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A Clinical Atlas of 101 Common Skin Diseases

Bullous Pemphigoid and Herpes Gestationis

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An inflammatory disease of older people; signs include widespread erythematous macules and patches, urticarial papules and plaques, and vesicles and bullae, the blisters often arising on urticarial plaques.

A Clinical Atlas of 101 Common Skin Diseases

Candidiasis

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An inflammatory disease caused by the yeast Candida albicans and manifested clinically as erythematous papules and pustules that may become confluent to form plaques in the case of the former and erosions in the case of the latter.

A Clinical Atlas of 101 Common Skin Diseases

Cysts and Cystic Hamartomas

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Papules, nodules, and tumors that, on gross examination, are usually skin colored and, on histopathologic examination, consist of an epithelium-lined sac that contains fluid, cells, or both in the case of true cysts and of cysts that are associated with other epithelial elements of adnexa in the case of cystic hamartomas.

A Clinical Atlas of 101 Common Skin Diseases

Extramammary Paget’s Disease and Mammary Paget’s Disease

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Extramammary Paget’s disease is an apocrine carcinoma that begins within the epidermis and presents itself clinically as a patch or a subtle plaque that extends centrifugally for many years before becoming a readily discernible thick plaque, a finding that signifies involvement by the carcinoma of the dermis, too.

A Clinical Atlas of 101 Common Skin Diseases

Hemangiomas, Vascular Malformations, and Ectasias

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An hemangioma is a benign neoplasm of blood vessels, a vascular malformation is an aberration in development of one or more major vascular structures, and an ectasia is a dilation of a preexisting end vessel.

A Clinical Atlas of 101 Common Skin Diseases

Herpes Simplex, Zoster, and Varicella

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Conditions caused by infection with different strains of herpesvirus and typified when fully developed by tense vesicles, herpes simplex consisting of grouped vesicles on an erythematous base, zoster being made up of vesicles, sometimes hemorrhagic ones, that course along a dermatome of an adult usually, and varicella being characterized by widespread discrete vesicles in children as a rule.

A Clinical Atlas of 101 Common Skin Diseases

Livedo Vasculitis and Livedo Reticularis

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A type of small-vessel vasculitis (venulitis) of the skin, occurring especially in the vicinity of the ankle, characterized at first by purpuric macules and patches that, in time, may become hemorrhagic blisters that ulcerate and heal with white, stellate scars (atrophie blanche).

A Clinical Atlas of 101 Common Skin Diseases

Melanocytic Nevi and Melanotic Macules

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Hamartomas (“congenital” melanocytic nevi) and benign neoplasms (“acquired” melanocytic nevi) of various specific types, all of which are composed of abnormal melanocytes and manifested clinically as lesions of different colors, shapes, and sizes, among them, macules and patches, papules and plaques, and nodules and tumors.

A Clinical Atlas of 101 Common Skin Diseases

Palmar and Plantar Keratoderma

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A keratotic condition of the palms and soles, inherited usually, but sometimes acquired, in which involvement may be diffuse, circumscribed (including striate), or punctate.

A Clinical Atlas of 101 Common Skin Diseases

Pruritic Urticarial Papules and Plaques of Pregnancy

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An inflammatory process in pregnant women near term that consists of urticarial papules and plaques, especially on the trunk and particularly in association with lesions of striae atrophicantes, the lesions disappearing shortly after parturition.

A Clinical Atlas of 101 Common Skin Diseases

Scars, Keloids, and Anetodermas

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A type of fibrosing inflammation characterized clinically by lesions that at first are elevated and that do not extend beyond the exact site of injury and that in time tend to shrink, sometimes even becoming atrophic.

A Clinical Atlas of 101 Common Skin Diseases

Sebaceous Gland Hyperplasia

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An enlargement of normal pre-existing sebaceous lobules on the face, the forehead, cheeks, and nose in particular, that results in lesions seen clinically to consist of a rim of yellow papules around a central dell that represents a dilated ostium of a follicle.

A Clinical Atlas of 101 Common Skin Diseases

Stasis Changes and Venous Ulcers

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Alterations in the skin and subcutaneous fat, such as pigmentation and induration, secondary to the effects of long-term stasis, and ulcers that occur on the lower part of the legs as a consequence of the effects, combined, of incompetent valves of veins and thrombosis within veins situated deep.

A Clinical Atlas of 101 Common Skin Diseases

Stasis Changes and Venous Ulcers

Alterations in the skin and subcutaneous fat, such as pigmentation and induration, secondary to the effects of long-term stasis, and ulcers that occur on the lower part of the legs as a consequence of the effects, combined, of incompetent valves of…

Therapeutic Strategies in Dermatology

Venous Stasis

Alterations in the skin and subcutaneous fat, such as pigmentation and induration, secondary to the effects of long-term stasis, and ulcers that occur on the lower part of the legs as a consequence of the effects, combined, of incompetent valves of…

Therapeutic Strategies in Dermatology

Aphthous Ulcers (Recurrent Aphthous Stomatitis, Canker Sore)

Alterations in the skin and subcutaneous fat, such as pigmentation and induration, secondary to the effects of long-term stasis, and ulcers that occur on the lower part of the legs as a consequence of the effects, combined, of incompetent valves of…

Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

…s the consideration of important differential diagnoses of leg ulcers, management of leg edema, monitoring for wound infection, and proper wound care. Stasis ulcers are the most common cause of leg ulceration. Evidence of venous insufficiency may be…

Therapeutic Strategies in Dermatology

Venous Stasis: Key Points

Key Points Chronic venous insufficiency stems from the acquired incompetence of venous valves that prevent retrograde blood flow through the venous system, resulting in complications, including edema, prominent veins, stasis dermatitis, and ulcers….

Therapeutic Strategies in Dermatology

Venous Stasis: Clinical Cases

…leolus No evidence of superinfection is present Normal sensory and motor testing of the legs Strong, symmetric pedal pulses Diagnosis: venous stasis ulceration Recommend weekly wound care changes in the clinic; the ulceration is measured and then cle…

Therapeutic Strategies in Dermatology

Aphthous Ulcers (Recurrent Aphthous Stomatitis, Canker Sore): Key Points

Key Points Recurrent aphthous ulcers are the most common oral ulcerative ailment, which classically appear as shallow, round or oval ulcers with an inflammatory edge and a faint pseudomembrane. Diagnosis may be made by history and physical exam alo…

Therapeutic Strategies in Dermatology

Pyoderma Gangrenosum: Treatment

…ly quiescent lesions. Emollients should be employed routinely, and both elevation and support stockings should be prescribed to minimize venous pooling that can lead to leg ulcers. Subsequent steps If the response to systemic steroids is inadequate…

Therapeutic Strategies in Dermatology

Aphthous Ulcers (Recurrent Aphthous Stomatitis, Canker Sore): Treatment

…be used up to four or five times daily for two weeks or until ulcers resolve to speed healing and decrease pain from ulcers. 5% amlexanox paste may be applied four times daily for two weeks or until ulcers heal. Ancillary steps Antimicrobial rinses…

Therapeutic Strategies in Dermatology

Erysipelas/Cellulitis: Key Points

…rential diagnosis of cellulitis, including contact dermatitis, venous stasis dermatitis, deep vein thrombosis, and vasculitis. Venous stasis dermatitis is commonly bilateral, and is not accompanied by signs of systemic inflammation. Most cases of cel…

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