1
Book reviews I II I III I I I I I I Occupational mycoses Arthur F. DiSalvo, M.D., editor, Philadelphia, 1983, Lea & Febiger. 247 pages. $24.50. This book is the first of its kind and fills an obvious gap in our knowledge of fungal epidemi- ology. It is addressed to the problem of mycoses that can be acquired in the work place. Thus, it is of great interest and a resource for physicians and nurses in occupational medicine, industrial hy- gienists, internists concerned with infectious and pulmonary medicine, as well as dermatologists, pathologists, mycologists, and others involved at all with occupational health. There are fourteen chapters in this book that cover most of the mycotic infections of man (cryp- tococcosis, histoplasmosis, dermatophytosis, etc.), in addition to special circumstances such as pul- monary mycotic hypersensitivity, laboratory- acquired mycoses (excellently written by Jan Swarz), and a summary by Drs. Ajello and Weeks on soil decontamination procedures. All of the chapters are well written and there is a consistency in style that reflects the diligence of the editor, Dr. DiSalvo. The chapters are terse and easily ap- proached. They have a brief introduction and summary of the disease and then expand on the epidemiology of the infection, emphasizing the occupational disease aspects, medicolegal aspects, preventive measures, responsibility of industry, responsibility of workers, and other facets of work-acquired diseases. Howard Larsh's chapter on histoplasmosis is a model of succinct, factual, clear medical writing. Some of the diseases covered are fairly exotic and would be only rarely involved in occupational medicine (e.g., chromoblastomycosis). Others are "hot" topics or about to be hot topics, such as J. Meshen Joseph's aspergillosis in eomposting and Emmanuel's mycotic hypersensitivity. The latter area should have been covered in more depth as this is going to be an increasingly important area in occupational mycoses. The book is highly recommended as a resource for all workers involved in industrial and occupa- tional medicine. John W. Rippon, Ph.D. Chicago, IL 316 Outpatient surgery of the skin William P. Coleman, III, M.D., Gustavo A. Colon, M.D., Ronald S. Davis, M.D., New York, 1983, Medical Examination Pub- lishing Co., Inc. 235 pages. Hard cover, $49.50. This is a concise, easy-to-read 235-page book that covers a broad collection of practical cutane- ous surgical procedures. The information is cur- rent, and sound practical advice on surgical technic is found throughout. The section on equipping a surgical room will be especially useful for any dermatologist just beginning practice or to those expanding the scope of their practice to in- clude more advanced surgical procedures. Much useful information on scalpel surgery, from simple ellipse excision to complex closure by regional flaps or skin grafts, is presented. The section on flaps contains an excellent ex- planation of the geometry and execution of local flaps. An especially important admonition in this section reminds the reader that flaps are often overused and that direct closure parallel to relaxed skin tension lines is easier, quicker to execute, and less expensive to the patient. Direct skin closure, if feasible, should always be the treatment of choice. Good overviews on laser surgery, cryosurgery, and Mohs' chemosurgery will allow the prac- titioner to refine his skills in these areas or will allow him to make more intelligent referral de- cisions. The discussion on skin grafting in Chapter 8 is thorough and practical but marred by the confus- ing insertion of illustrations on Mohs' chemosur- gery from Chapter 9. Most of the book's illustra- tions are of good quality, but more than a few are obscured by blood on the patient or surrounding drapes. Apart from the relatively limited coverage of preoperative evaluation and management of com- plication, the book is quite comprehensive for its size. This volume will be a valuable addition to the library of any dermatologist invoIved in clini- cal practice. Roger I. Ceilley, M.D. Des Moines, IA

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Page 1: Outpatient surgery of the skin

B o o k r e v i e w s I II I III I I I I I I

Occupat ional mycoses Arthur F. DiSalvo, M.D. , editor, Philadelphia, 1983, Lea & Febiger. 247 pages. $24.50.

This book is the first of its kind and fills an obvious gap in our knowledge of fungal epidemi- ology. It is addressed to the problem of mycoses that can be acquired in the work place. Thus, it is of great interest and a resource for physicians and nurses in occupational medicine, industrial hy- gienists, internists concerned with infectious and pulmonary medicine, as well as dermatologists, pathologists, mycologists, and others involved at all with occupational health.

There are fourteen chapters in this book that cover most of the mycotic infections of man (cryp- tococcosis, histoplasmosis, dermatophytosis, etc.), in addition to special circumstances such as pul- monary mycotic hypersensitivity, laboratory- acquired mycoses (excellently written by Jan Swarz), and a summary by Drs. Ajello and Weeks on soil decontamination procedures. All of the chapters are well written and there is a consistency in style that reflects the diligence of the editor, Dr. DiSalvo. The chapters are terse and easily ap- proached. They have a brief introduction and summary of the disease and then expand on the epidemiology of the infection, emphasizing the occupational disease aspects, medicolegal aspects, preventive measures, responsibility of industry, responsibility of workers, and other facets of work-acquired diseases. Howard Larsh's chapter on histoplasmosis is a model of succinct, factual, clear medical writing.

Some of the diseases covered are fairly exotic and would be only rarely involved in occupational medicine (e.g., chromoblastomycosis). Others are " h o t " topics or about to be hot topics, such as J. Meshen Joseph's aspergillosis in eomposting and Emmanuel 's mycotic hypersensitivity. The latter area should have been covered in more depth as this is going to be an increasingly important area in occupational mycoses.

The book is highly recommended as a resource for all workers involved in industrial and occupa- tional medicine.

John W. Rippon, Ph.D. Chicago, IL

316

Outpatient surgery of the skin William P. Coleman, III, M.D. , Gustavo A. Colon, M.D., Ronald S. Davis, M.D., New York, 1983, Medical Examination Pub- lishing Co., Inc. 235 pages. Hard cover, $49.50.

This is a concise, easy-to-read 235-page book that covers a broad collection of practical cutane- ous surgical procedures. The information is cur- rent, and sound practical advice on surgical technic is found throughout. The section on equipping a surgical room will be especially useful for any dermatologist just beginning practice or to those expanding the scope of their practice to in- clude more advanced surgical procedures. Much useful information on scalpel surgery, from simple ellipse excision to complex closure by regional flaps or skin grafts, is presented.

The section on flaps contains an excellent ex- planation of the geometry and execution of local flaps. An especially important admonition in this section reminds the reader that flaps are often overused and that direct closure parallel to relaxed skin tension lines is easier, quicker to execute, and less expensive to the patient. Direct skin closure, if feasible, should always be the treatment of choice.

Good overviews on laser surgery, cryosurgery, and Mohs' chemosurgery will allow the prac- titioner to refine his skills in these areas or will allow him to make more intelligent referral de- cisions.

The discussion on skin grafting in Chapter 8 is thorough and practical but marred by the confus- ing insertion of illustrations on Mohs' chemosur- gery from Chapter 9. Most of the book's illustra- tions are of good quality, but more than a few are obscured by blood on the patient or surrounding drapes.

Apart from the relatively limited coverage of preoperative evaluation and management of com- plication, the book is quite comprehensive for its size. This volume will be a valuable addition to the library of any dermatologist invoIved in clini- cal practice.

Roger I. Ceilley, M.D. Des Moines, IA