By Paul K. Buxton, Rachael Morris-Jones

Psoriasis -- administration of psoriasis -- Eczema (dermatitis) together with administration -- Urticaria and angio-oedema -- epidermis and photosensitivity -- Inflammatory dermatoses : drug rashes -- Inflammatory dermatoses : immunobullous and different blistering issues -- Inflammatory dermatoses : connective tissue affliction, vasculitis and similar problems -- pores and skin and systemic illness -- Leg ulcers -- pimples and rosacea -- Bacterial infections -- Viral infections -- HIV and the outside -- Fungal infections -- Insect bites and infestations -- Tropical dermatology -- Hair and scalp / Samantha Bunting, David Fenton -- ailments of the nails / David de Berker -- Benign epidermis tumours -- Premalignant and malignant epidermis tumours -- sensible tactics / Raj Mallipeddi -- Lasers, excessive pulsed gentle, and photodynamic remedy / Alun V. Evans -- Dressings and bandages / Judy Davids -- Formulary / Karen Watson

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Extra resources for ABC of Dermatology, 5th Edition (ABC Series)

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Patients and their carers should be taught how to apply these occlusive aids which are generally worn overnight. Occlusive therapy helps to relieve symptoms of 1/22/2009 1:44:03 PM 34 ABC of Dermatology itch, keep emollient creams on the skin and ‘drive’ topical therapy through the epidermis. The potency of topical steroids is enhanced 100-fold by occlusion, so only very low potency steroids should be used under occlusion. Antibiotics are needed to treat infected eczema; they may be given topically or systemically.

Skin biopsy for direct immunofluorescence. Management of pruritus Identifying and treating the underlying cause of the pruritus is obviously desirable whenever possible. Patients themselves will find 1/22/2009 1:44:03 PM Eczema (Dermatitis) Including Management some short-term relief by scratching the skin, but this ultimately leads to further itching and scratching: the so called ‘itch–scratch cycle’. To break this cycle the sensation of itch needs to be suppressed, or the patient’s behaviour changed by, for example, habit reversal techniques.

Alternatives include ciclosporin, hydroxyurea, azathioprine and mycophenolate mofetil. Biological therapies (infliximab, etanercept, efalizumab, adalimumab) can be considered if patients have failed to respond or have experienced side-effects precluding the continued use of at least two systemic agents. Methotrexate Methotrexate is suitable for treating unstable erythrodermic/ pustular psoriasis in the acute setting as well as maintenance for chronic plaque disease. Methotrexate reduces epidermal cell turnover by the inhibition of folic acid synthesis during the S phase of mitosis.

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