Dermnetnz - Notalgia paraesthetica is a form of cutaneous dysaesthesia where itch and/or changed sensation arise in the areas of skin on the medial aspect of the shoulder blade on either side of the back. Notalgia means pain in the back, and paraesthetica refers to burning pain, tingling or itch. It is also called thoracic cutaneous nerve …

 
DermnetnzDermnetnz - Alopecia areata is typically diagnosed on clinical features, however additional tests may aid diagnosis. Trichoscopy : Examination of the hair follicle, hair shaft, and scalp with a dermatoscope. Features of active disease include exclamation point hairs, broken or dystrophic hairs, yellow dots and black dots.

17.8% were aged 50-59. 23.9% were aged 60-69. 23.7% were aged 70-79. 16% were aged 80 or older. The mean age for melanoma diagnosis is 65.7 years among men and 62.4 years among women. Melanoma is the most common cancer diagnosed in young Australians aged 15–29 years, accounting for 15% of …Patch testing is undertaken for the investigation and confirmation of substances that produce allergic contact dermatitis. It involves applying appropriately diluted allergens to the skin, usually on the back for convenience, for 48 hours. The patch tests are then read at 96 hours as reactions usually take 48–96 hours to develop.Abrocitinib is an effective systemic therapy, easy to administer as an oral medication that can be taken with or without food, and usually well tolerated. In clinical trials, it reduces the severity of atopic eczema with significant clearing of the skin and rapid improvement of itch ( pruritus) when compared to placebo.Dermatology: 2-Volume Set. Edited by Jean L. Bolognia et al. 4th Edition. This is a popular text, encompassing comprehensive, authoritative coverage of basic science, clinical …Onycholysis can affect a single nail or multiple fingernails and/or toenails. The distal part of the nail is most commonly affected lifting the free edge; sometimes the nail may detach laterally or proximally. Oil spot sign is an island of onycholysis under a nail. Clinical features can include the following signs.Patches are round, oval or irregular in shape. Pityriasis alba may have well- demarcated or, more usually, poorly defined edges. Itch is minimal or absent. Hypopigmentation is more noticeable in summer. Dryness and scaling is more noticeable in winter when environmental humidity tends to be lower. Typically, a patch of pityriasis alba evolves ...Feb 28, 2019 · Nodular prurigo (NP) or prurigo nodularis is a chronic skin condition characterised by very itchy firm lumps. It can appear anywhere on the body but is most common on the arms, legs, back, and torso, in a symmetrical distribution. It is the most severe form of prurigo and thus can be difficult to treat. Jan 4, 2016 · A topical steroid is an anti- inflammatory preparation used to control eczema / dermatitis and many other skin conditions. Topical steroids are available in creams, ointments, solutions and other vehicles. Topical steroids are also called topical corticosteroids, glucocorticosteroids, and cortisone. Tinea corporis is spread by the shedding of fungal spores from infected skin. Transmission is facilitated by a warm, moist environment and the sharing of fomites including bedding, towels, and clothing. Dermatophyte infection elsewhere on the skin, such as tinea pedis, can also be transferred. The incubation period is 1–3 …Hydroquinone is most commonly used in bleaching creams by patients aged 13 years and over with a dark skin type. It can be used, often in combination with other medications, to treat: Melasma. Postinflammatory hyperpigmentation such as subsequent to …Notalgia paraesthetica is a form of cutaneous dysaesthesia where itch and/or changed sensation arise in the areas of skin on the medial aspect of the shoulder blade on either side of the back. Notalgia means pain in the back, and paraesthetica refers to burning pain, tingling or itch. It is also called thoracic cutaneous nerve …Dermatopathology is a subspecialty of pathology. Pathology is the study of diseases. It includes the study of the causes, course and progression and the complications that arise from the disease. Anatomic pathology, or histopathology, refers to the study of the structural and compositional changes that occur in organs and tissues as a result of ...DermNet offers over 20,000 clinical images of skin conditions for education, teaching and other purposes. You can download watermarked images for free or purchase non …Learn about pityriasis rosea, a self-limiting rash that causes a large circular or oval patch on the chest, abdomen, or back. Find out the causes, symptoms, diagnosis, treatment, and … DermNet Cases. DermNet now features a library of authentic patient cases with images. These cover the various symptoms, diagnosis, treatments, and outcomes that can be expected in the real world. You'll find these cases listed below. All of our content is written by medical professionals and reviewed by dermatologists before being published. By definition, dermographism appearing at least 30 minutes after stroking. It may be described after a typical weal of immediate dermographism comes and goes, 3–6 hours later a wide weal reappears without a flare at the same site and persists for up to 48 hours. Associated with burning and tenderness of the weal. Definition. Dermatology is the medical discipline that is concerned with the diagnosis and treatment of diseases of the skin, hair , and nails in both children and adults. Specialists in dermatology are called dermatologists. The New Zealand Dermatological Society’s definition is comprehensive: Acrodermatitis enteropathica is a rare disorder associated with zinc deficiency. It presents with the classic triad of: Peri- acral and periorificial dermatitis. Diarrhoea. Alopecia. Primary acrodermatitis enteropathica is due to an inherited zinc transporter defect, resulting in reduced intestinal absorption of zinc. Learn about seborrhoeic dermatitis, a common