By B Barankin and A Freiman. Davis , Philadelphia, PA , One of a large North American series, its spirally bound pages will fit into a medium sized pocket. After brief sections entitled basics, diagnosis and treatment, the main content of the guide covers in alphabetical order 75 common or important disorders. Each entry comprises 1—2 pages and consists of aetiology, history, physical examination, investigations, differential diagnosis and treatment, the latter being emphasized. Small but useful high quality photographs accompany each entry.
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Blonds have , and those with red hair have 80, hairs. Alopecia areata diffuse, although most commonly localized 2. Drug-induced: cytotoxics, anticoagulants, retinoids 3. Endocrine disorders: hypothyroid, hypopituitarism 4. Hair-shaft defects: pili torti, monilethrix 5.
Nutritional: iron deficiency 7. Syphilis 8. Systemic lupus erythematosus 9. Telogen effluvium Localized Hair Loss 1. Alopecia areata 2. Discoid lupus erythematosus 3. Fungal infections e. Lichen planopilaris 5. Nevoid abnormalities 6. Traction e. Discoid lupus erythematosus DLE 2.
Lichen planopilaris LPP 3. Infections: fungal, bacterial, TB, leprosy N. A-F A-F Androgenetic Alopecia Male and Female Pattern Baldness Etiology: Heredity polygenic ; androgen stimulation Physical: Different pattern for men and women; men—temporal areas affected, progressing to vertex; females—diffuse pattern. Precipitated by stressful events, illness, fever, pregnancy, crash diet, medications; hair can be shed 2—6 mo after precipitant. DDx: Alopecia areata, anagen effluvium, androgenetic alopecia.
Management Reassurance. Wait for regrowth, and treat any underlying cause. Topical minoxidil may be beneficial. Physical: Circumscribed area of alopecia with irregular borders and broken hairs of different length. May find scalp excoriations and perifollicular petechiae; usually only one area frontoparietal or frontotemporal affected. Eyebrows and eyelashes may also be plucked. Investigations: Punch biopsy if unsure. DDx: Alopecia areata, traction alopecia, tinea capitis. Angioma Cherry Angioma Most common benign cutaneous vascular growth, which increases in size and number with age.
History: asymptomatic; uncommonly bleeds with trauma 64 65 Physical: Cherry-red dome-shaped round papules predominantly on trunk of adults; 0. Investigations: Biopsy if diagnosis doubtful.
DDx: Angiokeratoma, insect bite, melanoma. Management Treatment for cosmetic purposes Tx options: shave excision, electrodessication, vascular laser, cryotherapy Angular Cheilitis Etiology: Mechanical irritation e. More common with dentures and in elderly. History: Often chronic; discomfort and burning at corners of mouth. A-F A-F Physical: Inflammatory moist fissures radiating down and out from the lip commissures; may observe: atrophy, fissures or maceration, erythema, crusting and scaling of the angles of the mouth.
DDx: Lip-licking dermatitis, impetigo. May have a prodromal stage of burning or pricking sensation of the oral mucosa immediately prior to ulcers appearing. Precipitating factors include local trauma or food hypersensitivity. Investigations: Viral culture to exclude herpes infection. Choice of therapy dependent upon severity of symptoms and frequency of recurrence. Strong association with personal and family history of atopy eczema, asthma, hay fever.
DDx: Contact dermatitis, psoriasis, seborrheic dermatitis. Working Party Criteria A-F.
Blonds have , and those with red hair have 80, hairs. Alopecia areata diffuse, although most commonly localized 2. Drug-induced: cytotoxics, anticoagulants, retinoids 3. Endocrine disorders: hypothyroid, hypopituitarism 4. Hair-shaft defects: pili torti, monilethrix 5. Nutritional: iron deficiency 7. Syphilis 8.
Clinical Dermatology Pocket Guide
Derm Notes: Dermatology Clinical Pocket Guide