Generalized Erythema
Abstract The rashes discussed in this chapter are composed of erythematous macules and papules that are widespread and sometimes confluent. Various terms have been used to describe this type of…
White Spots
Abstract White spots in the skin result from decreased melanin pigmentation. This can be caused by a reduction in the number of melanocytes or a decrease in their melanin production….
Inflammatory Papules
Abstract The common diseases discussed in this chapter are characterized by discrete, small, erythematous papules that do not become confluent. Most of these disorders are pruritic, some markedly so. As…
Scaling Papules, Plaques, and Patches
Abstract Scale is the common characteristic of the diseases discussed in this chapter. Scaling disorders have also been called the papulosquamous (squamous means scaly) diseases. As previously emphasized, scale represents…
Eczematous Rashes
Abstract The term eczema is derived from the Greek word that means “to boil out or over.” It is a convenient “wastebasket” for many undiagnosed rashes but is best applied…
Vesicles and Bullae
Abstract Vesicles and bullae, when intact, are easily recognized primary lesions ( Table 10.1 ). Crusts (dried serum and blood) are secondary lesions that should lead one to suspect a…
Dermal and Subcutaneous Growths
Abstract This chapter deals with nodular and cystic “lumps” in the skin ( Table 7.1 ). With the exception of lipomas, the lesions are located in the dermis, often with…
Principles of Diagnosis
Abstract The approach to a patient with skin disease does not differ markedly from the approach to any other patient. Data are collected from a history and physical examination (and…
Epidermal Growths
Abstract Neoplasms of the epidermis ( Table 5.1 ) are derived from a proliferation of basal cells or keratinocytes. Epidermal growths are recognized clinically by a localized thickening of the…