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Dermatologic Trivia
“I’m terrible at Trivial Pursuit. Everything I know is significant.” “There are three levels of knowledge: trivia, significa, and necessaria. Information that you may regard as trivial is likely to be regarded by your attending as necessary.” 1 The suffix…
Nail Disorders
1 List the functions of the nails Nails protect the terminal phalanx and fingertip from traumatic impact Nails help to perform tasks that require manual dexterity Nails, while unparalleled in their ability to relieve itching, cause trauma to the skin…
Approaching the Pruritic Patient
Key Points: Pruritus 1. Chronic pruritus can be debilitating, causing great distress to patients. 2. A patient with no obvious reason for having chronic itch and no primary skin rash needs a full workup with a thorough history, physical examination,…
Psychocutaneous Diseases
Key Points 1. Up to 40% of all dermatologic patients have an associated psychiatric comorbidity. 2. Patients with cutaneous dysesthesia can present with many different complaints, but treatment is based on whether the symptoms are primarily pruritic or primarily painful.…
Occupational Dermatology
1 What is the most common type of skin disease due to workplace exposures? Contact dermatitis accounts for more than 90% of occupational skin disease (OSD). The most common location of job-related contact dermatitis is the hands. It has been…
Dermatologic Emergencies
1 “Dermatologic emergencies” sounds like an oxymoron. Are there dermatologic emergencies? Yes, while perhaps not as ubiquitous as other areas of medicine, there are some dermatologic emergencies. In some of these emergent conditions, the skin is the primary organ affected…
Cultural Dermatology
1 A girl from southern India is anemic, and her school performance has declined. On examination, the child has dark, mascara-like makeup around her eyes. You suspect the makeup is the cause of these medical and social problems. What is…
Special Considerations in Skin of Color
1 What is “skin of color”? There are many ways to subcategorize humans. Widely recognized racial groups include Africans, African-Americans, Asians, Middle Easterners, Northern Europeans, Native Americans, Pacific Islanders, and Hispanics, to name a few. Even within a racial group,…
Disorders of the Oral Mucosa
1 What is the most common form of oral cancer? Squamous cell carcinoma, the most common form of oral cancer, is the sixth most frequent cancer encountered in the United States ( Fig. 62.1 ). Nearly 34,000 Americans are diagnosed…