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COLOR ATLAS AND SYNOPSIS OF CLINICAL DERMATOLOGY COMMON AND SERIOUS DISEASES
Thomas B. Fitzpatrick Richard Allen Johnson Klaus Wolff Machiel K. Polano Dick Suurmond Copyright ©1997 by The McGraw-Hill Companies
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COLOR ATLAS AND SYNOPSIS OF CLINICAL DERMATOLOGY COMMON AND SERIOUS DISEASES Thomas B. Fitzpatrick, M.D. Richard Allen Johnson, M.D. Klaus Wolff, M.D. Machiel K. Polano, M.D. Dick Suurmond, M.D
McGraw-Hill HEALTH PROFESSIONS DIVISION New York St. Louis San Francisco Auckland Bogotá Caracas Lisbon London Madrid Mexico City Milan Montreal New Delhi San Juan Singapore Sydney Tokyo Toronto body regions
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TO PAT As there are master craftspeople in many human endeavors, there are master craftspeople of words—highly skilled wordsmiths that finalize the text. Mrs. Patricia Knowles Novak is a master craftswoman of words! In this Third Edition of Color Atlas and Synopsis of Clinical Dermatology, and both of the first two editions, totaling about two million words, she was responsible for the style and clarity of the text. We dedicate this book to her.
NOTICE Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from use of such information. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this book is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.
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Contents Acknowledgments Introduction Outline of an Approach to Dermatologic Diagnosis 17
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Disorders of Sebaceous and Apocrine Glands 1 Acne Vulgaris (Common Acne) and Cystic Acne Hidradenitis Suppurativa Rosacea Perioral Dermatitis
Eczematous Dermatitis 84 Contact Dermatitis Atopic Dermatitis Lichen Simplex Chronicus Nummular Eczema Dyshidrotic Eczematous Dermatitis Seborrheic Dermatitis Asteatotic Dermatitis 85
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Disorders of Hair Follicles and Related Disorders 31 Disorders of Hair Growth Nonscarring Alopecia Scarring Alopecia Infectious Folliculitis Hirsutism and Hypertrichosis* 32
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Disorders of Cell Kinetics and Differentiation Psoriasis Chronic Psoriasis of the Perianal and Genital Regions and of the Body Folds Palmoplantar Pustulosis Generalized Acute Pustular Psoriasis Ichthyosiform Dermatoses 132
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Miscellaneous Inflammatory Disorders Pityriasis Rosea Grover’s Disease Kyrle’s Disease 181
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Contents Disorders of Psychiatric Etiology Neurotic Excoriatio