How do you feel? | 429 | ||
| Important Physical Findings | 429 | ||
| What is the distribution of the lesions? | 429 | ||
| What does the bite site look like? | 429 | ||
| Pediculosis Capitis | 430 | ||
| Pediculosis Pubis | 432 | ||
| Tick Bites | 434 | ||
| Stings (Bees, Wasps, Yellowjackets) | 436 | ||
| Spider Bites | 438 | ||
| References | 440 | ||
| General | 440 | ||
| Pediculosis Capitis (Head Lice) | 440 | ||
| Pediculosis Pubis (Crab Lice) | 440 | ||
| Tick Bites | 440 | ||
| Bee, Wasp, and Yellowjacket Stings | 440 | ||
| Spider Bites | 440 | ||
| 27 Discolorations of the Skin | 441 | ||
| Important History Questions | 441 | ||
| How long has the abnormal color been present? | 441 | ||
| How are you treating this discoloration? | 441 | ||
| Is the color change stable, progressive, or resolving? | 441 | ||
| Do you have photos of the affected area, taken at an earlier time, when the pigmentation was not present? | 441 | ||
| What medications are you taking? | 441 | ||
| Important Physical Findings | 441 | ||
| What is the color of the abnormal skin? | 441 | ||
| What is the distribution of the color change? | 441 | ||
| Is the change in pigmentation sharply demarcated? | 441 | ||
| If it is not clear whether something is hypopigmented or depigmented, use your Wood light. | 441 | ||
| Vitiligo | 442 | ||
| Pityriasis Alba | 444 | ||
| Lichen Sclerosus et Atrophicus | 446 | ||
| Acanthosis Nigricans | 448 | ||
| Confluent and Reticulated Papillomatosis | 450 | ||
| Addison Disease | 452 | ||
| Jaundice | 454 | ||
| Carotenoderma | 456 | ||
| Drug-Induced Blue-Gray Discoloration | 458 | ||
| References | 460 | ||
| Vitiligo | 460 | ||
| Pityriasis Alba | 460 | ||
| Lichen Sclerosus et Atrophicus | 460 | ||
| Acanthosis Nigricans | 460 | ||
| Confluent and Reticulate Papillomatosis | 460 | ||
| Addison Disease | 460 | ||
| Jaundice | 460 | ||
| Carotenoderma | 460 | ||
| Drug-Induced Blue-Gray Discolorations | 460 | ||
| 28 Papillomatous and Verrucous Lesions | 461 | ||
| Key Terms | 461 | ||
| Important History Questions | 461 | ||
| When did this lesion(s) develop? | 461 | ||
| Has the lesion changed? | 461 | ||
| Where have you visited or lived in the past few years? | 461 | ||
| Important Physical Findings | 461 | ||
| How many verrucous or papillomatous lesions are present? | 461 | ||
| What is the distribution of the lesions? | 461 | ||
| What is the arrangement of the lesions? | 461 | ||
| What is the size of the lesions? | 461 | ||
| Verrucae Vulgaris | 462 | ||
| Verrucae Plana | 464 | ||
| Condyloma Acuminatum | 466 | ||
| Seborrheic Keratosis | 468 | ||
| Acrochordon (Soft Fibroma) | 470 | ||
| North American Blastomycosis | 472 | ||
| Verrucous Carcinoma | 474 | ||
| References | 476 | ||
| Verrucae Vulgaris (Warts) | 476 | ||
| Verrucae Plana and Epidermodysplasia Verruciformis | 476 | ||
| Condyloma Accuminatum | 476 | ||
| Seborrheic Keratosis | 476 | ||
| Acrochordon (Skin Tag) | 476 | ||
| North American Blastomycosis | 476 | ||
| Verrucous Carcinoma | 476 | ||
| 29 Tumors With Scale | 477 | ||
