By Paul K. Buxton
(BMJ Books) Royal Infirmary, united kingdom. deals a concise assessment of all the necessities of dermatology, written for non-dermatologists and first care physicians. Discusses numerous universal stipulations corresponding to psoriasis, eczema, zits and rosacea, bacterial an infection, viral an infection, tropical dermatology, and extra. plentiful colour pictures. past version: c1998. Softcover.
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Additional info for ABC of Dermatology
This erythema was originally described in association with tuberculous infection elsewhere in the body (Bazin’s disease). It represents a vasculitic reaction to the infection, and when there is no tuberculous infection another chronic infection may be responsible. Annular lesions of erythema multiforme Blistering lesions of erythema multiforme Erythema nodosum Erythema nodosum occurs as firm, gradually developing lesions, predominantly on the extensor aspect of the legs. They are tender and progress over four to eight weeks from an acute erythematous stage to residual lesions resembling bruises.
Strong steroids should not be continued for long periods, and, as a rule, do not prescribe any steroid stronger than hydrocortisone for the face. Strong steroids can cause atrophy of the skin if used for long periods, particularly when applied under occlusive dressings. On the face they may lead to florid telangiectasia and acne-like pustules. Avoid using steroids on ulcerated areas. Prolonged use of topical steroids may mask an underlying bacterial or fungal infection. Immunosuppressants are a valuable adjunct in severe cases not responding to topical treatment and antibiotics.
This may present as flat macules or as papules, which are raised above the surrounding skin. The lesions may be transient or last for weeks, constant or variable in distribution, with or without vesicles. It is possible to recognise specific patterns within this plethora of clinical signs, but even the most experienced dermatologist may be reduced to making a general diagnosis of “toxic” erythema. The best we can do therefore is to recognise the common types of erythema and list the possible causes.