Neelam A. Vashi - The Dermatology Handbook: A Clinicians Guide

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The Dermatology Handbook: A Clinicians Guide
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Neelam A Vashi
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Springer Nature
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Year:
2019
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Dermatology clinics are extremely fast-paced, and while the internet is useful, online resources can slow clinics down as it can often take lengthy amounts of time to obtain meaningful information. Recognizing this problem, Dr. Vashi has developed, over the course of several years, a practical guide targeted towards practicing dermatologists, resident physicians, medical students, family practitioners, nurse practitioners, and physician assistants. The Dermatology Handbook provides clinical information and quick solutions to common problems typically faced by dermatologists in a user-friendly and meaningful way. Designed to fit into a coat pocket, the content is presented as bulleted lists, along with tables and algorithms to allow busy clinicians to find the information they need rapidly. Featuring fill in the blank pages for users to personalize, this handbook is at once both comprehensive and succinct. Chapters include sections on the most common dermatologic complaints, differential diagnoses, laboratory techniques, dermoscopy, dermatologic emergencies, commonly used medications, pediatrics, surgery basics, and cosmetic pearls. Drug tables, guidelines, and algorithms for history taking and treatment approach also work to provide the reader with efficient usability.

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Editor

Neelam A. Vashi

The Dermatology Handbook

A Clinicians Guide

Editor

Neelam A. Vashi MD

Department of Dermatology, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA

ISBN 978-3-030-15156-0 e-ISBN 978-3-030-15157-7

https://doi.org/10.1007/978-3-030-15157-7

Springer Nature Switzerland AG 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, expressed 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

Contents

Elizabeth R. Rae , Mayra B. C. Maymone and Neelam A. Vashi

Sarah Kam and Neelam A. Vashi

Catherine Higham and Neelam A. Vashi

Mary M. Barrett , Neelam A. Vashi and Hye Jin Chung

Caroline LaRosa , Andrew Chen and Amy Y.-Y. Chen

Ming H. Lee and Neelam A. Vashi

Jacqueline Watchmaker and Neelam A. Vashi

Julia M. Mhlaba , Supriya Immaneni , Neelam A. Vashi and Roopal V. Kundu

Margaret S. Lee and Neelam A. Vashi

Daniel J. Callaghan and Neelam A. Vashi

Dana Saade , Emmy Graber , Mayra B. C. Maymone and Neelam A. Vashi

Contributors

Mary M. Barrett MD

Department of Dermatology, Boston University School of Medicine, Boston, MA, USA

Daniel J. Callaghan MD

Boston University Medical Center, Boston, MA, USA

Amy Y.-Y. Chen MD, FAAD

Central Connecticut Dermatology, Cromwell, CT, USA

Andrew Chen MD, FACS

Division of Plastic Surgery, Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA

Hye Jin Chung MD, MMS

Department of Dermatology and Pathology and Laboratory Medicine, Boston University School of Medicine, Boston, MA, USA

Emmy Graber MD

The Dermatology Institute of Boston, Boston, MA, USA

Catherine Higham MD

Department of Dermatology, Boston University Medical Center, Boston, MA, USA

Supriya Immaneni

Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

Sarah Kam MD

Department of Dermatology, Boston University Medical Center, Boston, MA, USA

Roopal V. Kundu

Department of Dermatology and Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

Caroline LaRosa MD

Dermatology Associates of Western Connecticut, Southbury, CT, USA

Margaret S. Lee MD, PhD

Departments of Dermatology and Pediatrics, Boston University School of Medicine, Boston, MA, USA

Ming H. Lee MD

Department of Dermatology, Boston University School of Medicine, Boston, MA, USA

Mayra B. C. Maymone MD, DSc

Department of Dermatology, Boston University School of Medicine, Boston, MA, USA

Julia M. Mhlaba

Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

Elizabeth R. Rae

Department of Dermatology, Boston University School of Medicine, Boston, MA, USA

Dana Saade MD

Department of Dermatology, American University of Beirut Medical Center, Beirut, Lebanon

Neelam A. Vashi MD

Department of Dermatology, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA

US Department of Veterans Affairs, Boston Health Care System, Boston, MA, USA

Jacqueline Watchmaker MD

Department of Dermatology, Boston University Medical Center, Boston, MA, USA

Springer Nature Switzerland AG 2019

N. A. Vashi (ed.) The Dermatology Handbook https://doi.org/10.1007/978-3-030-15157-7_1

1. The Basics: Skin Types, Definitions, and Differentials

Elizabeth R. Rae

(1)

Department of Dermatology, Boston University School of Medicine, Boston, MA, USA

(2)

Department of Dermatology, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA

(3)

US Department of Veterans Affairs, Boston Health Care System, Boston, MA, USA

Elizabeth R. Rae

Email:

Mayra B. C. Maymone

Neelam A. Vashi (Corresponding author)

Email:

Keywords

Skin lesions Primary lesions Secondary lesions Macule Papule Pustule Plaque Nodule Tumor Ulcer

Table 1.1

Skin types

Skin type	History/physical examination
I	Always burn, never tan
II	Always burn, but sometimes tan
III	Sometimes burn, but always tan
IV	Never burn, always tan
V*	Moderately pigmented
VI*	Deeply pigmented dark brown to darkest brown/black

*Patients with natural pigmentation of these types may be classified into a lower skin-type category if the sunburning history so indicates.adapted from Fitzpatrick TB. Soleil et peau. Journal de Medecine Esthetique. 1975;2(33)

Skin Lesion Description

Describing skin lesions and findings is an important skill in order to effectively communicate with colleagues. The description should include primary lesion terminology with information in regards to color, distribution, color, configuration, borders, and shape along with any secondary lesions if present. The tables below define terms that are used to describe lesions.

Table 1.2

Primary Lesions

Term	Size	Description
Macule	<1 cm	Flat spot that can only be noticed visually; without elevation

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