form of eczema that affects the scalp, face, and trunk. Find out the causes, symptoms, diagnosis, and treatment options for this inflammatory skin condition. Dermatology: 2-Volume Set. Edited by Jean L. Bolognia et al. 4th Edition. This is a popular text, encompassing comprehensive, authoritative coverage of basic science, clinical …Molluscum contagiosum is caused by a poxvirus, the molluscum contagiosum virus. There are at least 4 viral subtypes. Sexual transmission in adults. Transmission of molluscum contagiosum appears to be more likely in wet conditions, such as when children bathe or swim together.Salicylic acid belongs to a group of medicines known as keratolytics. It is used in the treatment of scaly skin diseases where the skin has become thickened, scaly and flaky. Topical preparations of salicylic acid, either alone or in combination with other medicines, can be used to treat the following common scaly skin conditions: Viral warts.It is also known as lymphostatic verrucosis, elephantiasis crurum papillaris et verrucosa, ‘mossy leg’, lymphangitis recurrens elephantogenica, and lymphostatic papillomatosis cutis. ‘Nostras’ is a term used to describe the non- filiarial form of elephantiasis. Gross hyperkeratosis and nodularity in ENV. Lymphoedema over the toes with ...Notalgia paraesthetica is a form of cutaneous dysaesthesia where itch and/or changed sensation arise in the areas of skin on the medial aspect of the shoulder blade on either side of the back. Notalgia means pain in the back, and paraesthetica refers to burning pain, tingling or itch. It is also called thoracic cutaneous nerve … Keratosis pilaris is a very common, dry skin condition caused by keratin accumulation in the hair follicles. The Latin term keratosis means ‘ scaly skin’, and pilaris means ‘hair’. Keratosis pilaris usually starts in childhood but becomes more obvious during the teenage years and adulthood. It is harmless and is not infectious. Dermatoporosis is a term used to describe chronic cutaneous insufficiency and fragility associated with both intrinsic and extrinsic ageing. The features of dermatoporosis include: Skin fragility and atrophy. Senile purpura. Stellate pseudoscars (star-shaped white patches) Non-healing atrophic ulcers.It can present in children (see Juvenile dermatomyositis ). The peak age group affected in adults is those aged 50–60 years. Adult-onset dermatomyositis is strongly associated with malignancy; up to 25% of affected adults have an unknown underlying malignancy on diagnosis. The majority are adenocarcinomas.A Marjolin ulcer is the rare development of cutaneous squamous cell carcinoma (SCC) in the site of a scar or ulcer. It most commonly forms at the site of an old thermal burn scar. However, Marjolin ulcers may also form from osteomyelitic lesions and, rarely, venous ulcers, pressure sores , surgical scars, animal bites, and vaccination scars [1].Adults. Assess risk factors and comorbid disease of psoriasis at presentation and as indicated thereafter. Cardiovascular risk factors, and management of these (eg, smoking cessation ) Measure blood pressure, lipid studies and fasting glucose at least annually. Risk of venous thromboembolism and its management [1]. Guttate psoriasis is a clinical diagnosis, aided by dermoscopy, which can be confirmed on skin biopsy. Examination and investigations should include a search for streptococcal infection. Tests may include: Swabs for bacteriology. Blood tests — Anti-streptolysin O titre (ASOT), anti-DNase B titre. Jan 31, 2017 · Pityriasis lichenoides (PL) is an uncommon cutaneous rash of uncertain aetiology . The acute form, pityriasis lichenoides et varioliformis acuta (PLEVA), and the chronic form, pityriasis lichenoides chronica (PLC), sit at either end of a disease spectrum with many patients showing overlapping features. The eponym Mucha–Habermann disease is ... Lipodermatosclerosis is an inflammatory skin condition resulting from underlying venous insufficiency. This is caused by: Incompetent venous valves. Venous outflow obstruction. Dysfunction of the calf muscle pump [2]. The resulting venous hypertension causes an increase of leukocytes within the veins, which then migrate into surrounding tissue.Schamberg disease ( progressive pigmented purpura) Schamberg disease is the most common type of capillaritis. Regular or irregular crops of red-brown flat patches with cayenne pepper spots on their borders appear for no apparent reason. Although most common on the lower legs, the Schamberg form of capillaritis can …It can present in children (see Juvenile dermatomyositis ). The peak age group affected in adults is those aged 50–60 years. Adult-onset dermatomyositis is strongly associated with malignancy; up to 25% of affected adults have an unknown underlying malignancy on diagnosis. The majority are adenocarcinomas.Acute tinea cruris may present as a moist and exudative rash. Chronic tinea cruris presents as a large well- demarcated scaly plaque with a raised border and central clearing. Scale is most prominent at the leading edge of the plaque. Dermatophytic folliculitis may present as papules and pustules along the border. Tinea cruris is usually itchy.Cellulitis is a common bacterial skin infection of the lower dermis and subcutaneous tissue. It results in a localised area of red, painful, swollen skin, and systemic symptoms. Left untreated, cellulitis can be life-threatening. Similar symptoms are experienced with the more superficial infection, erysipelas, so cellulitis and erysipelas are ... The features in common for benign skin lesions include: Symmetry in shape, colour and structure. Stable or slowly evolving. Absence of spontaneous bleeding (bleeding or ulceration may be due to recent injury). Benign lesions can be classified by their cellular origin: melanocytic, keratinocytic, vascular, fibrous, fat, and so on, Introduction. Genital skin problems are very common and can be very itchy or painful, distressing and embarrassing. They can interfere with