Cover -- Title Page -- Copyright -- Contents -- List of Contributors -- Preface -- Acknowledgements -- Chapter 1 Introduction -- Introduction -- The significance of skin disease -- Descriptive terms -- Rashes -- Approach to diagnosis -- Symmetry -- Diagnosis -- Distribution -- Morphology -- Assessment of the patient -- Further Reading -- Chapter 2 Psoriasis -- Clinical appearance -- The typical patient -- Clinical presentation -- Psoriatic arthritis - pathophysiology -- Psoriatic arthritis - clinical presentation -- Further reading -- Chapter 3 Management of Psoriasis -- Dermatology Day Treatment Units -- Topical treatment -- Scalp psoriasis -- Ultraviolet treatment - phototherapy and photochemotherapy -- Ultraviolet B (UVB) -- Ultraviolet A (UVA) -- Systemic treatment -- Methotrexate -- Acitretin -- Ciclosporin A -- Mycophenolate mofetil (MMF) -- Biological therapy -- Etanercept -- Infliximab -- Adalimumab -- Ustekinumab -- Further reading -- Chapter 4 Eczema (Dermatitis) -- Clinical features -- Pathophysiology -- Pathology -- Types of eczema -- Endogenous eczema -- Investigations of eczema -- Exogenous eczema -- Clinical features -- Photodermatitis -- Occupational dermatitis -- Patch testing -- General management of eczema -- Pruritus -- Pruritus with skin changes -- Pruritus with normal skin -- Management of pruritus -- Further Reading -- Chapter 5 Urticaria and Angio-oedema -- Introduction -- Pathophysiology -- Clinical history -- Classification of urticaria -- Ordinary urticaria -- Cholinergic urticaria -- Solar urticaria -- Pressure urticaria -- Angio-oedema -- General investigations -- General management -- Further reading -- Chapter 6 Skin and Photosensitivity -- Ultraviolet radiation -- Fitzpatrick skin type classification -- Genetic disorders causing photosensitivity -- Oculocutaneous albinism -- Xeroderma pigmentosum.

Metabolic disorders of photosensitivity -- Exogenous substances causing photosensitivity -- Medications causing photosensitivity -- Phytophotodermatitis -- Idiopathic disorders causing photosensitivity -- Polymorphous light eruption (PMLE) -- Solar urticaria -- Chronic actinic dermatitis (CAD) -- Photoprotective behaviour -- Vitamin D levels and systemic disease -- Sunscreen -- Further reading -- Chapter 7 Drug Rashes -- Introduction -- History -- Examination -- Investigations -- Classification of drug reactions in the skin -- Drugs which alter normal skin function -- Common drug-induced rashes -- Severe drug reactions in the skin -- Further reading -- Chapter 8 Immunobullous and Other Blistering Disorders -- Introduction -- Pathophysiology -- Differential diagnosis -- Development -- Duration -- Durability -- Distribution -- Clinical features of immunobullous disorders -- Bullous pemphigoid -- Pemphigoid gestationis -- Mucous membrane pemphigoid (cicatricial pemphigoid) -- Pemphigus vulgaris -- Dermatitis herpetiformis (DH) -- Linear IgA -- Management of immunobullous disease -- Further reading -- Chapter 9 Connective Tissue Disease, Vasculitis and Related Disorders -- Introduction -- Connective tissue disease -- Vasculitis -- Polyarteritis nodosa (PAN) -- Henoch-Schönlein purpura -- Management of cutaneous vasculitis -- Raynaud's phenomenon -- Systemic sclerosis (SSc) -- Lichen sclerosus (LS) -- Lichen planus (LP) -- Lupus erythematosus (LE) -- Dermatomyositis -- Mixed connective tissue disease (MCTD) -- Further reading -- Chapter 10 The Skin and Systemic Disease -- Introduction -- Skin reactions associated with infections -- Sarcoidosis -- Skin changes associated with hormonal imbalance -- Thyroid disease -- Skin changes associated with disorders of the gastrointestinal system and liver -- Liver disease and the skin -- Pigmentation disorders.

Hypopigmentation -- Hyperpigmentation -- Skin manifestations of underlying malignancy -- Pregnancy and the skin -- Genetics and skin disease -- Single gene disorders -- Further reading -- Chapter 11 Leg Ulcers -- Introductio -- Venous ulcers -- Pathology -- Risk factors for venous ulceration -- Clinical features -- Local/topical treatments -- Arterial ulcers -- Diabetic/neuropathic ulcers -- Inflammatory conditions -- Infectious ulcers -- Malignant diseases -- Trauma -- Further Reading -- Chapter 12 Acne and Rosacea -- Introduction -- What is acne? -- Underlying causes -- Hormones -- Fluid retention -- Stress -- Diet -- Seasons -- External factors -- Iatrogenic factors -- Types of acne -- Acne vulgaris -- Acne excoriée -- Infantile acne -- Acne conglobata/fulminans -- Treatment of acne -- Cleansers -- Topical treatments -- Systemic treatments -- Rosacea -- Differential diagnosis of rosacea -- Management -- Further reading -- Chapter 13 Bacterial Infections -- Introduction -- Clinical presentation -- Bacterial investigations -- General approach to management -- Superficial infections -- Deeper infections -- Mycobacterial disease -- Other infections -- Further Reading -- Chapter 14 Viral Infections -- Introduction -- Herpes viruses -- Herpes simplex -- Varicella zoster virus -- Poxviruses -- Molluscum contagiosum -- Wart viruses -- Treatment -- Viral diseases with rashes -- Further reading -- Chapter 15 HIV and the Skin -- Introduction -- Stages of HIV -- Primary HIV infection -- Skin disorders in HIV -- Seborrhoeic dermatitis -- Eosinophilic folliculitis -- Nodular prurigo -- Infections -- Fungal infections -- Bacterial infections -- Viral infections -- Infestations -- Drug rashes -- Further reading -- Chapter 16 Fungal Infections -- Introduction -- Investigations -- General features of fungi in the skin -- Scalp and face -- Feet (and hands) -- Trunk.

