ABC of Dermatology, 5th Edition (ABC Series) by Paul K. Buxton, Rachael Morris-Jones

By Paul K. Buxton, Rachael Morris-Jones

Psoriasis -- administration of psoriasis -- Eczema (dermatitis) together with administration -- Urticaria and angio-oedema -- epidermis and photosensitivity -- Inflammatory dermatoses : drug rashes -- Inflammatory dermatoses : immunobullous and different blistering issues -- Inflammatory dermatoses : connective tissue ailment, vasculitis and comparable issues -- pores and skin and systemic illness -- Leg ulcers -- pimples and rosacea -- Bacterial infections -- Viral infections -- HIV and the outside -- Fungal infections -- Insect bites and infestations -- Tropical dermatology -- Hair and scalp / Samantha Bunting, David Fenton -- illnesses of the nails / David de Berker -- Benign epidermis tumours -- Premalignant and malignant pores and skin tumours -- functional methods / Raj Mallipeddi -- Lasers, extreme pulsed gentle, and photodynamic treatment / Alun V. Evans -- Dressings and bandages / Judy Davids -- Formulary / Karen Watson

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Further reading Menter A, Griffiths CE. Current and future management of psoriasis. Lancet 2007; 370: 272–84. Weinberg JM. Treatment of Psoriasis (Milestones in Drug Therapy). Birkhauser Verlag AG, Basel, 2007. asp 1/22/2009 9:44:04 Shobha CHAPTER 4 Eczema (Dermatitis) Including Management OVER VIEW • What is eczema? • Pathological changes in relation to clinical appearance. • Classification of different types of eczema: endogenous and exogenous. • Causes of contact dermatitis. • Investigations in eczema.

Photosensitive drug eruptions can present in a similar fashion so a detailed drug history is important. The differential diagnosis may include porphyria (lesions resolve with scarring) and polymorphic light eruption (lesions take days to weeks to resolve). The pathophysiology is poorly understood but is thought to be mediated by antigen production as serum transfer can induce similar symptoms in asymptomatic controls. Light-testing confirms the diagnosis. Management can be difficult but avoidance of sunlight is helpful.

8-MOP is associated with a higher incidence of side-effects such as nausea, vomiting, pruritus and erythema. The MPD (minimum phototoxic dose) or skin phototype is used to determine the starting dose of UVA and the subsequent increments used (J/cm2). Protective goggles are worn during the UVA exposure and sunglasses for 24 hours post treatment. 7). Systemic treatment Systemic therapy for severe psoriasis should ideally be managed by experienced specialist dermatologists. 8), widespread disease that has failed to respond to topical/phototherapy regimens and concomitant psoriatic arthropathy.

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