sexual functioning, self-image and interpersonal relationships. Some genital disorders are contagious, including sexually transmitted diseases. This page provides links to information On DermNet about skin ... Acrodermatitis enteropathica is a rare disorder associated with zinc deficiency. It presents with the classic triad of: Peri- acral and periorificial dermatitis. Diarrhoea. Alopecia. Primary acrodermatitis enteropathica is due to an inherited zinc transporter defect, resulting in reduced intestinal absorption of zinc. A solar lentigo is a flat, well- circumscribed patch. It can be round, oval or irregular in shape. Colour varies from skin-coloured, tan to dark brown or black, and size varies from a few millimetres to several centimetres in diameter. They can be slightly scaly. Solar lentigines are found as groups of similar lesions on sun-exposed sites ...Tinea corporis is spread by the shedding of fungal spores from infected skin. Transmission is facilitated by a warm, moist environment and the sharing of fomites including bedding, towels, and clothing. Dermatophyte infection elsewhere on the skin, such as tinea pedis, can also be transferred. The incubation period is 1–3 …Nodular prurigo (NP) or prurigo nodularis is a chronic skin condition characterised by very itchy firm lumps. It can appear anywhere on the body but is most common on the arms, legs, back, and torso, in a symmetrical distribution. It is the most severe form of prurigo and thus can be difficult to treat.Learn about pityriasis rosea, a self-limiting rash that causes a large circular or oval patch on the chest, abdomen, or back. Find out the causes, symptoms, diagnosis, treatment, and …Dermatitis overview. Created 2008. Learning objectives. Describe acute and chronic dermatitis; Outline general management of dermatitis; Introduction. Dermatitis and eczema are words that are often used interchangeably to describe a variety of distinct skin conditions in which there is epidermal and dermal inflammation and nearly always intense …Melanoma in situ is an early form of primary melanoma in which the malignant cells are confined to the tissue of origin, the epidermis. It is also known as in-situ melanoma and level 1 melanoma. As melanoma in situ has no associated mortality, early detection of melanoma in an in-situ phase increases survival from melanoma and leads to less ... A list of the most commonly used key terms and phrases in dermatology. A list of the most commonly used key terms and phrases in dermatology.It affects the superficial layers of the epidermis and is typically caused by Staphylococcus aureus and Streptococcus pyogenes (Group A beta – haemolytic streptococci (GABHS)). It can be classified into non- bullous (also known as ‘school sores’) and bullous impetigo. Ecthyma is a deep form of impetigo causing deeper erosions of the skin ...Women and patients with skin of colour are most likely to present for medical attention. Idiopathic guttate hypomelanosis becomes more common with age, affecting <50% in the fourth decade (31–40 years), 50–80% of people over 40 years of age, and >90% in the ninth decade (81–90 years). It has been reported …Introduction. Genital skin problems are very common and can be very itchy or painful, distressing and embarrassing. They can interfere with sexual functioning, self-image and interpersonal relationships. Some genital disorders are contagious, including sexually transmitted diseases. This page provides links to information On DermNet about skin ...Imiquimod is an immune response modifier. It is manufactured as a 5% (50 mg/g) cream called Aldara™. Generic forms of imiquimod cream are also available. The Perrigo brand is funded by PHARMAC in New Zealand (2019). A 3.75% cream called Zyclara™ has also been approved by the FDA in the USA but is not yet available in New Zealand (March 2017). Common wart. Common warts (verruca vulgaris) present as cauliflower-like papules with a rough, papillomatous and hyperkeratotic surface ranging in size from 1 mm to 1 cm or more. They may be solitary or multiple. Common warts are found most often on the knees, backs of fingers or toes, and around the nails ( periungual ). Dermatology: 2-Volume Set. Edited by Jean L. Bolognia et al. 4th Edition. This is a popular text, encompassing comprehensive, authoritative coverage of basic science, clinical …Heat urticaria is a rare type of physical or chronic inducible urticaria. It is also called contact heat urticaria and localised heat urticaria. Heat urticaria occurs following the direct contact of a warm stimulus to the skin. The onset of urticaria is typically rapid (within minutes) and the urticaria resolves within 1–2 hours. The features in common for benign skin lesions include: Symmetry in shape, colour and structure. Stable or slowly evolving. Absence of spontaneous bleeding (bleeding or ulceration may be due to recent injury). Benign lesions can be classified by their cellular origin: melanocytic, keratinocytic, vascular, fibrous, fat, and so on, Atopic hand dermatitis occurs in at least 50–60% of people with active atopic dermatitis, including children. The prevalence of hand involvement increases with age, with hand dermatitis detected in 30–40% of atopic babies and toddlers (age 0–2 years), 55% of atopic children aged 3–12 years, and 65% in those aged over 12 years.NB-UVB phototherapy clears about 75% of patients, where clearance is defined as 90% or greater reduction in the extent of psoriasis compared to baseline. The number of treatments required ranges from 10 to 40, delivered two to five times weekly. BB-UVB clears a smaller proportion and a greater number of treatments may be required. Keratoacanthoma (KA) is a common, rapidly growing, locally destructive skin tumour . KAs may regress spontaneously with scarring, but clinically they may be indistinguishable from well- differentiated squamous cell carcinoma (SCC) and the clinical course may be unpredictable. Thus, many clinicians and pathologists prefer the term