A Colour Handbook of Dermatology 2nd ed. - R. Rycroft, et. al., (Manson, 2010) BBS(1).pdf
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A Colour Handbook
Dermatology
SECOND EDITION
Richard J G Rycroft
MD, FRCP, FFOM, DIH
Honorary Consultant Dermatologist,
St John’s Institute of Dermatology, St Thomas’s Hospital, London, UK
Stuart J Robertson
BA, FBIPP, ARPS
Educational Technology Consultant,
St John’s Institute of Dermatology, St Thomas’s Hospital, London, UK
Sarah H Wakelin
MBBS, BSc, FRCP
Consultant Dermatologist,
St Mary’s Hospital, Imperial College Healthcare Trust, London, UK
MANSON
PUBLISHING
Copyright © 2010 Manson Publishing Ltd
ISBN: 978-1-84076-110-8
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or
transmitted in any form or by any means without the written permission of the copyright holder or in
accordance with the provisions of the Copyright Act 1956 (as amended), or under the terms of any
licence permitting limited copying issued by the Copyright Licensing Agency, 33–34 Alfred Place,
London WC1E 7DP, UK.
Any person who does any unauthorized act in relation to this publication may be liable to criminal
prosecution and civil claims for damages.
A CIP catalogue record for this book is available from the British Library.
For full details of all Manson Publishing Ltd titles please write to:
Manson Publishing Ltd, 73 Corringham Road, London NW11 7DL, UK.
Tel: +44(0)20 8905 5150
Fax: +44(0)20 8201 9233
Email: manson@mansonpublishing.com
Website:
www.mansonpublishing.com
Commissioning editor:
Jill Northcott
Project manager:
Ayala Kingsley
Copy editor:
Ruth Maxwell
Cover and book design:
Ayala Kingsley
Additional layout:
DiacriTech, Chennai, India
Colour reproduction:
Tenon & Polert Colour Scanning Ltd., Hong Kong
Printed by:
New Era Printing Co Ltd., Hong Kong
CONTENTS
3
Preface . . . . . . . . . . . . . . . . . .7
Introduction . . . . . . . . . . . . . .8
Blistering diseases
Subcorneal blisters
Miliaria crystillina . . . . . . .52
Subcorneal pustular
dermatosis . . . . . . . . . . . .52
Intraepidermal blisters
Hailey–Hailey disease
(benign familial chronic
pemphigus) . . . . . . . . . . .53
Pemphigus . . . . . . . . . . . .54
Subepidermal blisters
Bullous pemphigoid . . . . .56
Mucous membrane
pemphigoid (cicatrical
pemphigoid) . . . . . . . . . .56
Pemphigoid gestationis . .57
Epidermolysis bullosa
acquisita . . . . . . . . . . . . . .58
Dermatitis herpetiformis .58
Linear IgA disease . . . . . .59
Bullous systemic lupus
erythmatosus . . . . . . . . . .60
Bullous erythema
multiforme . . . . . . . . . . . .60
Bullous lichen planus
and lichen planus
pemphigoides . . . . . . . . . .61
Epidermolysis bullosa
Epidermolysis bullosa
simplex . . . . . . . . . . . . . . .62
Junctional epidermolysis
bullosa . . . . . . . . . . . . . .63
Dystrophic epidermolysis
bullosa . . . . . . . . . . . . . . .64
Ichthyoses
Ichthyosis vulgaris . . . . . .70
Recessive X-linked
ichthyosis . . . . . . . . . . . . .71
Non-bullous
ichthyosiform
erythroderma (NBIE) . . .72
Bullous ichthyosiform
erythroderma . . . . . . . . .73
Lamellar ichthyosis . . . . .74
Harlequin ichthyosis . . . .74
Ichthyosiform syndromes
Netherton's syndrome . . .75
PART 1
DERMATOSES
Eczema/dermatitis
Atopic eczema (atopic
dermatitis) . . . . . . . . . . . .14
Venous eczema
(gravitational, varicose,