| Key Terms | 477 | ||
| Important History Questions | 477 | ||
| How long has this lesion been present? | 477 | ||
| Has the lesion recently changed? | 477 | ||
| Is this lesion growing rapidly? | 477 | ||
| Has the lesion bled? | 477 | ||
| Have you had a previous skin cancer? | 477 | ||
| Importan Physical Findings | 477 | ||
| What is the location of the lesion or lesions? | 477 | ||
| What type of skin does the patient have? | 477 | ||
| What does the lesion feel like on palpation? | 477 | ||
| Squamous Cell Carcinoma in Situ | 478 | ||
| Squamous Cell Carcinoma | 480 | ||
| Keratoacanthoma | 482 | ||
| Benign Lichenoid Keratosis | 484 | ||
| Inflamed Seborrheic Keratosis | 486 | ||
| References | 488 | ||
| Squamous Cell Carcinoma in Situ (Bowen Disease) | 488 | ||
| Squamous Cell Carcinoma | 488 | ||
| Keratoacanthoma | 488 | ||
| Benign Lichenoid Keratosis (Lichen Planus–like Keratosis) | 488 | ||
| 30 Papular and Nodular Growths Without Scale | 489 | ||
| Key Terms | 489 | ||
| Important History Questions | 489 | ||
| How long has this lesion(s) been present? | 489 | ||
| Has the lesion changed? | 489 | ||
| Have you or any member of your family had similar lesions or a history of cancer? | 489 | ||
| Important Physical Findings | 489 | ||
| How old is the patient? | 489 | ||
| How many lesions are present? | 489 | ||
| What is the distribution of the lesions? | 489 | ||
| Are any of the lesions ulcerated or necrotic? | 489 | ||
| Basal Cell Carcinoma | 490 | ||
| Spitz Nevus | 492 | ||
| Dermatofibroma | 494 | ||
| Keloid | 496 | ||
| Dermatofibrosarcoma Protuberans | 498 | ||
| Merkel Cell Carcinoma | 500 | ||
| Cutaneous Lymphomas | 502 | ||
| Metastatic Tumors | 504 | ||
| References | 506 | ||
| Basal Cell Carcinoma | 506 | ||
| Spitz Nevus | 506 | ||
| Dermatofibroma | 506 | ||
| Keloid | 506 | ||
| Dermatofibrosarcoma Protuberans | 506 | ||
| Merkel Cell Carcinoma | 506 | ||
| Cutaneous Lymphomas | 506 | ||
| Cutaneous Metastasis | 506 | ||
| 31 Pigmented Lesions | 507 | ||
| Key Terms | 507 | ||
| Important History Questions | 507 | ||
| How long has this lesion been present? | 507 | ||
| Has the lesion changed? | 507 | ||
| Has the lesion bled? | 507 | ||
| Do you have a history of an atypical dysplastic nevus or melanoma? | 507 | ||
| Is there a family history of atypical nevi or melanoma? | 507 | ||
| Do you have a history of indoor tanning bed use? | 507 | ||
| Have you ever had sunburn that produced blisters, and, if so, when did you burn? | 507 | ||
| Important Physical Findings | 507 | ||
| What is the patient’s skin type? | 507 | ||
| How many moles does the patient have on his or her body? | 507 | ||
| Do any of the pigmented lesions on a patient’s body look different from the rest? | 507 | ||
| Do any of the pigmented lesions on a patient’s body violate the ABCDEs of melanoma? | 507 | ||
| Solar Lentigo | 508 | ||
| Simple Lentigo | 510 | ||
| Acquired Melanocytic Nevus | 512 | ||
| Congenital Melanocytic Nevus | 514 | ||
| Halo Nevus | 516 | ||
| Café au Lait Spot | 518 | ||