SCC, KA-type ... Hair loss in frontal fibrosing alopecia is usually not restricted to the frontal hairline. Eyebrow thinning or loss ( madarosis) often precedes the scalp changes. Hair loss can affect all parts of the body, and almost total loss from limbs is common. In men, loss of beard and sideburns is described and may be the only site of involvement.The NZ Dermatological Society Inc (NZDSI) was established in 1948. Its members are specialist dermatologists – they are the medical experts in skin diseases, conditions and their treatment. In 2012, the rules of the Society were varied. All members are now Fellows of the Society, and may use the postnominal …DermNet forhealthcare professionals. The same great content you have always known, now with pro features. Join the waitlist. Dermatomal — lesions confined to one or more segments of skin innervated by a single spinal nerve ( dermatomes ). Extensor — involving extensor surfaces of limbs. Contrast with flexor surfaces. Flexural — related to flexion, or skin folds, such as the backs of knees, the armpits, the elbow creases and the groin. Many patients with longstanding type 1 diabetes develop diabetic cheiroarthropathy or diabetic stiff skin (digital sclerosis). This results in restricted mobility of the joints of their hands and stiff, waxy, thickened and yellowed skin. This is thought to be due to the reaction of glucose with proteins in the skin and increased glycation end ...A solar lentigo is a flat, well- circumscribed patch. It can be round, oval or irregular in shape. Colour varies from skin-coloured, tan to dark brown or black, and size varies from a few millimetres to several centimetres in diameter. They can be slightly scaly. Solar lentigines are found as groups of similar lesions on sun-exposed sites ...Adult male: 1 fingertip unit provides 0.5 g. Adult female: 1 fingertip unit provides 0.4 g. Child aged 4 years – approximately 1/3 of adult amount. Infant 6 months to 1 year – approximately 1/4 of adult amount. The amount of cream that should be used varies with the body part: One hand: apply 1 fingertip unit. One arm: apply 3 …Women and patients with skin of colour are most likely to present for medical attention. Idiopathic guttate hypomelanosis becomes more common with age, affecting <50% in the fourth decade (31–40 years), 50–80% of people over 40 years of age, and >90% in the ninth decade (81–90 years). It has been reported uncommonly in children and teens.Abrocitinib is an effective systemic therapy, easy to administer as an oral medication that can be taken with or without food, and usually well tolerated. In clinical trials, it reduces the severity of atopic eczema with significant clearing of the skin and rapid improvement of itch ( pruritus) when compared to placebo.Dermatology resources for medical students. Welcome to DermNet’s medical student resource centre. This centre has been designed to help increase your confidence and …Barrier creams are particularly useful in the management of: Hand dermatitis, due to contact with harsh chemicals, frequent contact with water, or repetitive friction. Napkin dermatitis (also known as diaper rash ), due to contact with urine and faeces, in babies and in adults with incontinence ( incontinence-associated dermatitis) Very dry skin . Dermatomal — lesions confined to one or more segments of skin innervated by a single spinal nerve ( dermatomes ). Extensor — involving extensor surfaces of limbs. Contrast with flexor surfaces. Flexural — related to flexion, or skin folds, such as the backs of knees, the armpits, the elbow creases and the groin. Guttate psoriasis is a clinical diagnosis, aided by dermoscopy, which can be confirmed on skin biopsy. Examination and investigations should include a search for streptococcal infection. Tests may include: Swabs for bacteriology. Blood tests — Anti-streptolysin O titre (ASOT), anti-DNase B titre. Dermatopathology is a subspecialty of pathology. Pathology is the study of diseases. It includes the study of the causes, course and progression and the complications that arise from the disease. Anatomic pathology, or histopathology, refers to the study of the structural and compositional changes that occur in organs and tissues as a result of ...A full-thickness skin graft (FTSG) is taken by removing all the layers of the skin down to the fat with a scalpel. It is done in a similar way to skin excision. The piece of skin is cut into the correct shape, then applied to the wound. This type of graft is often taken from the inner upper arm, neck, or in front of or behind the ear, where ...Feb 28, 2019 · Nodular prurigo (NP) or prurigo nodularis is a chronic skin condition characterised by very itchy firm lumps. It can appear anywhere on the body but is most common on the arms, legs, back, and torso, in a symmetrical distribution. It is the most severe form of prurigo and thus can be difficult to treat. Discoid eczema usually affects the limbs, particularly the legs, but the rash may be widespread. Although often bilateral, the distribution can be asymmetrical especially if related to varicose veins. Individual plaques are well circumscribed, mostly 1–3 cm in diameter, and inflamed. The majority of patches are round or oval.Many patients with longstanding type 1 diabetes develop diabetic cheiroarthropathy or diabetic stiff skin (digital sclerosis). This results in restricted mobility of the joints of their hands and stiff, waxy, thickened and yellowed skin. This is thought to be due to the reaction of glucose with proteins in the skin and increased glycation end ...Dermatologist – USA. One of the most easy, complete and comprehensive sources for dermatological conditions. Every topic is well written and covered completely. This site is my friend at the clinic. Thank you for your effort.An ingrown toenail is a painful condition of the toe that occurs when the sides or corner of the toenail digs into the skin at the end or side of the toe. The disease mostly affects the outer