or stasis eczema) . . . . . . . .17
Seborrhoeic eczema
(seborrhoeic dermatitis) . .18
Discoid eczema (nummular
eczema) . . . . . . . . . . . . . .20
Asteatotic eczema . . . . . . . . .21
Vesicular hand and foot
eczema (pompholyx) . . . .22
Juvenile plantar dermatosis . .23
Nodular prurigo . . . . . . . . . .23
Lichen simplex . . . . . . . . . . .24
Contact dermatitis . . . . . . . . .25
Dermatitis artefacta . . . . . . . .28
Acne and related disorders
Acne vulgaris . . . . . . . . . . . . .76
Drug-induced acne . . . . . . . .77
Acne excoriée . . . . . . . . . . . .78
Infantile acne . . . . . . . . . . . . .78
Acne-associated scalp
folliculitis . . . . . . . . . . . . .78
Rosacea . . . . . . . . . . . . . . . . .79
Perioral dermatitis . . . . . . . .80
Non-dermatitic
occupational dermatoses
Chloracne . . . . . . . . . . . . . . .29
Other occupational
dermatoses . . . . . . . . . . . .30
Hyperhidrosis . . . . . . . . . . . .31
Genital and perianal
dermatoses
Papillomatosis . . . . . . . . . . . .82
Angiokeratomas . . . . . . . . . .82
Fordyce spots . . . . . . . . . . . .83
Epidermoid cysts . . . . . . . . . .84
Scrotal calcinosis . . . . . . . . . .84
Lichen sclerosus . . . . . . . . . .85
Lichen planus . . . . . . . . . . . .86
Reiter’s syndrome . . . . . . . . .88
Balanitis of Zoon . . . . . . . . . .89
Extramammary Paget’s
disease . . . . . . . . . . . . . . .89
Hidradenitis suppurativa
(apocrine acne) . . . . . . . . .90
Acrodermatitis
enteropathica . . . . . . . . . .90
Cutaneous Crohn’s
disease . . . . . . . . . . . . . . .91
Behçet’s syndrome . . . . . . . .92
Intraepithelial neoplasia . . . . .93
Herpes genitalis . . . . . . . . . . .94
Candidiasis . . . . . . . . . . . . . .95
Syphilis . . . . . . . . . . . . . . . . .96
Urticaria
Contact urticaria . . . . . . . . . .32
Physical urticaria . . . . . . . . . .33
Ordinary urticaria . . . . . . . . .34
Urticarial vasculitis . . . . . . . .34
Angio-oedema . . . . . . . . . . .35
Mastocytosis and urticaria
pigmentosa . . . . . . . . . . .36
Disorders of keratinization
Keratosis pilaris . . . . . . . . . . .65
Perforating keratotic
disorders . . . . . . . . . . . . .65
Erythrokeratodermas . . . . . .66
Darier’s disease . . . . . . . . . . .67
Palmoplantar
keratodermas
Acquired palmoplantar
keratoderma . . . . . . . . . . .68
Hereditary palmoplantar
keratoderma . . . . . . . . . . .68
Punctate palmar
keratoderma . . . . . . . . . . .69
Papulosquamous
eruptions
Psoriasis . . . . . . . . . . . . . . . .38
Small plaque parapsoriasis . . .43
Pityriasis rosea . . . . . . . . . . . .44
Pityriasis rubra pilaris . . . . . . .45
Pityriasis lichenoides . . . . . . .46
Lichen planus . . . . . . . . . . . .47
Hair disorders
Alopecia areata . . . . . . . . . . .98
Telogen effluvium . . . . . . . . .99
Androgenetic alopecia . . . . .100
Scarring alopecia . . . . . . . . .100
Trichotillomania . . . . . . . . .101
Hirsutism . . . . . . . . . . . . . .102
Hypertrichosis . . . . . . . . . . .102
Photosensitivity disorders
Acquired idiopathic
photodermatose
s
Polymorphic light
eruption (PLE) . . . . . . .119
Actinic prurigo . . . . . . . .120
Chronic actinic
dermatitis . . . . . . . . . . . .121
Solar urticaria . . . . . . . . .122
Hydroa vacciniforme . . .122
Phytophotodermatitis . .122
Genetic and metabolic
photodermatoses
Cutaneous porphyrias . . .124
