By Paul K. Buxton
This is often an advent to dermatology that assumes a normal realizing of drugs, yet no professional wisdom. The booklet presents the basic middle of information to which extra designated info might be further. it may be used for reference by way of basic practitioners and medical professionals in different specialties. The dialogue of universal stipulations prior to introducing extra complicated illnesses makes it very appropriate for educating scientific and nursing scholars.
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Extra resources for ABC of Dermatology with CD-ROM
By contrast, bullous impetigo causes few symptoms, although there may be extensive blisters. Itching is usually not present. Dermatitis herpetiformis is characterised by intense persistent and severe itching that patients often describe as being unendurable. Usual measures such as topical steroids and antihistamines have little if any effect. By contrast, the blisters of pemphigoid do not itch although the earlier inflamed lesions can be irritating. Parasites. Fleas and mites cause pruritic papules in groups.
The distribution is on the flexor aspects of the limbs, particularly the ankles and wrists, rather than on the extensor surfaces, as in psoriasis. It also occurs on the trunk. However, localised forms of lichen planus can occur on the shin, palm, and soles or elsewhere. Nail involvement is less common than in psoriasis. There may be thinning and atrophy of part or all of a nail and these often take the form of a longitudinal groove, sometimes with destruction of the nail plate. The oral mucosa is commonly affected with a white, net-like appearance and sometimes ulceration.
Pruritus ani is a common troublesome condition and the following points may be helpful: • Advise gentle cleaning once daily and patients should be advised to avoid excessive washing. • Avoid harsh toilet paper, especially if coloured, because cheap dyes irritate and cause allergies. Olive oil and cotton wool can be used instead. • Weak topical steroids will help to reduce inflammation, with zinc cream or ointment as a protective layer on top. • Anal leakage from an incompetent sphincter, skin tags, or haemorrhoids may require surgical treatment.