By William D. James MD, Timothy Berger MD, Dirk Elston MD
The eleventh version of the vintage Andrews' illnesses of the surface, via Drs. William D. James, Timothy G. Berger and Dirk M. Elston, offers the last word starting place in dermatology with accomplished tips to successfully diagnose and deal with quite a lot of dermis stipulations. those hugely revered authors stability evidence-based remedy guidance with suggestion from their very own medical event, delivering a realistic and lifelike scientific standpoint. up to date all through with the most recent dermatologic findings and a brand new bankruptcy on beauty surgical concepts, this name is helping you retain present, increase your abilities, and get ready for checks. it is also on-line entry to the whole textual content, photos, and bonus illustrations making this an crucial, handy reference for trainees and training dermatologists. perform with self assurance during the valued authorship of professional pros Dr. William D. James, Dr. Timothy G. Berger, and Dr. Dirk M. Elston. speedily increase your wisdom of pores and skin stipulations via a concise, clinically centred, common layout. receive thorough counsel on medical presentation and remedy for a whole diversity of universal and infrequent dermis ailments. ascertain your diagnoses through evaluating your medical findings to greater than 1,150 illustrations, forty% of that are fresh. replace your surgical talents with chapters dedicated to simple dermatologic, laser, and plastic surgery, contributed through Dr. Issac M. Neuhaus. seek the whole contents on-line, obtain the entire illustrations, and think about an extra four hundred photographs, at www.expertconsult.com. In Andrews' ailments of the outside, the authors offer working towards dermatologists and citizens with the center info wanted.
Read or Download Andrews' Diseases of the Skin: Clinical Dermatology - Expert Consult - Online and Print (James, Andrew's Disease of the Skin), 11th Edition PDF
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Additional info for Andrews' Diseases of the Skin: Clinical Dermatology - Expert Consult - Online and Print (James, Andrew's Disease of the Skin), 11th Edition
Cocaine and its attendant peripheral vasoconstriction will lead to perniosis with cold, numb hands and atrophy of the digital fat pads, especially of the thumbs and index fingers, as well as nail curvature. Chilblains occur chiefly on the hands, feet, ears, and face, especially in children; onset is enhanced by dampness (Fig. 3-8). A variant occurs on the lateral thighs in women equestrians who ride on cold damp days (equestrian perniosis). Tightfitting jeans with a low waistband may produce this type of cold injury on the hips.
The lesions are similar to the adult form, but appear initially on the face, later extending to the neck and hands. Sun exposure also appears to be important in inducing lesions of juvenile colloid milium. Juvenile colloid milium, ligneous conjunctivitis, and ligneous periodontitis may appear in the same patient and are probably of similar pathogenesis. Histologically, juvenile colloid milium can be distinguished from adult colloid milium by the finding of keratinocyte apoptosis in the overlying epidermis.
Other measures, such as those used in the treatment of frostbite, should be employed. Warm water immersion foot Exposure of the feet to warm, wet conditions for 48 h or more may produce a syndrome characterized by maceration, blanching, and wrinkling of the soles and sides of the feet (Fig. 3-10). Itching and burning with swelling may persist for a few days after removal of the cause, but disability is temporary. It was commonly seen in military service members in Vietnam but has also been seen in persons wearing insulated boots.
Andrews' Diseases of the Skin: Clinical Dermatology - Expert Consult - Online and Print (James, Andrew's Disease of the Skin), 11th Edition by William D. James MD, Timothy Berger MD, Dirk Elston MD