100 Cases in Dermatology

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. * Succinct case studies presented in an easy-to-read format, lising patient history, examination and investigations * Highly illustrated with full-colour clinical photographs throughout * Questions at the end of each case prompt readers to consider their options for diagnosis, investigation and management * Answer pages then guide readers through the clinician's sequence of thoughts and actions * A broad range of common conditions is covered, from atopic eczema to vasculitis, together with more unusual disorders Table of Contents: Atopic eczema Infected eczema (bacterial) Eczema herpeticum Seborrhoeic Dermatitis – adult Pompholyx eczema Varicose eczema Allergic contact dermatitis – nickel Allergic contact dermatitis – (other – medicament- neomycin/PPD etc) Urticaria Urticaria Pigmentosa Angio-oedema Chronic plaque psoriasis Guttate psoriasis Erythrodermic psoriasis Polymorphic light eruption Phytophotodermatitis Porphyria cutanea tarda Erythropoietic porphyria Toxic erythema (drug eruption) Fixed drug eruption Erythema multiforme Stevens-Johnson-Syndrome Toxic epidermal necrolysis DRESS (drug eruption eosinophilia and systemic symptoms) AGEP (acute generalised exanthematous pustulosis) Vasculitis Lichen planus Bullous pemphigoid Pemphigus vulgaris Dermatitis herpetiformis Pemphigoid gestationis Pruritic urticarial papules and plaques of pregnancy (PUPPP) Morphea Systemic sclerosis (CREST) Systemic lupus erythematosus SLE Subacute lupus erythematosus (SCLE) Discoid lupus eruthematosus DLE Dermatomyositis Haemachromatosis Vitiligo Neurofibromatosis type 1 Acanthosis nigricans Pyoderma gangrenosum Necrobiosis lipoidica Pretibial myxoedema Granuloma annulare Sarcoidosis Venous leg ulcer Lymphoedema Arterial ulcer Diabetic foot ulcer Cavernous haemangioma Port wine stain Bowens disease Basal Cell Carcinoma – nodular Gorlins Syndrome Squamous cell carcinoma Keratoacanthoma Naevi (junctional, compound, intradermal) Dysplasic naevus syndrome Lentigo maligna Paget’s disease of the nipple Malignant melanoma – superficial spreading Malignant melanoma – nodular Mycosis fungoides B-cell lymphoma Acne Rosacea Impetigo Erysipelas Cellulitis Staphylococcal scalded skin syndrome (SSSS) Syphilis (secondary) Herpes labialis Herpes zoster Molluscum HPV Measles Chicken pox Primary HIV (seroconversion) Candida (mouth, flexures) Kaposi’s sarcoma Scabies Leishmaniasis Tinea capitis Tinea incognito Onychomycosis Alopecia areata Androgenetic alopecia Hirsutism Transplant patient with dysplastic lesions GVHD Incontinentia pigmenti Xeroderma pigmentosa Ichthyosis (X-linked has the nice labour link for the history) EB Tuberous sclerosis Amyloid Erythema gyratum repens Ehlers danlos About the Author(s): 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