100 Cases in Dermatology

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A 23-year-old African Caribbean woman presents in the emergency department with an acute onset facial rash. During initial assessment she complains of a two week history of general malaise, fatigue, fever, and weight loss. You have been assigned her examination...

100 Cases in Dermatology presents 100 scenarios with a dermatological manifestation commonly seen by medical students and junior doctors. A succinct summary of the patient's history, examination and initial ...

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Overview

A 23-year-old African Caribbean woman presents in the emergency department with an acute onset facial rash. During initial assessment she complains of a two week history of general malaise, fatigue, fever, and weight loss. You have been assigned her examination...

100 Cases in Dermatology presents 100 scenarios with a dermatological manifestation commonly seen by medical students and junior doctors. A succinct summary of the patient's history, examination and initial investigations, including full colour images showing presentation, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors.

Making clinical decisions and choosing the best course of action is one of the most challenging and difficult parts of training to become a doctor. These cases will teach students and junior doctors to recognize important dermatological symptoms and signs and, where appropriate, their relationship to other medical conditions, and to develop their diagnostic and management skills.

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Editorial Reviews

Doody's Review Service
Reviewer: Patricia Wong, MD (Stanford University Medical Center)
Description: As the title states, this book presents 100 clinical vignettes of various skin conditions along with laboratory studies, symptoms, and color photographs and asks readers to make a diagnosis based on the information presented, design a proposed treatment plan, and other pertinent questions regarding management. The next page gives answers with short discussions justifying the treatment rationale. Key points appear in lightly shaded orange boxes at the end of each case presentation.
Purpose: The purpose is to help medical students and residents become more adept at recognizing dermatological clues to various medical conditions. The material is presented in a fun and interesting fashion.
Audience: The audience is medical students and first year dermatology residents, along with medical residents in other fields.
Features: The authors have selected cases that are important to diagnose and treat for a variety of reasons: they can be potentially life-threatening and/or are common disorders that should be recognized by primary care physicians. The clinical photographs are of variable quality. Some appear to have been taken at a distance and details of the skin findings are not easy to see. The discussions focus on practical management and avoid being esoteric.
Assessment: This book would be helpful for first-year dermatology residents, interns, and medical students. You can learn some useful dermatology quickly by studying the photographs and get a current idea about treatments, pathophysiology, and presentation. The book would be an easy way to test your knowledge in preparation for taking the boards and identifying weak spots in your learning.
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Product Details

  • ISBN-13: 9781444117936
  • Publisher: CRC Press
  • Publication date: 11/1/2011
  • Series: 100 Cases Series
  • Pages: 272
  • Product dimensions: 6.70 (w) x 9.50 (h) x 0.50 (d)

Meet the Author

Rachael Morris-Jones, Consultant Dermatologist & Honorary Senior Lecturer, King's College
Hospital, London, UK
Ann-Marie Powell, Consultant Dermatologist, St John's Institute of Dermatology, Guy's and St Thomas' NHS Trust,
London, UK
Emma Benton, Post-CCT Clinical Research Fellow, St John's Institute of Dermatology, Guy's and St Thomas' NHS Trust,
London, UK

