Dermatology at a Glance

Mahbub M. U. Chowdhury, Ruwani P. Katugampola, Andrew Y. Finlay

• Publisher: Wiley-Blackwell
• Year: 2019
• Print ISBN: 9781119392613
• eBook ISBN: 9781119392729
• Edition: 2
• Topic: Medicine
• Subtopic: Dermatology

The field of Dermatology is expanding at a rapid pace — new research findings and advanced treatment technologies have amplified the need for concise and up-to-date information on this dynamic area of medicine. Dermatology at a Glance provides medical students and trainees with a clear introduction to dermatological practice. This valuable resource covers essential components of dermatology, from patient consultation and basic procedures to advanced treatments of skin disorders. Illustrated with over 300 high-quality slides and full-colour photographs, this book is an ideal reference for those seeking to interview and examine patients, identify and diagnose skin diseases, and develop treatment plans.

Now in its second edition, Dermatology at a Glance offers revised coverage of the epidemiology, pathogenesis, and presentations of various skin disorders, and examines central aspects of the British Association of Dermatologists core curriculum. New chapters on topics such as dermoscopy, diagnostic methods for lesions and rashes, cosmetic dermatology, and drug reactions reflect current research and practices.

• Perfect for revision and quick consultation with its highly visual approach
• Eight brand new chapters, including hidradenitis suppurativa, itch, and systemic and topical drugs
• Accompanied by a companion site featuring self-assessment resources and an image bank

Dermatology at a Glance is an indispensable resource for medical students, dermatology specialty and primary care trainees.

Part 1
Principles of Dermatology

Chapters

• 1 Evidence‐Based Dermatology
• 2 Dermatology: The Best on the Web
• 3 Dermatology: Then and Now
• 4 How the Skin Works
• 5 The Burden of Skin Disease

1
Evidence‐Based Dermatology

Influences on Clinical Decision‐Taking

Drug prescription statistics across Europe show that there are vast differences in drug usage in dermatology from country to country. The diseases and the science of medicine are the same, but prescribing practice is hugely influenced by local custom and experience, habit and prejudices. There must be something wrong.

Clinical decision‐taking is very complex and a wide range of issues influence the clinician (Figure 1.1). But the foundation of high‐quality decision‐taking should be evidence‐based scientific information about the disease and its possible treatment. This information should then be tailored to the individual patient's needs, preferences, and values.

Figure 1.1 Influences on Clinical Decision‐Taking

Much of the management advice given in this book is not evidence based. Some may later be shown to be incorrect. Although the authors have tried to give evidence‐based information, this book gives their current opinions and some of their biases. So how could this be improved? How can clinical practice become based more on evidence and less on opinion?

Guidelines

It is helpful to have the well thought out views of others available in an easily digested form to guide you over therapy. Until recently, guidelines in dermatology and across the rest of medicine were usually written by a small group of self‐appointed ‘experts’ who reached a consensus in discussion, based on their current practice. The likelihood of bias or missing the results of recent research was obvious. However, there has been a revolution in guideline writing. The processes are now designed to be structured and open. There is a formal literature review and guidelines are based on all the available evidence. When published, the strength of evidence backing up each recommendation is given. There is an open process of wide consultation before final acceptance and publication, and a date for review is set, usually after three or four years.

If you read any guidelines, make sure that their production was rigorous and evidence based, such as the British Association of Dermatologists' (BAD) guidelines (www.bad.org.uk/healthcare‐professionals/clinical‐standards/clinical‐guidelines) or the European Dermatology Forum guidelines (www.euroderm.org).

Systematic Reviews

A systematic review is a very detailed structured literature review that aims to answer a specific research or therapy question. By having clear criteria for papers that will or will not be included and by searching very widely for all possible papers, it is possible to be confident in the results of such reviews. The study results may be combined by a process of meta‐analysis. The Cochrane Group, named after the Cardiff chest physician and epidemiologist, coordinates and publishes these reviews: the Cochrane Skin Group reviews are at http://skin.cochrane.org.

UK Clinical Trials Network

If a drug works really well, the number of patients needed to prov...

Table of contents

• Cover
• Table of Contents
• Preface to the Second Edition
• Preface to the First Edition
• About the Authors
• Foreword
• Acknowledgements
• List of Abbreviations
• About the Companion Website
• Part 1: Principles of Dermatology
• Part 2: The Patient Consultation
• Part 3: Basic Procedures
• Part 4: Treatments
• Part 5: Inflammatory Diseases
• Part 6: ER Dermatology
• Part 7: Skin Infections
• Part 8: Specific Sites
• Part 9: Specific Ages
• Part 10: Skin Allergy
• Part 11: Skin Tumours
• Part 12: Photodermatology
• Part 13: Systemic Diseases
• Part 14: Miscellaneous Conditions
• Clinical Picture Quiz
• Clinical Picture Quiz Answers
• References
• Index
• End User License Agreement