Sauer's Manual of Skin Diseases 8th edition (January 15, 2000): by John C. Hall (Editor), Gordon C. Manual of Skin Diseases Sauer ByLippincott Williams & Wilkins Publishers By OkDoKeY Sauer’s Manual of Skin Diseases Contents Dedication Contributing Authors Preface to the First Edition (abridged) Preface Acknowledgments Chapter 1 Structure of the Skin Kenneth R. Watson, D.O. Chapter 2 Laboratory Procedures and Tests Kenneth R. Watson, D.O. Chapter 3 Dermatologic Diagnosis Chapter 4 Introduction to the Patient Chapter 5 Dermatologic Therapy Chapter 6 Physical Dermatologic Therapy Chapter 7 Fundamentals of Cutaneous Surgery Frank Custer Koranda, M.D. Chapter 8 Cosmetics for the Physician Marianne N. O’Donoghue,M.D. Chapter 9 Dermatologic Allergy Chapter 10 Dermatologic Immunology Richard S. Kalish, M.D., Ph.D. Chapter 11 Pruritic Dermatoses Chapter 12 Vascular Dermatoses Chapter 13 Seborrheic Dermatitis, Acne, and Rosacea Chapter 14 Papulosquamous Dermatoses Chapter 15 Dermatologic Bacteriology Chapter 16 Spirochetal Infections Chapter 17 Dermatologic Virology Chapter 18 Cutaneous Disease Associated with Human Immunodeficiency Virus M. Joyce Rico, M.D., and Neil S. Prose,M.D. Chapter 19 Dermatologic Mycology Chapter 20 Granulomatous Dermatoses Chapter 21 Dermatologic Parasitology Chapter 22 Bullous Dermatoses Chapter 23 Exfoliative Dermatitis Chapter 24 Pigmentary Dermatoses Chapter 25 Collagen Disease Chapter 26 The Skin and Internal Disease Warren R. Heymann, M.D., and Robin Levin,M.D. Chapter 27 Diseases Affecting the Hair Thelda Kestenbaum, M.D. Chapter 28 Diseases Affecting the Nails Thelda Kestenbaum, M.D. Chapter 29 Diseases of the Mucous Membranes Chapter 30 Dermatologic Reactions to Sun and Radiation Chapter 31 Genodermatoses Virginia P. Sybert, M.D. Chapter 32 Tumors of the Skin Chapter 33 Pediatric Dermatology Vidya Sharma, M.B.B.S., M.P.H., M.D. Chapter 34 Geriatric Dermatology Chapter 35 Tropical Diseases of the Skin Francisco G. Bravo, M.D., and Alejandro Morales,M.D. Chapter 36 Where to Look for More Information About a Skin Disease Abridged Dictionary–Index Contributing Authors Francisco G. Bravo, M.D. Assistant Professor Department of Dermatology Universidad Peruana Cayetano Heredia Attending Physician Dermatology Service Instituto de Enfermedades Infecciosas y Tropicales Alexander Von Humboldt Hospital Nacional Cayetano Heredia Av. Honorio Delgado s/n, San Martin de Porres Lima 31, Peru Chapter 35, Tropical Diseases of the Skin John C. Hall, M.D. Primary Staff St. Luke’s Hospital Trinity Hospital Lecturer of Medicine University of Missouri Kansas City School of Medicine Teaching Staff Department of Pediatric Dermatology Children’s Mercy Hospital Clinician Kansas Free Health Clinic 4400 Broadway, Suite 416 Kansas City, Missouri 64111 Warren R. Heymann, M.D. Head Division of Dermatology Associate Professor Department of Clinical Medicine UMDNJ-Robert Wood Johnson Medical School at Camden Cooper Hospital/University Medical Center 1 Cooper Plaza Camden, New Jersey 08103 Chapter 26, The Skin and Internal Disease Richard S. Kalish, M.D, Ph.D. Associate Professor Department of Dermatology Health Sciences Center State University of New York at Stony Brook Stony Brook, New York 11794-8165 Chapter 10, Dermatologic Immunology Thelda Kestenbaum, M.D. Assistant Professor Department of Medicine Division of Dermatology University of Kansas Medical Center 3901 Rainbow Boulevard Kansas City, Kansas 66160 Chapter 27 Diseases Affecting the Hair and Chapter 28 Diseases Affecting the Nails Frank Custer Koranda, M.D. Associate Clinical Professor Department of Otolaryngology-Head and Neck Surgery Division of Dermatology University of Kansas Medical Center Kansas City, Kansas Staff Surgeon Department of Otolaryngology-Head and Neck Surgery St. Luke’s Shawnee Mission Georgetown Medical Building #148 8901 W. 74th Street Shawnee Mission, Kansas 66204 Chapter 7, Fundamentals of Cutaneous Surgery Robin Levin, M.D. Chief Resident Department of Dermatology UMDNJ-Robert Wood Johnson Medical School at Camden Cooper Hospital/University Medical Center 1 Cooper Plaza Camden, New Jersey 08103 Chapter 26, The Skin and Internal Disease Alejandro Morales, M.D. Associate Professor Department of Dermatology Universidad Peruana Cayetano Heredia Av. Honorio Delgado s/n Chief Instituto Dermatologica El Bucare 551 La Molina Lima 12, Peru Chapter 35, Tropical Diseases of the Skin Marianne N. O’Donoghue, M.D. Associate Professor Department of Dermatology Rush Presbyterian–St. Luke’s Medical Center Chicago, Illinios 120 Oak Brook Center Mall Oak Brook, Illinios 60523 Chapter 8, Cosmetics for the Physician Neil S. Prose, M.D. Associate Professor Departments of Medicine (Dermatology) and Pediatrics Duke University Medical Center Durham, North