Porphyria cutanea tarda .124
Erythropoietic
protoporphyria . . . . . . . .125
Congenital erythropoietic
protoporphyria . . . . . . . .126
DNA repair-deficient
photodermatoses
Xeroderma
pigmentosum . . . . . . . . .127
Other metabolic
dermatoses
Pellagra . . . . . . . . . . . . .128
Skin manifestations of
systemic disease
Acanthosis nigricans . . . . . .149
Porokeratoses . . . . . . . . . . .150
Granuloma annulare . . . . . .152
Necrobiosis lipoidica . . . . . .153
Sarcoidosis . . . . . . . . . . . . .154
Rheumatoid nodule . . . . . .155
Granulomatous cheilitis
(Meisner’s cheilitis) . . . .156
Morphoea . . . . . . . . . . . . . .157
Systemic sclerosis . . . . . . . . .158
Scleredema of Buschke . . . .159
Dermatomyositis . . . . . . . . .160
Discoid lupus
erythematosus . . . . . . . .161
Subacute cutaneous lupus
erythematosus . . . . . . . .162
Systemic lupus
erythematosus . . . . . . . .163
Erythema multiforme . . . . .164
Still’s disease . . . . . . . . . . . .165
Pigmentation disorders
Hypermelanosis
Postinflammatory
hyperpigmentation . . . . .103
Café-au-lait macules . . . .104
Macular amyloid and
lichen amyloidosus . . . . .106
Becker’s naevus . . . . . . .106
Incontinentia pigmenti . .107
Melasma . . . . . . . . . . . .108
Poikiloderma of
Civatte . . . . . . . . . . . . . .108
Dermal melanocytosis . .109
Hypomelanosis
Vitiligo . . . . . . . . . . . . . .110
Halo naevus . . . . . . . . . .111
Naevus depigmentosus . .111
Incontinentia pigmenti
achromians of Ito . . . . . .112
Oculocutaneous
albinism (OCA) . . . . . . .112
Piebaldism . . . . . . . . . . .113
Pityriasis alba . . . . . . . . .114
Idiopathic guttate
hypomelanosis . . . . . . . .114
Non-melanin pigmentation
Haemosiderosis . . . . . . .115
Carotenaemia . . . . . . . .116
Ochronosis . . . . . . . . . .116
Argyria . . . . . . . . . . . . .116
Chrysiasis . . . . . . . . . . .116
Drug-induced
pigmentation . . . . . . . . .117
Drug eruptions
Exanthematic (maculopapular)
reactions . . . . . . . . . . . .166
Acute generalized
exanthematous pustulosis
(toxic pustuloderma) . . .167
Dress syndrome (drug rash
with eosinophilia and
systemic symptoms) . . . .167
Bullous drug eruptions . . . .167
Urticaria . . . . . . . . . . . . . . .168
Vasculitis . . . . . . . . . . . . . . .168
Stevens–Johnson
syndrome . . . . . . . . . . . .168
Fixed drug eruption . . . . . .168
Toxic epidermal necrolysis
(TEN) . . . . . . . . . . . . . .170
Lichenoid eruptions . . . . . .171
Photosensitivity . . . . . . . . . .172
Gingival hyperplasia . . . . . . .172
Iododerma . . . . . . . . . . . . .172
Disorders of the blood
vessels
Structural abnormalities
Lymphangioma;
lymphangiectasia . . . . . .129
Telangiectasia . . . . . . . . .130
Angiokeratomata . . . . . .132
Portwine stain
(naevus flammeus) . . . . .134
Salmon patch (stork
mark; erythema nuchae) 135
Naevus anaemicus . . . . .136
Haemangiomas . . . . . . .136
Vascular leg ulcers . . . . .138
Inflammatory disorders
Chilblains (perniosis) . . .140
Capillaritis (pigmented
purpuric dermatoses) . . .141
Livedo reticularis . . . . . .142
Vasculitis . . . . . . . . . . . .143
Erythema elevatum
diutinum . . . . . . . . . . . .145
Pyoderma gangrenosum 146
Sweet’s syndrome
(acute febrile neutrophilic
dermatosis) . . . . . . . . . .147
Panniculitis . . . . . . . . . .148
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