By H. C. Dung, Curtis P. Clogston, Joeming W Dunn
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Blepharitis may occur. Most common in young adult males. • Petaloid: a dry scaly eczema over the presternal area. « Pityrosporum folliculitis: an erythematous follicular eruption with papules or pustules over the back (Fig. 2). • Flexural: involvement of the axillae, groins and sub-mammary areas by a moist intertrigo, often secondarily colonized by Candida albicans. Seen in the elderly (do not confuse with the similarly named infantile eruption, p. 108). g. containing coal tar, selenium sulphide or ketoconazole), either alone or following the application of 2% sulphur and 2% salicylic acid cream left on for several hours.
Fig. 3 Typical scaly plaques of psoriasis on the knees. Guttate Guttate psoriasis is an acute symmetrical eruption of 'drop-like' lesions usually on the trunk and limbs. This form mostly occurs in adolescents or young adults and may follow a streptococcal throat infection (Fig. 4). Localized forms Psoriasis can also present in a number of localized forms: « Palmoplantar pustulosis is characterized by yellow to browncoloured sterile pustules on the palms or soles (Fig. 6). A minority of subjects have classic plaque psoriasis elsewhere.
4) and is associated with underlying venous disease (p. 68). Incompetence of the deep perforating veins increases the hydrostatic pressure in the dermal capillaries. Peri-capillary fibrin deposition leads to the clinical changes. Clinical presentation Most patients are middle-aged or elderly women. Leashes ofvenules and haemosiderin pigmentation around the ankles are early signs. Eczema develops, sometimes with fibrosis of the dermis and subcutaneous tissue Fig. 3 Discoid eczema of the lower leg.
Acupuncture: An Anatomical Approach by H. C. Dung, Curtis P. Clogston, Joeming W Dunn