Shave Biopsy and Shave Excision David J. Leffell Equipment needed Antiseptic solution 1% lidocaine with/without epinephrine 1:100,000 solution 20% aluminum chloride hexahydrate solution Sterilized carbon steel razor blade (cut in…
Punch Biopsy David J. Leffell Equipment needed Antiseptic solution 1% lidocaine with/without 1:100,000 epinephrine solution 20% aluminum chloride hexahydrate solution Biopsy punch (1 to 10 mm diameter) Iris scissors Nonabsorbable…
Telogen Effluvium Charles A. Gropper (ICD-9 704.02) Symptoms and Signs Telogen effluvium is asymptomatic. Hair loss in telogen effluvium is evenly distributed throughout the scalp. Approximately 30% to 50% of…
Androgenetic Alopecia Charles A. Gropper (ICD-9 704.00) Symptoms and Signs Androgenetic alopecia is asymptomatic but often causes great psychological distress. Hair loss is gradual, and there are no surface changes…
Alopecia Areata Charles A. Gropper (ICD-9 704.01) Symptoms and Signs In alopecia areata (AA), round patches of hair loss develop rapidly and asymptomatically. The patches are well-circumscribed, round, and without…
Acute and Chronic Paronychia Charles A. Gropper (ICD-9 112.3) and (ICD-9 681.02) Symptoms and Signs Acute paronychia is a very painful and tender infection of the proximal and lateral nail…
Pseudomonas Nails Charles A. Gropper (ICD-9 041.7) Symptoms and Signs Patients with Pseudomonas aeruginosa infection of the nail plate complain of blue–green changes or of a sickly sweet, “fruity” smell…
Onychomycosis Charles A. Gropper (ICD-9 110.9) Symptoms and Signs Onychomycosis is usually asymptomatic. Sometimes, however, it is painful, especially when there is a secondary bacterial infection or when the dystrophic…
Leg Ulcers John T. Crissey (ICD-9 707.1) Symptoms and Signs Venous Ulcers (Stasis Ulcers) Venous ulcers are more common in women; patients are usually middle-aged or older, often with a…
Postinflammatory Hyperpigmentation Charles A. Gropper (ICD-9 709.00) Symptoms and Signs Patients with postinflammatory hyperpigmentation often complain of an asymptomatic dark spot or patch on the skin that seemed to appear…
