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Principles of Topical Therapy Key Points 1. Many types of drug are available in topical preparation 2. The vehicle is almost as important as the active ingredient 3. Give enough volume to treat the area of disease involvement adequately A…

Key Points 1. Morphologic appearance is critical in making the diagnosis 2. Skin diseases can be divided into growths and rashes Steps in dermatologic diagnosis: 1. History 2. Physical: identify the morphology of basic lesion 3. Consider clinicopathologic correlations 4.…

Key Points 1. The major function of the skin is as a barrier to maintain internal homeostasis 2. The epidermis is the major barrier of the skin Components of skin: 1. Epidermis 2. Dermis 3. Skin appendages 4. Subcutaneous fat…

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Punch biopsy, shave biopsy, electrodesiccation and curettage (ED&C), blunt dissection, and simple excision and suture closure are the basic techniques that should be learned by physicians who treat skin disease. One should be familiar with the more sophisticated techniques, such…

Certain cutaneous diseases are frequently associated with internal disease. The skin disease itself may be inconsequential, but its presence should prompt investigation of possible related internal disorders. A selected group of such diseases is discussed in this chapter. Pigmentary skin…

See pages 963–964 for photos of the most common nail disorders. Anatomy and Physiology Anatomy The nail unit consists of several components ( Fig. 25.1 ). The nail plate is hard, translucent, dead keratin. The nail fold includes the skin…

Physicians are frequently confronted with hair-related problems. Most complaints are from patients with early-onset pattern baldness. The physician must be able to recognize this normal, inherited hair loss pattern so that detailed and expensive evaluations can be avoided. Other patients…

Congenital Vascular Lesions A number of different congenital vascular lesions occur in the skin. The two major categories are vascular tumors (growths) and vascular malformations. Many represent developmental malformations and do not appear to be genetically determined, although the genetic…