edge of the big toe, although the nail on both sides of the toe, or nail on any toe can become ingrown. An ingrown toenail is also known as onychocryptosis.Melanoma of the nail unit is usually a variant of acral lentiginous melanoma, a malignant melanoma arising from the palms of the hands and soles of the feet. Other rare forms of melanoma that may arise in the nail unit are nodular melanoma or desmoplastic melanoma. Melanoma of the nail unit most often affects the great …Hair loss in frontal fibrosing alopecia is usually not restricted to the frontal hairline. Eyebrow thinning or loss ( madarosis) often precedes the scalp changes. Hair loss can affect all parts of the body, and almost total loss from limbs is common. In men, loss of beard and sideburns is described and may be the only site of involvement.Dermatopathology is a subspecialty of pathology. Pathology is the study of diseases. It includes the study of the causes, course and progression and the complications that arise from the disease. Anatomic pathology, or histopathology, refers to the study of the structural and compositional changes that occur in organs and tissues as a result of ... It may be more difficult and under-recognised in patients with skin of colour. Rosacea has been associated with depression, hypertension, cardiovascular diseases, anxiety disorder, dyslipidemia, diabetes mellitus, migraine, rheumatoid arthritis, Helicobacter pylori infection, ulcerative colitis, and dementia. Alopecia areata is an autoimmune condition affecting hair follicles causing hair loss. It typically presents with discrete bald patches on the scalp but can cause hair loss from all hair-bearing areas on the body. Alopecia is a Latin term meaning hair loss, and areata refers to the patchy nature of the hair loss. 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Keratosis pilaris is a very common, dry skin condition caused by keratin accumulation in the hair follicles. The Latin term keratosis means ‘ scaly skin’, and pilaris means ‘hair’. Keratosis pilaris usually starts in childhood but becomes more obvious during the teenage years and adulthood. It is harmless and is not infectious. . High point theater

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An ingrown toenail is a painful condition of the toe that occurs when the sides or corner of the toenail digs into the skin at the end or side of the toe. The disease mostly affects the outer edge of the big toe, although the nail on both sides of the toe, or nail on any toe can become ingrown. An ingrown toenail is also known as onychocryptosis. Dermatomyositis is thought to be caused by a microangiopathy affecting skin and muscle. There is a genetic predisposition to the development of dermatomyositis such as the PTPN22 gene and HLA associations identified include: Anti-Mi-2 antibodies: HLA DRB1*07 and DQA*0201. Silica exposure — in tradespeople. Anticholinergic (antimuscarinic) side-effects with glycopyrrolate or diphemanil methylsulfate, eg, dry mouth and dry eyes and temporary difficulty in focusing when applied to the face. Facial application should be avoided. Cyst formation. Associated with long-term antiperspirant use due to chronic plugging of the sweat glands and hair follicle.A melanocytic naevus (American spelling ‘ nevus ’), or mole, is a common benign skin lesion due to a local proliferation of pigment cells ( melanocytes ). It is sometimes called a naevocytic naevus or just 'naevus' (but note that there are other types of naevi ). A brown or black melanocytic naevus contains the pigment melanin, so may also ...Confluent and reticulated papillomatosis is an uncommon skin condition affecting the trunk, neck and axillae. It is characterised by asymptomatic, hyperpigmented papules and plaques that have a peripheral, net-like … Pityriasis rosea is a self-limiting rash, which resolves in about 6–10 weeks. It is characterised by a large circular or oval "herald patch", usually found on the chest, abdomen, or back. The herald patch is followed some time later, typically two weeks or so, by the development of smaller scaly oval red patches, resembling a Christmas tree ... Erythema multiforme is an immune-mediated, typically self-limiting, mucocutaneous condition characterised by ‘target’ lesions . Significant mucosal involvement distinguishes erythema multiforme major from multiforme minor. Episodes can be isolated, recurrent, or persistent. In most cases, erythema multiforme is precipitated by herpes ...NB-UVB phototherapy clears about 75% of patients, where clearance is defined as 90% or greater reduction in the extent of psoriasis compared to baseline. The number of treatments required ranges from 10 to 40, delivered two to five times weekly. BB-UVB clears a smaller proportion and a greater number of treatments may be required.Telogen effluvium is the name for a common cause of temporary hair loss due to the excessive shedding of resting or telogen hair after some shock to the system. New hair continues to grow. Telogen hair is also known as a club hair due to the shape of the root. It should be distinguished from anagen effluvium, in which the hair shedding is due ...Dermatology resources for medical students. Welcome to DermNet’s medical student resource centre. This centre has been designed to help increase your confidence and knowledge in the field of dermatology. We will be updating this page regularly; join our mailing list to stay up to date. In the meantime, why not start by signing up for our free ... The usual presentation of the disease is classical lichen planus. Symptoms can range from none (uncommon) to intense itch. Papules and polygonal plaques are shiny, flat-topped, and firm on palpation. The plaques are crossed by fine white lines called Wickham striae. Melanoma in situ is an early form of primary melanoma in which the malignant cells are confined to the tissue of origin, the epidermis. It is also known as in-situ melanoma and level 1 melanoma. As melanoma in situ has no associated