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Table of Contents

Preface ix

Acknowledgements x

Glossary xi

1 An itchy, slow-growing infant 1

2 An agitated atopic child 3

3 An acute monomorphic eruption in a systemically unwell atopic child 5

4 A recurrent, unsightly facial eruption in a stressed but well young adult 7

5 Blistered hands and feet in an athletic man 9

6 Chronic erythematous pruritic eruption on the lower legs 11

7 An itchy localized eruption 13

8 An eczematous eruption complicating venous ulcers 16

9 A transient pruritic eruption exacerbated by heat 19

10 A toddler with brown patches which urticate 23

11 Acute soft tissue swelling associated with systemic symptoms 25

12 Chronic scaly plaques on the knees 27

13 Widespread scaly eruption appears after a sore throat 29

14 A patient presents acutely unwell with all his skin red and hot 31

15 An itchy eruption appearing on the chest and arms after sun exposure 33

16 Acute-onset linear blistering on the legs 35

17 Chronic blistering eruption on the dorsal hands 37

18 Sun-induced skin pain, redness and scarring in a child 39

19 Sudden-onset widespread rash 41

20 Recurrent annular erythematous lesions reactivating at identical skin sites 43

21 Painful lip lesion associated with a localized blistering rash and sore mouth 45

22 Painful eroded mucous membranes and skin lesions 47

23 Acute-onset extensive blistering and skin necrosis with mucous membrane involvement 49

24 Fever, epilepsy and a widespread skin eruption with marked facial oedema 51

25 Acute-onset multiple pustules on a background of erythematous skin 53

26 Acute non-blanching cutaneous eruption associated with a sore throat 55

27 An itchy papular eruption on the ankles 57

28 A generalized itchy blistering eruption in an elderly woman 59

29 Sudden onset of erosions, blisters and fragile skin following gradually worsening mouth ulcers 63

30 An itchy, vesicular extensor eruption associated with malabsorption 65

31 An itchy blistering eruption recurring in a second pregnancy 67

32 Extremely itchy stretch marks in the third trimester 69

33 Asymptomatic sclerotic white plaques on the trunk 71

34 Insidious onset of tightening of the skin over the limbs 73

35 Acute facial rash, fever and joint pains in a young woman 75

36 Annular erythematous rash of sudden onset 79

37 Hair loss, scarring rash and photosensitivity 81

38 An erythematous rash and muscle weakness 83

39 Widespread maculopapular eruption on the trunk and face with flu-like symptoms 35

40 Slow asymptomatic depigmentation of the skin 87

41 A young adult with high blood pressure, irregular pigmentation and skin lumps 89

42 An overweight teenager with thickened skin around her neck 93

43 A dramatic and painful ulcer in a young patient with no evidence of infection 95

44 Slow-onset asymptomatic lesions on the shins of a diabetic patient 97

45 Slowly progressive swelling and discolouration over the shins 99

46 Asymptomatic annular lesions on the limbs 101

47 An asymptomatic papular and annular eruption 103

48 Ulcer over the gaiter area on a background of aching legs 105

49 Slow-onset, unilateral, painless leg swelling 107

50 An infirm elderly man with arterial disease and an ulcerated heel 111

51 Non-healing foot ulcer in a diabetic patient 113

52 A regressing vascular lesion in a pre-school child 117

53 A livid red birthmark on a newborn child 120

54 Slow development of a scaly plaque on a finger 123

55 A slow-growing ulcerated non-healing nodule on the face 125

56 Multiple basal cell carcinomas in a young patient 127

57 An ulcerating lesion on the scalp, enlarging over 4 months 129

58 A rapidly growing lesion on the dorsum of the hand 131

59 A longstanding flesh-coloured nodule on the face 133

60 Multiple, slightly atypical looking naevi on the trunk 137

61 An enlarging pigmented macule on the face of an elderly man 139

62 A unilateral rash around the nipple 141

63 A changing pigmented lesion on the leg 143

64 A pigmented nodule on the back 145

65 Longstanding erythematous scaly patches 147

66 A slow-growing plum-coloured skin nodule 149

67 Papular and pustular eruption on the face with scarring 151

68 A red face with papules and pustules 153

69 Sudden-onset facial crusting and blistering in a child 155

70 An erythematous painful face 157

71 A hot, swollen leg 159

72 Painful areas of superficially eroded skin in the flexures of a child 161

73 Asymptomatic erythematous scaly patches on the palms and soles 163

74 Acute-onset blister on the lip with facial swelling and pain 165

75 A localized, painful, blistering eruption 167

76 Multiple flesh-coloured papules on the face 169

77 Multiple hyperkeratotic papules and nodules on the fingers 171

78 Sudden-onset maculopapular rash with conjunctivitis and malaise 173

79 Crops of blisters becoming widespread in a child with gastrointestinal upset 175

80 Multiple cutaneous boils appearing over 12 months 177

81 Chronic, sore, macerated skin in the finger webs 179

82 Asymptomatic purple skin lesions appearing on the limbs and trunk 181

83 Widespread itchy eruption preventing sleep 183

84 Painless erythematous lesion on the nose grows over four months 185

85 Scaling of the scalp with occipital lymphadenopathy in a child 187

86 A pruritic annular rash and family involvement 189

87 Progressive scaling of the palms and dystrophy of the fingernails 193

88 Patchy asymptomatic hair loss over the scalp 195

89 Frontal hair loss in a woman 197

90 Excessive facial hair in a young woman 199

91 Multiple skin lesions develop in a renal transplant recipient 201

92 Stiffness of the skin developing after bone marrow transplantation 203

93 Streaky skin changes in a toddler and a maternal history of miscarriage 205

94 A young adult with seizures and markedly photo-damaged skin 207

95 A young man seeking genetic counselling advice regarding his dry skin condition 209

96 Recurrent blisters on the extremities associated with minor pressure/friction 211

97 An increasing number of asymptomatic facial lesions in a young boy 213

98 Macroglossia, fatigue and back pain in an elderly woman 217

99 Subacute pruritic erythematous eruption in an elderly patient with weight loss 219

100 A young girl with unusual scars and unexplained injuries 223

Index 225

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