By Daniel Creamer
Specializes in dermatoses with a unexpected onset, fast development or with neighborhood or systemic morbidity. This name covers numerous universal inflammatory and infective dermatoses, rarer stipulations: rashes, tumours, connective tissue disorder, travelllers' dermatoses and drug eruptions.
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Extra resources for Acute Adult Dermatology: Diagnosis and Management: A Colour Handbook
Chest radiography (bilateral hilar lymphadenopathy, pulmonary infiltration, and fibrosis). • High resolution computed tomography (CT) scan of chest (bilateral hilar lymphadenopathy, pulmonary infiltration, and fibrosis). • Pulmonary function tests (restrictive defect). • Electrocardiogram (ECG) (to exclude cardiac involvement). • Skin biopsy for histopathology (granulomatous infiltrate in the upper dermis composed of lymphocyte-poor granulomas). IMMEDIATE MANAGEMENT Topical therapy • Corticosteroid ointment, twice per day (use for a restricted period): face: moderately potent or potent.
Skin swabs for microbiology (to exclude bacterial infection). • Skin scrapings for mycology (to exclude dermatophyte infection). Palmo-plantar pustulosis 31 IMMEDIATE MANAGEMENT Topical therapy • General emollient therapy. • Potassium permanganate soaks once daily, following rupture of the pustules. • Corticosteroid ointment, twice per day (use for a restricted period): palms and soles: potent or superpotent. ) LONG-TERM MANAGEMENT ISSUES PPP tends to run a chronic course. In acute exacerbations, reintroduction of the above management plan is helpful to control pustulation.
41 42 42 Lichen planus. Lesions can be widely disseminated over the body. The lower legs and ankles are often involved. 43 Lichen planus. Oral involvement in LP is common and usually produces a network of white lines on the buccal mucosae. Lichenoid changes may also occur on the lips, tongue, gingivae, and palate. 38 CHAPTER 3 Papular and papulo-squamous dermatoses Pityriasis rosea Pityriasis rosea (PR) is a common acute eruption which generally affects young adults and children. It is thought to represent a viral exanthem; studies have implicated the involvement of human herpesvirus 6 (HHV6) or HHV7.
Acute Adult Dermatology: Diagnosis and Management: A Colour Handbook by Daniel Creamer