Nails -- Yeast infections -- Deep fungal infections -- Systemic antifungal drugs -- Further reading -- Chapter 17 Insect Bites and Infestations -- Insect bites and stings -- Delusions of parasitosis -- Allergic reaction to bites -- Management of bite reactions -- Prevention of bites -- Insect bites transmitting parasites -- Lyme disease -- Spider bites -- Wasp and bee stings -- Treatment -- Infestations -- Scabies (Sarcoptes scabiei) -- Cutaneous larva migrans -- Further Reading -- Chapter 18 Tropical Dermatology -- Introduction -- Bacterial infections -- Leprosy -- Cutaneous leishmaniasis -- Superficial fungal infections -- Deep fungal infections -- Mycetoma (Madura foot) -- Chromoblastomycosis -- Blastomycosis -- Histoplasmosis -- Infestations -- Tungiasis -- Subcutaneous myiasis -- Filariasis -- Dracunculiasis -- Further Reading -- Chapter 19 Hair and Scalp -- Introduction -- Hair cycle -- Hair loss -- Non-scarring alopecias -- Androgenetic alopecia -- Alopecia areata -- Other non-scarring alopecias -- Telogen effluvium -- Tinea capitis -- Scarring alopecia -- Primary causes -- Lymphocytic disorders -- Neutrophilic disorders -- Secondary causes of scarring alopecia -- Excessive hair -- Hirsutism -- Hypertrichosis -- Skin disease involving the scalp -- Further Reading -- Chapter 20 Diseases of the Nails -- Introduction -- Changes of shape and attachment -- Pitting -- Subungual hyperkeratosis -- Oily spot -- Onycholysis -- Nail plate thickening -- Transverse ridges -- Irritant dermatitis (eczema) -- Beau's line -- Nail loss (onychomadesis) -- Longitudinal splits -- Transverse (lamellar) splits -- Pustules in the periungual skin -- Koilonychia -- Clubbing -- Changes of colour -- Nail bed changes -- Leukonychia -- Nail plate changes -- Common dermatoses and the nail unit -- Infection -- Bacterial infection of periungual tissues.

Fungal nail infection -- Trauma -- General diseases affecting the nails -- Nail changes in systemic illness -- Lesions adjacent to the nail -- Treatment of nail conditions -- Nail Cosmetics -- Further Reading -- Chapter 21 Benign Skin Tumours -- Introduction -- Pigmented benign tumours -- Seborrhoeic keratoses -- Dermatosis papulosa nigra (DPN) -- Skin tags -- Lentigines (freckles) -- Melanocytic naevi -- Congenital melanocytic naevi -- Acquired melanocytic naevi -- Dermatofibroma -- Benign vascular tumours -- Benign tumour papules -- Benign tumour plaques -- Further Reading -- Chapter 22 Premalignant and Malignant -- Skin tumours -- Introduction -- Premalignant skin tumours -- Actinic keratoses -- Bowen's disease -- Malignant skin tumours -- Basal cell carcinoma (BCC) -- Squamous cell carcinoma (SCC) -- Moles/naevi: benign or malignant? -- Dysplastic naevi -- Melanoma -- Cutaneous lymphoma -- Other cutaneous malignancies -- Further Reading -- Chapter 23 Practical Procedures and Skin Surgery -- Cryotherapy -- Application technique -- Risks and precautions -- Skin lesions suitable for freezing -- Electrosurgery -- Electrocautery -- Electrodessication (diathermy or hyfrecation) -- Curettage -- Technique -- Risks and precautions -- Diagnostic biopsies -- Shave biopsy -- Punch biopsy -- Incisional biopsy -- Surgical excision -- Technique -- Further Reading -- Chapter 24 Lasers, Intense Pulsed Light and Photodynamic Therapy -- Laser treatment -- Laser science -- Preoperative assessment -- Perioperative anaesthesia -- Postoperative care -- Laser safety -- Vascular lesions -- Pigmented lesions -- Tattoos -- Hair removal -- Laser resurfacing -- Fractional laser treatment -- Dermabrasion and Chemical peels -- Intense pulsed light -- Photodynamic therapy -- Further Reading.

Chapter 25 Wound Management and Bandaging.