Zohra Zaidi , Khalid Hussain and Simi Sudhakaran
Treatment of Skin Diseases A Practical Guide
Zohra Zaidi
Retired Honorary Consultant, Dow University of Health Sciences, Karachi, Pakistan
Khalid Hussain
Department of Dermatology, Lincoln County Hospital, Lincoln, UK
Simi Sudhakaran
Modality Faith House Surgery, Hull, UK
ISBN 978-3-319-89580-2 e-ISBN 978-3-319-89581-9
https://doi.org/10.1007/978-3-319-89581-9
Library of Congress Control Number: 2018954073
Springer International Publishing AG, part of Springer Nature 2019
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
This book is dedicated to the memory of my grandfather Dr. Nasir Hussain Rizvi, a psychiatrist. A person loved and admired by all those who met him. Raees Amrohwi, a famous poet of the Indian subcontinent, wrote this on his death:
He was a beacon to humanity
Compassionate and caring
And a doctor par excellence
(Translated from Urdu)
Dr. Zohra Zaidi
The book is dedicated to my darling husband Renjith and lovely daughter Amelia. To my mum and dad for being the pillars of endless support. To my teachers for their help and guidance in writing this book.
Dr. Simi Sudhakaran
Foreword
This book is an excellent example of comprehensive treatment delivered in a user friendly way for general practitioners (GPs). It tackles common skin conditions encountered by GPs in the community and gives useful tips to help with the diagnosis and then outlines treatment in a methodical and logical manner.
Dermatology consultations form about 66% of a GPs workload, and therefore it is important to have a sound understanding of these common skin conditions so treatment can be made more effective. This book combines basic knowledge, diagnostic clues and advice on treatment, saving resources on referrals to secondary care. It is very well illustrated helping with pattern recognition, which is the first most important step in the diagnosis of skin conditions.
The fact that the book is written by a dermatologist and a GP with a special interest in dermatology adds to the relevance of treatment of skin conditions in the community.
The book will be especially useful to GPs, trainee GPs and allied healthcare professionals wishing to improve their knowledge of clinical dermatology without having to delve into large textbooks of dermatology.
Shernaz Walton
Preface
The book gives a comprehensive account on the treatment of common skin diseases at the primary care level. It covers diseases of both developed and underdeveloped countries. In an underdeveloped country a primary care physician especially of the rural areas has to see every skin disease because medical facilities are very limited.
An accurate diagnosis is the key to successful treatment. Keeping this in mind we have included a brief description of the disease followed by the treatment. The first line of treatment is given in detail; the other treatment options are briefly referred. Important investigations and practical points to help in diagnosis are mentioned where required. Photographs are included for most diseases and an atlas of differentials is included to help the young doctors to diagnose and treat skin diseases.
To further help in the treatment, a section is included on the management of common skin problems. The book also has an appendix of topical and systemic drugs used in dermatology. The therapeutic doses are taken from the standard textbooks and British National Formulary (BNF).
Indications for referrals to consultants or secondary care are given where necessary. This should guide the primary care professionals to make the right decision at the right time, thus preventing any delay in referral and at the same time reducing burden at secondary and tertiary care level.
Cosmetic dermatology is included because it is in vogue, and a primary care physician is often asked about these procedures before the patient decides for them.
This book should not only help primary care physicians but can also be a management guide for allied health professionals, students, hospital doctors in wards, those interested in dermatology and trainee dermatologists.
Zohra Zaidi
Khalid Hussain
Simi Sudhakaran
Karachi, Pakistan Lincoln, UK Hull, UK
Symbol of Medicine
Then the Lord said to Moses, Make a fiery serpent and set it on a pole, so it shall be that anyone who is bitten by it when he looks at it will live. So Moses made a bronze serpent and put it on a pole and so it was; if the bronze serpent had bitten anyone when he looked at it, he lived. (Numbers 21: 89; the Bible).
Historically, serpents and snakes represent fertility or a creative life force. As snakes shed their skin through sloughing , they are symbols of rebirth, transformation, immortality and healing.
In Greek mythology , the Rod of Asclepius, also known as the Staff of Asclepius, is a serpent-entwined rod wielded by the Greek god Asclepius , a deity associated with healing and medicine.
Many medical organisations use a symbol of a short rod entwined by two snakes and topped by a pair of wings, which is actually the caduceus or magic wand of the Greek god Hermes (Roman Mercury), messenger of the gods, inventor of magical incantations, conductor of the dead and protector of merchants. Hermes was a messenger between the gods and humans (which explains the wings) and a guide to the underworld (which explains the staff), and the snake is the symbol of healing.
Some commentators have interpreted the symbol as a direct representation of traditional treatment of