Dermatology

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By Paul K. Buxton

(BMJ Books) Royal Infirmary, united kingdom. bargains a concise review of the entire necessities of dermatology, written for non-dermatologists and first care physicians. Discusses a number of universal stipulations comparable to psoriasis, eczema, pimples and rosacea, bacterial an infection, viral an infection, tropical dermatology, and extra. considerable colour images. prior variation: c1998. Softcover.

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By mixing two tablespoons in a kitchen blender with a pint of water, the result is a creamy mixture that can easily be used in the bath. A useful preparation is equal parts of white soft paraffin and liquid paraffin. Various proprietary bath oils are available and can be applied directly to wet skin. There are many proprietary emollients. Wet weeping lesions should generally be treated with creams rather than ointments (which remain on the surface). Steroid ointments are effective in relieving inflammation and itching but are not always used effectively.

Another type of pemphigoid occurs in which there is scarring of the oral mucous membrane and the conjunctiva. Occasionally localised lesions are seen on the legs with evidence of an immune reaction, but often the absence of circulating antibasement membrane antibodies. This is a relatively benign condition and often responds to topical steroids. Treatment is with corticosteroids by mouth, 40–60 mg daily in most patients, although higher doses are required by some. Azathioprine aids remission, with reduced steroid requirements, but takes some weeks to produce an effect.

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 patient may not realise that they may have been acquired after a walk in the country or encountering a dog or cat.

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