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Henry W. Lim - Practical Guide to Dermatology: The Henry Ford Manual

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Henry W. Lim Practical Guide to Dermatology: The Henry Ford Manual

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This practical manual provides a real-world educationally focused resource. It enables the reader to gain a good understanding of a range of skin diseases, their differential diagnosis and various medical and/or surgical treatment options. Topics covered include general dermatology, oncodermatology, drugs, phototherapy, pigmentary disorders, skin of color, inpatient dermatology and pediatric dermatology. Emphasis is placed on concise, practical points that one can use in clinic, with informative pearls to reinforce the key messages in each chapter. Practical Guide to Dermatology: The Henry Ford Manual systematically describes a broad range of practical concepts, diagnostic and treatment techniques involving various dermatological disciplines. It represents a valuable reference guide for practising and trainee dermatologists alike.

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Contents
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Editors Henry W Lim Laurie L Kohen Samantha L Schneider and Danielle - photo 1
Editors
Henry W. Lim , Laurie L. Kohen , Samantha L. Schneider and Danielle Yeager
Practical Guide to Dermatology
The Henry Ford Manual
Editors Henry W Lim Department of Dermatology Henry Ford Health System - photo 2
Editors
Henry W. Lim
Department of Dermatology, Henry Ford Health System, Detroit, MI, USA
Laurie L. Kohen
Department of Dermatology, Henry Ford Health System, Detroit, MI, USA
Samantha L. Schneider
Department of Dermatology, Henry Ford Health System, Detroit, MI, USA
Danielle Yeager
Department of Dermatology, Henry Ford Health System, Detroit, MI, USA
ISBN 978-3-030-18014-0 e-ISBN 978-3-030-18015-7
https://doi.org/10.1007/978-3-030-18015-7
Springer Nature Switzerland AG 2020
This work is subject to copyright. All rights are solely and exclusively licensed 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

Preface

At the Henry Ford Department of Dermatology, there has been a long-standing guidebook, initially developed by one of the editors (LK), that provides a practical clinical reference for our residents and junior faculty. Over the years, the book has expanded and evolved to become a highly valued text among our entire department. ThePractical Guideis an expansion of this effort. Members of Henry Ford Dermatology Department, alumni, and residents contributed to thisPractical Guide.

We strive to be evidence-based in many of the recommendations. However, as all of us recognize, many medications used in dermatology are off-label, and others, while widely used, may not have undergone appropriate clinical trials. Since these treatments are commonly used in clinical practice, we have included many in our algorithms. Treatment ladders presented (including the dosing of medication) are based on our experience at Henry Ford. Therefore, appropriate clinical judgement regarding the individual patients condition must be exercised.

ThisPractical Guideis meant to complement, but not replace, an ACGME-accredited dermatology residency training program. It is our hope that it would enhance the excellent level of care that you and your team deliver to your patients.

We would like to thank all the authors for their contribution; without their time and expertise, this effort would not have come to fruition. Finally, we do sincerely hope that you will find thisPractical Guideuseful in your daily patient care.

Samantha L. Schneider
Danielle Yeager
Laurie L. Kohen
Henry W. Lim
Detroit, MI, USA
February 2019
Contents
Jennifer B. Mancuso and Pranita V. Rambhatla
Allison Zarbo , Marla Jahnke and Tor Shwayder
Danielle Yeager , Mark Balle and David Ozog
Chelsea Luther , Jesse Veenstra , Laurie L. Kohen and Molly Powers
Caitlin Farmer , Matteo Lopiccolo and Alison T. Boucher
Danielle Yeager , Samantha L. Schneider , Marsha Chaffins and Ben J. Friedman
Jewell V. Gaulding and Diane Jackson-Richards
Angad Chadha , Chelsea Fidai and Chauncey McHargue
Tasneem F. Mohammad , Iltefat H. Hamzavi and Henry W. Lim
Karlee Novice and Ellen N. Pritchett
Bhavnit K. Bhatia , Richard H. Huggins and Alison Tisack
Samantha L. Schneider and Holly Kerr
Samantha L. Schneider and Laurie L. Kohen
Allison Zarbo and Anna Axelson
C1
Caitlin Farmer , Matteo Lopiccolo and Alison T. Boucher
Springer Nature Switzerland AG 2020
H. W. Lim et al. (eds.) Practical Guide to Dermatology https://doi.org/10.1007/978-3-030-18015-7_1
Immune-mediated Disorders
Jennifer B. Mancuso
(1)
Department of Dermatology, University of Michigan, Ann Arbor, MI, USA
(2)
Department of Dermatology, Henry Ford Health System, 3031 West Grand Blvd, Suite 800, Detroit, MI 48202, USA
Pranita V. Rambhatla
Email:
Keywords
Immunobullous disease Connective tissue disease Lupus Psoriasis Pyoderma gangrenosum
Bullous Pemphigoid
What Not To Miss
  • Drug induced

    • PEARL: PF ChaNGsPenicillamine, PCN derivatives, PUVA, furosemide, captopril, NSAIDs, gold, sulfasalazine

  • Early Disease

    • Urticarial plaques or pruritus alone can be early manifestation, especially in the elderly

Key DDx
  • Diabetic bullae

  • Bullous impetigo

  • Bullous insect bite reaction

  • Epidermolysis Bullosa Acquisita

  • Pemphigus Vulgaris

  • Cicatricial pemphigoid

  • Allergic contact dermatitis

  • Bullous drug eruption

  • Porphyria cutanea tarda or pseudoporphyria

Work Up Pearls
  • Do two biopsies

    • One for H&E (lesionaledge of a blister)

    • Second for immunofluorescence (perilesional)

      • Ideally, a lesion less than 72 h old

      • PEARL: If only urticarial lesions, DIF should be lesional

  • Serum tests used if biopsy is inconclusive

    • Some areas, such as scalp, that may have extensive excoriation, may show nonspecific biopsy and negative DIF so IIF can be diagnostic in these cases

    • IIF for circulating anti-BMZ IgG

    • ELISA to detect Ab to BP180 and BP230

      • ELISA can also be used to monitor disease activity

Treatment Ladder
  • Mild-moderate disease

    • High potency topical steroids (Class I)

      • Can be used as monotherapy in severe disease []

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