By Clive B. Archer
Recognizing the big number of epidermis illnesses in calmly pigmented epidermis will depend on the improvement of a couple of visible talents that experience to be constructed nonetheless extra to acknowledge pores and skin illnesses in deeply pigmented dermis from varied ethnic teams. The comparability of epidermis issues in white and deeply pigmented dermis is in itself an enormous method of studying; by utilizing this booklet on a regular basis, the reader turns into conversant in the looks of universal and unusual pores and skin ailments in individuals with various levels of dermis pigmentation. This superbly illustrated textual content on ethnic dermatology offers a scientific method of the analysis and administration of a wide selection of dermis ailments; the second one variation has been reorganized and up-to-date to implement its usefulness for the busy practitioner wanting to match very important transformations within the manner epidermis ailments take place themselves.
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Additional info for Ethnic Dermatology: Clinical Problems and Skin Pigmentation
G. cow’s milk, house dust mite). In atopic dermatitis the skin is often dry and extremely itchy. Scratching makes the eczema worse and produces lichenification. The severity fluctuates with time and secondary bacterial infection, usually with Staphylococcus aureus, can be recognized by exudation and crusting. Any part of the body can be affected, often symmetrically. g. antecubital and popliteal fossae), the periocular regions, and the nape of the neck. In black skin, close inspection of the skin may reveal erythema with epidermal changes, such as scaling, and the distribution of the eruption may be as in white skin.
X-linked recessive ichthyosis affects male offspring who inherit an X chromosome bearing a steroid sulphatase genetic mutation from their asymptomatic mother, leading to steroid sulphatase deficiency. Affected boys have distinctive larger brown scales and the flexures also tend to be involved. Steroid sulphatase enzyme activity can be measured in leukocytes or skin fibroblasts, and is much reduced or absent in X-linked recessive icthyosis. qxp 8/1/2008 6:47 PM Page 25 DISORDERS WITH EPIDERMAL CHANGE———25 dominant disease presenting shortly after birth, the erythema and blistering decreasing as the child grows older.
28 Asteatotic eczema (eczema craquelé), showing the typical ‘crazy paving’ appearance on the shins. g. The eczema readily responds to the use of emollients. 30 Primary irritant dermatitis, affecting the hands. This frequently follows the repeated immersion of the hands in detergents, such as washing up liquid (housewives’ dermatitis). Initially the finger webs and anterior wrists are involved, sites where the epidermis is thinner than on the palms. However, any area of the skin on the hands may be affected.
Ethnic Dermatology: Clinical Problems and Skin Pigmentation by Clive B. Archer