Disorders Index .Inside front coverQuick Reference Formulary i-iiPreface vii

Skin anatomy 1Diagnosis of skin disease 2Primary lesions 3Secondary lesions 12Special skin lesions 17

I Therapy and Topical·costeroids 75

Topical therapy 75Topical corticosteroids 77

Stages of eczematous inflammation 91Hand eczema 100Eczema: various presentations 110Chapped fissured feet 113Self-inflieted dermatoses 115Psychogenic parasitosis 121Stasis dermatitis and venous ulceration:

postphlebitic syndromes 122

Irritant contact dermatitis 131Allergiccontact dermatitis 133Diagnosis of contact dermatitis 148

Pathogenesis and immunology 156Clínical aspects 156Associated features 167Triggering factors 172Treatment of atopic dermatitis 172

Clinical aspects 182Pathophysiology 185Initial evaluation of all patients with urticaria 186Acute urticaria 186Chronic urticaria 188Treatment of urticaria 191Physical urticarias 194Angioedema 200Contact urticaria syndrome 207Pruritic urticarial papules and plaques of pregnancy 207Urticarial vasculitis 209Serum sickness 210Mastocytosis 211

Acne 217Acne surgery 252Perioral dermatitis 253Rosacea (acne rosacea) 256Hidradenitis suppurativa 260Miliaria 263

8 Psoriasis and Other PapulosquamousDiseases 264

Psoriasis 264Pityriasis rubra pilaris 309Seborrheic dermatitis 312Pityriasis rosea 316Lichen planus 320Lichen sclerosus et atrophicus 327Pityriasis lichenoides 332Grover's disease 334

Skin infections 335Folliculitis 351Furuncles and carbuncles 356Erysipeloid 359Blistering distal dactylitis 359Staphylococcal scalded skin syndrome 360

ix

_ Clinical Dermatology

Pseudomonas aeTUginosa infection 363Meningococcemia 371Nontuberculous mycobacteria 379

Sexually transmitted disease presentations 382Genital ulcers 385Syphilis 396Rare sexually transmitted diseases 408Diseases characterized by urethritis and cervicitis 413

Genital warts 419Bowenoid papulosis .427Molluscum contagiosum .428Genital herpes simplex 431Acquired immunodeficiency syndrome .444

12 Warts, Herpes Simplex, and Other ViralInfections 454

Warts 454Molluscum contagiosum .465Herpes simplex 467Varicella .474Herpes zoster .479

Dermatophyte fungal infections 491Candidiasis (moniliasis) 523Tinea versicolor 537

Exanthems 544Drug eruptions: clinical pattems and most

frequently causal drugs 570Drug eruptions 575

Scabies 582Pediculosis 590Caterpillar dermatitis 594Spiders 59 6Ticks 600Cat-scratch and related diseases 614Animal and human bites 616Stinging insects 620Biting insects 621Creeping eruption 625

Ants 626Dermatitis associated with swimming 627Leish maniasis , 632

Blisters 635Diagnosis ofbullous disorders 638Dermatitis herpetiformis and linear 19Abullous

dermatosis 642Bullae in diabetic persons 646Pemph igus 647The pemphigoid group of diseases 655Pemphigoid-like disease 661Benign familia! chronic pemphigus 662Epidermolysis bullosa 664The newborn with blisters, pustules, erosions,

and ulcerations 665

Autoimmune diseases 671Connective tissue diseases 672Lupus erythematosus 678Dermatomyositis and polymyositis 692Scleroderma 700

18 Hypersensitivity Syndromesand Vasculitis 710

Hypersensitivity syndromes 710Erythema multiforme 710Stevens-Johnson syndrome/toxic epidermal

necro!ysis spectrum of disease 714Elythema nodosum 720Vasculitis 722Vasculitis of small vessels 726Neutrophilic dermatoses 734Schamberg's disease 740

19 Light-Related Diseases and Disordersof Pigmentation 741

Photobiology 741Sun-damaged skin 743Suntan and sunbum 747Sun protection 747Polymorphous light eruption 750Hydroa aestivale and hydroa vacciniforme 752Porphyrias 754Phototoxic reactions 761Photoallergy 764Disorders of hypopigmentation 764Disorders of hyperpigmentation 771

Seborrheic keratoses 776Stucco keratoses 784Skin tags (acrochordon) and polyps 784Dermatosis papulosa nigra 786Cutaneous horn 786Dermatofibroma 787Hypertrophic scars and keloids 788Keratoacanthoma 790Epidermal nevus 792Nevus sebaceous 794Chondrodermatitis nodularis helicis 795Epidermal eyst 79 6Pilar eyst (wen) 798Senile sebaceous hyperplasia 799Syringoma 800

malignant and Malignant Nonmelanomain Tumors 801

Basal cell carcinoma 801Actinic keratosis 812Squamous cell carcinoma in situ 820Bowen's disease 821Erythroplasia of Queyrat 823Arsenical keratoses and other arsenic-related

skin diseases 824Squamous cell carcinoma 824Leukoplakia 829Verrucous carcinoma 830Primary cutaneous lymphomas 831Cutaneous T-celllymphoma 832Paget's disease ofthe breast.. 843Extramammary Paget's disease 844Cutaneous metastasis 845

Melanocytic nevi 847Malignant melanoma 860Management of melanoma 872Staging and prognosis 875Treatment of lentigo maligna 879Dermoscopy 880

Congenital vascular lesions 891Acquired vascular lesions 904Telangiectasias 910

Anatomy 913Physiology 915

Evaluation of hair loss 917Generalized hair loss 920Localized hair loss 922Trichomycosis 946

r~~Nail Diseases 947

Anatomy and physiology 947Normal variations 950Nail disorders associated with skin disease 951Acquired disorders , 953The nail and internal disease 966Color and drug-induced changes 969Congenital anomalies 969Tumors 970

26 Cutaneous Manifestations of InternalDisease 975

Cutaneous manifestations of diabetes mellitus 975Acanthosis nigricans 978Xanthomas and dyslipoproteinemia 980Neurofibromatosis 983Tuberous sclerosis 987Internal cancer and skin disease 990Familial cancer syndromes 990

Index I-1Corticosteroids (topical) Inside back cover

ONLINE ONLY CONTENT t1

Antibiotic prophylaxis ......•............................................ 1001Local anesthesia .........................................•.•....•....•....... 1001Hemostasis ...........................•.....................•................... 1002Wound healing ..............•................•.........•..................... 1002Skin biopsy ..........................................•....•.........•........... 1006Electrodesiccation and curettage ...........•....•...........•...... 1009Curettage .................................................•....•.........•......... 1010Blunt disseetion ...........•.....................•............................. 1011Cryosurgery ............................•...................•.................... 1012Extraction of eysts ................................•................•........ 1013Mohs' micrographic surgery ................•....•.................... 1014Chemical peels .........................................................•..... 1015Dermal and subdermal fillers ......•... :•.........•................. 1016Liposuction ......................................................•.............. 1016Lasers 1016Botulinum toxin ..............................•.............................. 1018

Appendix A Bioterrorism 1019Appendix B Dermatology and the Recently Returned

Traveler 1024

Dermatologic Formulary ; F-1xi