mortality, early detection of melanoma in an in-situ phase increases survival from melanoma and leads to less ...Different. D is for Different.. Most people have a 'signature naevus' - all their melanocytic naevi resemble each other. A melanoma appears unique and very different from the patient’s other lesions.. A pigmented lesion that is obviously different from the others is sometimes called an 'ugly duckling', 'black sheep', 'lone ranger', or 'odd-mole-out' and …The features in common for benign skin lesions include: Symmetry in shape, colour and structure. Stable or slowly evolving. Absence of spontaneous bleeding (bleeding or ulceration may be due to recent injury). Benign lesions can be classified by their cellular origin: melanocytic, keratinocytic, vascular, fibrous, fat, and so on, Pityriasis rosea is a self-limiting rash, which resolves in about 6–10 weeks. It is characterised by a large circular or oval "herald patch ", usually found on the chest, abdomen, or back. The herald patch is followed some time later, typically two weeks or so, by the development of smaller scaly oval red patches, resembling a Christmas tree ... Trichoscopy involves examination of the scalp and hair using a handheld or a videodermoscopy device. Examination with a dermatoscope (trichoscope) can reassure patients that they have received a thorough scalp examination and provide the clinician with invaluable in vivo information about scalp and hair shaft pathology.Seborrhoeic dermatitis is a common, chronic, or relapsing form of eczema /dermatitis that mainly affects the sebaceous gland -rich regions of the scalp, face, and trunk. There are infantile and adult forms of seborrhoeic dermatitis. This benign inflammatory condition is sometimes associated with psoriasis and is known as …Feb 28, 2019 · Nodular prurigo (NP) or prurigo nodularis is a chronic skin condition characterised by very itchy firm lumps. It can appear anywhere on the body but is most common on the arms, legs, back, and torso, in a symmetrical distribution. It is the most severe form of prurigo and thus can be difficult to treat. Dupilumab (Dupixent ®; Sanofi, Paris, France; Regeneron, New York, USA) is a fully human monoclonal antibody, which has shown significant efficacy and a favourable safety profile in moderate-to-severe atopic dermatitis alone and in combination with topical corticosteroids. The U.S. Food and Drug Administration (FDA) approved Dupixent ® as a ...The immune system of the skin has elements of both the innate (nonspecific) and adaptive (specific) immune systems. Immune cells inhabit the epidermis and dermis . Keratinocytes (skin cells). The dermis has blood and lymph vessels and numerous immune cells, including: Mast cells. There is continuous trafficking of immune cells between the skin ...Dermatology Quiz Course - Advanced. Click here for the beginners course. Test your knowledge and improve your skills in dermatology. A free 10-week quiz course looking at …Cholinergic urticaria is a common chronic inducible urticaria that is characterised by the presence of short-lived transient hives (itchy bumps) due to stimuli that induce sweating. It typically presents with small, raised 1–4 mm wheals which last for 15–30 minutes. It is also sometimes referred to as cholinergic angioedema urticaria or ...HiSCR. The Hidradenitis Suppurativa Clinical Response (HiSCR) is defined as a ≥ 50% reduction in inflammatory lesion count (abscesses + inflammatory nodules), and no increase in abscesses or draining fistulas when compared with baseline. It has been recently used to assess the effectiveness of treatment with biologics [3].Venous eczema can form discrete patches or become confluent and circumferential. Features include: Itchy red, blistered and crusted plaques; or dry fissured and scaly plaques on one or both lower legs. Orange-brown macular pigmentation due to haemosiderin deposition. Atrophie blanche (white irregular scars surrounded by red spots)Pityriasis lichenoides (PL) is an uncommon cutaneous rash of uncertain aetiology . The acute form, pityriasis lichenoides et varioliformis acuta (PLEVA), and the chronic form, pityriasis lichenoides chronica (PLC), sit at either end of a disease spectrum with many patients showing overlapping features. The … Alopecia areata is an autoimmune condition affecting hair follicles causing hair loss. It typically presents with discrete bald patches on the scalp but can cause hair loss from all hair-bearing areas on the body. Alopecia is a Latin term meaning hair loss, and areata refers to the patchy nature of the hair loss. Acrodermatitis enteropathica is a rare disorder associated with zinc deficiency. It presents with the classic triad of: Peri- acral and periorificial dermatitis. Diarrhoea. Alopecia. Primary acrodermatitis enteropathica is due to an inherited zinc transporter defect, resulting in reduced intestinal absorption of zinc. Dermatologist – USA. One of the most easy, complete and comprehensive sources for dermatological conditions. Every topic is well written and covered completely. This site is my friend at the clinic. Thank you for your effort. Alopecia areata is an autoimmune condition affecting hair follicles causing hair loss. It typically presents with discrete bald patches on the scalp but can cause hair loss from all hair-bearing areas on the body. Alopecia is a Latin term meaning hair loss, and areata refers to the patchy nature of the hair loss. Pityriasis versicolor affects the trunk, neck, and/or arms, and is uncommon on other parts of the body. The patches may be coppery brown, paler than surrounding skin, or pink. Pale patches may be more common in darker skin; this appearance is known as pityriasis versicolor alba. Sometimes the patches start scaly and brown, and …Patch testing is undertaken for the investigation and confirmation of substances that produce allergic contact dermatitis. It involves applying appropriately diluted allergens to the skin, usually on the back for convenience, for 