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Section 1 Basic Clinical Dermatology and Investigations in Dermatology 1 1A Terminology of Skin Lesions 3 1B Terminology of Skin Lesions 6 1C Symptoms of Skin Disease 7 1D Skin Biopsy 8 1E Photopatch Test 9 1F Patch Test 10 1G Wood Lamp Light 11 1H Diagnosis of Erythematous Rash 12 1I Diagnosis of Maculopapular rash 13 1J Diagnosis of Petechiae/Purpuric Rash 14 1K Diagnosis of a Patient Presenting with Plaques 15 Section 2 Papulosquamous Disorders 17 2A Diagnosis of Papulosquamous Disorders 19 2B Psoriasis 20 2C Topical Agents to Treat Psoriasis 22 2D Systemic Agents to Treat Psoriasis 23 2E Treatment Protocol—Using Topical Therapy with Coal Tar (Goeckerman Regime) 24 2F Treatment Protocol—Using Topical Therapy with Dithranol 25 2G Systemic Therapy — Protocols in Management of Psoriasis 26 2H Monitoring Patients on Methotrexate 27 2I Systemic Therapy—Protocols in Management of Psoriasis—Using Cyclosporin A 28 2J Monitoring Patients on Cyclosporin A (CsA) 29 2K Systemic Therapy—Protocols in Management of Psoriasis Using Retinoid 30 2L Monitoring Patients on Acitretin 31 2M Phototherapy and Photochemotherapy 32 2N Phototherapy Protocols 33 2O Calculation of MED (Minimum Erythema Dose) 34 2P Determination of Skin Phototype 35 2Q Protocol for Systemic PUVA 36 2R PUVA Therapy 37 2S European Protocol for Systemic PUVA 38 2T Ultraviolet Rays 39 2U Lichen Planus 40 2V Treatment Plan of Lichen Planus (LP) 42 2W Self-limiting Papulosquamous Dermatoses 43 2X Pityriasis Rubra Pilaris 44 CONTENTS

ConTEnTS · 2V Treatment Plan of Lichen Planus (LP) 42 2W Self-limiting Papulosquamous Dermatoses 43 2X Pityriasis Rubra Pilaris 44 ConTEnTS. viii The PockeT DocTor: DermaTology

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Page 1: ConTEnTS · 2V Treatment Plan of Lichen Planus (LP) 42 2W Self-limiting Papulosquamous Dermatoses 43 2X Pityriasis Rubra Pilaris 44 ConTEnTS. viii The PockeT DocTor: DermaTology

Section 1 Basic clinical Dermatology and Investigations in Dermatology 1 1A Terminology of Skin Lesions 3 1B Terminology of Skin Lesions 6 1C Symptoms of Skin Disease 7 1D Skin Biopsy 8 1E Photopatch Test 9 1F Patch Test 10 1G Wood Lamp Light 11 1H Diagnosis of Erythematous Rash 12 1I Diagnosis of Maculopapular rash 13 1J Diagnosis of Petechiae/Purpuric Rash 14 1K Diagnosis of a Patient Presenting with Plaques 15

Section 2 Papulosquamous Disorders 17 2A Diagnosis of Papulosquamous Disorders 19 2B Psoriasis 20 2C Topical Agents to Treat Psoriasis 22 2D Systemic Agents to Treat Psoriasis 23 2E Treatment Protocol—Using Topical Therapy with Coal Tar (Goeckerman Regime) 24 2F Treatment Protocol—Using Topical Therapy with Dithranol 25 2G Systemic Therapy — Protocols in Management of Psoriasis 26 2H Monitoring Patients on Methotrexate 27 2I Systemic Therapy—Protocols in Management of Psoriasis—Using Cyclosporin A 28 2J Monitoring Patients on Cyclosporin A (CsA) 29 2K Systemic Therapy—Protocols in Management of Psoriasis Using Retinoid 30 2L Monitoring Patients on Acitretin 31 2M Phototherapy and Photochemotherapy 32 2N Phototherapy Protocols 33 2O Calculation of MED (Minimum Erythema Dose) 34 2P Determination of Skin Phototype 35 2Q Protocol for Systemic PUVA 36 2R PUVA Therapy 37 2S European Protocol for Systemic PUVA 38 2T Ultraviolet Rays 39 2U Lichen Planus 40 2V Treatment Plan of Lichen Planus (LP) 42 2W Self-limiting Papulosquamous Dermatoses 43 2X Pityriasis Rubra Pilaris 44