| Nevus Spilus | 520 | ||
| Atypical (Dysplastic) Nevus | 522 | ||
| Lentigo Maligna | 524 | ||
| Melanoma | 526 | ||
| Blue Nevus | 532 | ||
| References | 534 | ||
| Solar Lentigo | 534 | ||
| Simple Lentigo (Lentigo Simplex) | 534 | ||
| Acquired Melanocytic Nevus | 534 | ||
| Congenital Nevus | 534 | ||
| Halo Nevus | 534 | ||
| Café au Lait Spots | 534 | ||
| Nevus Spilus | 534 | ||
| Atypical (Dysplastic) Nevus | 534 | ||
| Lentigo Maligna | 534 | ||
| Melanoma | 534 | ||
| Blue Nevus | 534 | ||
| 32 Vascular Tumors | 535 | ||
| Key Terms | 535 | ||
| Important History Questions | 535 | ||
| How long has this lesion(s) been present? | 535 | ||
| Has the lesion changed? | 535 | ||
| Have you ever been treated with radiation? | 535 | ||
| Important Physical Findings | 535 | ||
| How many vascular lesions are present? | 535 | ||
| What is the distribution of the lesions? | 535 | ||
| Are the lesions macular or palpable? | 535 | ||
| Are the lesions pulsatile? | 535 | ||
| Infantile (Juvenile) Hemangioma | 536 | ||
| Kasabach-Merritt Syndrome | 538 | ||
| Pyogenic Granuloma | 540 | ||
| Cherry Angioma (Hemangioma) | 542 | ||
| Venous Lake | 544 | ||
| Superficial Lymphangioma | 546 | ||
| Kaposi Sarcoma | 548 | ||
| Angiosarcoma | 550 | ||
| References | 552 | ||
| Infantile Hemangioma | 552 | ||
| Kasabach-Merritt Syndrome | 552 | ||
| Pyogenic Granuloma | 552 | ||
| Cherry Angioma | 552 | ||
| Venous Lake | 552 | ||
| Superficial Lymphangioma (Lymphangioma Circumscriptum) | 552 | ||
| Kaposi Sarcoma | 552 | ||
| Angiosarcoma | 552 | ||
| 33 Yellow Lesions | 553 | ||
| Key Terms | 553 | ||
| Important History Questions | 553 | ||
| How long has the lesion(s) been present? | 553 | ||
| Has the lesion changed? | 553 | ||
| Do you have any known medical problems? | 553 | ||
| Have you or any member of your family had cancer? | 553 | ||
| Do you take any medications? | 553 | ||
| Important Physical Findings | 553 | ||
| How old is the patient? | 553 | ||
| How many lesions are present? | 553 | ||
| What is the distribution of the lesions? | 553 | ||
| If multiple lesions are present, is there evidence of a Koebner phenomenon? | 553 | ||
| Eruptive Xanthomata | 554 | ||
| Xanthelasma | 556 | ||
| (Juvenile) Xanthogranuloma | 558 | ||
| Sebaceous Gland Hyperplasia | 560 | ||
| Nevus Sebaceus | 562 | ||
| References | 564 | ||
| Eruptive Xanthoma | 564 | ||
| Xanthelasma (Palpebrarum) | 564 | ||
| Juvenile Xanthogranuloma | 564 | ||
| Sebaceous Gland Hyperplasia | 564 | ||
| Nevus Sebaceus (of Jadassohn) | 564 | ||
| 34 Cysts and Sinuses | 565 | ||
| Key Terms | 565 | ||
| Important History Questions | 565 | ||
| How long has the lesion(s) been present? | 565 | ||
| Has the lesion changed? | 565 | ||
| Important Physical Findings | 565 | ||
| How are the lesion(s) distributed? | 565 | ||
| How many lesions are there? | 565 | ||
| Does the cyst demonstrate transillumination? | 565 | ||
| Does the cyst have a punctum? | 565 | ||
| Epidermoid Cyst | 566 | ||
| Trichilemmal Cyst | 568 | ||
| Steatocystoma | 570 | ||
| Apocrine Cystadenoma | 572 | ||