48 hours. The patch tests are then read at 96 hours as reactions usually take 48–96 hours to develop. Chronic pigmentary disorders, particularly melasma and acquired dermal macular hyperpigmentation. Photocontact dermatitis to certain plants. Thickened skin eg, acanthosis nigricans or ichthyosis. Pigmented purpura due to bleeding into the skin, such as capillaritis or senile purpura. Segmental pigmentation disorder. Dermatitis overview. Created 2008. Learning objectives. Describe acute and chronic dermatitis; Outline general management of dermatitis; Introduction. Dermatitis and eczema are words that are often used interchangeably to describe a variety of distinct skin conditions in which there is epidermal and dermal inflammation and nearly always intense …Brimonidine is the first and only FDA-approved topical treatment specifically developed and indicated for facial erythema in rosacea. Applied once daily, brimonidine works quickly to reduce the redness of rosacea and the beneficial effects last up to 12 hours. Brimonidine is also available as eye drops to treat ocular hypertension or glaucoma.Pigmentation disorders are often more troublesome in skin of colour. The melanocytes ( pigment cells) are located at the base of the epidermis and produce the protein melanin. Melanin is carried by keratinocytes to the skin surface. The melanocytes of dark-skinned people produce more melanin than those of people …DermNet is a not-for-profit, independent health publishing organisation with a mission to make authoritative information about the skin accessible to anyone in the world. We have information about almost every skin condition and have a library of over 20,000 dermatology images. All of our content is created or reviewed by a …Contact dermatitis (also called contact eczema) refers to a group of skin disorders in which the skin reaction is due to direct contact with the causative agent. The term dermatitis implies that the outside layers of skin are affected. It can be acute (a single episode) or chronic ( persistent ). Dermatitis is nearly always itchy.Candidal intertrigo classically presents as erythematous and macerated plaques with peripheral scaling. There are often associated superficial satellite papules or pustules. Affected areas may include: Skin folds below the breasts or …Basal cell carcinoma (BCC) is a common, locally invasive, keratinocyte cancer (also known as nonmelanoma cancer). It is the most common form of skin cancer. BCC is also known as rodent ulcer and basalioma. Patients with BCC often develop multiple primary tumours over time.Intense pulsed light (IPL) or flashlamp therapy is a non- invasive and non- ablative treatment that uses high-intensity pulses of visible light to improve the appearance of the following skin problems: Vascular lesions including spider telangiectasis, port wine stains, broken facial veins, rosy cheeks, rosacea and red thread veins of the legs.Dermatology resources for medical students. Welcome to DermNet’s medical student resource centre. This centre has been designed to help increase your confidence and knowledge in the field of dermatology. We will be updating this page regularly; join our mailing list to stay up to date. In the meantime, why not start by signing up for our free ...DermNet does not provide an online consultation service. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Search DermNet to see clinical skin condition summaries and dermatology images.Chondrodermatitis nodularis is a solitary, firm, and oval-shaped nodule, 4–6 mm in diameter, with central crust and surrounding erythema. In men, the most common site for CNH is the helix, while in women it is more often found on the antihelix. It is typically unilateral, located on the sleeping side, but can be bilateral.Dermatologist – USA. One of the most easy, complete and comprehensive sources for dermatological conditions. Every topic is well written and covered completely. This site is …Plant dermatitis is an inflammation of the skin caused by topical contact with a plant or plant constituent. Phytodermatitis is the formal medical name for plant dermatitis, and it may be an irritant contact dermatitis, allergic contact dermatitis, or phytophotodermatitis. Contact urticaria and mechanical irritation can also be due to plants.A venous lake is usually easy to diagnose clinically by its appearance. The colour disappears on compression of the macule or papule due to the clearance of blood from the dilated venule. This is most easily seen using a glass slide or the lens of a contact dermatoscope. A venous lake has a structureless blue or purple appearance on …Salicylic acid belongs to a group of medicines known as keratolytics. It is used in the treatment of scaly skin diseases where the skin has become thickened, scaly and flaky. Topical preparations of salicylic acid, either alone or in combination with other medicines, can be used to treat the following common scaly skin conditions: Viral warts.Irritant contact dermatitis develops when chemical or physical agents damage the skin surface faster than the skin can repair. Irritants remove oils and natural moisturising factor from the outer layer of the skin, allowing chemical irritants to penetrate the skin barrier and trigger inflammation. Factors influencing the development and ...Nodular prurigo (NP) or prurigo nodularis is a chronic skin condition characterised by very itchy firm lumps. It can appear anywhere on the body but is most common on the arms, legs, back, and torso, in a symmetrical distribution. It is the most severe form of prurigo and thus can be difficult to treat.Patch testing is undertaken for the investigation and confirmation of substances that produce allergic contact dermatitis. It involves applying appropriately diluted allergens to the skin, usually on the back for convenience, for 48 hours. The patch tests are then read at 96 hours as reactions usually take 48–96 hours to develop.Learn about seborrhoeic keratosis, a common