ConTEnTS

Page 2: ConTEnTS · 2V Treatment Plan of Lichen Planus (LP) 42 2W Self-limiting Papulosquamous Dermatoses 43 2X Pityriasis Rubra Pilaris 44 ConTEnTS. viii The PockeT DocTor: DermaTology

viii The PockeT DocTor: DermaTology

Section 3 Bullous Disorders 45 3A Differential Diagnosis of a Bulla 47 3B Diagnosis of Bullous Disorders—Made Easy 48 3C Intraepidermal Bullae 49 3D Dermoepidermal Bullae 50 3E Vesiculobullous (Blistering) Disorder 51 3F Pemphigus 52 3G Drug Therapy in Pemphigus Vulgaris and Periphigus Foliaceus 54 3H Direct Immunofluorescence Microscopy (DIM) 55 3I Erythema Multiforme (EM) 56 3J Bullous Pemphigoid 57 3K Management of Bullous Pemphigoid Plan I 59 3L Management of Bullous Pemphigoid Plan II 60 3M Evaluation of Bullae and Vesicles in the Newborn 61 3N Pemphigus Vulgaris Compared with Mucous Membrane Pemphigoid 62 3O Dermatitis Herpetiformis (DH)/Duhring Disease 63

Section 4 eczematous Disorders 65 4A Diagnostic Evaluation of Eczema 67 4B Atopic Dermatitis 68 4C Seborrheic Dermatitis 69 4D Contact Dermatitis 70 4E Nummular Eczema 71 4F Lichen Simplex Chronicus 72

Section 5 Disorders of Pigmentation 73 5A Hypopigmentation 75 5B Acquired Hypomelanotic Skin Disorder 76 5C Piebaldism 77 5D Vitiligo 78 5E General Outline for Management of Vitiligo 79 5F Diagnostic of Melanocytic Skin Lesions 80

Section 6 Disorders of Skin appendages 81 6A Acne Vulgaris 83 6B Management of Acne 84 6C Management of Resistant Cases of Acne 85 6D Acne Rosacea 87 6E Hidradenitis Suppurativa (Apocrine Acne) 88 6F Alopecia Areata 89

Section 7 abnormal Vascular responses 91 7A Erythema Multiforme and Stevens-Johnson Syndrome 93 7B Management of Erythema Multiforme and Stevens-Johnson Syndrome 94 7C Urticaria 95 7D Urticaria Vasculitis 96 7E Hypersensitivity Vasculitis (Leukocytoclastic Vasculitis) 97 7F Erythema Nodosum 98 7G Sweet’s Syndrome (Neutrophilic Dermatoses) 99 7H Pyoderma Gangrenosum 100

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ixcontents

Section 8 Nevi and Skin Tumors 101 8A Melanocytic Nevus 103 8B Management of Nevi 104 8C Epidermal Inclusion Cyst 105 8D Keratoacanthoma 106 8E Actinic Keratosis 107 8F Basal Cell Carcinoma 108 8G Squamous Cell Carcinoma 109 8H Malignant Melanoma 110 8I Capillary Hemangioma of Infancy 111 8J Keloid Scar 112

Section 9 Infections 113 9A Tinea Versicolor (Pityriasis Versicolor) 115 9B Candidiasis 116 9C Sexually Transmitted Infections 117 9D Syphilis (Primary and Secondary) 118 9E Chancroid 120 9F Gonococcal Infection 121 9G Syndromic Management of Sexually Transmitted Infection 122 9H Arthropod Assault (Insect Bites and Stings) 123 9I Cellulitis and Erysipelas 124 9J Folliculitis 125 9K Hand-Foot-and-Mouth Disease 126 9L Impetigo Contagiosa 127 9M Pyoderma 128 9N Pediculosis (Lice) 129 9O Rubeola (Measles) 130 9P Scabies 131 9Q Varicella (Chickenpox) 132

Section 10 miscellaneous conditions 135 10A Acquired Acanthosis Nigricans 137 10B Acquired Keratodermas (Palmoplantar Keratodermas) 138 10C Aphthous Stomatitis (Canker Sores) 139 10D Aphthous Vulvitis 140 10E Calciphylaxis 141 10F Callus 142 10G Corn 143 10H Dermatomyositis 144 10I Drug Rash 145 10J Ecthyma 147 10K Eruptive Xanthoma 148 10L Erythrasma 149 10M Granuloma Annulare 150 10N Ingrown Nail 151 10O Lichen Sclerosis 152 10P Lupus Erythematosus 153 10Q Morphea (Localized Scleroderma) 154 10R Skin Manifestations of Diabetes 155 10S Phytophotodermatitis 156

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x The PockeT DocTor: DermaTology

10T Photodermatitis 157 10U Porphyrias: Clinical Presentation, Diagnosis and Treatment 159 10V Pitted Keratolysis 160 10W Porphyria Cutanea Tarda 161 10X Prickly Heat 162 10Y Raynaud’s Disease and Phenomenon 163 10Z Striae Atrophicae (Striae Distensae—Stretch Marks) 164