Download PDF by Daniel Creamer: Acute Adult Dermatology: Diagnosis and Management: A Colour

By Daniel Creamer

ISBN-10: 1840761024

ISBN-13: 9781840761023

Specializes in dermatoses with a surprising onset, speedy development or with neighborhood or systemic morbidity. This name covers quite a few universal inflammatory and infective dermatoses, rarer stipulations: rashes, tumours, connective tissue disorder, travelllers' dermatoses and drug eruptions.

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Acute renal failure. • Hypotension and cardiac failure. • Deep vein thrombosis. • Malabsorption. • Capillary leak syndrome. • Multiorgan failure. 37 Generalized pustular psoriasis. This patient was extremely ill with a high fever and malaise. Generalized pustular psoriasis 33 INVESTIGATIONS • Blood count (commonly neutrophilia and anaemia). • Basic chemistry (renal impairment may occur). • Liver function tests (commonly hypoalbuminaemia and elevated transaminases). • Calcium and phosphate (serum calcium may drop suddenly).

In dark skin the lesions are often hyperpigmented. 47 40 CHAPTER 3 Papular and papulo-squamous dermatoses Pityriasis rubra pilaris Pityriasis rubra pilaris (PRP) is a rare, papulosquamous dermatosis of unknown aetiology. In the adult form it usually progresses rapidly to become widespread and highly symptomatic. CLINICAL FEATURES The earliest signs are inflammation and hyperkeratosis of the skin’s hair follicles producing an eruption of rough, red papules. These papules coalesce to produce large areas of orange–red erythema within which are zones of unaffected skin, so-called ‘islands of sparing’ (48).

G. to nuts). • Skin prick tests for IgE-mediated reactions to suspected allergens (full resuscitation facilities should be available when challenge tests are undertaken). • Serology if an underlying infection is suspected (EBV, hepatitis B, Streptococcus). 66 DIFFERENTIAL DIAGNOSIS • Physical urticaria (p. 60, weals provoked by physical stimulus). • Urticarial vasculitis (p. 62, itchy and burning weals which are persistent). • Erythema multiforme (p. 144, urticated or blistered target-like lesions especially on acral skin).

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Acute Adult Dermatology: Diagnosis and Management: A Colour Handbook by Daniel Creamer


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