Carolina 27710 Chapter 18, Cutaneous Diseases Associated with Human Immunodeficiency Virus M. Joyce Rico, M.D. Associate Professor Department of Dermatology New York University 550 First Avenue, H-100 Chief Dermatology Service New York VA Medical Center 423 East 23rd Street New York, New York 10010 Chapter 18, Cutaneous Diseases Associated with Human Immunodeficiency Virus Vidya Sharma, M.B.B.S., M.P.H., M.D. Associate Professor Department of Pediatrics University of Missouri Staff Physician Department of Dermatology Children’s Mercy Hospital Kansas City, Missouri 64108 Chapter 33, Pediatric Dermatology Virginia P. Sybert, M.D. Professor Department of Medicine University of Washington School of Medicine Box 356524 Seattle, Washington 98195 Chapter 31, Genodermatoses Kenneth R. Watson, D.O. Department of Pathology St. Luke’s Hospital 4401 Wornall Road Kansas City, Missouri 64111 Chapter 1, Structure of the Skin and Chapter 2, Laboratory Procedures and Tests Dedication In memory of Clarence S. Livingood, M.D. and William E. Hall, Ph.D., to Susan R. Hall, and to Gordon C. Sauer, M.D. whose book this will always be. Preface Many new things have been added to the 8th edition of the Manual of Skin Diseases. The Dictionary–Index has been completely revamped with many unnecessary items eliminated, and many new items added. For the first time in this book, or any American published dermatology textbook, a special section on Tropical Dermatology is included, which adds a great deal to the overall completeness of this text. All chapters have been updated and new authors, who are experts in their field, have written the chapters on dermatopathology, immunodermatology, cutaneous manifestations of underlying diseases, the genetics of dermatology, and pediatric dermatology. Updates of chapters from outstanding authors who have written previous chapters include: dermatology cosmetics, cutaneous diseases associated with immunodeficiency and fundamentals of cutaneous surgery and chapters on hair and nail disease. Numerous new color photographs have been added to the text, which greatly enhance the dermatology diagnosis. It is often said that “a picture is worth a thousand words” and in no specialty is this more true than in dermatology. I have kept most chapters in the basic proven structure that Dr. Sauer has been recognized for worldwide during his outstanding dermatology teaching career. John C. Hall, M.D. Preface to the First Edition (abridged) Approximately 15 percent of all patients who walk into the general practitioner’s office do so for care of some skin disease or skin lesion. It may be for such a simple treatment as the removal of a wart, for the treatment of athlete’s foot or for something as complicated as severe cystic acne. There have been so many recent advances in the various fields of medicine that the medical school instructor can expect his students to learn and retain only a small percentage of the material that is taught them. I believe that the courses in all phases of medicine, and particularly the courses of the various specialties, should be made as simple, basic and concise as possible. If the student retains only a small percentage of what is presented to him, he will be able to handle an amazing number of his walk-in patients. I am presenting in this book only the material that medical students and general practitioners must know for the diagnosis and the treatment of patients with common skin diseases. In condensing the material many generalities are stated, and the reader must remember that there are exceptions to every rule. The inclusion of these exceptions would defeat the intended purpose of this book. More complicated diagnostic procedures or treatments for interesting problem cases are merely frosting on the cake. This information can be obtained by the interested student from any of several more comprehensive dermatologic texts. This book consists of two distinct but complementary parts: The first part contains the chapters devoted to the diagnosis and the management of the important common skin diseases. In discussing the common skin diseases, a short introductory sentence is followed by a listing of the salient points of each disease in outline form. All diseases of the skin have primary lesions, secondary lesions, a rather specific distribution, a general course which includes the prognosis and the recurrence rate of the diseases, varying subjective complaints, and a known or unknown cause. Where indicated, a statement follows concerning seasonal incidence, age groups affected, family and sex incidence, contagiousness or infectiousness, relationship to employment and laboratory findings. The discussion ends with a paragraph on differential diagnosis and treatment. Treatment, to be effective,