| Digital Mucous Cyst | 574 | ||
| Cutaneous Odontogenic Sinus Tract | 576 | ||
| References | 578 | ||
| Epidermoid Cyst | 578 | ||
| Trichilemmal (Pilar) Cyst | 578 | ||
| Steatocystoma | 578 | ||
| Apocrine Cystadenoma | 578 | ||
| Digital Mucous Cyst | 578 | ||
| Cutaneous Odontogenic Sinus Tract | 578 | ||
| 35 Subcutaneous Lumps | 579 | ||
| Important History Questions | 579 | ||
| How long has the lesion(s) been present? | 579 | ||
| Has the lesion changed? | 579 | ||
| Is there a family history of similar lesions? | 579 | ||
| Important Physical Findings | 579 | ||
| How many lesions are present? | 579 | ||
| How large is the tumor? | 579 | ||
| What does the tumor feel like on palpation? | 579 | ||
| Does the lesion appear to be sharply circumscribed? | 579 | ||
| Where are the lesions located? | 579 | ||
| Lipoma | 580 | ||
| Angiolipoma | 582 | ||
| Subcutaneous Metastatic Tumors | 584 | ||
| References | 586 | ||
| Review of Lipomatous Neoplasms | 586 | ||
| Lipoma | 586 | ||
| Angiolipoma | 586 | ||
| Metastatic Tumors | 586 | ||
| 36 Cutaneous Diseases of Travelers | 587 | ||
| Important History Questions | 587 | ||
| Where have you traveled recently? | 587 | ||
| Did you develop skin disease before you traveled, while traveling, or after you returned home? | 587 | ||
| Were you outdoors or in a rural area during your travels? | 587 | ||
| On your trip, did you use preventive measures to avoid disease? | 587 | ||
| Cutaneous Larva Migrans | 588 | ||
| Myiasis | 589 | ||
| Tinea Nigra | 590 | ||
| Cutaneous Leishmaniasis | 591 | ||
| Tungiasis | 592 | ||
| Phytophotodermatitis | 593 | ||
| Seabather’s Eruption | 594 | ||
| References | 595 | ||
| Cutaneous Larva Migrans | 595 | ||
| Myiasis | 595 | ||
| Tinea Nigra | 595 | ||
| Leishmaniasis | 595 | ||
| Tungiasis | 595 | ||
| Phytophotodermatitis | 595 | ||
| Seabather’s Eruption | 595 | ||
| 37 Topical Treatment Pearls | 597 | ||
| Introduction | 597 | ||
| Best Soaps for Xerosis and Dermatitis | 597 | ||
| Gram-Negative Toe Web Infections: Another Soap Issue | 597 | ||
| What Is the Best Moisturizer? | 597 | ||
| Sunscreens | 598 | ||
| Application of sunscreens | 598 | ||
| When to use sunscreens indoors and under clothing | 598 | ||
| Corticosteroids | 598 | ||
| How much topical corticosteroid do I need to prescribe? | 598 | ||
| Preventing atrophy from topical corticosteroids | 599 | ||
| Reference | 599 | ||
| Additional Conditions | e1 | ||
| Cicatricial Pemphigoid | e2 | ||
| Bullous Pseudoporphyria | e4 | ||
| Livedoid Vasculopathy | e6 | ||
| Neurofibroma | e8 | ||
| Cutaneous Dermoid Cyst | e10 | ||
| Port Wine Stain | e12 | ||
| Index | 601 | ||
| A | 601 | ||
| B | 602 | ||
| C | 603 | ||
| D | 605 | ||
| E | 607 | ||
| F | 607 | ||
| G | 608 | ||
| H | 608 | ||
| I | 609 | ||
| J | 610 | ||
| K | 610 | ||
| L | 610 | ||
| M | 611 | ||
| N | 612 | ||
| O | 612 | ||
| P | 613 | ||
| R | 615 | ||
| S | 616 | ||
| T | 618 | ||
| U | 619 | ||
| V | 619 | ||
| W | 620 | ||
| X | 620 | ||
| Y | 620 | ||
| Inside Back Cover | ibc1 |