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Color Atlas and Synopsis of Clinical Dermatology
AND SYNOPSIS
OF CLINICAL
DERMATOLOGY
COMMON AND SERIOUS DISEASES
Thomas B. Fitzpatrick
Richard Allen Johnson
Klaus Wolff
Machiel K. Polano
Dick Suurmond
Copyright ©1997 by The McGraw-Hill Companies
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COLOR ATLAS
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COLOR ATLAS
AND SYNOPSIS
OF CLINICAL
DERMATOLOGY
COMMON AND SERIOUS DISEASES
Thomas B. Fitzpatrick, M.D.
Richard Allen Johnson, M.D.
Klaus Wolff, M.D.
Machiel K. Polano, M.D.
Dick Suurmond, M.D
McGraw-Hill
H EALTH P ROFESSIONS D IVISION
New York St. Louis San Francisco Auckland Bogotá
Caracas Lisbon London Madrid Mexico City Milan Montreal
New Delhi San Juan Singapore Sydney Tokyo Toronto
body regions
table of contents
subject index
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TO PAT
As there are master craftspeople in many human endeavors, there are master craftspeople of words—highly
skilled wordsmiths that finalize the text. Mrs. Patricia Knowles Novak is a master craftswoman of words! In
this Third Edition of Color Atlas and Synopsis of Clinical Dermatology, and both of the first two editions, totaling
about two million words, she was responsible for the style and clarity of the text.
We dedicate this book to her.
NOTICE
Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge,
changes in treatment and drug therapy are required. The authors and the publisher of this work have checked
with sources believed to be reliable in their efforts to provide information that is complete and generally in
accord with the standards accepted at the time of publication. However, in view of the possibility of human
error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been
involved in the preparation or publication of this work warrants that the information contained herein is in
every respect accurate or complete, and they are not responsible for any errors or omissions or for the results
obtained from use of such information. Readers are encouraged to confirm the information contained herein
with other sources. For example and in particular, readers are advised to check the product information sheet
included in the package of each drug they plan to administer to be certain that the information contained in
this book is accurate and that changes have not been made in the recommended dose or in the contraindica-
tions for administration. This recommendation is of particular importance in connection with new or infre-
quently used drugs.
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Contents
Acknowledgments 17
Introduction 18
Diagnosis 20
Eczematous Dermatitis 84
Contact Dermatitis 85
Atopic Dermatitis 95
Lichen Simplex Chronicus 110
Nummular Eczema 116
Dyshidrotic Eczematous Dermatitis 120
Seborrheic Dermatitis 124
Asteatotic Dermatitis
Disorders of Cell Kinetics and
Differentiation 132
Psoriasis 133
Chronic Psoriasis of the Perianal and
Palmoplantar Pustulosis
Generalized Acute Pustular Psoriasis
Ichthyosiform Dermatoses
Miscellaneous Inflammatory
Disorders 181
Pityriasis Rosea 182
Grover’s Disease 187
Kyrle’s Disease 192
Glands 1
Acne Vulgaris (Common Acne) and
Cystic Acne 2
Hidradenitis Suppurativa 14
Rosacea 20
Perioral Dermatitis 27
Disorders 31
Disorders of Hair Growth 32
Nonscarring Alopecia 33
Scarring Alopecia 56
Infectious Folliculitis 59
Hirsutism and Hypertrichosis* 72
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Contents
Disorders of Psychiatric Etiology 198
Neurotic Excoriations 199
Delusions of Parasitosis 203
Factitious Syndromes 206
Dysmorphic Syndrome
The Clark Melanocytic Nevus
(Dysplastic Melanocytic Nevus) 322
Melanoma 340
Desmoplastic Melanoma 347
Superficial Spreading Melanoma 353
Nodular Melanoma 359
Acral Lentiginous Melanoma 365
Malignant Melanoma Arising in a
Congenital Nevocellular Nevus 371
Disorders of Oral Mucosa 211
Disorders of the Tongue 212
Miscellaneous Disorders of Buccal
and Gingival Mucous Membranes 220
Disorders of Melanocytes 235
Disorders of Blood Vessels 263
Hyperplasias 295
Precancerous Lesions and
Cutaneous Carcinomas 372
Cutaneous Nonmelanoma Cancers
(Squamous Cell Carcinoma and Basal
Cell Carcinoma) 373
Oral Leukoplakia 374
Radiation Dermatitis* 380
Basal Cell Carcinoma 384
Basal Cell Nevus Syndrome 390
Melanoma Precursors and
Primary Cutaneous Melanoma 317
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