100 Cases in Dermatology

by Morris-Jones; Rachael

• ISBN13: 9781444117936
• ISBN10: 1444117939
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2011-08-26
• Publisher: CRC Press

Summary

'A 37-year-old Healthcare Assistant presents to the Dermatology clinic with an itchy ring-shaped rash over her right knee, which has slowly been spreading. 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.

Author Biography

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 Professor P John Rees, professor of medical Education, King's College London School of Medicine at Guy's King's and St Thomas' Hospitals, London, UK

Table of Contents

Preface	p. ix
Acknowledgements	p. x
Glossary	p. xi
An itchy, slow-growing infant	p. 1
An agitated atopic child	p. 3
An acute monomorphic eruption in a systemically unwell atopic child	p. 5
A recurrent, unsightly facial eruption in a stressed but well young adult	p. 7
Blistered hands and feet in an athletic man	p. 9
Chronic erythematous pruritic eruption on the lower legs	p. 11
An itchy localized eruption	p. 13
An eczematous eruption complicating venous ulcers	p. 16
A transient pruritic eruption exacerbated by heat	p. 19
A toddler with brown patches which urticate	p. 23
Acute soft tissue swelling associated with systemic symptoms	p. 25
Chronic scaly plaques on the knees	p. 27
Widespread scaly eruption appears after a sore throat	p. 29
A patient presents acutely unwell with all his skin red and hot	p. 31
An itchy eruption appearing on the chest and arms after sun exposure	p. 33
Acute-onset linear blistering on the legs	p. 35
Chronic blistering eruption on the dorsal hands	p. 37
Sun-induced skin pain, redness and scarring in a child	p. 39
Sudden-onset widespread rash	p. 41
Recurrent annular erythematous lesions reactivating at identical skin sites	p. 43
Painful lip lesion associated with a localized blistering rash and sore mouth	p. 45
Painful eroded mucous membranes and skin lesions	p. 47
Acute-onset extensive blistering and skin necrosis with mucous membrane involvement	p. 49
Fever, epilepsy and a widespread skin eruption with marked facial oedema	p. 51
Acute-onset multiple pustules on a background of erythematous skin	p. 53
Acute non-blanching cutaneous eruption associated with a sore throat	p. 55
An itchy papular eruption on the ankles	p. 57
A generalized itchy blistering eruption in an elderly woman	p. 59
Sudden onset of erosions, blisters and fragile skin following gradually worsening mouth ulcers	p. 63
An itchy, vesicular extensor eruption associated with malabsorption	p. 65
An itchy blistering eruption recurring in a second pregnancy	p. 67
Extremely itchy stretch marks in the third trimester	p. 69
Asymptomatic sclerotic white plaques on the trunk	p. 71
Insidious onset of tightening of the skin over the limbs	p. 73
Acute facial rash, fever and joint pains in a young woman	p. 75
Annular erythematous rash of sudden onset	p. 79
Hair loss, scarring rash and photosensitivity	p. 81
An erythematous rash and muscle weakness	p. 83
Widespread maculopapular eruption on the trunk and face with flu-like symptoms	p. 35
Slow asymptomatic depigmentation of the skin	p. 87
A young adult with high blood pressure, irregular pigmentation and skin lumps	p. 89
An overweight teenager with thickened skin around her neck	p. 93
A dramatic and painful ulcer in a young patient with no evidence of infection	p. 95
Slow-onset asymptomatic lesions on the shins of a diabetic patient	p. 97
Slowly progressive swelling and discolouration over the shins	p. 99
Asymptomatic annular lesions on the limbs	p. 101
An asymptomatic papular and annular eruption	p. 103
Ulcer over the gaiter area on a background of aching legs	p. 105
Slow-onset, unilateral, painless leg swelling	p. 107
An infirm elderly man with arterial disease and an ulcerated heel	p. 111
Non-healing foot ulcer in a diabetic patient	p. 113
A regressing vascular lesion in a pre-school child	p. 117
A livid red birthmark on a newborn child	p. 120
Slow development of a scaly plaque on a finger	p. 123
A slow-growing ulcerated non-healing nodule on the face	p. 125
Multiple basal cell carcinomas in a young patient	p. 127
An ulcerating lesion on the scalp, enlarging over 4 months	p. 129
A rapidly growing lesion on the dorsum of the hand	p. 131
A longstanding flesh-coloured nodule on the face	p. 133
Multiple, slightly atypical looking naevi on the trunk	p. 137
An enlarging pigmented macule on the face of an elderly man	p. 139
A unilateral rash around the nipple	p. 141
A changing pigmented lesion on the leg	p. 143
A pigmented nodule on the back	p. 145
Longstanding erythematous scaly patches	p. 147
A slow-growing plum-coloured skin nodule	p. 149
Papular and pustular eruption on the face with scarring	p. 151
A red face with papules and pustules	p. 153
Sudden-onset facial crusting and blistering in a child	p. 155
An erythematous painful face	p. 157
A hot, swollen leg	p. 159
Painful areas of superficially eroded skin in the flexures of a child	p. 161
Asymptomatic erythematous scaly patches on the palms and soles	p. 163
Acute-onset blister on the lip with facial swelling and pain	p. 165
A localized, painful, blistering eruption	p. 167
Multiple flesh-coloured papules on the face	p. 169
Multiple hyperkeratotic papules and nodules on the fingers	p. 171
Sudden-onset maculopapular rash with conjunctivitis and malaise	p. 173
Crops of blisters becoming widespread in a child with gastrointestinal upset	p. 175
Multiple cutaneous boils appearing over 12 months	p. 177
Chronic, sore, macerated skin in the finger webs	p. 179
Asymptomatic purple skin lesions appearing on the limbs and trunk	p. 181
Widespread itchy eruption preventing sleep	p. 183
Painless erythematous lesion on the nose grows over four months	p. 185
Scaling of the scalp with occipital lymphadenopathy in a child	p. 187
A pruritic annular rash and family involvement	p. 189
Progressive scaling of the palms and dystrophy of the fingernails	p. 193
Patchy asymptomatic hair loss over the scalp	p. 195
Frontal hair loss in a woman	p. 197
Excessive facial hair in a young woman	p. 199
Multiple skin lesions develop in a renal transplant recipient	p. 201
Stiffness of the skin developing after bone marrow transplantation	p. 203
Streaky skin changes in a toddler and a maternal history of miscarriage	p. 205
A young adult with seizures and markedly photo-damaged skin	p. 207
A young man seeking genetic counselling advice regarding his dry skin condition	p. 209
Recurrent blisters on the extremities associated with minor pressure/friction	p. 211
An increasing number of asymptomatic facial lesions in a young boy	p. 213
Macroglossia, fatigue and back pain in an elderly woman	p. 217
Subacute pruritic erythematous eruption in an elderly patient with weight loss	p. 219
A young girl with unusual scars and unexplained injuries	p. 223
Index	p. 225
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