harmless warty spot that appears with age. Find out the causes, features, complications, diagnosis and treatment of this skin condition. Pruritus is the medical term for itch. Itch is an unpleasant sensation on the skin that provokes the desire to rub or scratch the area to obtain relief. Itch can cause discomfort and frustration; in severe cases it can lead to disturbed sleep, anxiety and depression. Constant scratching to obtain relief can damage the skin ( excoriation ... Skin and soft tissue infections are a common complication of injecting recreational drugs. Cutaneous abscesses and cellulitis are common presentations in people who inject drugs (PWID), while necrotising fasciitis is a medical emergency. Cellulitis of the leg after skin popping. Necrotising fasciitis of the leg after a lower leg infection after ...It may cause discomfort or bleeding when passing bowel motions, and aggravate any tendency to constipation, particularly in children. Lichen sclerosus causes adhesions and scarring. The clitoris may be buried. The labia minora resorb/shrink. The entrance to the vagina tightens (introital stenosis ).Seborrhoeic dermatitis is a common, chronic, or relapsing form of eczema /dermatitis that mainly affects the sebaceous gland -rich regions of the scalp, face, and trunk. There are infantile and adult forms of seborrhoeic dermatitis. This benign inflammatory condition is sometimes associated with psoriasis and is known as …Atopic hand dermatitis occurs in at least 50–60% of people with active atopic dermatitis, including children. The prevalence of hand involvement increases with age, with hand dermatitis detected in 30–40% of atopic babies and toddlers (age 0–2 years), 55% of atopic children aged 3–12 years, and 65% in those aged over 12 years.Intertrigo is due to genetic and environmental factors. Flexural skin has a relatively high surface temperature. Moisture from insensible water loss and sweating cannot evaporate due to occlusion. Friction from the movement of adjacent skin results in chafing. Intertrigo occurs more easily in environments that are hot and humid.Pityriasis rosea is a self-limiting rash, which resolves in about 6–10 weeks. It is characterised by a large circular or oval "herald patch ", usually found on the chest, abdomen, or back. The herald patch … Chronic spontaneous urticaria refers to chronic urticaria that has no specific cause or trigger. Weals are present on most days of the week for 6 weeks or more. Chronic spontaneous urticaria was previously referred to as chronic idiopathic urticaria. This term is no longer used as many cases have an autoimmune basis. Atopic hand dermatitis occurs in at least 50–60% of people with active atopic dermatitis, including children. The prevalence of hand involvement increases with age, with hand dermatitis detected in 30–40% of atopic babies and toddlers (age 0–2 years), 55% of atopic children aged 3–12 years, and 65% in those aged over 12 years.Learn about atopic dermatitis, the most common inflammatory skin disease worldwide, affecting people with an atopic tendency. Find out the causes, clinical features, complications, diagnosis, and treatment of this condition.It affects the superficial layers of the epidermis and is typically caused by Staphylococcus aureus and Streptococcus pyogenes (Group A beta – haemolytic streptococci (GABHS)). It can be classified into non- bullous (also known as ‘school sores’) and bullous impetigo. Ecthyma is a deep form of impetigo causing deeper erosions of the skin ...Many writers are based in New Zealand, but others have contributed from UK, USA, Canada, Australia, Mexico, Indonesia, Sri Lanka and elsewhere. Visit our website at … Alopecia areata is an autoimmune condition affecting hair follicles causing hair loss. It typically presents with discrete bald patches on the scalp but can cause hair loss from all hair-bearing areas on the body. Alopecia is a Latin term meaning hair loss, and areata refers to the patchy nature of the hair loss. A melanocytic naevus (American spelling ‘ nevus ’), or mole, is a common benign skin lesion due to a local proliferation of pigment cells ( melanocytes ). It is sometimes called a naevocytic naevus or just 'naevus' (but note that there are other types of naevi ). A brown or black melanocytic naevus contains the pigment melanin, so may also ...Dermatomal — lesions confined to one or more segments of skin innervated by a single spinal nerve ( dermatomes ). Extensor — involving extensor surfaces of limbs. Contrast with flexor surfaces. Flexural — related to flexion, or skin folds, such as the backs of knees, the armpits, the elbow creases and the groin.A solar lentigo is a flat, well- circumscribed patch. It can be round, oval or irregular in shape. Colour varies from skin-coloured, tan to dark brown or black, and size varies from a few millimetres to several centimetres in diameter. They can be slightly scaly. Solar lentigines are found as groups of similar lesions on sun-exposed sites ...Dermatomyositis is thought to be caused by a microangiopathy affecting skin and muscle. There is a genetic predisposition to the development of dermatomyositis such as the PTPN22 gene and HLA associations identified include: Anti-Mi-2 antibodies: HLA DRB1*07 and DQA*0201. Silica exposure — in tradespeople.Malignancy. Cutaneous cysts and pseudocysts are non- proliferative benign lesions. Nodulocystic basal cell carcinoma is a common skin cancer that presents as a rounded nodule and may initially be mistaken for a cyst, but steady enlargement, destruction of the epidermis with ulceration and bleeding occur eventually.Periocular dermatitis is a localised form of periorificial dermatitis. It is characterised by small red scaly papules and pustules located around the eye [1]. Periorificial dermatitis includes perioral dermatitis or periocular dermatitis alone, or in association. Perioral dermatitis describes an eruption around the mouth and nose.. 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